Special Medical Reports Articles pg. Several large randomized clinical trials now demonstrate that risk reduction therapies can significantly extend overall survival, reduce hospitalizations and revascularization procedures, and improve quality of life in patients with cardiovascular disease. The family physician and the cardiovascular specialist must work together in changing practice patterns to ensure that patients benefit from these therapies. A simple approach helps physicians determine if chronic glucocorticoid therapy can safely be withdrawn. M.S. Thrombus within the axillary-subclavian venous system is an important cause of morbidity in populations at risk.
Early recognition is critical for proper management and good outcome.
M.D. Botulinum toxin can be used to treat conditions associated with involuntary muscle contraction or spasms, including focal dystonia, blepharospasm, hemifacial spasm, strabismus and spasmodic torticollis. Weight reduction through behavior therapy, surgery and medication is associated with varying degrees of success and adverse effects. M.P.H. The recently released U.S. Preventive Services Task Force recommendations for clinical preventive services put more emphasis on counseling and modifications of personal health practices than on extensive testing. Three clinical decision points assist a practitioner in treating these patients. Use of the total contact cast for diabetic neuropathic foot ulcers usually results in complete healing within six to eight weeks.