Top Group for medicine and medicine research

• Alawwad mM

  What is the ideal management for

  A 47 years old lady post total thyroidectomy for localized papillary th.ca (0.8cm) at left loop and negative lymph nodes.

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  • 
    Imtiyaz Rather replied

    The first line of treatment is replacement of thyroid hormones by artificial means,like dosage of T3 and T4 in tablet form 4mg in totally thyroidectomy case and some cephalosporins with antimicrobialThe first line of treatment is replacement of thyroid hormones by artificial means,like dosage of T3 and T4 in tablet form 4mg in totally thyroidectomy case and some cephalosporins with antimicrobial property is definitely.

    10 minutes ago
• Grethe Stark

  For prosthetics, would a greener/more environment friendly socket material be used if it is proven to have the same properties as a conventional fibre glass socket?

  As prosthetist, would you use a bamboo fabric instead of fibre glass if there is research to support it? Or would you continue with the materials you are used to? Keep in mind, the same processesAs prosthetist, would you use a bamboo fabric instead of fibre glass if there is research to support it? Or would you continue with the materials you are used to? Keep in mind, the same processes (lamination) and same outcome will be achieved

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    Abdallah Miraji replied

    Hello, dr am studing tanzania am very interesting to do a practical in hospital can help me ?i student of clinical medicine

    22 hours ago
• Y. Sadeghian

  What would you recommend for this patient ?

  Female patients: 43 age,weight 46 kg, height 165 cm, 86 pulses per minute, body temperature is constantly 38, normal lab tests, with high stress work environment, physical activity of moderate,Female patients: 43 age,weight 46 kg, height 165 cm, 86 pulses per minute, body temperature is constantly 38, normal lab tests, with high stress work environment, physical activity of moderate, persistent feelings of fatigue and sleep, without sugar and fat, blood pressure slightly lower than normal, with mild rheumatoid arthritis,any history of TB and other chronic infection. At the age of 17 due to nausea and vomiting, seek medical attention and underwent surgery with the diagnosis of small bowel adhesions and a very small part of the small intestine is removed. With dexamethasone for a period of six months after taking the patient's increased appetite and weight were normal. What would you recommend for this patient.

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    Soma Kaushik replied

    The possibility of chronic fatigue syndrome must be kept in mind and patient investigated accordingly.

    2 days ago
• Phil Petursson

  How do you know that medical devices are reliable, accurate, and safe?

  How do you know that medical devices are reliable, accurate, and safe? I would like to evaluate several medical devices (for example: therapeutic ultrasound unit, interferential unit, cardiacHow do you know that medical devices are reliable, accurate, and safe? I would like to evaluate several medical devices (for example: therapeutic ultrasound unit, interferential unit, cardiac defibrillator, laser therapy unit, etc.). The evaluation would include the reliability, accuracy, and safety of the medical devices. This would be important contributing to best practice procedures. For example, I looked at AED (Automated Electronic Defibrillator) info by checking the FDA site: http://www.fda.gov/default.htm There are numerous defibrillators that are not approved/registered by the FDA. And several approved/registered units, have been recalled by the FDA, due to serious problems. Therefore, I thought the FDA is a very credible site to obtain an independent evaluation of medical devices. I believe that approval ratings that include: 'CE', 'UL', and 'GS' are only electrical safety ratings, and do not evaluate the reliability and validity (accuracy) of a medical device. I believe that ISO certification generally refers that a manufacturer "has introduced and applies a Quality Management System"; "demonstrated compliance of the Quality Management System" related to a particular area/code/regulation/policy. This information does not readily show reliability, accuracy, safety of a product. And, any claims by the manufacturer could be prone to internal bias. This is where independent evaluations by the FDA provides strong, credible evidence. And, I noticed that several medical devices state that they are FDA approved/registered. However, medical devices are regularly sold without FDA approval/ registration. Please let me know if I am mistaken with any information, and provide further advice. Why would a manufacturer of a medical device not obtain FDA approval/registration? I believe that FDA approval would be an exceptional selling feature. Is it best to choose a medical advice on the basis of FDA approval and registration? Or are there other regulatory bodies that provide a recognised standard of approval? I hope that this information would be helpful to share with all health/medical practitioners. Cheers, Phil

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    MOHD HASNI Jaafar replied

    Reliable when it give similar or closed measurement, but may be inaccurate. Accuracy is the true true result with high sensitivity and specificity compared to standard measurement.

    3 days ago
• Virve Koljonen

  Original articles with no references?

  Hi! I am looking for modern medical original articles published in good medical journals with no references. I am interested in this because I want to study if its possible to create new informationHi! I am looking for modern medical original articles published in good medical journals with no references. I am interested in this because I want to study if its possible to create new information without previous knowledge. So if you find an article without references could you please inform me.

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    Amanda J Hobbs replied

    I agree that new knowledge only can come about by questioning previous ideals and knowledge. Although many researchers would like to have something brandnew and ground breaking atributed to them, theI agree that new knowledge only can come about by questioning previous ideals and knowledge. Although many researchers would like to have something brandnew and ground breaking atributed to them, the vast majority of good solid research and creation of new knowledge, comes from questioning what we already know, asking new questions and hopefully testing the hypothesis and in doing so provide another small piece of the puzzle as to what is.

    5 days ago
• Elkholy Norelislam

  What is the effect of Paracetamol in the human body? Are there any new effects of Paracetamol? What are the complications of Paracetamol use?

  Effects

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    Mark Dzietko replied

    Look at this paper. Paracetamol for PDA treatment http://pediatrics.aappublications.org/content/128/6/e1618.full

    5 days ago
• Fitzgerald Gerald

  Is anyone aware of new procedures to deal with long term inguinal pain syndrome. this issue is due to a inguinal hernia repair that was completed almo...

  This patient has had numinous Dr's that have come to the same conclusion that there is nothing to be done with him. There have been numerous papers that have been written on this matter and I can notThis patient has had numinous Dr's that have come to the same conclusion that there is nothing to be done with him. There have been numerous papers that have been written on this matter and I can not believe that there is no one to help with this problem. Thank you for all your comments.

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    Fitzgerald Gerald replied

    Hi Kristy . To late,nerve Entrapment already there. Mr Fitzgerald is going to UCLA for a triple neurectomy of the Ilioinguinal, Iliohypogastric, and genitofemoral nerves. This seems as the bestHi Kristy . To late,nerve Entrapment already there. Mr Fitzgerald is going to UCLA for a triple neurectomy of the Ilioinguinal, Iliohypogastric, and genitofemoral nerves. This seems as the best treatment for him as he has had this issue for almost 6 years. He has had numerous alternative treatments with no success. Thank you so much for your response.

    15 days ago
• Quanto Costa

  Is death an evolutionary response to protect against cancer.

  Are death and cancer causally related in a way that evolution invented death of a cellurar organism as sort insurance to carcinogenesis .

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    James A Mccaul replied

    No-one yet has mention replicative senescence via telomere shortening. With each round of cell replication telomeres (chromosome ends) shorten until cell replication is no longer possible. This is No-one yet has mention replicative senescence via telomere shortening. With each round of cell replication telomeres (chromosome ends) shorten until cell replication is no longer possible. This is the basis of aging tissues where renewal of cells eventually cannot occur, ultimately leading to organ failure and death in old age (or where rapid turnover due to ongoing inflammatory/ other conditions occurs). Hence where cancer cells are dividing, telomeres shorten and the tumour stops progressing (unless this problem is circumvented by upregulation of telomerase). So natural aging (via telomere shortening) leading to death is an anticancer mechanism. Cancer and aging are often described as two sides of the same coin. Humans have evolved to have this telomere shortening with replication problem (the "end replication problem"), so it could be argued, therefore, that death (of cells and tissues and ultimately the individual) via this mechanism is indeed an anticancer mechanism.

    21 days ago
• Giuseppe Fusco

  What's a biophoton? Is it possible to cure diseases by biophotonics?

  http://www.news-medical.net/news/20100327/Biophotonics-Light-to-cure-disease.aspx

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    Satyaprasad Venkata replied

    Diode laser uses biophotonics.

    22 days ago
• Oleg Nekrassovski

  Why is it that many preventive tests and interventions don't get performed as preventive measures?

  Here is a couple of examples of such tests and interventions: -- Only confirmed heart attack victims are put on ACE inhibitors, not all potential victims. -- More reliable, non-routine, coagulationHere is a couple of examples of such tests and interventions: -- Only confirmed heart attack victims are put on ACE inhibitors, not all potential victims. -- More reliable, non-routine, coagulation tests are performed only on people who have already suffered blood clots in their legs or lungs, not on all potential victims of such and more dangerous clots.

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    Oleg Nekrassovski replied

    Thank you for you comment, Dr. Lee. And I am probably oversimplifying, but as far as I know an elderly patient exhibiting multiple risk factors for a heart attack, will not be put on ACE inhibitorsThank you for you comment, Dr. Lee. And I am probably oversimplifying, but as far as I know an elderly patient exhibiting multiple risk factors for a heart attack, will not be put on ACE inhibitors until he has a heart attack. Similarly, a patient with multiple risk factors for thrombosis (but with unknown rate of coagulation) will not be sent for certain (I am not sure which ones) anti-coagulation tests which are more reliable than a routine platelet count, until he gets a major thrombosis. ... But I may be wrong.

    23 days ago
• Rosediani Muhamad

  Female sexual Dysfunction- what doctors want to know?

  If you were in charged of doing research in female with sexual dysfunction, what question/s you would like to ask/ know from them and also health care providers?

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  • 
    Yao Liu replied

    There is no exact index to value it.

    24 days ago
• Khushi Pandey

  What is the difference between fever and high temperature?

  Are fever and high temperature the same thing?

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    Marcos da Silva replied

    As a pediatric immunologist, I stick to Akande's answer. It is correct and concise. Cheers, Marcos

    26 days ago
• Prashant Kothari

  Where should i publish rare cases like this

  

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    Viswanath Reddy Belum replied

    You can try one of the oral medicine journals and if this is a genetic disorder, then a genetics journal.

    28 days ago
• Oleg Nekrassovski

  What is the effectiveness of Chinese medicine vs Western medicine in treating adverse effects of qigong practice?

  Does anyone know of any (Western) evidence based research demonstrating that Chinese medicine is more effective than Western medicine (or vice versa) in treating non-psychological adverse effects ofDoes anyone know of any (Western) evidence based research demonstrating that Chinese medicine is more effective than Western medicine (or vice versa) in treating non-psychological adverse effects of qigong practice (e.g. localized pain, disrupted muscle function)? Thanks.

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  • 
    Johan Flenhagen replied

    Maybe this can be helpful: http://www.livingstillness.se/energy/injuries

    Apr 27, 2012
• Oleg Nekrassovski

  Effectiveness of Epsom salt (magnesium sulfate) baths in treating breaks in anal skin?

  Why is Epsom salt (magnesium sulfate) bath deemed to be so effective in healing all sorts of damage to the anal skin? Is there any evidence to back this up? Or at least a theory of why it should work?

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    Boris Tarasyuk replied

    I hope omeprazol per os and actovegin cream around anal skin could help in your case.

    Apr 18, 2012