Atherosclerosis leads to heart disease which is the number one killer of adults in the United States. If not promptly diagnosed and treated, it can lead to a heart attack, stroke, and death. Because oftentimes the diagnosis only occurs after a major event, such as a heart attack or stroke, prognosis can be considered poor as both events can be fatal in and of themselves. With proper treatment, the symptoms can lessen and the arteries can regain some of their flexibility, but preventative measures taken to prevent the development in the first place are a much more effective means of controlling the disease.
The available evidence concurs that hearing aids are effective at improving hearing-specific health-related quality of life, general health-related quality of life and listening ability in adults with mild to moderate hearing loss. The evidence is compatible with the widespread provision of hearing aids as the first-line clinical management in those who seek help for hearing difficulties. Greater consistency is needed in the choice of outcome measures used to assess benefits from hearing aids. Further placebo -controlled studies would increase our confidence in the estimates of these effects and ascertain whether they vary according to age, gender, degree of hearing loss and type of hearing aid.
This report is another study that demonstrates the success of topical steroid therapy in an effort to avoid circumcision under anesthesia in older children. This article is an important contribution, as it is a report from a North American institution, where the threshold to proceed to circumcision has historically been lower than other countries, where the parent's desire to avoid late circumcision could potentially overstate the outcome or benefits of the topical steroid therapy. This therapy could also be applied to other foreskin problems such as persistent penile adhesions with similar expected results.