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Family Practice Notebook Updates 2016

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41. Efficacy of EA on Depression Related Insomnia: Study Protocol for a Multicenter RCT

Update Posted : May 28, 2018 See Sponsor: Shanghai Municipal Hospital of Traditional Chinese Medicine Collaborators: Shanghai University of Traditional Chinese Medicine Changhai Hospital Shanghai Mental Health Center Information provided by (Responsible Party): Shanghai Municipal Hospital of Traditional Chinese Medicine Study Details Study Description Go to Brief Summary: The investigators describe a protocol for a multicenter randomized controlled trial to find out the efficacy of electroacupuncture (...) for depression related insomnia. Condition or disease Intervention/treatment Phase Insomnia Due to Mental Disorder Device: Electroacupuncture(EA) Device: Placebo acupuncture Other: Standard care Not Applicable Detailed Description: Sleep difficulties are among the main symptoms presented by depressed patients, and they can profoundly impact course of illness. Acupuncture is a widely recognized therapy to treat depressive disorders and sleep disturbances in clinical practice. This multicenter randomized

2017 Clinical Trials

42. Prophylaxis of Magnesium-rich Mineral Water to Prevent Hypomagnesemia Induced by an Anti-EGFR (OPTIMAG)

: NCT03146338 Recruitment Status : Recruiting First Posted : May 9, 2017 Last Update Posted : September 20, 2017 See Sponsor: Weprom Collaborator: Neptune Information provided by (Responsible Party): Weprom Study Details Study Description Go to Brief Summary: Anti-EGFR (Epidermal Growth Factor Receptor) therapies, namely cetuximab and panitumumab, have become standards in the management of metastatic colorectal and head and neck cancers. These therapies are used in daily practice, that requiring to manage (...) Phase Metastatic Colorectal Cancer Metastatic Head and Neck Cancer Other: Magnesium-rich mineral water (Rozana) Not Applicable Detailed Description: Anti-EGFR (Epidermal Growth Factor Receptor) therapies, namely cetuximab and panitumumab, have become standards in the management of metastatic colorectal and head and neck cancers. These therapies are used in daily practice, that requiring to manage their skin and digestive toxicities. However, anti-EGFR are also frequently responsible

2017 Clinical Trials

43. Pilot Study on Community Gardens and Food Purchases in Deprived Neighborhood (Marseille, France)

or more studies before adding more. Pilot Study on Community Gardens and Food Purchases in Deprived Neighborhood (Marseille, France) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03175575 Recruitment Status : Completed First Posted : June 5, 2017 Last Update Posted : June 5, 2017 Sponsor: Institut (...) National de la Recherche Agronomique Collaborator: National Research Agency, France Information provided by (Responsible Party): Nicole Darmon, Institut National de la Recherche Agronomique Study Details Study Description Go to Brief Summary: The pilot study aims to investigate the place of fresh garden produce in the food supply and food practices of women in community gardens of deprived neighborhoods of Marseille, reputed to be among the poorest in the European Union. We hypothesized that access

2017 Clinical Trials

44. Respiration and Applied Tension Strategies to Reduce Vasovagal Reactions to Blood Donation

: Applied Tension Described above. Experimental: Respiration Control Participants are taught a simple respiration control technique with a brief video presented on a notebook computer before giving blood. They are asked to breathe in a gentle shallow but regular fashion aimed at reducing risk for hyperventilation before and while giving blood. Behavioral: Respiration Control Described above. Experimental: Applied Tension/Respiration Control Participants are asked to practice both Applied Tension (...) : May 18, 2017 Last Update Posted : May 18, 2017 See Sponsor: McGill University Collaborator: Canadian Institutes of Health Research (CIHR) Information provided by (Responsible Party): McGill University Study Details Study Description Go to Brief Summary: For a number of years, researchers have examined the effects of the muscle-tensing technique, Applied Tension (AT), on blood donation-related vasovagal symptoms and donor retention. AT was developed originally to reduce symptoms and avoidance

2017 Clinical Trials

45. Management of Thyroid Cancer

cen_frontmatter.indd ii 6/27/2014 3:52:19 PM 6/27/2014 3:52:19 PMiii l o . n - y d - s e Thyroid Cancer Guidelines Update Group v Notes on the development and use of the guidelines vii Types of evidence and grading of recommendations viii Abbreviations ix Key recommendations and overview of management of thyroid cancer 1. Access to a multidisciplinary thyroid cancer team x 2. Patient focus x 3. Prognostic factors, staging, risk strati? cation and management of uncertainty in differentiated thyroid cancer x 4 (...) ), Professor of Endocrinology, Imperial College Lon- don (British Thyroid Association representative). Thyroid Cancer Guidelines Update Group Association of Clinical Biochemistry British Association of Endocrine and Thyroid Surgeons British Association of Head and Neck Oncologists British Association of Otolaryngologists/Head and Neck Surgeons of ENT UK British Association for Cytopathology British Association of Surgical Oncology British Nuclear Medicine Society British Thyroid Association British Society

2014 British Association of Endocrine and Thyroid Surgeons

46. Chest Tube

topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 2/25/2019 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) tissue away from surgical field via assistant or tape Consider arm abducted to 90 degrees and secured to Mayo stand Consider towel roll under the to reposition axillary fat References Spangler and Inaba in Herbert (2016) EM:Rap 16(9): 7 VI. Technique Image Insertion Site See precautions above Insert anterior to mid-axillary line Level of 5th intercostal space, over 6th rib Men: Nipple line Women: Xiphoid process level or inframammary fold Triangle of safety Apex: Axilla Posterior boundary: Latissimus

2018 FP Notebook

47. Hemorrhagic Shock

should address specific medical concerns with their physicians. This page was written by , last revised on 12/2/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) and symptoms of acute blood loss with Hemorrhage control and blood replacement and textbooks still describe the use of NS or LR for 1-2 Liter bolus However, new practices suggest limiting crystalloid in favor of (permissive ) Goal systolic 80-100 mmHg IV fluids may artificially increase local pressure at non-compressible clot sites causing rebleeding IV fluids may dilute s and platelets Restrictive (permissive ) contraindications Prolonged transport time Transfer to , negative and normal References Spanger

2018 FP Notebook

48. Ocular Antihistamine

interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 1/5/2012 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) website in a new browser window. Related Studies (from Trip Database) Cost: Medications naphazoline (on 7/20/2016 at ) NAPHAZOLINE 0.1% EYE DROPS Generic $0.24 per ml naphcon (on 2/22/2017 at ) NAPHCON-A EYE DROPS OTC $0.51 per ml epinastine (on 5/17/2017 at ) EPINASTINE HCL 0.05% EYE DROPS Generic $7.43 per ml elestat (on 1/1/2017 at ) ELESTAT 0.05% EYE DROPS Generic $7.43 per ml bepreve (on 2/22/2017 at ) BEPREVE 1.5% EYE DROPS $34.58 per ml FPNotebook does not benefit financially from showing

2018 FP Notebook

49. Psychoactive Bath Salts

is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 7/13/2018 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) release Respiratory distress (higher risk than other stimulants) Arrhythmias, or cardiovascular collapse Hyperthermia (>104.9 F or 40.5 C is associated with 50% mortality) Deaths have been reported X. Resources U.S. DEA Site XI. References Haynes, Meadors and Yuan (2016) Crit Dec Emerg Med 30(2): 3-9 Rosenbaum (2012) J Med Toxicol 8(1): 15–32 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Psychoactive Bath Salts." Click

2018 FP Notebook

50. Vascular Anatomy of the Abdomen

interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 4/8/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

51. Retinal Anatomy

/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 6/3/2016 and last published on 3

2018 FP Notebook

52. Neuroanatomy of the Arm

/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 4/29/2016 and last published on 3

2018 FP Notebook

53. Neuroanatomy of the Leg

is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 4/29/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

54. Brain Stem Anatomy

, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 2/3/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

55. Eye Pain without Redness

and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 6/14/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

56. Pediatric Anemia Causes

and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 2/15/2016

2018 FP Notebook

57. Occupational Illness

is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 6/16/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) in same household with similar illnesses or symptoms Others in same household who work with hazardous materials (e.g heavy metals, lead) Home environment Heating and cooling (central air, wood stove, detectors) Age of home and renovation history Pets in home Nearby industrial plant or toxic waste site Drinking water source Home projects (yard work, home remodeling) Hobbies (hunting, carpentry, painting) Psychosocial factors Excessive stress Family members or friends on insurance Flexibility Weight

2018 FP Notebook

58. Pneumonia IRVS Prediction Tool

6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 12/6/2016 and last published on 3/2/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

59. Failure to Thrive Diagnosis

, this collection now contains 6656 interlinked topic pages divided into a tree of 31 specialty books and 728 chapters. Content is with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 8/15/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | |

2018 FP Notebook

60. Tricyclic Antidepressant Overdose

found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians. This page was written by , last revised on 12/28/2016 and last published on 3/3/2019 . Contact 2019 Family Practice Notebook, LLC. | | | | (...) ) Indicated in refractory to numerous bicarbonate ampules (e.g. more than 10 ampules) Suggests continued absorption (esp. if decreased GI motility) X. Management: Hypotension s is an alpha blocker and results in Goal: Low to normal and adquate critical end-organ perfusion s 4 mg/500 cc D5W at 0.1 to 0.2 mcg/kg/min (adults - 8-12 mcg/min) is not generally recommended as may exacerbate tricyclic beta mediated effects Other measures Consider intra-aortic balloon pump XI. References (2016) Manual, 14th ed, 1

2018 FP Notebook

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