Who’s an accident waiting to happen?

What happens to people who develop feelings of faintness while driving? Should they be told to  stop driving, and for how long? A study from the Mayo Clinic defines who has this problem and how often it recurs within a year after the first episode. This editorial describes the study, and weighs in on its implications for recommendations about driving. (There is a prominent link to the study itself near the top of the page.)

RESULT: Syncope While Driving: How Safe Is Safe?
Circulation | Sep 15, 2009

Search: blackout

Another recent study used a driving simulator to assess the risks of driving under the influence of sleep apnea. Presumably patients can control one of the two risk factors in the study: alcohol use. (The first result here is a patient summary of the study. Click the second result for the study itself.)

RESULT: Effects of Alcohol and Sleep Restriction on Simulated Driving Performance in Untreated Patients With Obstructive Sleep Apnea
Annals of Internal Medicine | Oct 6, 2009

Search: driving apnea

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SEARCH TIP: Duplicate results

It may appear from the result titles that SearchMedica has offered you the same result twice. But often (as in the case above) when you click you will find that the two results are actually different articles with the same title.

Sometimes the website has made a subtle change in the article content, and the older version is still present in the SearchMedica database, so you see results for both. This often occurs on clinicaltrials.gov, the US government’s database for clinical trials. It’s not possible for us to find all of these and delete them manually.

We hate seeing duplicate results and try to find automatic ways to eliminate them (along with other kinds of clutter) whenever possible. We’re working on it; please bear with us.

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OTHER RECENT SEARCHES ON SEARCHMEDICA

Search: stopping ppi

RESULT: Results of an intervention in an academic Internal Medicine Clinic to continue, step-down, or discontinue proton pump inhibitor therapy related to a Tennessee Medicaid formulary change
Journal of Managed Care Pharmacy (PubMed) | May 1, 2009

What happens when you stop PPI treatment? Is it better to step down to an H2 blocker? This article tells what happened in response to a formulary change that forced the question.

Search: ppi C difficile

RESULT: Examination of Potential Mechanisms to Explain the Association between Proton Pump Inhibitors and Clostridium difficile Infection
Antimicrobial Agents and Chemotherapy | Oct 1, 2009

A related search finds new evidence that PPIs do not encourage the growth of C difficile, which previous reports have suggested.

Search: confidentiality law

RESULT: Confidentiality, consent, and caring for the adolescent patient
Current Opinion in Pediatrics (PubMed) | Aug 1, 2009

Adolescent patients are likely to say more about health issues if they know a doctor will keep the information private, but physicians rarely discuss confidentiality with adolescent patients. In this review, authors from Ohio State University Medical Center provide an overview of state and federal laws relevant to the question.

Search: joint instability hypermobility joint instability joint laxity joint Bursitis

RESULT: The Approach to the Painful Joint
eMedicine Rheumatology | Jan 1, 2009

Someone threw everything that came to mind at SearchMedica, hoping to find the best result. This review of joint pain is relevant, but was it necessary to do all that typing to find it?

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SEARCH TIP: Long search terms

Notice that this query generated only 4 results.

SearchMedica’s mandate is to look for articles that contain all or most of the words in your search term. Therefore, the longer the search term, the fewer results it is likely to generate.

There’s no advantage to adding the same word more than once. (This query repeats the word “joint” 4 times, and the word “instability” twice.)

Also, it’s not usually necessary to think of synonyms for your concept (instability, laxity, hypermobility). SearchMedica’s lexicon will automatically include synonyms.

Put some thought into what topic is most important to you, and make that the first word in the query.

The search term “bursitis joint instability“  offers 455 results.

Remember that you can target your search using the article categories above the first result.

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