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Published for residents, alumni and other friends of the Department
Visit us at www.familymedicine.uc.edu March 2004 The Department's Mission:
To communicate and exemplify the values of Family Medicine by integrating
excellence in education, patient care, community service, and research into
the realities of the practice of Family Medicine. of this newsletter we'll
provide updates on the activities of our gradu-ates and other friends. Please
let us know what you're doing. Plus, e-mail us a photo. We want to hear
from you! The heart of the depart-ment is its people, and I have wonderful
achievements to report. First, congratulations to Vern Rolf on his retire-ment
after 27 years of loyal service to the depart-ment. from its inception.
update7.02_foodborneYou have received this message based upon the information contained within our Health Alert Network Notification System. If you have a different or additional e-mail or fax address that you would like us to use please notify us as soon as possible by fax 720-322-1500 or E-mail at DECTCHD@aol.com July 2002 DIAGNOSIS AND MANAGEMENT OF FOODBORNE ILLNESSES The Centers for Disease Control and Prevention estimates that each year 76 million people get sick, more than 300,000 are hospitalized, and 5,000 Americans die as a result of foodborne illnesses. Many bacteria, viruses, parasites, and chemicals are associated with foodborne illnesses. Foodborne illnesses that were reported to Tri-County Health Department (TCHD) in 2001 include, campylobacteriosis (154 cases), E.coli O157:H7 (11 cases), giardiasis (119 cases), hepatitis A (20 cases), salmonellosis (161 cases), and shigellosis (11 cases). The incidence of foodborne illnesses in the TCHD region normally increases during the These award-winning faculty members of the State University of New York are working to make scientific breakthroughs that will prevent or heal medical disorders and ailments, protect the environment, create new pharmaceuticals and help us understand the origins of the universe. The honorees represent 23 suny campuses including university centers, four-year colleges, health science centers, specialized colleges, colleges of technology and statutory colleges. Her research applies tools of cell and molecu-lar biology to the study of human genes and the development of new "nanoscale" technologies. Using bioinformatics and biochemical approaches to map genes and study a novel protein family, Dr. Bachman has acquired data for several presentations and at least two manu-scripts. She has also provided laboratory training for many undergraduate stu-dents. Dr. Bachman is a member of a multidisciplinary team of scientists and engineers from SUNY Oneonta and SUNY Institute of Technology celiac1005Your differential diagnosis should include celiac disease if the patient has symptoms as diverse as diarrhea, constipation, malabsorption, indigestion, pain, fatigue, and anemia. nly a few years ago, researchers believed the prevalence of celiac disease (CD) in the United Testing adults for CD should be done in a primary care setting because patients who go untreated are at risk for various complications, including malabsorption, vitamin or mineral deficiency, infertility, osteoporosis, autoimmune diseases, and small bowel lymphoma.3 A delay of more than 10 years in diagnosis and treatment This causes a CD4+ cell response that results in inflammation of the small bowel.4 These physiologic effects tend to improve dramatically when gluten is removed from the diet. In one study, 32% of affected adults were underweight, and 50% complained of frequent diarrhea and weight loss.6 In another study, 17% of patients with CD fulfilled the Rome II criteria for irritable bowel syndromeNRC2000AREditPDFIBS 8.03Irritable bowel syndrome (IBS), also called spastic colon, is an irritation disorder of the colon. IBS is twice as common in women than men. IBS is not contagious or cancerous. It can, however, be a source of embarrassment and frustration. IBS is a chronic disorder, with recurrences throughout life. Situations such as stress, anxiety, and depression can increase symptoms, as well as poor diet, smoking, alcohol use, lack of sleep, and certain foods. DIAGNOSIS There is no specific test to diagnosis IBS. Your practitioner may order labs and/or barium/colonoscopy studies, to rule out serious conditions such as parasites, Crohn's disease, and lactose intoler-ance, or ulcers. TREATMENT Treatment is geared towards reducing the frequency and symptoms of attacks.PS_Brochure2005Refer to pages 12-13 for complete descriptions. Polarity Therapy can be used to strongly enhance the effectiveness of an acupuncture treatment by teaching the patient how to feel the Qi move in his/her own body, thereby allowing the patient to be more active in the treatment process. Participants in this workshop will learn hands on techniques that work immediately. Ten million Americans over fifty have osteoporosis and 1.5 million people have suffered a bone fracture related to osteoporosis. A discussion of ephedra and other timely issues related to herbal practice will also be included. Chinese medicine has historically had a hygienic, as well as therapeutic, emphasis. Herbalists are often called to treat people recovering from allergies, chronic fatigue syndrome, fibromyalgia and cancer. Irritable bowel syndrome (IBS) is also called spastic colon or functional bowel disorder. This workshop will discuss the etiology of hypertension from both Western medical and Chinesess1Medically unexplained disorders, mostly occurring in women, are chronic and disabling conditions, presenting with extensive subjective symptoms, although objective findings or causal explanations are lacking. Acquiring the knowledge and skills needed for adequate care of patients with chronic fatigue or pain syndromes is not an easy task. This paper presents a strategy for teaching, intended to facilitate understanding through appreciation of symptoms as a source of knowledge. Also examined is the impact of commonly occurring teaching traps related to gender, psychosocial labeling, universalistic understanding, omnipotence, and power. An underlying assumption in medicine is that health problems present as subjective symptoms accompanied by objective findings. Objective findings are supposed to provide the keys to diagnosis, which explains the cause of symptoms and assigns treatment. It is not an easy task to provide residents with the knowledge and skillsGastroenterologyDescription of the specialty and clinical needs of patients The specialty of gastroenterology and hepatology cares for patients with both benign and malignant disorders of the gastrointestinal tract and liver. The specialty encompasses a wide range of conditions from common disorders to highly complex problems and specialised procedures such as transplantation. Common problems include indigestion, irritable bowel syndrome, constipation and inflammatory bowel disease, chronic viral hepatitis and problems with liver function. Much of the work is outpatient based, to exclude organic disease in the symptomatic patient. An acute inpatient service is needed for common problems such as gastrointestinal haemorrhage, acute inflammatory bowel disease, jaundice and abdominal pain. Other conditions that may be referred to tertiary referral units include complex hepatobiliary disease, complex nutritional problems requiring total parenteral nutrition, and complex non-malignantPedNPTOCSevere Acute Respiratory Syndrome (SARS) 77 Hypoplastic Left Heart Syndrome 266 Diseases Associated with Cardiac Involvement 283 Marfan Syndrome 283 Down Syndrome 285 Kawasaki Disease 285 Lyme Disease 286 Case Studies 286 References 287 Irritable Bowel Syndrome (IBS) 299 Recurrent or Functional Abdominal Pain Syndrome 303 Inflammatory Bowel Disease 308 Nephrotic Syndrome 355 Premenstrual Syndrome 370 Polycystic Ovary Syndrome 376001-020_WWF02#H92601.06HAP takes care of you while you take care of everyone else. Enjoy this issue and read about how to pamper yourself on a daily basis, strengthen your friendships and keep on top of the latest women's health issues. The Wise Woman Book Club seeks to share the knowledge and insight our readers have gained from their favorite books. We want to know what you want and need from the Wise Woman program so that we can live up to our mission: to take care of you while you take care of everyone else! Karen Priemer, Northville - "This book woke me up to all the things I could do to adjust to the changes of pre-menopause. Continue to recommend your favorite books to other Wise Woman readers by completing and returning the survey in the middle of the magazine. The information is for general educational purposes and is not a substitute for the advice of your physician. You should consult your HAP personal care physician for your health care needs. If you have the symptomsMCD_table_of_contentsMANUAL OF CLINICAL DIETETICS, Sixth Edition Foreword Reviewers Preface Table of Contents 27. Irritable Bowel Syndrome 28. Inflammatory Bowel Disease 35. Nephrotic Syndrome 44. Small Bowel TransplantDPCEvidence suggests that CPP may result from various comorbidities commonly found in patients presenting with CPP, including gynecologic and nongynecologic diseases such as irritable bowel syndrome (IBS) and interstitial cystitis (IC). A careful review of symptoms should include specific questions about bladder and bowel symptoms as well as dietary habits. Diagnoses of chronic visceral pain syndrome were suggested by the findings in 16 (46%) patients whose mapping was successful. Visceral pain may be caused by tissue inflammation and can result from causes rang-ing from the lingering effects of ingestion of an irritating substance to injuries from excessive stretching, such as occurs during labor and child delivery. If endometrial implants involve the bladder or bowel, the patient also may have discomfort or bleeding upon urination or bowel move-ments. Over time these lesions may cause scarring that tethers the uterus and adnexal structures within the cul-de-sac, as wellFight the Bush Agenda! Fundraise for your favorite progressive non-profits and political groups: win seats in mid-term elections, defend the supreme court, protect the environment and other great causes. Friendly S. Congress location south of Riverside. Whether you're trying to earn extra money doing something you love or get your start in the political/non-profit world, Call Chris 512- 916-4001 www.telefund.com FREE ADSGot a car you need to sell? Looking for a roommate? Want to unload that old refrigerator? Visit our free ad web page and submit your 20 word ad by Friday, 5pm in Motor, Roommates, For Sale, or Musician's Referral & we will run it free for two weeks. Please include your name, address & phone number or the ad will not run. If you have IRRITABLE BOWEL SYNDROME, or IBS, you know the symptoms Abdominal Pain, Bloating, Constipationand you know they're real. The current epidemic of Hepatitis C and the need for screening colonoscopy, have dramatically increased the need for GI services. The lack of GI specialists to respond to this increased demand is forcing the primary care provider to take a more active role in the diagnosis and management of gastrointestinal and liver diseases. In addition, in order to improve effi ciency and to increase the volume of patients seen in GI practices, the role of non physician provider is emerging as a viable and necessary option. The goal of this conference is to outline the practical guidelines for the management of common gastrointestinal and liver disorders and to recognize the available resources to manage them in the primary as well as in the specialty care settings. The conference speakers will provide updates and practical guidelines on current management of gastrointestinal and liver diseases, such as irritable bowel syndrome, hepatitis A, B, and C, infl ammatory bowel diseases, ParkinsonsPURPOSE: To provide current information regarding recent advances in digestive disease. OBJECTIVES: At the end of this workshop, the participant should be able to: - Determine the best approach to the management of complicated GERD. - Determine the most effective approach to the evaluation and management of abdominal pain. - Review new approaches to the management of obesity. - Determine the role of bariatric surgery in the management of obesity. - Develop a familiarity with the treatment of hepatitis C. - Identify new diagnostic and therapy approaches for Crohn's disease and ulcerated colitis. The Creighton University School of Medicine designates this educational activity for a maximum of 6.5 hours in category 1 credit toward the AMA Physician's Recognition Award.1 | 2 | 3
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