Review Article

Updates in the Management of Patients with Obstructive Sleep Apnea

Obstructive sleep apnea (OSA), a condition with high prevalence, is characterized by reduced dilatory function of pharyngeal muscles, which can be influenced by upper airway narrowing, dilator muscle dysfunction, respiratory dysfunction, and genetics. Three of the most clinically important phenotypes of OSA include disturbed sleep, excessive sleepiness, and minimal symptoms,…

Posted in: central 2 obstructive 2 sleep 6 sleep apnea 5 therapy 6

Original Article

Handling the Challenges: Access to Certified Hand Therapy in Mississippi

Objectives: Access to a certified hand therapist (CHT) plays a crucial role in enhancing postsurgical functional outcomes and reducing morbidity in complex hand surgery and trauma cases. Unfortunately, the availability of CHTs is uneven across regions, particularly in less populous states such as Mississippi. The financial and time-related burdens of…

Posted in: access to care 5 equity 4 hand surgery 2 rehabilitation 3 therapy 6

Original Article

Use of Pulmonary Arterial Hypertension-Specific Therapy in Non-WHO Group I Pulmonary Hypertension

Objectives: The development of pulmonary hypertension (PH) in non–World Health Organization group I PH adversely affects exercise capacity. It is unclear whether pulmonary artery hypertension (PAH)–specific drugs improve pulmonary hemodynamics and exercise capacity in such patients. Methods: We performed a retrospective chart review of consecutive patients with non–World Health Organization…

Posted in: chronic obstructive pulmonary disease 10 obstructive sleep apnea 7 pulmonary hypertension 12 sarcoidosis 15 therapy 6

Original Article

Sustained Improvement in Cognitive and Emotional Status of Apneic Patients After Prolonged Treatment with Positive Airway Pressure

Background:Obstructive sleep apnea-hypopnea syndrome (OSAH) is associated with impairment of cognitive functions and disturbances in emotional status. The aim of this study was to objectively evaluate the benefits of prolonged and sustained treatment for OSAH at two sleep centers serving rural community hospitals.Methods:Fifty-six patients diagnosed with OSAH syndrome underwent Cognistat,…

Posted in: sleep apnea 5 therapy 6

Case Report

Treatment of Extramammary Paget Disease with Topical Imiquimod Cream: Case Report and Literature Review

Abstract:Extramammary Paget disease is an uncommon cutaneous neoplasm that presents as erythematous plaques most frequently located in the anogenital region. Management of patients with extramammary Paget disease involves evaluation of the individual for: (1) a disease-associated, unsuspected, visceral malignancy and (2) secondary adenocarcinoma in the underlying dermis or regional lymph…

Posted in: imiquimod 2 Mohs 2 penis 2 scrotum 2 surgery 23 therapy 6 Treatment 22 vulva 2

Expired CME Article

Diagnosis and Management of Migraine Headaches

Migraine headaches afflict approximately 6% of men and 18% of women in the United States, and cost billions of dollars each year in lost productivity, absenteeism, and direct medical expenditures. Despite its prevalence and the availability of therapeutic options, many patients do not seek treatment, and among those who do,…

Posted in: Diagnosis 17 therapy 6
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