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Quantum Sufficit |
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Sometimes diagnosis can be as easy as cherry pie. An
article in the American Journal of
Surgery describes an 80-year-old man who was admitted to the hospital
with abdominal pain, nausea, and vomiting. A computed tomographic scan showed a
foreign body in the colon, and a left-sided colectomy and transverse colostomy
were performed. A resection of the specimen revealed an annular ulcerative
carcinoma of the descending colon, and two cherry pits, which were tucked
inside the encircling tumor. While swallowed fruit pits are more common than
was once thought, they rarely cause symptoms and intestinal obstruction. It
just goes to show that even when life is a bowl of cherries, the pits may not
be far away.
The season and day of the week may be significant in
stroke risk. In a study presented at the World Stroke Conference in Vancouver
and reported in The New York Times,
researchers examined the medical records of more than 13,000 patients
with a first stroke in southwestern Japan. Stroke occurred more often during
the winter months in patients older than 60 years, and more often on Monday in
patients younger than 60 years. When data from both age groups were combined,
the researchers found that stroke was more likely to occur in women during the
winter and in men during the spring. Men under age 60 were the only patients to
have a higher rate of stroke during the summer months.
In India, there has been a widespread misconception
that tobacco is good for the teeth, and dental products containing tobacco
commonly have been used in daily oral hygiene. In 1992, the government of India
passed a law prohibiting the use of tobacco products as dentifrice. Ten years
later, the Global Youth Tobacco Survey was administered to students aged 13 to
15 years in India, and the results were published recently in
BMJ. The use of tobacco products as
dentifrice among students in 14 Indian states ranged from 6 percent in one
state to 68 percent in another. Some forms of tobacco dentifrice include
roasted and powdered tobacco, a paste made of tobacco and molasses, and a rinse
of tobacco water (made by passing tobacco smoke through water). What a way to
begin the day!
Nutritionists have for years been pushing the
importance of eating your daily fruits and vegetables-preferably fresh. On a
cost-per-serving basis, fresh fruits and vegetables are as affordable as ever,
according to study results from the U.S. Department of Agriculture as reported
on MSNBC.com. Researchers focused on the cost per serving because per-pound
prices vary widely with different produce (e.g., corn on the cob vs. spinach
leaves). Fresh vegetables averaged 12 cents per serving, and fresh fruits
averaged 18 cents. The average American can get one day's worth of fruits and
vegetables for as little as 64 cents. At that price, the average household
still has 88 percent of its daily food budget left to spend on meat, diet soda,
or anything else. However, ready-to-eat options, such as cut carrots and bagged
salad greens, can cost as much as three times more per serving than unprepared
produce.
Close encounters on the road can be dangerous for all
creatures. According to the Centers for Disease Control and Prevention's
Morbidity and Mortality Weekly
Reports, animals caused about 6 million vehicle crashes in 2000. Drivers
were injured and even killed when they crashed into deer, elk, horses, or
cattle, or when they swerved off the road to avoid a collision. Animals tend to
move across roadways in the early morning and again at dusk, and the fall
hunting and mating season is prime time for violent encounters. Unfortunately,
there is no silver bullet to keep animals off the roads, but drivers can give
themselves time to react safely if they stay under speed limits, keep awake and
alert, and use safety restraint systems.
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Copyright © 2004 by the American
Academy of Family Physicians. |









