The Marriage ProblemAlice G. Walton
Marriage carries with it the threat of divorce. But it also offers significant health benefits that cohabitation can't.
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Resolution RxLeslie Carr
Has the thrill of the resolution you made in December given way to a sense of defeat? You can fix it.
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Figuring The Cost-Benefit Ratio of VaccinesAlice G. Walton
Parents in some communities have decided that the risks of vaccines are greater than the benefits. Not true.
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Progestins and the Brain Muye Zhu and Roberta Diaz Brinton, Ph.D.
Progestins influence virtually every major organ system, particularly the brain, where they may prevent cell degeneration.
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Having Trouble with Parenthood? You Are Not AloneAlice G. Walton
Having kids interrupts your sleep, destabilizes your relationship, and costs lots of money and time. So what's the upside?
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Gluten-Free Diets: Reality CheckBeth Fontenot, MS, RD, LDN
Gluten is bad news for some people. Are you one of them?
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It's the Most Wonderful Time of the Year (If You Keep Your Head about You)Alice G. Walton
Why are the holidays responsible for so many accidents and ER visits? We count the ways and offer help.
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Endometrial Cancer: The Most Common Reproductive Cancer in WomenYevgeniya Ioffe, M.D., and Israel Zighelboim, M.D
Endometrial carcinoma can be detected early if you know what to look for.
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Alcohol: Friend or Foe? Alice G. Walton
Drinking offers health benefits and risks. Get help sifting through the latest findings.
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Navigating the Road to HealthAlice G. Walton
Don't confuse real health science with sound-bytes, or healthy lifestyles with a health obsession.
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Phytochemicals: the Pizzazz in Plant FoodsBeth Fontenot, MS, RD, LDN
Phytochemicals protect plants, and they appear to do the same for us. And they are easy to find.
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Evaluating Healthcare in AmericaAlice G. Walton
A score of 64 out of 100 is not a good grade. It's also not good healthcare.
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Vitamin and Mineral Supplements: Risks As Well As BenefitsNeil Wagner
Some studies of supplements actually found they increase the risk of death. But it may depend on how you crunch the numbers.
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How Your Health Choices Can Change Your GenesAlice G. Walton
Genes are not just static building blocks. Health choices and the environment influence them.
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Antioxidants ExplainedBeth Fontenot, MS, RD, LDN
Eating a wide variety of plant foods is the best way to fend off the oxidation that "rusts" our cells.
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Seasonal Affective Disorder: Coming out of the ColdAlice G. Walton
Seasonal affective disorder occurs when a lack of sun disrupts the body's circadian and serotonin cycles. It a real form of depression.
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All Work and No PlayEsther Entin, M.D.
The time kids spend just playing is declining. Well-meaning parents are partly to blame.
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The Animal-Free Diet: The Pros and Cons of Vegetarianism and VeganismAlice G. Walton
Vegan or vegetarian, there are risks and benefits to these food lifestyles. Two experts offer help.
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Bringing Home Baby: Doctors and Parents Offer Advice on the Big DecisionsAlice G. Walton
What would new moms do differently the next time around? Reconsidering circumcision and breastfeeding are high on the list.
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Pressure Ulcers: Diagnosis, Treatment, and PreventionRobert J. Pignolo, M.D., Ph.D.
When skin is under unrelieved pressure, it breaks down and ulcers occur. Prevention is key.
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Antibiotic Resistance and The Case for Organic Meat and PoultryNeil Wagner
Organic meat and poultry could help combat much of the antibiotic resistance we see today.
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Redefining Health: What Does It Mean to be Healthy, and How Do We Get There?Alice G. Walton
More than a checklist of foods to eat or exercises to perform, health is a cluster of behaviors and choices.
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The Cost of the Economy: How to Recover Health and Happiness in the Face of Financial CrisisAlice G. Walton
What you can do to cope with the stress of financial hardship – emotionally and practically.
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Exercise for Seniors: Benefits, Risks, and How To BeginCalvin H. Hirsch, M.D.
Exercise is the fountain of youth. So what are you waiting for? A plan to get you started.
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Doctor-Patient Confidentiality: How Do We Define it and When Should We Waive It?Jessica Wilen Berg, J.D., M.P.H.
When is your health information confidential and when isn't it?
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Eating Disorder or Disordered Eating?Beth Fontenot, MS, RD, LDN
Eating disorder or disordered eating? The distinction is fuzzy, but stopping early is key.
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How to Mess up Your KidsAlice G. Walton
Twelve things parents do that can damage their children. How to avoid such mistakes.
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The Invisible Epidemic: Post-Traumatic Stress Disorder, Memory and the BrainJ. Douglas Bremner, M.D.
The Causes Of Autism: So Many Theories. So Few Answers.Esther Entin, M.D.
What causes autism? What can parents do to avoid it? Early environments matter.
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Eight Surprisingly Simple Ways to Boost Your PerformanceAlice G. Walton
Doing your best is a balancing act involving practice, calmness and drive. What research has found.
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ADHD and The Risk of Substance AbuseEsther Entin, M.D.
Why are kids and adolescents with ADHD prone to substance use?
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Emergency Contraception: What You Need to KnowSusan C. Stewart, M.D.
What's new in emergency contraception and how well does it work?
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Osteoporosis: Treating and Preventing the Most Common Bone Disorder in Women and MenRobert J. Pignolo, M.D., Ph.D.
Osteoporosis is common among men and women, but there's progress in treatment and prevention.
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Sports and Energy Drinks: Not Kids StuffEsther Entin, M.D.
The American Academy of Pediatrics has come out with a warning about sports and energy drinks. Why?
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More Reasons to Get Your ZzzzsAlice G. Walton
Sleep can help you lose weight, make better decisions, and improve your sex life.
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Coffee May Reduce the Risk of Cancer - But It Depends on the CancerAlice G. Walton
Coffee reduces the risk for cancers — some cancers, anyway. But is coffee always good for you?
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What Is It About Relationships? Ann Weber, Ph.D.
Psychologists have discovered some unexpected things about the close relationships key to well being.
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Some Long-Held Links between Genes and Diseases Called Into QuestionAlice G. Walton
Some of the connections between genes and disease that we accept as fact may not be so strong after all.
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The Science of Skincare: Can We Really Slow Aging? Alice G. Walton
Skin, our body's largest organ, has simple tastes. The best products are found in the kitchen, not the bathroom cabinet.
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Children and Environmental Chemicals: A Call for Better RegulationEsther Entin, M.D.
Children are small and low to the ground, leaving them more exposed to environmental toxins.
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Family Meals Help Cut Childhood ObesityAlice G. Walton
Just having kids cut their fat intake does not help them lose weight. So what does work?
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Polycystic Ovary Syndrome: The Most Common Hormone Disorder in WomenD.A. Dumesic, M.D., M. Goodarzi, M.D., Ph.D., G. Chazenbalk, Ph.D., D. Geller, M.D., and D.H. Abbott, Ph.D.
PCOS can interfere with fertility and make pregnancy risky. Worse, it brings long-term health problems.
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Are Airport Scanners Safe?Neil Wagner
Are the full-body scanners at the airport safe? Well, it all depends.
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Dangerous Exposures: Sun and SkinEsther Entin, M.D.
Sun exposure in childhood and adolescence than can set the stage for skin cancers and problems later.
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Food for Thought: What the Ultimate Organ Needs to Stay HealthyAlice G. Walton
Some foods can help you feel, think and remember better. You may know about blueberries, but curcumin?
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Simple Febrile Seizures: Revised Practice Guidelines and Advice for ParentsEsther Entin, M.D.
Seizures that occur when a child has a fever are scary, but are they dangerous? Sometimes.
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Nutrition for AthletesLona Sandon, M.Ed., R.D.
Elite athletes can teach us all a lot about eating right. Who knew chocolate milk was the perfect recovery drink?
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Nature and Nurture: Social Environments Influence Genetic Blueprints Esther Entin, M.D.
A study of children two and under shows just how much being poor restricts kids' genetic potential.
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The Skinny on Fat: How to Tell the Healthy from the HarmfulAlice G. Walton
"Fats" is not just a 4-letter word. It pays to be able to tell the good from the bad.
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Keeping an Eye on Contact Lenses Barry A. Weismman, D.O., Ph.D.
Fit matters and is harder to achieve than you might think. Infections can happen. They're your eyes. Read on.
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The Best of 2010: Health Tips to Take With Us Into 2011Alice G. Walton
Planning for a healthier 2011? We pull together some of the top health news stories of this past year.
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CT Scans or X-Rays? Lung Cancer Screening Trial Raises Some (Ethical) DilemmasAlice G. Walton
CT scans can detect lung cancer early and save lives, but there are risks and costs to be weighed.
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FDA Verdict on Patient Radiation Overdoses: Operator Error Neil Wagner
CT scans are a boon to diagnosis, but some may expose patients to way too much radiation.
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Colon Cancer: The Necessity of Getting Checked Robin Baradarian, M.D., FACG
A primer on colon cancer screening, from virtual colonoscopies to the real thing. Don't sweat it. Do it.
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Paget's Disease Robert J. Pignolo, M.D., Ph.D.
This disorder causes bony overgrowth and problems with the bone's structure.
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Diabetes and the Nervous System: How Neuropathy Develops and How It Can Be TreatedJohn W. Wiley, M.D., and Roberto Towns, Ph.D.
Uncontrolled blood sugar can wreak havoc on diabetics' nervous systems. Learn the signs and symptoms.
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Easing Menopause: Estrogen For the BrainIstvan Merchenthaler, M.D., Ph.D., D.Sc. and Laszlo Prokai, Ph.D., D,Sc.
Getting estrogen to your brain is the quickest route to reducing some of menopause's worst symptoms, like hot flashes and memory loss.
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The Microbial Menagerie in Your GI Tract: Friends or Foes?John Y. Kao, M.D., Nirmal Kaur, M.D., and Vincent B. Young M.D.,Ph.D.
Gastro-intestinal distress? Could be an imbalance among the billions of microbes in your GI tract. Probiotics may help.
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Early-Onset Parkinson's DiseaseRoy N. Alcalay, M.D., M.Sc. and Karen Marder, M.D., M.P.H.
Early-Onset Parkinson's disease (EOPD) can be difficult to diagnose. Genes play a role.
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Stages of Puberty and the Risk of Violent TeensEsther Entin, M.D.
Teen violence can de-rail young lives. A new study links it to a teen's stage of sexual development, not age.
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Snakebite! What to Do If You're Bitten and How Treatments WorkThomas C. Arnold, M.D., and Robert A. Barish, M.D., M.B.A.
Snake bites are rare, but some bites are lethal. Know what to look for and do -- and how to avoid bites completely.
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Putting Meditation to the Test Alice G. Walton
Science is putting the ancient practice to the test. It appears that being mindful can change your brain and your behavior.
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The Teenager Sleep Schedule vs. the School BellEsther Entin, M.D.
Starting the school day just a half hour later helps teens get the sleep they need, raising motivation.
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Exceptional Human LongevityRobert J. Pignolo, M.D., Ph.D.
Who are the oldest old – those 100 years of age and older? And what can these centenarians tell us about aging?
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Managing Obesity: A Work In ProgressLawrence J. Cheskin, M.D., and Scott Kahan, M.D., M.P.H.
Two physicians discuss the risks of obesity. Learn to recognize the behavioral triggers behind overeating and overcome them.
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Cutting: Teens Who Hurt ThemselvesEsther Entin, M.D.
The medical community calls it "non-suicidal self-injury" (NSSI); the kids call it "cutting."
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Simple or Sophisticated? The Male Reproductive System... ExplainedAlice G. Walton
Men's sexual systems produce erections and millions of sperm. Their complexity is often overlooked until something goes wrong.
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Alcohol and Adolescents: The Need to Teach our Children WellEsther Entin, M.D.
Teen drinking is not like on TV. There are real risks, like auto accidents and impaired brain development.
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The Genetics of Breast and Associated CancersJennifer Barrick, M.S., C.G.C., Nancie Petrucelli, M.S., C.G.C., and Michael S. Simon, M.D., M.P.H.
Genetics plays a role in breast cancer risk, so do other hereditary syndromes. Learn what to look for.
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Kids and Screens: Media and HealthEsther Entin, M.D.
Teens' screen time offers risks and rewards. How to minimize the risks.
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The Money Pit: Health Insurance Executives' PayNeil Wagner
Health insurance executives are paid millions to ensure stock prices stay high. Patient care is not a concern.
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The Female Reproductive Cycle...ExplainedAlice G. Walton
The hormonal changes surrounding ovulation are often intense.
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Stressed Out, Part II: Managing StressAlice G. Walton
Stress is a fact of life, but you can learn to manage it better, both mentally and physically.
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TVs, DVDs, and BabiesEsther Entin, M.D.
Research shows that educational DVDs don't improve learning in children under two. Babies need interaction to learn.
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Controversial Autism-MMR Vaccine Study Retracted by Journal: Why Did This Happen - and Can We Forget?Alice G. Walton
Retractions don't happen often in science, but they are part of the process. Changing the public's perceptions is another matter.
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Stressed Out: The Behavior and Biology of StressAlice G. Walton
Stress is a feeling, but it is also a biological response that is both helpful and harmful.
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Psychiatric Drugs During Pregnancy: Benefits, Risks, AlternativesEsther Entin, M.D.
Timing makes a difference when it comes to taking antidepressant and anti-anxiety drugs while pregnant.
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Exercise: A Boost for Aging Brains and BodiesEsther Entin, M.D.
A series of studies on exercise and aging shows that brisk walking can improve bones, heart and balance.
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Prescribing Medication Safely for ChildrenEsther Entin, M.D.
Warnings about the effects of prescription drugs on children are often not reported accurately...
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Unnecessary CT Scans and Excessive Radiation Raise Cancer RiskNeil Wagner
CT scans have benefits, but they also have some very real cancer risks.
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Why Does Health Care Cost So Much?Maxwell J. Mehlman, J.D.
Americans' health care costs more than anywhere else in the world. Why?
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Breast Milk: The Best Food Money Can't BuyEsther Entin, M.D.
For most babies, breast milk is the best milk, but it is important to supplement with vitamin D.
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Infections in Long-Term Care Facilities: Prevention, Diagnosis, and ManagementLona Mody, M.D., M.Sc.
Millions of infections occur in nursing homes each year, costing billions of dollars.
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Feel YoungerJohn E. Morley, M.B., B.Ch. and Sheri R. Colberg, Ph.D.
Feel Younger is a four−part series based on a book by TheDoctor's Aging specialist, Dr.
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Well Informed
Well Informed is a two-part series designed to help you evaluate health information and understand the different kinds of scientific studies behind it.
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Kids and Cholesterol: To Screen Or Not To Screen?Esther Entin, M.D.
Children are starting to show dangerously high cholesterol, triglycerides and lipid levels. How to prevent life-long damage to young hearts.
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From Silent to Serious: Chlamydia Infections in Teens and Young AdultsEsther Entin, M.D.
The STD chlamydia can be diagnosed with a urine specimen and does not require a pelvic examination or vaginal or urethral culture.
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Vaccines: Protecting Individuals, Communities and the World Esther Entin, M.D.
Always check with your child's physician before delaying an immunization.
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What's Good Health Information?Leslie Carr and Tom Gilbert
Becoming an informed consumer of health information is as important to your health as any exercise, drug or health plan.
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ADHD: Treatment With Stimulants Safer than ExpectedEsther Entin, M.D.
Do the stimulants used to treat children with attention deficit hyperactivity disorder (ADHD) put them at risk for future drug abuse?
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Treating the Poisoned PatientBarbara M. Kirrane, M.D., and Robert S. Hoffman, M.D.
Over two million people a year are exposed to poisonous toxins.
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Sports-Related Concussions: Risks and RecoveryJordana Bieze Foster
Concussions can be difficult to spot, especially when young athletes hide their symptoms to keep playing.
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Our Sense of SmellHanyi Zhuang, Ph.D. and Hiroaki Matsunami, Ph.D.
The sense of smell is vital to humans and other animals, and it makes life more interesting.
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MigraineRichard P. Kraig, Ph.D., M.D.
Epithelial Ovarian CancerRenata Urban, M.D., and Jonathan S. Berek, M.D., M.M.S.
By the time most women seek treatment for epithelial ovarian cancer, the disease has already reached an advanced stage.
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Understanding Scientific StudiesTom Gilbert
It is important to know if the information you are gathering on the Web is from a credible source.
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Schizophrenia and StressCheryl Corcoran, M.D., and Dolores Malaspina, M.D., M.S.P.H.
The Treatment of Insomnia: New DevelopmentsAndrew D. Krystal, M.D., M.S.
Infection Control and HealthcareKeith F. Woeltje, M.D., Ph.D.
Age-related Macular Degeneration (AMD)Joshua L. Dunaief, M.D., Ph.D., and Leon Charkoudian, M.D.
Diabetic Muscular InfarctionManuela Marinescu, M.D., and Peter Barland, M.D.
Losing Sleep: the Causes and Effects of Sleep DeprivationNamni Goel, Ph.D., and David F. Dinges, Ph.D.
Selenium: A Trace Element with Real Potential Mark Sutter, M.D. and Jennifer Brown, M.D.
Osteoporosis and OsteoarthritisJohn E. Morley, M.B., B.Ch. and Sheri R. Colberg, Ph.D.
Strong Bones, Healthy JointsJohn E. Morley, M.B., B.Ch., and Sheri R. Colberg, Ph.D.
Your bone mineral density should be repeated after two years to determine your rate of bone loss.
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Vitamin C, Nutrition and DiseaseYi Li, B.Sc., and Herb E. Schellhorn, Ph.D.
Vitamin D Deficiency in ChildrenEsther Entin, M.D.
Pediatricians have begun to look harder at Vitamin D levels in children because this vitamin, once thought to be primarily involved in calcium absorption, is now being shown to have significant implications for a variety of health conditions which manifest in later life.
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Coming Soon? Targeted Therapies for Ovarian CancerFrederick Sweet, Ph.D.
Improving Your Posture and BalanceJohn E. Morley, M.B., B.Ch. and Sheri R. Colberg, Ph.D
Posture is reflection of how you balance your body, which would fall forward if your muscles did not pull it back.
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Move It: Exercise and AgingJohn E. Morley, M.B., B.Ch. and Sheri R. Colberg, Ph.D.
Cataracts: Causes, Prevention, TreatmentVal Shestopalov, Ph.D.
Alcohol and Health: A Double-Edged SwordJames H. O'Keefe, M.D., and John H. Lee, M.D.
MalariaJoel G. Breman, M.D.
Something to Lose Sleep Over — Sleep Loss and Your HealthEve Van Cauter, Ph.D.
Professor of Medicine, University of Chicago School of Medicine, Chicago, IL.
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What's the Big Deal About Zinc?Ian J. Griffin, M.D.
A possible role for zinc as a treatment for the common cold remains to be proved.
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Carbon Monoxide PoisoningStephen R. Thom, M.D., Ph.D.
The Dark Side of Public HealthMaxwell J. Mehlman, J.D.
The history of public health efforts in the United States in many ways is a story of great accomplishment.
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Erectile Dysfunction (ED) in the ElderlyDevraj Munikrishnappa, M.D.
Obesity, smoking, television viewing and alcohol use are associated with higher risk of ED.
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Acute Pulmonary EmbolismChristopher Kabrhel, M.D.
Acute pulmonary embolism (PE) is a common and potentially deadly disease, which occur when arteries become blocked, PE is part of a family of diseases that occur when veins become blocked.
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Type 1 Diabetes - The Latest on New Insulins and Delivery Systems Sheryl Merkin, M.S., F.N.P., C.D.E., Sharon Movsas, M.S., R.D., C.D.E. and Joel Zonszein, M.D., C.D.E.
Dealing with Chronic Pain: The Mind Body SolutionHilary Tindle, M.D., M.P.H.
Acute PancreatitisStephen J. Pandol M.D.
Smoking, Quitting and GeneticsEric Siu, M.Sc., Nael Al Koudsi, H.B.Sc., Man Ki Ho, H.B.Sc., Rachel F. Tyndale, M.Sc., Ph.D
Nicotine's addictive properties are a result of the activation of the special receptors in the brain.
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The Fight Against DiabetesSheryl Merkin, M.S., F.N.P., C.D.E., Sharon Movsas, M.S., R.D., C.D.E. and Joel Zonszein, M.D., C.D.E.
A lack of insulin or an inability to respond to insulin is known as "insulin resistance."
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Human Papilloma Virus and Cervical CancerSusan C. Stewart, M.D.
Modern medicine's battle against cervical cancer is a tale of two worlds.
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A New Treatment for Lupus?Elena Peeva, M.D., Liliane Min, M.D., and Peter Barland, M.D.
Bioartificial Kidneys: Potential Application in Renal ReplacementFrieda Wolf, M.D., and Eli A. Friedman, M.D.
Influenza and Pandemic Influenza: A PrimerWalter A. Orenstein, M.D.
How Sweet It Is: Sweeteners in Health and DiseaseEdward Saltzman, M.D.
Consumer-Driven Health Care: Ethical and Legal Pitfalls
With health care costs continuing to grow at a much higher rate than inflation, some policy makers have seized upon yet another technique they hope will restrain spending — "consumer-driven health care" in the form of "health savings accounts.
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The Detection and Management of OsteoporosisSusan C. Stewart, M.D.
Dendritic Cell Cancer VaccinesWoondong Jeong, M.D., Brier Rolando, M.D., and Robert G. Lerner, M.D.
Woondong Jeong is a hematology/oncology fellow, Brier Rolando is an internal medicine resident and Robert G.
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Suicide Assessment, Intervention and PreventionMorton M. Silverman, M.D.
For Seniors: What to Do About High Blood PressureAbbas Ali, M.D.
Vitamin E Supplementation: Should You or Shouldn't You?Joel Mason, M.D.
Recently, there has been considerable media attention as to whether or not vitamin E supplementation is safe or helpful.
Read more >
Beyond InsulinSam Engel, M.D.
Road Traffic Injuries: Can We Stop A Global Epidemic?Lauren P. Giles, B.A.; Elisabeth S. Hayes, M.B.A.; and Mark L. Rosenberg, M.D., M.P.P.
The causes of RTIs have been established: excessive speed, consumption of drugs and alcohol, failure to use seatbelts and poor road design.
Read more >
Female Infertility
Susan C. Stewart, M.D.
Author's Note: The expert advisors for this article are James M.
Read more >
Stress and AllergyRosalind J. Wright, M.D., M.P.H., and Sheldon Cohen, Ph.D
Have you ever noticed that sometimes when you're having a really tough day, you sneeze a lot and your skin feels itchier? It's not a coincidence, your emotions may have been the trigger.
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Malnutrition in the ICUJoel Mason, M.D. and Scott Epstein, M.D.
Off-Label PrescribingMaxwell J. Mehlman, J.D.
Off-label prescribing, also known as unapproved use, is the physician practice of prescribing a drug or medical device for a purpose different from one of the indications for which the product is approved by the Food and Drug Administration (FDA).
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The Ethics of Embryonic Stem Cell ResearchMaxwell J. Mehlman, J.D.
Numerous researchers tout the potential therapeutic benefits from human embryonic stem cells.
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Depression in the ElderlyRafi Kevorkian, M.D.
Insomnia, weight loss, rapid emotional swings, or slow walking and reduced physical activity may be signs of depression in the elderly.
Read more >
Dry Another DayAntigoni Triantafyllopoulou, M.D., and Peter Barland, M.D.
Stronger SeniorsAmbrose P. Ramsay, M.D.
Performance Enhancing Drugs in SportsMaxwell J. Mehlman, J.D.
Glaucoma: The Perils of High PressureGary M. Levin, M.D.
Eye drops for glaucoma can cause depression.
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Vitamin K: The Last Frontier in VitaminsEdward Saltzman, M.D.
Vitamin K has been shown to protect blood vessels and bones. Green leafy vegetables are among the richest sourcesof vitamin K in the diet.
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Getting the Lead Out - The News About an Old ProblemSassan Farjami, M.D., Ogleh Nesheiwat, M.D., Carol Karmen, M.D., and Robert G. Lerner, M.D.
Sleep disturbances, restlessness, lethargy, memory loss and irritability can be signs of lead poisoning.
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SclerodermaMeggan Mackay, M.D., M.S., and Peter Barland
Hypertension in the Elderly: Too Little, Too LateAbbas Ali, M.D.
Cut down on salt, alcohol and lose weight to help lower your blood pressure.
Read more >
Fighting the Fad - Low Carbohydrate/High Protein Diets Edward Saltzman, M.D.
Very low carbohydrate diets may be effective for some, but their long-term benefit remains questionable.
Read more >
Male InfertilitySusan C. Stewart, M.D.
If you have a low sperm count and are trying for a pregnancy, you should avoid hot tubs and saunas.
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HIV/AIDS in WomenSusan C. Stewart, M.D.
Anal sex carries a higher risk for HIV infection than vaginal sex.
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Soy and Menopausal HealthMark J. Messina, Ph.D.
The Latest on Emergency ContraceptionSusan C. Stewart, M.D.
After taking emergency contraception, women should avoid having unprotected sex until their next period begins.
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Iron Deficiency Anemia: Risk, Symptoms and TreatmentElizabeth M. Ross, M.D., L.D.N.
Spoon-shaped fingernails may mean you are iron deficient.
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Genetic Counseling and Breast CancerDharmen Patel, M.D., Lawrence Shapiro, M.D., and Robert G. Lerner, M.D.
Both women AND men can get breast cancer from inherited breast cancermutations.
Read more >
Erythropoietin and Progressive Kidney DiseaseEli A. Friedman, M.D.
In a perfect world, every medical treatment would be backed up by solid science, that is, rigorous clinical trials.
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Gallstones and Complications: Detection and TreatmentNicole D. Simpson, M.D., Tommy Yen, M.D.,* and Aijaz Ahmed, M.D.
Malnutrition and the Cancer PatientRobert M. Russell, M.D., and Joel Mason, M.D.
Before you begin chemo or radiation therapy, you may benefit fromaggressive nutritional support.
Read more >
Frailty: Management and TreatmentJohn E. Morley, M.D.
Most frail persons should do resistance exercise training at least threetimes per week.
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Public Health and Bioterrorism: Learning the Lessons of the Anthrax AttacksRichard E. Dixon, M.D., and David J. Sencer, M.D., M.P.H.
"Tube Feeding" — Right or Wrong: The Medical, Legal and Ethical IssuesDavid E. Milkes, M.D.
Patients should not be on tube feeding unless they are expected to requireit for more than 30 days.
Read more >
Carotid Artery Repair: Stent Or Scalpel?Joseph G. Salloum, M.D., Morgan Campbell, M.D., and Richard W. Smalling, M.D., Ph.D.
Successful carotid artery surgery can reduce the risk of stroke.
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Catastrophic Antiphospholipid Syndrome (CAPS)Juan Javier Lichauco, M.D., Jayashree Sinha, M.D., and Peter Barland, M.D.
Burns: From Treatment to PreventionMartin J. Carey, M.D.
Water heaters should be set below 120oF (49oC) to avoid scald injuries.
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Reversal Therapy, a Better Treatment for Heart DiseaseK. Lance Gould, M.D.
Cholesterol-lowering drugs are more effective than cardiac bypass surgeryfor the treatment of heart disease.
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Adult Onset Still's DiseaseJuan Javier Lichauco, M.D., Jayashree Sinha, M.D., and Peter Barland, M.D.
Good Health to Diet For: Blood Pressure and NutritionRobert M. Russell, M.D. and Paolo M. Suter, M.D.
Some people are "salt sensitive." If they increase their salt, they increase their blood pressure.
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Prostate CancerRami Y. Haddad, M.D.
Earky detection is important for prostate cancer. All men 50+ should havean annual digital rectal exam.
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Hospice and Palliative CareManoj Mittal, M.D., and Joseph H. Flaherty, M.D
Sit the terminally ill patient upright if they're having trouble breathing.
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Systemic Lupus Erythematosus (SLE): New Treatments for Mild and SevereElena Peeva, M.D., M.Sc., Gisele Zandman-Goddard, M.D., and Peter Barland, M.D.
SLE sufferers should not take sulfonamide drugs.
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SepsisJohn E. Morley, M.D.
Older hospitalized patients are often given too little food.
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Vitamin A, Retinoids and Carotenoids: What's the Bottom Line?A dialogue between Robert Russell, M.D., and Joel Mason, M.D.
Pain Free: Modern Drugs and Neuropathic PainHoward L. Fields, M.D., Ph.D.
Medical Abortion in Practice: An InterviewTom Gilbert
To learn more about practical issues involving medical abortion, TheDoctor's Tom Gilbert, interviewed Jini Tanenhaus, Associate Vice President for the Clinician Training Initiatve, Planned Parenthood of New York City.
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The Three M's of Medical Abortion — Mifepristone, Methotrexate and MisoprostolSusan C. Stewart, M.D.
An IUD must be removed before taking medical abortion drugs like RU-486.
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The Anticoagulant Heparin: A Possible New Cancer Treatment?Leo Zacharski, M.D., and Robert G. Lerner, M.D.
Heparin may be the most effective treatment for cancer patients with bloodclots in their legs.
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Vertigo: Its Causes and TreatmentHuai Y. Cheng, M.D.
Giant Cell ArteritisPeter Barland, M.D.
Always taper off steroid medications slowly, otherwise you risk upsetting the body's natural hormone production.
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Genetics and Mental RetardationV. Reid Sutton, M.D.
Wrongful Prolongation of Life? Maxwell J. Mehlman, J.D.
Rebecca Jane Taylor suffered a stroke that left her paralyzed on one side and wheelchair-bound.
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DysphagiaM. Louay Omran, M.D.
Swallowing problems that come and go are usually caused by non-cancerousrings of tissue.
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Can Diet Prevent Colorectal Cancer?: A DialogueRobert M. Russell, M.D. and Joel B. Mason, M.D.
Alcohol increases your risk of colon cancer.
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OsteoarthritisYusuf Yazici, M.D., and Akgun Ince, M.D.
Strengthening exercises for the quadriceps can help relieve symptoms of knee arthritis.
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"Time is Brain": Treating Stroke as an EmergencyMorgan Campbell, M.D.
Aspirin, taken every day (81-325 mg dose), can help prevent a stroke.
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A Body to Die For: The ABC's of Eating DisordersKathryn J. Zerbe, M.D.
Recovering bulimics should protect their teeth by NOT brushing vigorously.
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Got to Run: Travelers' DiarrheaGary M. Gray, M.D.
If antibiotics aren't stopping your traveler's diarrhea within three days, go see a doctor as soon as possible.
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Bioterrorism - Scare Stories Can Be Dangerous to Our HealthHillel W. Cohen, Dr.P.H., Victor W. Sidel, M.D., and Robert M. Gould, M.D.
Less is Less: the Undertreatment of High Blood PressureEli A. Friedman, M.D.
If your doctor says your blood pressure is "a little high," you should betreated with anti-hypertensive drugs.
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A New Treatment for Congestive Heart Failure?Frank A. Laws, M.D., and Richard W. Smalling, M.D., Ph.D.
To Sydney and BeyondMartin J. Carey, M.D.
If you are short of breath in the days following a long airplane trip, see a doctor ASAP.
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Exercises for the Active SeniorJohn E. Morley, M.D.
Sit with legs extended and flex the trunk forward from the hips.
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Sports Injuries and the Aging AthleteJohn E. Morley, M.D.
Not long ago, a man named Al Hanna successfully reached the southern summit of Mt.
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Losing Propositions: A Discussion of Popular DietsRobert M. Russell, M.D., Edward Saltzman, M.D., and Helen Rasmussen, M.S., R.D.
Drinking sufficient fluids and taking in enough fiber are the keys tosuccessful weight loss.
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Tuberculosis: The Comeback BugE. Neil Schachter, M.D.
Tuberculosis, the ancient killer, once known as the "White Plague," was, at least in wealthy, medically advanced countries, on its way to extinction, thanks to antibiotics.
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Irritable Bowel Syndrome (IBS)Gary M. Gray, M.D.
Tincture of opium may help relieve IBS symptoms when other medicines fail.
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Bioterrorism — Are We Prepared?Martin J. Carey, M.D.
For most of us, bioterrorism seems out there with alien invaders as something likely to occur on television but not in real life.
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A New Way of Looking at AtherosclerosisFelicita Andreotti, M.D., Ph.D., Ignatios Ikonomidis, M.D., Stefano Sdringola, M.D., and Petros Nihoyannopoulos, M.D.
More than a Little Heartburn: Gastro-Esophageal Reflux Disease (GERD)Gary M. Gray, M.D.
To reduce episodes of heartburn, avoid cigarettes,late night meals and alcohol and coffee in the evening.
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Drowning and Near-Drowning: Prevention and TreatmentDipak Chandy, M.D.
If swimming or boating, avoid all drugs and alcohol.
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Pancreas Transplant: A Cure for Diabetes?Eli A. Friedman, M.D.
Type 1 diabetics with kidney disease should strongly consider simultaneous kidney and pancreas transplant.
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The 2000 Presidential Race: Where the Candidates Stand on Health Care IssuesMaxwell J. Mehlman, J.D.
With the American Presidential election just around the corner, we thought we'd take a look at the issues the two major party candidates have focused on.
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Treating Anxiety and DepressionKathryn J. Zerbe, M.D.
Even small amounts of caffeine in some at-risk individuals can precipitate or exaggerate anxiety.
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Anxiety DisordersKathryn J. Zerbe, M.D.
Psychodynamic therapy works best with those who are curious to learn more about themselves and their inner thoughts.
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Bottle Feeding And Ear Infections: A Formula For Disaster?Craig Brown, M.D.
Coping with MenopauseSusan C. Stewart, M.D.
At menopause, use a lubricant to help maintain a good sex life.
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A Better Way of "Living" With Lymphedema Susan C. Stewart, M.D.
Traumatic Aortic RuptureLynn Schrader, M.D., and Martin J. Carey, M.D.
Car crash victims who have difficulty speaking or swallowing may havea torn aorta, a life-threatening medical emergency.
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Fibromyalgia: Real or Imaginary?M. Nergis Alnigenis (Yanmaz), M.D., and Peter Barland, M.D.
A low-impact exercise program may help relieve the symptoms of Fibromyalgia Syndrome.
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Sleep Apnea: The Noisy KillerAhmed Syed Ali, M.D., and John E. Morley, M.D.
If you are often sleepy during the daytime, you may have sleep apnea and should see your doctor.
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The Graying of Society: Nutrition, Vitamins and AgingRobert M. Russell, M.D., and Joel B. Mason, M.D.
The elderly need to drink at least 8 servings of water or equivalent liquids every day.
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New Drugs for Type 2 DiabetesEli Ipp, M.D.
Sulfonylureas are among the least costly and most effectivemedications for the treatment of type 2 diabetes.
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The New COX 2 InhibitorsPeter Barland, M.D.
Until recently, the drugs used for the treatment of chronic inflammatory diseases, such as rheumatoid arthritis (RA), were introduced either through clinical observations or as a result of a lucky guess.
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Managing Cognitive DysfunctionJohn E. Morley, M.D.
Use of a hearing amplifier can stop a demented patient's screaming.
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"Nutraceuticals": Do They Spell the End of FDA Regulation of Drugs?Maxwell J. Mehlman, J.D.
The Pure Food and Drug Act was enacted in 1906 in response, in large part, to unscrupulous marketing of adulterated foods and of patent medicines lacking in efficacy and often containing addictive or harmful substances.
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The Neurobiology of DepressionJuan F. Lopez, M.D.
Coronary Heart Disease in WomenSusan C. Stewart, M.D.
Two common conditions that can produce chest pain and are frequently confused with angina are esophageal reflux disease and panic attacks.
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Economic Motives for Physician-Assisted SuicideMaxwell J. Mehlman, J.D.
The debate about physician-assisted suicide is replete with concern over the role of economic factors.
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Male MenopauseJohn E. Morley, M.D.
A 73-year-old man fell while on a walking tour in the Venezuelan Andes.
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Lasering the Heart When Coronary Bypass Isn't PossibleRan Kornowski, M.D., and Martin B. Leon, M.D.
Sexual Relationships with PatientsMaxwell J. Mehlman, J.D.
Sexual relationships with patients are problematic, not only because they may be unethical and may compromise patient care, but because they may lead to civil actions for damages, criminal actions, and disciplinary proceedings by state medical boards.
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Tobacco and Women: Trends and Strategies for QuittingSusan C. Stewart, M.D.
At the beginning of the twentieth century, if an American woman smoked a cigarette it was considered disgraceful behavior.
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Emerging Treatments: Combination DMARDS for Rheumatoid ArthritisPeter Barland, M.D.
Until recently, most patients with early rheumatoid arthritis (RA) were initially treated with NSAIDs (nonsteroidal anti-inflammatory agents) or low doses of corticosteroids.
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Vitamin Supplements — Too Much of a Good Thing?Robert M. Russell, M.D., and Joel B. Mason, M.D.
A young woman who I recently treated, influenced by several reports in the local paper about beta-carotene's cancer and heart disease preventive benefits, began taking a single tablet of supplemental beta-carotene on a daily basis.
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How to Handle the HeatMartin J. Carey, M.D.
Our skin is the radiator of the car. It is the place where most of our cooling occurs.
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The Response to StressBruce McEwen, Ph.D., and Dean Krahn, M.D
What do we mean when we say we are "stressed out"? We may just be having a bad day, or feeling pressured by too many things to do and too little time to do them.
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Emerging Issues: The Privacy of Medical RecordsMaxwell J. Mehlman, J.D.
Within the past two years, a substantial amount of attention has been paid to the issue of the privacy of patient records.
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What's New About GoutPeter Barland, M.D.
Gout is a disease produced by excess uric acid, a nitrogen breakdown product, in the blood (hyperuricemia).
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Emerging Treatments: Viscosupplementation for OsteoarthritisPeter Barland, M.D.
Osteoarthritis should no longer be considered an inevitable accompaniment of aging but rather a dynamic and largely treatable disease.
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How Best to Manage Your AsthmaE. Neil Schachter, M.D.
Though asthma medicine is not generally recommended for pregnant women, the greatest risk to the fetus is a mother's uncontrolled asthma.
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Treating Parkinson's Disease: Appendix
Treatment of PD with levodopa was begun in 1960.
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PVD: A Practical Approach to Promoting HealingCaroline Fife, M.D.
Cold feet? Or are your legs often pale when elevated or red while hanging down?You may have the inadequate blood flow associated with peripheral vascular disease.
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Acute and Chronic Colitis: Changing Causes and TherapiesGary M. Gray, M.D.
Colitis is the irritation or inflammation of the colon.
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Current Treatment for Sickle Cell AnemiaRobert G. Lerner, M.D.
For the past eight years, I've been treating a patient, I'll call him Rod.
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The Human Genome Project: What It Means for YouJames R. Lupski, M.D., Ph.D.
A mutation can be caused by a change in a whole chromosome or involve just one base pair of a specific gene.
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Taking Osteoporosis Out of Your Future — A Major Challenge for WomenSusan C. Stewart, M.D.
Balance exercise, like Tai Chi, can lessen the risk of falls.
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Treating Parkinson's DiseaseAhmed S. Ali, M.D., and John E. Morley, M.D.
Dietary protein reduces the absorption of levadopa, a medication for Parkinson's, so the timing of mealsand medication should be different.
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Urinary IncontinenceJohn E. Morley, M.D.
Incontinence, the inability to restrain the discharge of urine, is an extremely common and highly treatable disorder.
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DHEA — The Fountain of Youth?John E. Morley, M.D.
For reasons that are not totally clear, DHEA (dehyrdoepiandrosterone) has captured the public and scientific imagination as an anti-aging hormone.
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Constipation in the ElderlyAriba Khan, M.B.B.S., and John E. Morley, M.D.
Where's the Fat?Eli Ipp, M.D.
We are constantly reminded to watch our weight.
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How Much Protein Do You Need?Robert M. Russell, M.D., and Carmen Castanada Sceppa, M.D., Ph.D.
Amino acid supplements are not digested and absorbed into the body as readily as amino acidscoming directly from food sources.
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Folate: New and Exciting Clinical Implications of an Old VitaminRobert M. Russell, M.D., and Joel Mason, M.D.
The B vitamin, folate, has certainly come a long way in the 50 years since it was first identified and synthesized in the 1940s.
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Lowering Your Cholesterol: Diet or Drugs?Ernst John Schaefer, M.D., and< Robert M. Russell, M.D.
Smoking, hypertension and diabetes are the key culprits in hardening of the arteries.
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Exercise, Nutrition and HealthMiriam Nelson, Ph.D., and Joel Mason, M.D.
Obesity: State-of-the-Art UpdateJoel Mason, M.D., and Edward Saltzman, M.D.
Diet and Heart DiseaseRobert M. Russell, M.D., and Alice H. Lichtenstein, D. Sc.
Current Treatments for Heart AttacksRichard W. Smalling, M.D., Ph.D.
The most common symptom of a heart attack is chest pain; but sometimes,the pain starts in the arm, neck or back.
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Emerging Treatments: Unstable AnginaBrian M. Go, M.D., and H. Vernon Anderson, M.D.
Calcium antagonists have been found to be very beneficial in preventing heart attacks inpatients with unstable angina who are unable to use beta blockers.
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Why Doctors Use EchocardiographyEddy Barasch, M.D.
Echocardiography is so sensitive that it can detect mild murmurs not otherwise heard, alerting your doctor to potential problems.
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Can Bacteria Be Trained to Do the Kidney's Work?Eli A. Friedman, M.D.
In industrialized countries, peritoneal- and hemo-dialysis sustain the lives of more than a quarter of a million patients whose kidneys don't work effectively (renal insufficiency).
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When Kidneys Fail in Diabetes: Therapy OptionsEli A. Friedman, M.D.
Diabetes is a complicated and chronic disease that eventually destroys the kidneys.
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Testicular CancerRobert G. Lerner, M.D.
Testicular cancer is the most common malignancy in young adult males.
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Screening for Colorectal Cancer in Women: Not Just a Man's DiseaseSusan C. Stewart, M.D.
There is an odd perception that colorectal cancer (CRC) is a man's disease.
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The Genetics of Breast CancerSusan C. Stewart, M.D.
Everyone of us has had a friend or relative concerned about their family history of breast cancer.
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The Privacy of Genetic InformationMaxwell J. Mehlman, J.D.
Our ability to test individuals for genetic disorders is increasing dramatically.
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Viagra® and Other Dilemmas of Enhancement MedicineMaxwell J. Mehlman, J.D.
Lately, a number of my friends have told me that they are considering getting some Viagra®.
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Informed ConsentMaxwell J. Mehlman, J.D.
In the modern field of health law and bioethics, the doctrine of informed consent is about as classic a doctrine as we have.
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Rewards and AddictionsDean D. Krahn, M.D.
Drug abusers, alcoholics and overeaters may appear to be out of control but, actually, it's the opposite. Their brain chemistry, thrown out of balanceby substance abuse, is strongly dictating their behavior.
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What We Know about Unhealthy Behaviors and How You Can Change ThemDean D. Krahn, M.D.
We pride ourselves on our intelligence but we still engage in many unhealthy behaviors — eating and drinking to excess, smoking, abusing drugs.
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