Practice-updates

AHA Journal: Circulation: Published on February, 2023Low-density lipoprotein cholesterol (LDL-C) level is a well-established risk factor for atherosclerotic cardiovascular disease. However, the optimal achieved LDL-C level with regard to efficacy and safety in the long term remains unknown.TAKE-HOME MESSAGEThis study assessed the relationship...
Nature Reviews: Urology: Published on August, 2022Premature ejaculation (PE) is a prevalent and common male sexual dysfunction. The first treatment modalities for PE were with psychotherapy focussing on the sexual relationship and anxiety related to sexual satisfaction with a partner. The use of sexual psychology can play a role in the...
Diabetes Care Journal: Published on January 2023Gestational diabetes (GDM) is a complex disorder associated with adverse fetal and maternal outcomes. GDM is a global problem and has an estimated prevalence of 14%. The term gestational glucose intolerance (GGI) is applied to women who have an abnormal screening 50-g glucose challenge test (...
Chest Journal: Published on November, 2022TAKE-HOME MESSAGEIn this single-center, open-label, randomized trial, hemodynamically stable patients presenting to an emergency department with hemoptysis were assigned to receive different formulations of tranexamic acid (TA). The 55 patients randomized to receive nebulized TA were found to have a sig...
The American Journal of Gastroenterology GERD MEDICAL MANAGEMENT Management of GERD requires a multifaceted approach, taking into account the symptom presentation, endoscopic findings, and likely physiological abnormalities. Medical management includes lifestyle modifications and pharmacologic therapy, principally with medication...
Diabetes Research and Clinical Practice: Published on July, 2022The American Diabetes Association recommends that metformin should be started at the time of type 2 diabetes mellitus (T2DM) diagnosis, unless there are contraindications. Metformin is safe, effective, economic, and might reduce the risk of cardiovascular events and death. When gl...
American College of Obstetricians and Gynecologists (ACOG): Endometriosis is a chronic, estrogen-dependent condition that causes dysmenorrhea and pelvic pain that affects 6–10% of women of reproductive age. Elagolix is an oral, nonpeptide Gonadotropin-releasing hormone (GnRH) antagonist suppressed estradiol production in a dose-depend...
Hypertension is one of the leading public health challenges worldwide. It is common in both developed and developing countries. Essential hypertension is believed to be a result of complex interaction of genetic and environmental factors. Increased peripheral resistance is responsible for most of the cases of essential hypertension....
GERD is associated with substantial reductions in subjective well-being, lower work productivity, and increased healthcare use. The GERD in the Asia Pacific Survey (GAPS) found that GERD had a negative impact on well-being for 94% of respondents in terms of stress (68% of respondents), restrictions to daily activities (50%), and reduced wor...
Global Journal of Reproductive Medicine: Endometriosis is a common disease in up to 10% of women of reproductive age. It often causes symptoms such as dysmenorrhea, chronic pelvic pain, dyspareunia and dyschezia. It is also associated with ovarian endometrioma which requires surgery for both diagnosis and treatment. However, recurrence r...
Threatened miscarriage is the most common complication in the first half of pregnancy affecting 20-25% of women. Diagnosis of threatened miscarriage is established when there is a viable pregnancy with vaginal bleeding and a closed cervix. Any woman who presents with threatened miscarriage; ultrasound imaging is performed to ascertain th...
ADA Diabetes Care Journal: Metformin is the recommended first-line pharmacotherapy for patients with type 2 diabetes, but most patients will ultimately require additional therapies to maintain glycemic control. Maintaining intensive glucose control early in the disease process may lead to legacy benefits that persist beyond the per...