Monthly Archives: September 2013

Efficacy of chiropractic manipulation is supported for low back pain, neck pain and several other well defined conditions. In practice, however, chiropractors tend to offer longer sequences of manipulation than studies support, or they prescribe maintenance treatment. Only in low back pain is there goo evidence that maintenance improved outcomes. ODG does not generally support maintenance treatments. NYS neck guideline, on the other hand, says: '

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When nystagmus accompanies dizziness – pro
Medical background

Dizziness accounts for an estimated 5 percent of primary care clinic visits. The physician who encounters this complaint should investgate only after classifying it  into one of four categories: vertigo, disequilibrium, presyncope, or lightheadedness. Each one has a distinct differential diagnosis.  The differential diagnosis of dizziness can be narrowed with easy-to-perform physical examination tests, including evaluation for nystagmus, the Dix-Hallpike

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Proton Beam Radiotherapy for Craniospinal Radiation – pro

Proton beam therapy is similar to 3-Dimensional and cofnromal readiatherapy but it uses  proton beams that are directed to the tumor. Protons are positive parts of atoms. Unlike x-rays, which are what conventional radiation emplys, protons release energy both before and after they hit their target. If interst to physicians,  protons cause little damage to tissues they pass through and release their energy after traveling a certain distance. The

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Ferriprox for treatment of sickle cell anemia

FERRIPROX® (deferiprone) is an oral medication designed to chelate, or remove,  iron overload from transfusions due to thalassemia syndromes when other chelation therapy, most commonly Exjade,  does not work. The studies for approval were done for teh situation when teh initial chaltion did not work (second line) because Ferroprox may be inferior to Exjade in first line. This is not an innocuous drug; the most serious side effect seen in about

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