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"Instructions for Sports Medicine Patients provides step-by-step guidance for your patients to save time and eliminate the risk of miscommunication. Marc Safran and James E. Zachazewski present the combined perspectives of both an orthopaedic sports medicine physician and a physical therapist for a balanced approach to therapeutic practices. The updated second edition covers additional topics so that you stay current and have the best treatment options at your fingertips"

""Some patients present with a primary complaint of pain while others complain of pain secondary to a more generalized disease process or procedure. As a healthcare professional, you are trained to diagnose the pathology and then treat it. A patient presents with pneumonia, your work-up supports the diagnosis; you treat it, then the patient gets better. However, another layer of patient care needs more focus in the medical community. If the patient with pneumonia complains of intercostal pain secondary to a violent cough, we have the ability to manage the symptoms of pain effectively, and should not hesitate to do so promptly. Our actions to alleviate pain will not hinder our ability to treat the underlying disease. Yet modern medicine often considers these goals mutually exclusive, with pain management a distance second. As medical professionals, when we have an incomplete understanding of how to treat a condition, we under treat it, erring on the side of do no harm. This book will give you the confidence to confront your patient's discomfort and succeed in conquering the pain"--Provided by publisher."

"A cross sectional study was conducted at the Department of Medicine, Khan Kaen Regional Hospital, Thailand to investigate the relationship between protein energy and anorexia status in 100 adult hospitalized patients (50 males and 50 females), aged 20-50 years, who stayed 4-7 days in hospital. Protein Energy Malnutrition (PEM) was diagnosed using Body Mass Index (BMI) < 18.5 kg/m2 as a cut-off point and anorexia was based on the weight of leftover food; in this study leftover food containing > 213 (> 66.7%) of the energy served reflected anorexia. On admission, 30% of males were suffering from PEM and it increased to 34% on discharge while among females it was 28% both on admission and discharge. In men, 16% were suffering from anorexia on admission, which decreased to 10% on discharge while 6% of females were suffering from anorexia on admission and increased to 10% on discharge. The anorexia subjects had lower BMI and had a longer length of stay than the non-anorexic subjects (p < 0,05 in males).In conclusion, PEM of hospitalized patients occurred before admission and during hospitalization. There was a negative association between nutritional status and length of stay in hospital. PEM was found to be more prevalent in males than females and the leftover foods of males was also more than the females. The prevalence of PEM is related to leftover foods; it can be used as an estimate of anorexic status and represents an objective indicator for anorexia."

"Tujuan Penyesuaian dosis dan pemilihan jenis obat penting dilakukan dalam keadaan gangguan fungsi ginjal. Penelitian observasional ini bertujuan untuk mengetahui ketepatan penyesuaian dosis dan ketepatan pemilihan obat pada pasien di ruang rawat inap Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia/Rumah Sakit Dr. Cipto Mangunkusumo, Jakarta.Metode Pasien usia 18 tahun atau lebih dengan bersihan kreatinin <60 mL/menit berdasarkan rumus Cockroft-Gault diikutkan dalam penelitian ini. Obat yang dinilai adalah obat yang ekskresinya terutama melalui ginjal dan obat-obat yang bersifat nefrotoksik. Ketepatan pemilihan dinilai berdasarkan ada/tidaknya kontraindikasi dan interaksi potensial antar obat yang digunakan, sedangkan ketepatan penyesuaian dosis didasarkan pada berbagai literature buku teks dan brosur obat. Data dikumpulkan antara bulan May sampai July 2007.Hasil Dari 43 pasien yang memenuhi kriteria inklusi, didapatkan pemakaian obat sebanyak 385 jenis, 164 jenis di antaranya mempunyai jalur ekskresi utama di ginjal dan/atau bersifat nefrotoksik. Dari 164 jenis obat tersebut, penyesuaian dosis dilakukan dengan tepat pada 142 jenis obat (86.5%), sedangkan penyesuaian yang tidak tepat terdapat pada 22 jenis obat (13.5%). Terdapat 1 pemakaian obat yang merupakan kontraindikasi, dan 15.1% dinilai potensial berinteraksi.Kesimpulan Penyesuaian dosis dan pemilihan obat pada pasien gangguan fungsi ginjal di ruang rawat inap Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia/Rumah Sakit Dr. Cipto Mangunkusumo telah dilakukan dengan baik.

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Aim Dose adjusment and drug selection is important in patient with renal dysfuction.This study was aimed to assess the accuracy of dose adjustment and drug selection for renal dysfunction patient at the Internal Medicine Ward FMUI/Dr. Cipto Mangunkusumo Hospital, Jakarta.

Methods Patients ≥ 18 years old with estimated creatinine clearance < 60 mL/minute based on Cockroft-Gault formula were included in this study. The drugs assessed were those excreted by the kidney or having nephrotoxic effect. The appropriateness of drug selection is assessed based on the preserce or not contraindication or potential of drug-drug interaction. The accuracy of dose adjustment were assessed based on information available in various textbooks, literatures, and drug brochures. Data were collected between May to July 2007.

Results Data obtained from 43 patients met the inclusion criterias demonstrated that 164 out of 385 drug prescriptions were mainly eliminated by the kidney or have nephrotoxic characteristic. Out of 164 drug prescriptions, 142 (86.5%) were appropriately adjusted, while the other 22 (13.5%) were inappropriately adjusted for the dose. There was only one contraindication for the usage of the drug and 15.1% potentially drug interaction.

Conclusion Dose adjustment and drug selections in patients with renal dysfunction at the Internal Medicine Ward FMUI/Dr. Cipto Mangunkusumo Hospital are conducted appropriately."