Factors Related to Disclosure and Nondisclosure of Dietary Supplements in Primary Care, Integrative Medicine, and Naturopathic Medicine
Jennifer R. Guzman, PhD, Debora A. Paterniti, PhD, Yihang Liu, MD, MA, MS and Derjung M. Tarn, MD, PhD
Article Type: Research Article | First Published: August 08, 2019
Mixed methods study combining qualitative content analysis of semi-structured interviews with statistical analyses to assess differences in identified factors by provider practice type and supplement type. Seventy-eight English-speaking patients who reported taking 466 dietary supplements in the previous 30 days were recruited from primary care and Complementary and Alternative Medicine (CAM), Integrative Medicine (IM), and naturopathic doctors' offices in Southern California....
A Minus That Makes the Difference
Vitale G, Vitale S, Pierini P and Visconti CL
Article Type: Research Article | First Published: June 28, 2019
Acute Coronary Syndromes include a wide variety of clinical scenarios. Coronary Angiography (CA) is a low-resolution imaging technique and its inability to provide a satisfactory tissue characterization of culprit lesions could be a concern in some cases. Optical Coherence Tomography (OCT) is an emergent intravascular high-resolution imaging modality which could be complementary to CA in challenging cases. We report a case of a young man in whom OCT had been determinant to understand the patholo...
Paraquat Poisoning: Survival after Oral Ingestion
Sarah Allen, MD, Mario Gomez, MD, Alice M. Boylan, MD, Kristin B. Highland, MD, Anthony Germinario, MD, Michelle McCauley, MD and Michael Malone, MD
Article Type: Case Report | First Published: July 20, 2019
A 52-year-old caucasian male farmer from Walterboro, South Carolina presented to the Medical University of South Carolina Health-University Medical Center in August, one hour after ingestion of 20 oz of a 50/50 water/paraquat preparation, with suicidal intent, complaining of nausea and emesis of blue colored fluid. His vital signs were normal on admission other than an increased blood pressure of 159/92 mmHg. Upon presentation, physical examination was within normal limits. Plasma levels of para...
Osteoporosis: Bisphosphonate Therapy in Postmenopausal Women
Amber Rowe, Erin Zamora and Tamera Pearson
Article Type: Case Report | First Published: July 19, 2019
Osteoporosis is the deterioration of bone tissue and strength, which leads to an increased risk of fractures. Postmenopausal women are at increased risk for osteoporosis. Bisphosphonates have long been the mainstay of osteoporosis treatment to prevent fractures, especially hip fractures by increasing bone mineral density. Extending treatment to up to 10 years is currently recommended. In lieu of possible adverse events such as atypical fractures and osteonecrosis of the jaw, drug holidays are an...
Critical Challenges of Economic and Social Issues in Secondary Prevention of Cardiovascular Disease
Rubina Barolia, Gina Higginbottom, Wendy Duggleby and Alexander M Clark
Article Type: Original Research | First Published: July 06, 2019
What we eat may cause Cardiovascular Disease (CVD), and a healthy diet is a key factor in the prevention of CVD. Promoting healthy diet is challenging, particularly for people with low Socioeconomic Status (SES), because poverty is linked with many risk behaviours such as smoking, unhealthy eating, and obesity. Multiple factors make healthy eating very challenging. Underpinned by critical realism, this study explores the factors that inform Pakistani people of low socio-economic status SES in ma...