Opportunity to - screen, diagnose, refer and treat?

Missed opportunity to screen and diagnose PTSD and depression among deploying shipboard US military personnel

BACKGROUND Depression and post-traumatic stress disorder (PTSD) are significant risks for suicide and other adverse events among US military personnel, but prevalence data among ship-assigned personnel at the onset of deployment are unknown. AIMS To determine the prevalence of shipboard personnel who screen positive for PTSD and/or major depressive disorder (MDD) at the onset of deployment, a...

How to Diagnose and Treat Lawsonia intracellularis

Proliferative enteropathy (PE) caused by Lawsonia intracellularis has emerged as a significant equine pathogen in recent years. Early diagnosis of this disease allows prompt initiation of appropriate therapy to help decrease the severity of this disease. Lawsonia intracellularis is an obligate intracellular, gram-negative, curve-shaped bacteria. In pigs, the organism results in lesions in the l...

Policy on the ethical responsibility to treat or refer.

Pulmonary hypertension, how to diagnose and who to treat?

Pulmonary arterial hypertension is a fatal disease with an estimated survival rate of only 50% after 5 years [1]. Over the last years, knowledge in the field of pulmonary hypertension has grown consistently and significantly. New diagnostic tools, as well as the efficacy of new medications and drug combinations, have been described. How to define and diagnose pulmonary arterial hypertension is ...

Adenomyosis: Difficult to Diagnose, and Difficult to Treat

Drug therapy may be effective in controlling symptoms but the frequent coexistence of endometriosis and the lack of controlled studies make their efficacy difficult to quantify. Danazol IUD has been shown to reduce symptoms. Conservative surgery involving endomyometrial ablation, laparoscopic myometrial electrocoagulation or excision has proven to be effective in more than 50% of patients, alth...