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Complementary medication is en vogue and an increasing number of patients consume herbal medicine without reporting their use to physicians. We report a case of iodine-induced hyperthyroidism due to the ingestion of a kelp-containing tea. A 39-year-old woman with multinodular goiter presented with typical signs of hyperthyroidism, which was confirmed by endocrine tests. ⋯ However, a detailed medical history revealed that she had been treated for a period of 4 weeks by a Chinese alternative practitioner with a herbal tea containing kelp because of her enlarged thyroid. The consumption of the tea was discontinued and an antithyroid drug therapy was initiated. Physicians should advise patients with underlying thyroid disease to avoid all complementary or alternative medications containing iodine.
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To estimate the effects of red light camera enforcement on per capita fatal crash rates at intersections with signal lights. ⋯ The study adds to the large body of evidence that red light camera enforcement can prevent the most serious crashes. Communities seeking to reduce crashes at intersections should consider this evidence.
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Sleep disturbances and burnout are possibly related to each other, although the exact nature of this relationship is still under investigation. The purpose of the study was to investigate the prevalence of insomnia and its relation with burnout levels in a group of nurses working in psychiatric, pediatric, internal medicine and surgery departments in the public hospitals of central Greece. ⋯ Insomnia and burnout scales are linearly related to each other. Younger nurses are particular vulnerable to insomnia. Job reform should target at younger nurses and those working on surgical departments who might also benefit from additional education and training to reduce insomnia and burnout. Hippokratia 2014; 18 (2):150-155.
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Patient Prefer Adher · Feb 2008
Quality of life assessment in clinical research on Chinese medicine: Early experience and outlook.
Patients' own account of the clinical progress is particularly important in situations of pain control, mental disturbances, and chronic problems. Chinese medicine does not directly target against a symptom or pathology, but emphasizes the maintenance of harmony between the vital forces of an individual. To achieve the harmony, usually long-termed treatment is required by consideration of the changing seasons and subject's constitution nature. ⋯ Early attempts to develop an additional system to cover the need for Chinese medicine have been scanty. A lot of effort needs to be given before a practical instrument taking care of both the general domains of common interests and special feelings on health, relevant to Chinese medicine, could be established and made available. Users of Chinese medicine have to rely on generally acceptable yard-sticks with the addition of self-reporting symptoms unique to Chinese medicine.