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D-dimer in Anticoagulation Discontinuation D-dimer is useful after stopping anticoagulation to assess recurrence risk.No...
07/08/2025

D-dimer in Anticoagulation Discontinuation
D-dimer is useful after stopping anticoagulation to assess recurrence risk.
Normal D-dimer = lower risk → may safely stop anticoagulation.
Elevated D-dimer = higher risk → consider extending therapy.
Not a standalone decision-maker—must combine with clinical risk assessment (e.g., HAS-BLED for bleeding risk).

Ectopic pregnancy ( what should i see)inside the uterus outside the uterus ( adnexa)
07/08/2025

Ectopic pregnancy ( what should i see)

inside the uterus

outside the uterus ( adnexa)

New ACC Expert Consensus Statement on the diagnosis and management of   addresses diagnostic and therapeutic advances in...
06/08/2025

New ACC Expert Consensus Statement on the diagnosis and management of addresses diagnostic and therapeutic advances in acute and recurrent pericarditis and their complications, employing a multimodality imaging-guided therapeutic approach.

This document is designed to assist cardiologists, emergency and internal medicine physicians, primary care physicians, rheumatologists, and other physicians and cardiovascular care team members who manage these complex patients in the real world.

Get the details in : https://bit.ly/46FCEsz

 #ជំងឺមហារីកថ្លើមឈរនៅចំណាត់ថ្នាក់លេខ១ ក្នុងចំណោមមហារីកផ្សេងៗទៀតនៅប្រទេសកម្ពុជា ការរកមូលហេតុ និងដំណាក់កាលដំបូង អាចព្យាបាល...
06/08/2025

#ជំងឺមហារីកថ្លើមឈរនៅចំណាត់ថ្នាក់លេខ១ ក្នុងចំណោមមហារីកផ្សេងៗទៀតនៅប្រទេសកម្ពុជា
ការរកមូលហេតុ និងដំណាក់កាលដំបូង អាចព្យាបាលនិងកាត់បន្ថយហានិភ័យនៃជំងឺមហារីកថ្លើមបាន

A new study suggests that drinking just one can of diet soda a day may raise your risk of type 2 diabetes by 38%. Resear...
06/08/2025

A new study suggests that drinking just one can of diet soda a day may raise your risk of type 2 diabetes by 38%. Researchers from Australia and the Netherlands tracked the eating and drinking habits of over 36,000 Australians aged 40 to 69 for an average of 14 years. They compared people who regularly drank artificially sweetened soft drinks with those who rarely consumed them.

Surprisingly, the risk linked to diet drinks was even higher than the 23% increase seen with sugary drinks. When body weight was considered, the connection between sugary drinks and diabetes disappeared, suggesting weight gain was the main factor. But for artificially sweetened drinks, the higher risk remained, even in people who weren’t overweight.

Scientists don’t yet know exactly why, but they have some ideas. Certain sweeteners, like aspartame, can trigger an insulin response similar to sugar. Others may disrupt gut bacteria, making it harder for the body to control blood sugar. These effects could raise diabetes risk without necessarily causing weight gain.

Artificial sweeteners are often promoted as a healthier alternative for people at risk of diabetes. However, this research suggests they may have their own health dangers, potentially affecting blood sugar control, gut health, and even the brain and heart.

Experts say more studies are needed, but they also call for greater public awareness. They suggest health policies should not only target sugary drinks but also artificially sweetened ones, since both could contribute to long-term health problems.

06/08/2025

Barred Owlets this morning ... it's been a while. The siblings are getting big. Thanks for the heads up jsmeltphoto

Pharmacological Management of Type 2Diabetes
06/08/2025

Pharmacological Management of Type 2
Diabetes

This practice, known as grounding or earthing, has been studied in several peer-reviewed medical journals. Researchers h...
05/08/2025

This practice, known as grounding or earthing, has been studied in several peer-reviewed medical journals. Researchers have found compelling preliminary evidence that direct contact with the Earth’s surface can affect the body in measurable ways:

▪️ A 2012 study published in the Journal of Environmental and Public Health found that grounding reduced inflammation and chronic pain, improved sleep, and promoted a healthier circadian rhythm. Participants also experienced shifts in white blood cell counts and pain markers after being grounded.

▪️ A 2004 study in the Journal of Alternative and Complementary Medicine showed that grounding during sleep normalized daily cortisol patterns—the hormone linked to stress—and led to better sleep quality and stress reduction.

▪️ A 2020 scientific review in Explore concluded that grounding may improve immune response, reduce chronic inflammation, and accelerate wound healing by allowing free electrons from the Earth to neutralize reactive oxygen species in the body.

While more large-scale research is needed, these studies suggest that something as simple as walking barefoot on soil, sand, or grass could help regulate your nervous system, lower inflammation, and support your body’s natural rhythms.

Sometimes, restoring your connection to the Earth isn't just metaphorical—it’s electrical.

❇️Cervical cerclage 👉is a surgical procedure to stitch the cervix closed during pregnancy to prevent premature birth or ...
04/08/2025

❇️Cervical cerclage

👉is a surgical procedure to stitch the cervix closed during pregnancy to prevent premature birth or miscarriage in women with a weakened or incompetent cervix.

👉It’s typically performed between weeks 12-24 of pregnancy, often under anesthesia, using a strong suture to reinforce the cervix.

♦️There are three main types:

1. **Transva**nal cerclage**:

Stitches are placed through the va**na (most common).

2. **Transabdominal cerclage**:

Stitches are placed through the abdomen, usually for women with prior failed va**nal cerclages or very short cervixes.

3. **Emergency cerclage**:

Done when cervical shortening or opening is detected unexpectedly.

**Indications**:

- History of painless cervical dilation leading to second-trimester losses.

- Short cervix (

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