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Category Archives: Neurology

A licensed "doctor"

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Erectile dysfunction is a strong predictor of death in men with cardiovascular disease

From CNN:

Men with cardiovascular disease and ED were twice as likely to die from all causes than men who did not have erectile dysfunction. And those with ED were 1.6 times more likely to suffer from a serious cardiovascular problem such as a heart attack or stroke.

Erectile dysfunction is something that regularly should be addressed in the medical history of patients; it might be a symptom of early atherosclerosis.

Men with ED who are going to a general practitioner or a urologist need to be referred for a cardiology workup to determine existing cardiovascular disease and proper treatment. ED is an early predictor of cardiovascular disease.

References:
Study: Erectile dysfunction may indicate heart disease, death risk - CNN.com.

Image source: Viagra (sildenafil), Wikipedia, GNU Free Documentation License.

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Pediatrician retires at 89, enjoys seeing 40-50 patients a day, will become an artist

"How are you? Have you retired?"

"No," said Dr. Segal, "I need to keep practicing until I get it right."
"You took care of my baby for me."
"Wonderful. How old is your baby now?"
"He's 58."
Dr. Segal laughed when he recounted this story. But, then, Segal laughs a lot. Maybe that's how he practiced medicine for more than six decades. Because he found pleasure in his work. So many people are in a hurry to retire so they can start having fun. Segal never understood the reason to wait.
He had fun going to the office every day, had fun saying hello to children and making them well.

Segal got an art degree from Memphis State. When World War II broke out, there wasn't much demand for artists. So Segal went to medical school.

Six decades later, he's not one of those doctors who will tell you how much better things used to be. Sitting in his office during his last week of work, Segal mostly wanted to talk about how good we have it now."

References:
Geoff Calkins: Retiring Dr. Segal didn't wait to have fun — he worked at it. Scripps Interactive Newspapers Group, 2010.
Image source: Wikipedia, GNU Free Documentation License.

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TTMed Urology – free multimedia educational site by Reuters

According to the website, TTMed Urology is a multimedia educational platform aimed at delivering continuing education to urologists.

The website includes:

- Webcasts
- Articles (full text) and Congress Reports
- Clinical Scenarios
- Expert Interviews
- Online Courses
- Ask the Expert section
- Surgical Video Library
- Teaching Slides
- Multimedia Animations
- Podcasts

This is the link to the Editorial Board of the website - most of the experts are from Europe but a large portion of the content is from U.S.-based conferences. The project is sponsored by Prous Science S.A.U., a part of Thomson Reuters.

The access to most of the resources requires free registration.

References:
Urology Podcast
Urology News
Urology online Courses

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Former FDA commissioner on the killer combination of salt, fat and sugar – our food

David A Kessler, former commissioner of the FDA (the US Food and Drug Administration):

"Our favourite foods are making us fat, yet we can't resist, because eating them is changing our minds as well as bodies

For example, KFC's approach to battering its food results in "an optimised fat pick-up system". With its flour, salt, MSG, maltodextrin, sugar, corn syrup and spice, the fried coating imparts flavour that touches on all three points of the compass while giving the consumer the perception of a bargain – a big plate of food at a good price."

The ranks of overweight adults and children continue to increase. For the first time in history, overweight persons actually outnumber those who are malnourished. Obesity now kills more men and women in developed nations than war, terrorist attacks, or climate changes. On average, obese individuals forfeit about 9 years of life.
More on the same topic in the video below:

"Fake foods are more affordable. It's enticing people to eat more because they think they're saving money when they're really just buying heart disease." 10 Questions for Jillian Michaels. TIME, 2010.

References:
Obesity: The killer combination of salt, fat and sugar | David A Kessler. Guardian.

JAMA - Fat, Gluttony and Sloth: Obesity in Literature, Art and Medicine, July 7, 2010, Miksanek 304 (1): 101 http://goo.gl/eEos

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Cognitive behavioural treatment may work for low-back pain

Low-back pain is a common and costly problem. This study estimated the effectiveness of a group cognitive behavioural intervention in addition to best practice advice in people with low-back pain in primary care.

Over 1 year, the cognitive behavioural intervention had a sustained effect on troublesome subacute and chronic low-back pain at a low cost to the health-care provider.

References:

Image source: Different regions (curvatures) of the vertebral column, Wikipedia, public domain.

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