2023 Dietary Supplements and Bleeding
An estimated one third of United States adults use herbal supplements, often without reporting use to their physicians. These supplements can potentially alter bleeding and coagulation during surgery, and when used concomitantly with anticoagulants. Our objective is to provide a comprehensive review of the evidence of bleeding risks of the most popular herbal and dietary supplements. A PubMed search and review of the literature was performed. We found that garlic and hawthorn supplementation are strongly associated with surgical bleeding independent of anticoagulants; cordyceps sinensis, echinacea, and aloe vera are loosely associated with surgical bleeding independent of anticoagulants. In patients on anticoagulants, ginkgo biloba, chondroitin-glucosamine, melatonin, turmeric, bilberry, chamomile, fenugreek, milk thistle, and peppermint are associated with bleeding risk; no evidence was found for bleeding with these supplements independent of anticoagulants. Fish oil, ginseng, and saw palmetto are not associated with bleeding. Evidence for overall bleeding risk associated with St. John’s Wort, ginger, ginkgo biloba, or cranberry supplementation is conflicting. In conclusion, physicians must be aware of the potential anticoagulant effects of these supplements. It is imperative to report dietary and herbal supplement usage to physicians and is best to discontinue non-essential supplement use 2 weeks prior to surgery.
Category
  • BUMC Proceedings
Format
  • Journal
Credits
  • 1.00 American Board of Internal Medicine (ABIM) MOC Part 2
  • 1.00 AMA PRA Category 1 Credit
  • 1.00 Attendance
2023 Monkeypox: Another Pandemic in the Making
Monkeypox is a zoonotic disease caused by the monkeypox virus, which is a member of the Poxviridae family of viruses. It is transmitted through direct or indirect contact with fluid secretions. Initial symptoms include fever, chills, headache, and malaise, followed by a maculopapular rash that starts on the face and progresses centrifugally. Polymerase chain reaction is the preferred laboratory test for the diagnosis, and management is mostly supportive. The clinical presentation of monkeypox is quite similar to that of another member of the Poxviridae family: smallpox, which wreaked havoc in the 20th century, before being eradicated with the help of the vaccinia virus vaccine in 1977. This vaccine protects not only against smallpox but also monkeypox; therefore, when use of this vaccine was discontinued, monkeypox had a new susceptible population to infect and way to proliferate and evolve. Initially the disease spread in Africa, but now the more evolved monkeypox is quickly spreading to other countries. On July 23, 2022, the World Health Organization declared this multicountry outbreak a public health emergency of international concern. Given its mutating ability and high transmissibility, we need to quickly devise measures to control this virus before it turns into a pandemic.
Category
  • BUMC Proceedings
Format
  • Journal
Credits
  • 1.00 American Board of Internal Medicine (ABIM) MOC Part 2
  • 1.00 AMA PRA Category 1 Credit
  • 1.00 Attendance
TRANSWESTERN Third Party Representative Compliance Education
As a new user/visitor, you will first need to Create a New Visitor Account by clicking here.
Category
Format
  • Self-study / Enduring
Credits
CBRE Third Party Representative Compliance Education
As a new user/visitor, you will first need to Create a New Visitor Account by clicking here.
Category
Format
  • Self-study / Enduring
Credits
2023 Updates on Enhanced Recovery after Surgery protocols for plastic surgery of the breast and future directions
Perioperative pain control is an important component of any plastic surgery practice. Due to the incorporation of Enhanced Recovery after Surgery (ERAS) protocols, reported pain level, opioid consumption, and hospital length of stay numbers have decreased significantly. This article provides an up-to-date review of current ERAS protocols in use, reviews individual aspects of ERAS protocols, and discusses future directions for the continual improvement of ERAS protocols and control of postoperative pain.
Category
  • BUMC Proceedings
Format
  • Journal
Credits
  • 1.00 American Board of Internal Medicine (ABIM) MOC Part 2
  • 1.00 AMA PRA Category 1 Credit
  • 1.00 Attendance
2023 Baylor Scott & White Concussion Education Course [IEM-X]
Concussion treatment has largely been absent from guidelines and research. There are an estimated 1.8 to 3.6 million sport-related concussions per year, yet many youth and high school athletes get poor or no treatment. Media focus on the long term effects of concussion has created a cultu
Category
Format
  • Self-study / Enduring
Credits
  • 2.00 AMA PRA Category 1 Credit
  • 2.00 Attendance
2023 The potential impact of computed tomography coronary calcium score screening on patients with dyslipidemia
Coronary artery calcium (CAC) scoring helps determine whether patients with known coronary artery disease (CAD) should initiate medical management by predicting future cardiac event risk. CAC scoring is underutilized because many insurance companies consider it experimental. This study aims to determine whether CAC screening of patients at risk for CAD can decrease the risk of myocardial infarction and improve survival.
Category
  • BUMC Proceedings
Format
  • Journal
Credits
  • 1.00 American Board of Internal Medicine (ABIM) MOC Part 2
  • 1.00 AMA PRA Category 1 Credit
  • 1.00 Attendance
2024 Winter Pediatric Subspecialty for the Primary Care Provider
This activity is designed to provide the primary care provider with practical clinical information on the recognition and evaluation of specific pediatric subspecialty disorders seen frequently in primary care office settings. 
Category
  • Pediatrics
Format
  • Webinar live
  • Conference / meeting
Credits
  • 4.00 American Board of Pediatrics (ABP) MOC
  • 4.00 AMA PRA Category 1 Credit
  • 4.00 Attendance
Event date February 16, 2024
2024 Forensic Medicine Conference: Domestic Violence & Sexual Assault
The purpose of the symposium will be to update physicians, advanced providers and SANEs in the care of the domestic violence and sexual assault patient.This conference has a live and virtual option available for selection during registration.
Category
  • Ethics
  • Human Trafficking
  • Pediatrics
Format
  • Webinar live
  • Conference / meeting
Credits
  • 11.25 AMA PRA Category 1 Credit
  • 11.25 Attendance
Event date February 22, 2024
2024 39th Annual Family Medicine Review
This program is designed to provide practical diagnostic and therapeutic information covering the broad scope of clinical practice. There is an emphasis on common diseases, practical therapeutics and controversial issues.
Category
Format
  • Conference / meeting
Credits
Event date April 3, 2024

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