Rational management of chronic abdominal pain.
Division of Gastroenterology, Mayo Clinic Arizona, Scottsdale 85259, USA.
Patients presenting with chronic abdominal pain are a diagnostic and therapeutic challenge. Recent advances in classification of the various chronic abdominal pain disorders and recent evidence supporting the advantages of adopting a multimodal therapeutic approach can often prove quite helpful.
Recent findings in asthma likely to impact patient care.
Dykewicz MS. Ledford DK.
Department of Internal Medicine, Saint Louis University School of Medicine, Missouri 63104, USA.
The management of asthma is becoming increasingly complex as more pharmacologic agents become available and we gain increased understanding of the pathogenetic processes of asthma and the risks for potentially irreversible airway remodeling that might be increased by suboptimal management and interactions with concomitant disease states such as gastroesophageal reflux. Although physicians now have greater responsibility to make use of this increasing knowledge to provide more effective management for their asthma patients, they also have a greater opportunity to increase the overall quality of life of patients under their care.
Contraception in women with special medical needs.
USC School of Medicine, University Park Health Center, University of Southern California, Los Angeles 90089-0311, USA.
Over 10% of women of reproductive age have experienced a serious chronic physical disorder. Reproductive health issues including contraception are frequently ignored in these individuals. Clinicians should have available current knowledge regarding interactions between contraception and these conditions.