Author/s: Kylie M. Cooper, Linda M. Szymanski, Paru S. David
Importance Prepregnancy care and counseling optimize maternal health before conception to improve outcomes for mothers and infants. In the US, 66.4% of reproductive-aged women have at least 1 modifiable risk factor for adverse pregnancy outcomes.
Observations For all individuals...
Author/s: Maeve P. Smith
Bronchiectasis is a chronic, debilitating respiratory condition that affects people of all ages. It is most prevalent in women and those older than 60 years, and prevalence is increasing. Patients have daily excessive sputum and associated symptoms, recurrent chest infections and impaired health...
Author/s: Lei Gao, Hongmei Zhu, Xiaohui Sun, Shiyan Wang, Bing Xie, Huixin Liu, Wenhui Ren, Jinyu Liang, Xiaoke Tang, Min Zhen, Guizhu Wu, Baoling Qin, Yan Hu, Lingrui Kong, Weipeng Chen, Xiuli Sun, Jianliu Wang
mportance Rehabilitation training methods for stress urinary incontinence (SUI) need to be based on a global postural exercise, involving overall core muscle strength, core stability, and balance of the pelvis and spine. The pelvic floor workout (PEFLOW) program was developed to promote in-...
Author/s: Prashant Singh, Allen Lee, Neil M Sheth, William D Chey
Chronic diarrhea is defined as loose or watery stools lasting longer than 4 weeks and affects approximately 6% to 7% of adults in the US. More than 90% of patients with chronic diarrhea have a noninfectious etiology.
Observations The most common causes of chronic, noninfectious diarrhea...
Endometrial cancer accounts for 95% of uterine cancers, which are the fourth most common cancer in women in the US.1 Approximately 1 in 32 women in the US will develop endometrial cancer in their lifetimes. Eighty percent of endometrial cancer cases in the US are diagnosed in postmenopausal...
Author/s: Benjamin Drum, Bryce La Course, Mark Kelly
Importance Accurate assessment of intravascular volume facilitates management decisions about fluid management in patients with volume overload.
Objective To identify the most accurate clinical examination, radiographic, and laboratory findings for assessing volume overload in...
Author/s: Michael A. Incze, Jerard Z. Kneifati-Hayek
Vaccination has prevented serious illness and death in children and adults for more than 200 years. However, conflicting statements and misleading information about the benefits and risks of vaccines are becoming more common. This is especially true on the internet and social media. Many of...
Author/s: David Moloney, Ayman Youssef, Luis E. Okamoto
Importance: Orthostatic hypotension is a common but underrecognized condition that increases with age and is associated with a lower quality of life, falls, and increased mortality. The frequent coexistence of supine hypertension and postprandial hypotension with orthostatic hypotension makes it...
Author/s: Sonal N. Shah, Haley M. Chizuk, Hiu-Fai Fong
Importance: Concussion is a mild traumatic brain injury with associated abnormalities in brain function, rather than structural injury. An estimated 1.1 million to 1.9 million pediatric concussions occur annually in the US.
Objective: To determine the accuracy of clinical history and...
Author/s: Joseph A. Murray, Steffen Husby
Celiac disease, a common autoimmune condition affecting approximately 1% of the population, can develop with exposure to gluten at any age. Diagnosis involves serologic testing, especially for IgA antibodies against tissue transglutaminase, and may include tests to confirm the presence of...