should we simply rely on international guidelines in our clinical practice?

Should our focus on inflammation change the way we practice?

Some scientists say, "Forget about bacteria; treat, or even better yet, prevent inflammation." We understand that periodontal diseases originate as bacterial assaults, but some two-thirds of the destruction comes from the inflammatory response to the bacterial invasion. There is growing evidence that inflammation can be transferred from the oral cavity to other parts of the body (and vice versa...

Pain management in our daily practice: should we re-evaluate?

Treatment strategies of back pain are variable. We describe an unusual case of polyuria and erectile dysfunction with a short-term tramadol use. A 29-year-old man presented to our clinic with worsening lower back pain. After poor control of his pain on Non steroidal anti-inflammatory drugs, tramadol was prescribed. After 3 days of starting tramadol, he experienced significant polyuria and erect...

Should we start debating medical ethics in our daily practice?

To the Editor: In response to Dr EA Elkhammas editorial In December 2006 of ljm [1], I remembered an incident that happened to one of our colleagues several years ago. My friend was practicing in Libya when he saw a non Libyan patient who is in need for dialysis. This patient was living in Libya with her married daughter for many years. My friend declined to accept this patient in his chronic d...

What do the “new” Pulmonary Hypertension Guidelines tell us: should we change our practice?

Mucus hypersecretion in COPD: should we only rely on symptoms?

Guidelines International Network: toward international standards for clinical practice guidelines.

Guideline development processes vary substantially, and many guidelines do not meet basic quality criteria. Standards for guideline development can help organizations ensure that recommendations are evidence-based and can help users identify high-quality guidelines. Such organizations as the U.S. Institute of Medicine and the United Kingdom's National Institute for Health and Clinical Excellenc...