Skip to main content

Posts

Showing posts from October, 2018

DAY 6 READING MEDICAL ARTICLE

Smoking Cessation Aids Alone Do Not Help Smokers Quit Despite the strong efficacy of pharmacologic smoking cessation aids demonstrated in clinical trials, a recent nationally representative cohort study found no evidence of their effectiveness in the general population of smokers, who rarely combine these medications with behavioral counseling. The study, from the University of California at San Diego (UCSD) School of Medicine in La Jolla, California, appears in the  Journal of the National Cancer Institute (2018;110:581‐587). The US Public Health Service clinical practice guideline “Treating Tobacco Use and Dependence” recommends that smokers use a pharmaceutical aid to quit smoking. However, in a study appearing in  Tobacco Control  in 2016, no more than 30% of US smokers who quit long term attributed their success to using 1 or more of these aids (2016;25:464‐469). In addition, several observational studies have suggested that the effectiveness of pharmaceutica...
Post a Comment
Read more

DAY 5 READING MEDICAL JOURNAL

Abstract Vasoplegia is the syndrome of pathological low systemic vascular resistance, the dominant clinical feature of which is reduced blood pressure in the presence of a normal or raised cardiac output. The vasoplegic syndrome is encountered in many clinical scenarios, including septic shock, post-cardiac bypass and after surgery, burns and trauma, but despite this, uniform clinical definitions are lacking, which renders translational research in this area challenging. We discuss the role of vasoplegia in these contexts and the criteria that are used to describe it are discussed. Intrinsic processes which may drive vasoplegia, such as nitric oxide, prostanoids, endothelin-1, hydrogen sulphide and reactive oxygen species production, are reviewed and potential for therapeutic intervention explored. Extrinsic drivers, including those mediated by glucocorticoid, catecholamine and vasopressin responsiveness of the blood vessels, are also discussed. The optimum balance between maintain...
Post a Comment
Read more

DAY 4 READING MEDICAL JOURNAL

ENDOMETRIOSIS Endometriosis, which is defined as the ectopic presence of endometrial glandular and stromal cells outside of the uterine cavity is one of the common benign gynaecologic disorders [ 1 ]. Endometriosis is often associated with chronic pelvic pain, dysmenorrhea, dyspareunia, and infertility. Endometriosis occurs in 10% of reproductive-age women, whereas the prevalence of endometriosis in women with chronic pelvic pain or infertility ranges from 20% to 90% [ 2 ]. Although the pathophysiology underlying endometriosis is not fully understood, the most accepted hypothesis is that endometrial cells pass through retrograde menstrual flow and implant in the abdominal cavity. On the basis of this hypothesis, it is thought that immunologic and biological factors influence the incidence of endometriosis. Retrograde menstrual flow is a common phenomenon in most women; however, there are several conditions that must be met to develop endometriosis. First, the endometrial cells in...
Post a Comment
Read more

GRAMMAR TODAY

GRAMMAR REVIEW Try to  do all these exercies. It will help us to build sentences from case notes. please to send the correct answer to the comment box below.
Post a Comment
Read more

DAY 3 READING A SCIENCE ARTICLE

One of the world’s largest organisms is shrinking The Pando aspen grove, located in central Utah, is the largest organism on the planet by weight. From the surface, it may look like a forest that spans more than 100 U.S. football fields, but each tree shares the exact same DNA and is connected to its clonal brethren through an elaborate underground root system.  Although not quite as large in terms of area as the massive  Armillaria gallica  fungus in Michigan , Pando is much heavier, weighing in at more than 6 million kilograms. Now, researchers say, the grove is in danger, being slowly eaten away by mule deer and other herbivores—and putting the fate of its ecosystem in jeopardy. “This is a really unusual habitat type,” says Luke Painter, an ecologist at Oregon State University in Corvallis who was not involved with the research. “A lot of animals depend on it.” Aspen forests such as the Pando grove and many others reproduce in two ways. The first is the famil...
Post a Comment
Read more

DAY 2 GRAMMAR REVIEW

THIS WILL HELP YOU TO CREATE SENTENCES FROM CASE NOTES .TRY TO SEND YOUR ANSWER TO THE COMMENT BOX BELOW.
Post a Comment
Read more

DAY 2 READING A MEDICAL ARTICLE

This is the first comprehensive population-based study on food allergies in the United States. Such data provide a more accurate estimate of the temporal trends in the incidence of food allergy at a population level (outpatients and inpatients combined) as compared with hospital-based case series or patient self-reported surveys, which are distorted by referral bias and ascertainment bias. 16  Consistent with findings from a previous study of this population, 17  this retrospective review found an increase in incident cases of all food allergies in Olmsted County, Minnesota, over a 10-year period from 2002-2011. Males had a higher incidence of food allergy, and other coexistent atopic diseases were common. In particular, 324 of the 578 patients (56.1) with food allergy also had atopic dermatitis, consistent with findings of previous studies. The types of food allergies were similar between those delivered by cesarean section vs vaginally. In this cohort, 30 patients (5.2%) ha...
Post a Comment
Read more

DAY 1 READING A MEDICAL JOURNAL

Acute myocardial infarction (AMI) during pregnancy is an uncommon but potentially devastating complication of the gravid state. Acute myocardial infarction occurs during pregnancy with an incidence of approximately 3 to 10 cases per 100,000 deliveries 1 ,   2 ,   3 ,   4  and is associated with 5% to 7% maternal case-fatality rate with grave risks to the developing fetus. 2 ,   3  Hormonal and hemodynamic changes in the cardiovascular system and the hypercoagulable state of pregnancy in part account for the increased risk of AMI during pregnancy, which occurs with a frequency approximately 3- to 4-fold higher than that for nonpregnant women of childbearing age. 5  In addition, previous population-based studies reported that maternal age, tobacco use, hypertension, diabetes mellitus, and thrombophilia are independent risk factors associated with AMI during pregnancy. 2 ,   3 Investigation of AMI during pregnancy or the puerperium has been parti...
Post a Comment
Read more

DAY 1 GRAMMAR REVIEW TENSE

LET'S START WITH DISCUSSING BASIC GRAMMAR. REFRESH YOUR MIND WITH ALL TENSE FORMS OF ENGLISH LANGAUGE. WRITING  A LETTER IN A FORIGN LANGAUAGE LIKE ENGLISH IS NOT AN IMPOSSIBLE ONE. TRY TO ANSWER THIS....
Post a Comment
Read more

OET SPEAKING TRAINING

OET SPEAKING  HOW CAN YOU UTILIZE 3 MINUTES FOR PREPARATION STEP 1 PLAN YOUR INTRODUCTION ACCORDING TO THE SITUATION STEP 2 ADRESS THE PATIENT BY ASKING PATIENTS NAME AND HOW HE/SHE PREFER TO BE  CALLED . STEP 3 ASK ABOUT PATIENTS CONCERS AND WORRIES . SPEP 4 PARAPHRASE WHAT THE PATIENT TOLD  TO EXPRESS YOUR UNDERSTANDING. STEP 5 EXPLAIN WHAT YOU ARE GOING TO DO LIKE ..  FIRST , I WOULD LIKE TO ASK CERTAIN QUESTIONS ABOUT YOUR CONDITION. SECOND , I WILL SUGGEST SOME WAYS TO CO-OP WITH THAT...LIKE THAT STEP 6 ASK ALL QUESTIONS THAT YOU WANT TO ASK  MAKE THIS QUESTIONS  STEP 7 DISCUSS YOUR PLAN OF CARE ONE BY ONE  AFTER EACH DISCUSSION CHECK FOR PATIENTS UNDERSTANDING STEP 8 CONCLUDE WHAT YOU DISCUSSED . SOME EXAMPLES  VOICE 1 VOICE 2 VOICE 3 PLEASE USE THIS VOICES TO LISTEN AND REPEAT AT LEAST 10 TIMES  DAIL...
Post a Comment
Read more