Biomedical subjects
Publications and source records attributed to S E Meiner.
Marfan's syndrome is an autosomal dominant disorder that involves the cardiovascular, musculoskeletal, and ocular systems. Displaying a highly variable array of symptoms and course, the disease is underdiagnosed and misdiagnosed. Since Marfan's syndrome can have fatal consequences, advance practice and other adult health nurses need to recognize and manage its symptoms.
Choices for osteoporosis therapy have expanded within the past 5 years. This article provides an overview of currently available therapy options. Exogenous estrogen can prevent and treat osteoporosis and is available in several delivery routes. Calcitonin is also designed to reduce bone loss in osteoporosis. Bisphosphonates such as alendronate prevent bone resorption by inhibiting osteoclasts and causing increased osteoclast cell death. Raloxifene is a selective estrogen receptor modulator and is the newest osteoporosis medication on the market. It may also have beneficial effects on breast cancer risk. All postmenopausal women should obtain 1,000 mg to 1,500 mg of calcium and 400 IU to 800 IU of vitamin D every day--regardless of any prescription therapy regimen for osteoporosis. They should also perform weight-bearing exercise, such as walking, for 20 to 30 minutes every day or for 1 hour three times a week.
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Ongoing health care transitions include shorter hospital stays for elderly patients who need additional subacute care before they return to independent living. When continued care will be carried out in another facility, attentiveness to transfer details is essential to complete a safe and effective move.
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Gout is a metabolic disease characterized by recurrent episodes of acute arthritis. High blood levels of uric acid lead to inflammation, joint swelling, and severe pain. Treatment is aimed at relieving the acute attack and preventing recurrent episodes of gouty arthritis.
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