Vitamin B12 Deficiency: Recognition and Management.
Vitamin B12 Deficiency: Recognition and Management. Am Fam Physician. 2017 Sep 15;96(6):384-389 Authors: Langan RC, Goodbred AJ Abstract Vitamin B12 deficiency is a common cause of megaloblastic anemia, various neuropsychiatric symptoms, and other clinical manifestations. Screening average-risk adults for vitamin B12 deficiency is not recommended. Screening may be warranted in patients with one or more risk factors, such as gastric or small intestine resections, inflammatory bowel disease, use of metformin for more than four months, use of proton pump inhibitors or histamine H2 blockers for more than 12 months, vegans or strict vegetarians, and adults older than 75 years. Initial laboratory assessment should include a complete blood count and serum vitamin B12 level. Measurement of serum methylmalonic acid should be used to confirm deficiency in asymptomatic high-risk patients with low-normal levels of vitamin B12. Oral administration of high-dose vitamin B12 (1 to 2 mg daily) is as effective as intramuscular administration for correcting anemia and neurologic symptoms. Intramuscular therapy leads to more rapid improvement and should be considered in patients with severe deficiency or severe neurologic symptoms. Absorption rates improve with supplementation; therefore, patients older than 50 years and vegans or strict vegetarians should consume foods fortified with vitamin B12 or take vitamin B12 supplements. Patients who have had bariatric surgery shoul...
Sarah Boseley talks to Prof Susan Lanham-New about vitamin D and whether it could play a role in protecting us against Covid-19Continue reading...
Suddenly everyone is talking about using Vitamin D to prevent or lessen the impact of Covid-19. While research shows some anti-inflammatory properties, there's no evidence it can help fight the virus.
HEART attacks are strongly tied to unhealthy lifestyle factors and research continues to shed further light on the link between the two. A new study has probed deeper into the relationship, uncovering a risk factor tied to childhood experiences.
CONCLUSION: This study describes the current status of acute stroke care in Korea. Despite quite acceptable quality of stroke care, it suggests regional and hospital disparities. Expansion of stroke units, stroke center certification or accreditation, and connections between stroke centers and emergency medical services are highly recommended. PMID: 32449325 [PubMed - in process]
Publication date: Available online 26 May 2020Source: African Journal of Emergency MedicineAuthor(s): Willem Stassen, Leif Olsson, Lisa Kurland
Publication date: Available online 25 May 2020Source: Journal of EthnopharmacologyAuthor(s): Gaosong Wu, Linlin Chen, Yu Gu, Ying Hong, Junli Ma, Ningning Zheng, Jing Zhong, Ai-Jun Liu, Lili Sheng, Weidong Zhang, Houkai Li
ConclusionDespite the advances made in bariatric surgery, the criteria determining suitability of patients for bariatric surgery in most parts of the world are still based on a consensus agreed upon in the USA in 1991. There is a need to formulate some new consensus and guidelines that would allow for a significant expansion of the pool of patients that can be offered these procedures.
Authors: Hahn RA Abstract The goal of this study was to analyze trends in black age-adjusted mortality rates (AADR) from 1900 through 2010 and to propose explanations. Analyses included a descriptive study of trends in AADR from major causes for blacks and age-specific all-cause mortality at each decade. In 1900, all-cause AADRs were higher for blacks than whites. Over the century, differences decreased substantially. Reductions mortality were greatest among young people, lowest among older adults. Deaths from infectious diseases showed the greatest decrease. Heart disease mortality among blacks increased from 1920...
Dangerous blood clots that can cause strokes and other life-threatening problems are increasingly being reported in patients with COVID-19.
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