November 22nd, 2011 by Paul Auerbach, M.D. in Health Tips
Tags: Cold, Cold-induced injuries, Dr. Scott McIntosh, Frostbite, Guidelines, Prevention, prophylactic, Recommendations, Risk, Thawed, Therapeutic, Treatment, Weather, Wilderness Medical Society
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Led by Scott McIntosh, MD and his colleagues, the Wilderness Medical Society has published “Practice Guidelines for the Prevention and Treatment of Frostbite” (Wild Environ Med 2011:22;156-166). These guidelines are intended to provide clinicians about best evidence-based practices, and were derived from the deliberations of an expert panel, of which I was a member. The guidelines present the main prophylactic and therapeutic modalities for frostbite and provide recommendations for their roles in patient management. The guidelines also provide suggested approaches to prevention and management of each disorder that incorporate the recommendations.
In outline format, here is what can be found in these guidelines: Read more »
This post, Guidelines For The Treatment And Prevention Of Frostbite, was originally published on
Healthine.com by Paul Auerbach, M.D..
November 21st, 2011 by HarvardHealth in Health Tips
Tags: Alzheimer's Disease, Caregiving, Confusion, Delirium, Dementia, Disorientation, Familiarity, General Hospital Psychiatry, Hallucinations, Harvard Women's Health Watch, Health, Hospitalization, Intensive Care, JAMA, Journal of the American Medical Association, Old Age
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No matter how sick my grandmother got or what her doctors said, she refused to go to the hospital because she thought it was a dangerous place. To some degree, she was right. Although hospitals can be places of healing, hospital stays can have serious downsides, too.
One that has been getting a lot of attention lately is the development of delirium in people who are hospitalized. Delirium is a sudden change in mental status characterized by confusion, disorientation, altered states of consciousness (from hyperalert to unrousable), an inability to focus, and sometimes hallucinations. It’s the most common complication of hospitalization among older people.
We wrote about treating and preventing hospital delirium earlier this year in the Harvard Women’s Health Watch. In the New York Times “The New Old Age” blog, author Susan Seliger vividly describes her 85-year-old mother’s rapid descent into hospital delirium, and tips for preventing it.
Although delirium often recedes, it may have long-lasting aftereffects. Read more »
*This blog post was originally published at Harvard Health Blog*
November 20th, 2011 by Linda Burke-Galloway, M.D. in Health Tips, Research
Tags: Alcoholism, Dr. Linda Burke-Galloway, Drinking, Good Morning America, High Risk Pregnancy, Hispanics, Hospitals, Mothers, OB-GYN, Obstetrics And Gynecology, Parents, Patient Care, Pregnancy, Pregnant Women, Women
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photo from www.newscientist.com
A recent medical study by Dr. Ira J. Chasnoff of the Children’s Research Triangle asserts that Hispanic women who have assimilated to American culture have a greater risk of having children born with fetal alcohol syndrome. According to Chasnoff, pregnant Hispanic women in San Antonio had the second highest drinking rate of 29 cities in the states that were studied. I find that rather hard to believe based on my twenty-one year history of taking caring of Hispanic pregnant women. I have seen first, second and third generation Hispanic women and never encountered alcoholism among any of them. However, Chasnoff brings up an interesting point about alcohol and pregnancy. There are two schools of thought. According to Good Morning America, there are physicians such as Dr. Jacques Moritz, who think an occasional glass of wine is okay to consume during pregnancy however the U.S. Surgeon General and the American College of Obstetrician-Gynecologists advocate strict abstinence from alcohol while pregnancy.
According to medical literature, more than one-half of women of childbearing age report drinking alcohol and 1 out of 8 women report binge drinking. Alcohol appears to have negative effects throughout the entire pregnancy, not just during the first-trimester. At present, Read more »
*This blog post was originally published at Dr. Linda Burke-Galloway*
November 16th, 2011 by PJSkerrett in Health Tips
Tags: Bacteria, Blisters, Blood Pressure, Blood Sugar, Blood Vessels, Cuts, Diabetes, Diabetic Neuropathy, Exercise, Feet, Infection, Nerves, Overweight, Pain, smoking cessation, Tingling
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[Editor’s note: In recognition of American Diabetes Month, Harvard Health Publications is collaborating with MSN.com on its Stop Diabetes initiative. Today’s post, published on World Diabetes Day, is the first of several focusing on this all-too-common disorder.]
People tend to think of diabetes as a silent, painless condition. Don’t tell that to the millions of folks with diabetes-induced tingling toes or painful feet. This problem, called diabetic neuropathy, can range from merely aggravating to disabling or even life threatening. It’s something I have first-hand (or, more appropriately, first-foot) knowledge about.
High blood sugar, the hallmark of diabetes, injures nerves and blood vessels throughout the body. The first nerves to be affected tend to be the smallest ones furthest from the spinal cord—those that stretch to the toes and feet.
Diabetic neuropathy affects different people in different ways. I feel it as Read more »
*This blog post was originally published at Harvard Health Blog*
November 14th, 2011 by HarvardHealth in Health Tips
Tags: Bladder Control, Childbirth, Consumption, Control, Dr. Joseph Grocela, Dr. May Wakamatsu, Enlarged Prostate, Fluids, Harvard Medical School, Health, Incontinence, Leakage, Massachusetts General Hospital, Men's Health, Pit stops, Urethra, Urine, Urology, Women's Health
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I was hiking in the woods recently with a group of women friends when something caught my attention. It wasn’t an interesting bird or plant, but the surprising number of “pit stops” my friends needed to make.
Their frequent detours into the bushes struck me because I had just finished working on Better Bladder and Bowel Control, the latest Special Health Report from Harvard Medical School. According to the report, incontinence is the unintended loss of urine or feces that is significant enough to make it difficult to do ordinary activities without frequent trips to the restroom. In the United States, about 32 million men and women have some degree of incontinence. For women, incontinence is a common but rarely discussed result of childbirth and aging—that could explain the pit stops of my hiking friends, who were all mid-life mothers. For men, incontinence is most often a side effect of treatment for prostate disorders.
Many things can go wrong with the complex system that allows us to control urination. Read more »
*This blog post was originally published at Harvard Health Blog*
