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6 Myths About Varicose Veins

SPECIAL FROM Varicose veins, a vascular disease that causes swollen, twisted veins, affect up to 35 percent of the American population. They are usually found in the legs, but can appear elsewhere on the body. Also known as venous insufficiency, varicose veins occur when damaged veins have trouble sending blood from the legs to the heart. There are a lot of myths out there about this condition. We talked to Kathleen Gibson, MD, vascular surgeon and vein specialist of Lake Washington Vascular, Bellevue, WA, to get the real deal: Myth #1: Varicose veins are harmless. Dr. Gibson: Varicose veins can be just a cosmetic issue in some circumstances. However, they can also cause throbbing, aching, and itching. Advanced cases cause swelling (particularly with prolonged standing and sitting), dermatitis, and thickened skin. End stages can cause open sores but most patients do not get to that stage. Only 10 percent of patients go on to have advanced complications from varicose veins. Myth #2: Varicose veins are caused by crossing your legs while sitting. Dr. Gibson: Not true. It would be impossible to prove. What do cause varicose veins are heredity, and pregnancy, especially repeated pregnancies. In patients that already have varicose veins, obesity or weight gain can make them worse. Although they are more prevalent in people who are older and female, they can also occur in males and younger people. Myth #3: Varicose veins are always visible. Dr. Gibson: You can have varicose vei...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news

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Injuries to the flexor and extensor tendons frequently are seen by hand and orthopaedic surgeons. The anatomical differences between flexor and extensor tendons are paramount when considering the diagnosis and treatment options. Treatment is largely dictated based on the zone of injury. Fundamental concepts have been established over the years regarding repair technique. These include size of core suture placement, suture configuration, location of suture placement, and addition of an epitendinous suture. Type of anesthesia is another factor to consider, as wide-awake surgery has recently become popular because the surgeon...
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: SPECIAL FOCUS: Hand Surgery Rotation Source Type: research
is one of the most frequent causes of painful paresthesias in the upper extremity. As the ulnar nerve travels around the elbow, it is subjected to compressive, tensile, and frictional forces that potentially jeopardize its physiologic function. A detailed physical examination remains the primary mode of diagnosis. Recently, high-resolution ultrasound has garnered enthusiasm as an additional diagnostic and prognostic tool. With mild symptoms, many patients can be effectively treated conservatively. In advanced stages, surgical intervention should be recommended. Continued advancement in surgical techniques now allows sever...
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: SPECIAL FOCUS: Hand Surgery Rotation Source Type: research
Soft-tissue deficits of the hand and upper extremity are commonly encountered by the hand surgeon, and the incorporation of regenerative medicine techniques within the reconstruction ladder of such deficits is becoming more accepted. Dermal regenerative templates and acellular dermal matrices, initially employed in burn reconstruction, have since found a niche in many other cases of soft-tissue loss, including complex defects having exposed vital structures (i.e. bone, tendon, nerve, and/or muscle). Understanding of when to choose regenerative medicine options for reconstruction can spare the morbidity of more complex proc...
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: SPECIAL FOCUS: Hand Surgery Rotation Source Type: research
No abstract available
Source: Menopause - Category: OBGYN Tags: Editorials Source Type: research
Conclusions:These findings provide a national estimate of ANM in Canada and show the importance of lifestyle factors and health conditions in determining menopausal age. These factors might help in risk assessment, prevention and early management of chronic disease risk during the menopausal transition. Background: Early onset of menopause is associated with long-term disease and higher mortality risks. Research suggests that age at natural menopause (ANM) varies across populations. Little is known about factors that affect ANM in Canadian women. Objective: This study aims to estimate the median ANM and examine fact...
Source: Menopause - Category: OBGYN Tags: Original Articles Source Type: research
AbstractObjective:The aim of the study was to explore dose-related endometrial effects of conjugated estrogens/bazedoxifene (CE/BZA).Methods:In this randomized, double-blind, phase 2 study, 408 nonhysterectomized, symptomatic (with hot flushes [HFs]) postmenopausal women received ≥1 dose of CE 0.3 or 0.625 mg alone or with BZA 5, 10, or 20 mg/d; placebo; BZA 5 mg/d alone; or CE 0.625 mg with medroxyprogesterone acetate 2.5 mg/d for 84 days. The primary outcome was endometrial thickness on transvaginal ultrasound. HF frequency and severity based on diaries were key secondary outcomes.Results:CE 0.625 mg alone...
Source: Menopause - Category: OBGYN Tags: Original Articles Source Type: research
Conclusions:Results demonstrate that a BMI cut-point of 30 kg/m2 does not appear to be an appropriate indicator of true obesity status in postmenopausal women. Empirical estimates of the validity of BMI from this study may be used by other investigators to account for BMI-related misclassification in older women. Objective: Body mass index (BMI) is a widely used indicator of obesity status in clinical settings and population health research. However, there are concerns about the validity of BMI as a measure of obesity in postmenopausal women. Unlike BMI, which is an indirect measure of obesity and does not distinguis...
Source: Menopause - Category: OBGYN Tags: Original Articles Source Type: research
AbstractObjective:We conducted a case-control study to investigate the associations of functional single-nucleotide polymorphisms in the purinergic P2X7 receptor (P2X7R) gene (rs2393799, rs7958311, rs1718119, rs2230911, and rs3751143) with obesity and overweight in a population of Chinese postmenopausal women.Methods:Our study included 180 obese women, 179 overweight women, and 204 controls. All participants were genotyped at the P2X7R rs2393799, rs7958311, rs1718119, rs2230911, and rs3751143 loci via allele-specific polymerase chain reaction (PCR) and PCR-restriction fragment length polymorphism procedures. The relationsh...
Source: Menopause - Category: OBGYN Tags: Original Articles Source Type: research
Nutrition is an integral component of medical care for people living with human immunodeficiency virus (HIV)/autoimmune deficiency syndrome (AIDS) (PLWHA). The Academy of Nutrition and Dietetics supports integration of medical nutrition therapy into routine care for this population. Fewer PLWHA experience wasting and undernutrition, while the prevalence of obesity and other chronic diseases has increased significantly. Improved understanding of HIV infection ’s impact on metabolism and chronic inflammation has only increased the complexity of managing chronic HIV infection.
Source: Journal of the American Dietetic Association - Category: Nutrition Authors: Tags: From the Academy Source Type: research
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Source: European Journal of Haematology - Category: Hematology Authors: Tags: Original Article Source Type: research
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