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  1. Last 7 days
  2. accessmedicine.mhmedical.com accessmedicine.mhmedical.com
    Superior Vena Caval Obstruction
    1
    1. Arshadbhat 05 Apr 2026
      Urgent treatment for neoplasm consists of (1) cautious use of intravenous diuretics and (2) mediastinal irradiation, starting within 24 hours, with a treatment plan designed to give a high daily dose of radiation but a short total course of therapy to rapidly shrink the local tumor. Intensive radiation therapy combined with chemotherapy will palliate the process in up to 90% of patients. In patients with a subacute presentation, radiation therapy alone usually suffices. Chemotherapy is added if lymphoma or small-cell carcinoma is diagnosed

      endovascular stenting emerging as first-line therapy for rapid symptom relief, while definitive treatment targets the underlying cause

      Glucocorticoids (dexamethasone 4 mg every 6 hours) are commonly prescribed but lack robust supporting data; they may be more beneficial in lymphoma or thymoma and as prophylaxis against radiation-induced edema. [2-4] Importantly, SVC syndrome is no longer considered a medical emergency except in rare cases with life-threatening cerebral edema, laryngeal edema, or altered mental status. When thrombosis is present, catheter-directed thrombolysis or aspiration thrombectomy should be performed within 2-5 days of symptom onset before thrombus organization occurs. [3] The role of long-term anticoagulation after stenting remains unclear, though it is standard when significant thrombosis is present The American College of Chest Physicians recommends obtaining histologic diagnosis before treatment in suspected lung cancer cases, as stenting does not interfere with tissue diagnosis. [2] For small cell lung cancer (SCLC), chemotherapy alone is recommended as first-line treatment given rapid response rates. [2] For non-small cell lung cancer (NSCLC), radiation therapy and/or stent insertion are recommended, with response rates of 59% for chemotherapy and 63% for radiation therapy. [2] Patients with chemotherapy- or radiation-refractory disease should receive vascular stents For device-related thrombosis (catheters, pacemakers), catheter removal should be considered in conjunction with anticoagulation. [4] Endovascular therapy is first-line for device-related obstruction, while surgical bypass may be preferred for mediastinal fibrosis. [7] Both approaches show good mid-term patency, though secondary interventions are common (approximately 27-28%
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  3. Mar 2026
  4. accessmedicine.mhmedical.com accessmedicine.mhmedical.com
    Varicose Veins
    1
    1. Arshadbhat 30 Mar 2026

      Endovenous ablation is contraindicated or relatively unsuitable when venous anatomy precludes catheter-based treatment, specifically: aneurysmal dilation of the GSV close to the saphenofemoral junction, subcutaneous location of truncal veins above the saphenous fascia and close to the skin, and significant tortuosity of the GSV or SSV. [1] In these scenarios, high ligation and stripping is recommended as the preferred alternative (grade 1 strong recommendation

      Thrombotic Risk Stratification Both surgical and endovenous approaches carry VTE risk, but surgery has substantially higher rates. Thrombotic complications after isolated endovenous ablation are uncommon (<1% for DVT and PE), whereas patients undergoing open procedures such as high ligation and stripping with phlebectomy may experience VTE rates as high as 6.25%. [2] Concomitant phlebectomy of tributaries has been identified as an independent risk factor for VTE development. [2] For high-risk patients undergoing endovenous ablation, pharmacological thromboprophylaxis is suggested (grade 2 weak recommendation). [2] Risk stratification using tools like the Caprini score may identify patients at elevated risk, with those scoring ≥7 potentially benefiting from chemoprophylaxis.
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  5. Nov 2023
  6. docdrop.org docdrop.org
    Video: Excess Deaths at Night - Obstructive Sleep Apnea Explained Clearly (DocDrop)
    1
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    docdrop.org/video/slLP3ZxGXHU/
  7. Feb 2022
  8. twitter.com twitter.com
    Adam Kucharski on Twitter
    1
    1. lucyparfitt16 08 Feb 2022

      Adam Kucharski. (2022, February 8). Below figure being widely shared (from: Https://cdc.gov/mmwr/volumes/71/wr/mm7106e1.htm), but think it’s important to include uncertainty (i.e. 95% confidence intervals) when reporting estimates: Cloth mask: 56% (-17%-83%) lower odds than no mask Surgical mask: 66% (10%-87%) N95/KN95: 83% (36%-95%) https://t.co/SkPhF7CAJf [Tweet]. @AdamJKucharski. https://twitter.com/AdamJKucharski/status/1490946644837543938

      lang:en COVID-19 mask wearing face mask cloth mask surgical mask n95 kn95 data visualization mask type report estimate
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  9. Mar 2021
  10. jangawolof.org jangawolof.org
    Phrases
    1
    1. jeloroc 10 Mar 2021
      Fexeel ba kër gi bañ ñàkk alkol.

      Veille à ce qu'il ne manque pas d'alcool à la maison.

      fexe+el (fexe) v. -- search/seek by all means.

      ba -- the (?).

      kër gi -- house; family.

      gi -- the (indicates nearness).

      bañ v. -- refuse, resist, refuse to; to hate; verb marking the negation in subordinate clauses.

      ñàkk v. / ñàkk bi -- vaccinate / vaccine (not sure exactly how this fits in the sentence if it's even the right translation -- perhaps it has to do with surgical alcohol rather than drinking alcohol).

      alkol ji -- (French) surgical alcohol. (I'm certain this is also used for the type of alcohol you drink -- but sangara is probably the most used term).

      https://www.youtube.com/watch?v=SsUjvAItysA

      make sure there is no shortage of alcohol at home feexeel ba kër gi bañ ñàkk alkol fexe -el bi ji search seek the house family refuse resist hate vaccinate vaccine surgical sangara
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  11. Feb 2021
  12. www.microcovid.org www.microcovid.org
    Still using a cloth mask? Upgrade to an N95 or P100!
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    microcovid.org/blog/masks
  13. Oct 2020
  14. twitter.com twitter.com
    Shauna Brail on Twitter
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    twitter.com/shaunabrail/status/1313818873163067392
  15. Aug 2020
  16. www.journalofsurgicalresearch.com www.journalofsurgicalresearch.com
    Is the Power Threshold of 0.8 Applicable to Surgical Science?—Empowering the Underpowered Study
    1
    1. ErikStuchly 27 Aug 2020

      Bababekov, Y. J., Hung, Y.-C., Hsu, Y.-T., Udelsman, B. V., Mueller, J. L., Lin, H.-Y., Stapleton, S. M., & Chang, D. C. (2019). Is the Power Threshold of 0.8 Applicable to Surgical Science?—Empowering the Underpowered Study. Journal of Surgical Research, 241, 235–239. https://doi.org/10.1016/j.jss.2019.03.062

      is:article lang:en power threshold surgical science scientific practice type 2 error publishing systematic review statistics significance gradient scale
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  17. Jul 2020
  18. elemental.medium.com elemental.medium.com
    The Best Masks for Every Situation, According to Health Experts
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    elemental.medium.com/the-best-masks-for-every-situation-according-to-health-experts-80c068233828
  19. May 2020
  20. bjssjournals.onlinelibrary.wiley.com bjssjournals.onlinelibrary.wiley.com
    Doctor–patient communication in surgical practice during the coronavirus (COVID‐19) pandemic
    1
    1. edampf 12 May 2020

      Hamza, M., Khan, H. S., Sattar, Z. A., & Hanif, M. (2020). Doctor-patient communication in surgical practice during the coronavirus (COVID-19) pandemic: WhatsApp for Doctor-Patient Communication during COVID-19 Pandemic. British Journal of Surgery. https://doi.org/10.1002/bjs.11661

      lang:en is:other COVID-19 doctor-patient communication surgical practice low risk Whatsapp smartphone video call messaging consultation test results telemedicine online Pakistan protocol correspondence
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    bjssjournals.onlinelibrary.wiley.com/doi/10.1002/bjs.11661