Physical Examination

Publication Title: 
Annals of Internal Medicine

RECOMMENDATION 1: Clinicians should conduct a focused history and physical examination to help place patients with low back pain into 1 of 3 broad categories: nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis, or back pain potentially associated with another specific spinal cause. The history should include assessment of psychosocial risk factors, which predict risk for chronic disabling back pain (strong recommendation, moderate-quality evidence).

Author(s): 
Chou, Roger
Qaseem, Amir
Snow, Vincenza
Casey, Donald
Cross, J. Thomas
Shekelle, Paul
Owens, Douglas K.
Clinical Efficacy Assessment Subcommittee of the American College of Physicians
American College of Physicians
American Pain Society Low Back Pain Guidelines Panel
Publication Title: 
The Journal of the American Board of Family Practice

BACKGROUND: Sexual problems are common but infrequently diagnosed. They are classified into four major categories: (1) sexual desire disorders, (2) sexual arousal disorders, (3) orgasmic disorders, and (4) sexual pain disorders. METHODS: MEDLINE files from 1966 to the present were searched using the specific sexual dysfunctions as key words along with the general key word "sexual dysfunction" to review the published literature. Additional articles came from the reference lists of dysfunction-specific reviews.

Author(s): 
Halvorsen, J. G.
Metz, M. E.
Publication Title: 
The British Homoeopathic Journal

This invitation for co-operation is addressed to all interested groups. Its purpose is data collection for clinical verification of symptoms from homeopathic proving and collection of clinical symptoms not derived from homeopathic pathogenetic trials (provings). To date no consensus exists on this topic. The European Committee for Homoeopathy (ECH) research sub-committee has created a working group on this topic. This paper is the result of a review of papers on the topic, exchanges between members and a meeting.

Author(s): 
Fayeton, S.
Van Wassenhoven, M.
Working Group 'Clinical Verification of Symptoms,' European Committee for Homeopathy
Publication Title: 
Complementary Therapies in Medicine

OBJECTIVES: This survey was undertaken to learn how Traditional Chinese Medicine acupuncturists' diagnose and treat patients with chronic low back pain in order to develop a standardized treatment for a clinical trial of that condition. DESIGN: We surveyed a randomly selected group of 56 acupuncturists in Washington State, USA about styles of acupuncture they used for treating chronic low back pain, diagnoses made, and key features of treatment for this condition.

Author(s): 
Sherman, K. J.
Hogeboom, C. J.
Cherkin, D. C.
Publication Title: 
Annals of Internal Medicine

RECOMMENDATION 1: Clinicians should conduct a focused history and physical examination to help place patients with low back pain into 1 of 3 broad categories: nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis, or back pain potentially associated with another specific spinal cause. The history should include assessment of psychosocial risk factors, which predict risk for chronic disabling back pain (strong recommendation, moderate-quality evidence).

Author(s): 
Chou, Roger
Qaseem, Amir
Snow, Vincenza
Casey, Donald
Cross, J. Thomas
Shekelle, Paul
Owens, Douglas K.
Clinical Efficacy Assessment Subcommittee of the American College of Physicians
American College of Physicians
American Pain Society Low Back Pain Guidelines Panel
Publication Title: 
Annals of Internal Medicine

RECOMMENDATION 1: Clinicians should conduct a focused history and physical examination to help place patients with low back pain into 1 of 3 broad categories: nonspecific low back pain, back pain potentially associated with radiculopathy or spinal stenosis, or back pain potentially associated with another specific spinal cause. The history should include assessment of psychosocial risk factors, which predict risk for chronic disabling back pain (strong recommendation, moderate-quality evidence).

Author(s): 
Chou, Roger
Qaseem, Amir
Snow, Vincenza
Casey, Donald
Cross, J. Thomas
Shekelle, Paul
Owens, Douglas K.
Clinical Efficacy Assessment Subcommittee of the American College of Physicians
American College of Physicians
American Pain Society Low Back Pain Guidelines Panel
Publication Title: 
Dental Clinics of North America

In the late 1960's, preventive health care began to gain in popularity in the United States and the movement carried over into the 1970's. During this time, sizable decreases in deaths from heart disease, strokes, and accidents have been noted. As a result, the lowest death rate in the history of this country (8.9 per 1000) occurred in both 1975 and 1976. Since 1970, an increase in longevity has been documented and it can be said that Americans are living longer--not just longer but hopefully better!

Author(s): 
Cooper, K. H.
Christen, A. G.
Publication Title: 
Journal of Epidemiology and Community Health

An epidemiological study was carried out among a random sample of women aged 18 to 69 years to examine possible determinants of plasma high density lipoprotein and total cholesterol (HDL-C and T-C). In a multiple regression analysis consumption of alcohol, fatty fish, and parental longevity showed positive associations with HDL-C, which were statistically significant. Smoking habit, sucrose consumption, and a family history of ischaemic heart disease showed significantly negative associations.

Author(s): 
Yarnell, J. W.
Milbank, J.
Walker, C. L.
Fehily, A. M.
Hayes, T. M.
Publication Title: 
[Nihon K?sh? Eisei Zasshi] Japanese Journal of Public Health

To investigate survival factors in healthy aging among rural Japanese elderly residents, a nested case-control study was conducted. Subjects who answered questionnaires in 1985 were followed for 10 years. Cases comprised 124 men and 109 women who, in 1995, were 75 years old or over, and whose activities of daily living were active enough to cope for themselves. Controls were selected from subjects who died between 1987 and 1994. One control per case was randomly selected, and matched to each case for sex and birth-year (+/- 2 years).

Author(s): 
Takezaki, T.
Ohashi, Y.
Ohta, T.
Tajima, K.
Tominaga, S.
Publication Title: 
Pediatric Clinics of North America

Tourette syndrome (TS) is a childhood-onset neurodevelopmental disorder characterized by multiple motor tics and at least one vocal or phonic tic, and often one or more comorbid psychiatric disorders. Premonitory sensory urges before tic execution and desire for "just-right" perception are central features. The pathophysiology involves cortico-striato-thalamo-cortical circuits and possibly dopaminergic system. TS is considered a genetic disorder but the genetics is complex and likely involves rare mutations, common variants, and environmental and epigenetic factors.

Author(s): 
Serajee, Fatema J.
Mahbubul Huq, A. H. M.

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