H eart failure (HF) is a significant health problem in the United States, with a prevalence of 5 million patients and 500000 new diagnoses each year. Heart failure is also a significant health care–dollar expenditure, with 5.4% of the health care budget contributing to its treatment. Furthermore, it is a disease of the elderly, affecting 6% to 10% of those older than 65 years. Since the elderly...

There are few, if any, situations in medicine in which a clinician can predict with certainty an individual’s response to drug therapy. A host of factors can modulate this response: concomitant disease or drug therapy, sex, age, ethnicity, or dysfunction of excretory organs, to name but a few. Even when we correct for changes anticipated by such conditions, however, drug responses remain highly...

purpose: to evaluate the prevalence of concomitant systemic and ocular diseases in patients scheduled for phacoemulsification and intraocular lens implantation (pe+pc iol) and post surgical visual outcomes and complications in 1253 cases. methods: medical records of all patients of a private clinic who underwent pe+pc iol from 1999 to 2003 were reviewed. all operations were performed by a singl...

BACKGROUND Headache is one of the most common complaints during medical curriculum and it occurs due to numerous psychological and physical stressors, which are more common in medical students than general population. The purpose of this study was to evaluate the frequency of different types of headache and associated factors. MATERIALS AND METHODS This cross-sectional study was conducted in ...

The authors describe unusual MR findings in three patients with Wilson disease, eg, white matter changes in the base of the pons, and speculate whether the changes are caused by Wilson disease or by concomitant disease, and whether the pontine lesions they observed are primary or related to lesions located more rostrally.

Managing patients who present late with HIV infection is challenging. All late-presenting patients should have an individual treatment plan that encompasses both antiretroviral therapy and, where necessary, treatment for opportunistic diseases. Timely initiation of treatment in late presenters is crucial but the optimal time to start therapy depends on many individual factors, including the pre...

Management of cardiac symptoms in myasthenia gravis (MG) patients can be challenging. The aim of this report is to describe the safe use of ivabradine for stable angina in MG patients. A 48 y.o. woman, with MG diagnosis, presented stable angina. Therapies choices were reduced considering concomitant disease as well as previous and unsuccessful cardiologic managements. Ivabradine showed unexpect...

  Abstract   Background: Sacroiliac joint (SIJ) dysfunction is a widely known but poorly defined   cause of low back pain. To our knowledge, few published studies have been   conducted to evaluate systematically the prevalence and significance of concomitant   sacroiliac joint dysfunction in patients with herniated lumbar discs. As concomitant   SIJ dysfunction in low back pain patients is like...

Background: Chronic drug abuse and sexual dysfunction specifically erectile dysfunction may lead drug abusers to seek over-the-counter or non-prescription medications, out of which Sildenafil citrate, sold as the trade name of Viagra® can be considered as a prime and important treatment. Therefore, the research purpose was to draw a comparison and review the role of methamphetamine abuse and si...