Archives of family medicine
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Letter Biography Historical Article
Who was the first to use ether anesthesia for the relief of surgical pain?
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Historical Article
The discovery of ether anesthesia. Jumping on the 19th-century bandwagon.
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To study the factors associated with the formation of striae gravidarum and the measures used by women to prevent them. ⋯ A previously reported association between increased striae and glucose intolerance, which led to the theory of adrenal cortical hyperactivity as a cause of striae gravidarum, was not confirmed by this study. Many women use creams or oils in an attempt to prevent striae formation despite their ineffectiveness.
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The comorbidity of severe asthma and depression is frequent and complicates the patient's comprehensive medical management. Asthma and depression are thought to interact to worsen both conditions, especially at the severe end of the spectrum of disease. This article reviews the current thinking regarding the synergistic effect of the two disorders, highlighting the importance of considering both disorders in the comprehensive management of severe asthma. Outpatient management and treatment issues addressed include the use of screening/case-finding tools, medication management, physician counseling, and referral.
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To assess the common factors and the pattern of deaths related to the use of physical restraints. ⋯ Our report of 63 cases is an underrepresentation of the true number of restraint deaths. Our finding that the vast majority of restraint deaths occurred while restraints were correctly applied implies an inherent danger in the use of physical restraints. The safety of restraining patients and the efficacy of physical restraint needs to be examined and alternate means of assuring the safety of patients need to be developed.