Alcoholics sometimes ask to be treated by hypnosis and this has been employed by a few physicians. The basis of the method is to suggest to the alcoholic either that he does not enjoy drinking or else that drink makes him sick. Such suggestions, however, do not prove to be lasting and there can be […] Read more



The inspired plan to help alcoholics by enabling them to help other alcoholics was devised by a stockbroker, Bill W., and a medical practitioner, Dr Bob, at Akron, Ohio, in 1935. The movement was based on concepts and techniques derived from a number of sources. Both founders were active Oxford Group members and used as […] Read more

How should immunosuppressive therapy be managed in heart transplant recipients?_11.jpg

How should immunosuppressive therapy be managed in heart transplant recipients?

Chronic immunosuppression in heart transplant recipients employs the 3-drug combination of a calcineurin inhibitor (cyclosporine or tacrolimus), a leukogenesis inhibitor (azathioprine or mycopheno-late mofetil), and steroids. The doses of cyclosporine, tacrolimus, and mycophenolate are adjusted to the circulating trough drug levels, and that of azathioprine to the white cell count. A standard protocol might be: […] Read more

Three healthy diets from the new U.S. dietary guidelines -

Dietary recommendations

The aim of dietary guidelines is to maintain body weight and follow basic rules to facilitate digestion and avoid certain food-associated reflex stimuli. Consume the foods listed in Table III daily. This weight-preserving diet is suitable for stable heart failure patients outside the specialist setting (ie, not under the care of a nutritionist and cardiologist), […] Read more

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What drugs can decompensate heart failure?

The drugs discussed below include nonsteroidal anti-inflammatory drugs (NSAIDs), general and local anesthetics, antiarrhythmics (amiodarone, [3-blockers, calcium channel antagonists, and doxazosin), and antibiotics. Others include steroids, by virtue of their mineralocorticoid properties (but also perivascular fibrosis of the systemic and coronary arterioles, and myocyte necrosis due to potassium depletion, followed by reparative fibrosis) and sym-pathomimetics, […] Read more