Mucous hypersecretion is an important clinical manifestation of COPD, bronchiectasis and  pulmonary cystic fibrosis. N-Acetylcysteine has mucolytic properties and has been used for decades as a mucolytic agent in several lung disorders. In COPD inflammatory responses induced by cigarette smoking together with oxidative stress injure airway epithelial cells and stimulate mucous hyper secretion.   In […]

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Insomnia – difficulty falling asleep or staying asleep was associated wit ha 69% greater risk of having a myocardial infarction , than among adults without insomnia , new research suggests. Those who slept 5 hours or less had the highest risk for M.I and those with diabetes and insomnia had double the risk for M.I […]

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Chronic rhinosinusitis is a disease of persistent sinonasal inflammation for which corticosteroid therapy provides patients with symptomatic relief and an improved quality of life. CRS is defined by symptomatology in conjunction with endoscopic and/or radiologic findings. The true prevalence is estimated to be less than 5% when using guideline based diagnostic criteria. CRS is diagnosed […]

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What is PrEP: affixed combination of antiretrovirals an effective option given to HIV negative people to prevent them from contracting HIV before potential exposure. Who should be considered for PrEP would include any person asking for it and in particular high risk groups including: Sex Workers Men who have sex with men adolescents and young […]

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In a surprisingly discovery that flies in the face of conventional medicine, McGill University researchers report that treating pain with anti – inflammatory medicine like ibuprofen or aspirin may promote pain in the long term. Researchers have found that a type of white blood cell known as neutrophils seems to play a role. To test […]

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Routine use of MRI scans during active surveillance of men with prostate cancer allows patients to skip digital rectal examinations and some biopsies and this approach is best practise.   Some doctors do the digital rectal exam even though the patient is getting the MRI but a panel of experts agree that DRE is not […]

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National guidelines recommend surveillance colonoscopy at more frequent intervals after Adenoma removal as there is a higher risk of colorectal cancer among patients with adenomas. The benefit harm balance becomes uncertain as potential harms from the procedure increase with age from the procedure. Overall Physicians were less likely to recommend surveillance colonoscopies if the patient […]

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The Jena project took place in 5 nursing homes in Thuringia, Germany and included 130 residents with dementia. After hearing their favorite music, the residents were calmer and more cheeerful and communicative. The project ran from 2018 to 2021. Since 2021 the project ran to include patients with dementia cared for at home by relatives. […]

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The Mediterranean diet , which emphasizes fruits,vegetables and fish , and olive oil wins again as the best diet plan in the U.S news and world reports. After the Mediterranean diet the DASH diet (Dietary approaches to stop hypertension) which includes fruits, vegetables, whole grain, lean protein and low fat dairy tied for second place […]

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Drinking less is better says new guidance replacing 2011 Canadian guidelines. Consuming no drinks per week is the only safe option in pregnancy and will have health benefits such as better sleep. Consuming one or two standard drinks per week will likely not have alcohol related consequences. 3 drinks to 6 drinks raises the risk […]

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