High Blood Pressure During Pregnancy: This new topic explains high blood pressure during pregnancy that is not preeclampsia. It includes information on symptoms, exams and tests, treatment, and what you can do at home when you are pregnant and you have high blood pressure.
Long-Term Care Choices: This new topic covers what long-term care is and why it may be necessary. It gives examples of the different types of long-term care and how they differ. It also provides help on how to decide about long-term care.
Low Testosterone: This new topic discusses causes and symptoms of low testosterone. It covers testosterone replacement, including risks and side effects of this treatment.
Turning Off Your ICD: This new topic covers why someone might want to turn off his or her ICD (implantable cardioverter-defibrillator). It provides information on what happens when an ICD is turned off and some things to thing about when making this decision.
Vascular Access Failure: This new topic explains how to take care of a vascular access for hemodialysis. It includes symptoms of access failure, when to call a doctor, and what happens if an access gets infected or stops working properly.
Nuchal Translucency Screening Test: This new topic explains why the nuchal translucency screening test is done and what it can show. It tells how to prepare for the test and what is done during the test. It explains how the test feels and what to look for afterward.
Enhanced Content
We've revised the following documents so that they are more concise and easier for readers to explore and use. The content is now more streamlined, there is less repetition across the various sections of each document, and we've provided more cues to the reader in the form of improved headings, lists, and well-placed links.
There are new Physician Data
Query (PDQ) topics from the National Cancer Institute. Refer to your product Tech Docs for a complete list of new and updated titles.
New Medication Topics
Medication topics from
Cerner Multum, Inc. are not included in all systems. Added topics may include new information and/or the addition of new drug names.
Refer to the Tech Docs for a complete list of new and updated titles.
New Aisle 7 (CAM) Content
Refer to the Tech Docs for a complete list of new and updated Aisle 7 (CAM) content.
Updated Actionsets
A primary care physician or a specialist in the field reviewed the following topics. We verified all information for medical accuracy and added new medical information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.
A
primary care physician or a specialist in the field reviewed the following
topics. We verified all information for medical accuracy and added new medical
information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.
A
primary care physician and/or a specialist in the field reviewed the following
topics. We verified all information for medical accuracy and added new medical
information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.
Topic Overview: Under "Can you prevent altitude sickness?" we now mention a study that showed that starting to take ibuprofen 6 hours before climbing to high elevations and then taking it every 6 hours while climbing may help prevent altitude sickness.
Treatment Overview: Under "What to think about," we now say that treatment is usually not a cure and that the goal is to reduce the number of times the child wets the bed
and to manage the wetting until it goes away on its own.
Other Treatment: We now say that it's not a good idea to have your child wear diapers or pull-ups at night on a regular basis.
Moisture Alarms for Bed-Wetting (Special): We now say that moisture alarms aren't meant for
children who wet the bed only once or twice a week.
Bursitis: Under "How is it treated?" we say that NSAIDs come in pills and in a cream.
Cardiac Rehabilitation: Throughout the topic we renamed the phases of cardiac rehab. We renamed the Home Program to Phase II. In turn, we renamed Phase II to Phase III and Phase III to Phase IV.
Cervical Cancer Screening: We updated the information about screening for cervical cancer to include the new guidelines from the American College of Obstetricians and Gynecologists (ACOG).
Medications: We added that the newly-approved medicine aclidinium (Tudorza Pressair), which is delivered through a dry powder inhaler, may be taken as a daily controller medicine to prevent COPD exacerbations.
Treatment Overview: We now include targeted therapy with monoclonal antibodies and say this may be given along with chemotherapy. We also include a section on pain control and say that cancer pain can almost always be controlled.
Biologics for Inflammatory Bowel Disease: In What to Think About under "Drug safety," we added information on who may be at risk for getting the brain infection progressive
multifocal leukoencephalopathy (PML). In How Well It Works under "Ulcerative colitis," we added research about adalimumab (Humira).
Dry Eye Syndrome (Special): We now include other treatment options, such as prescription eyedrops, punctal occlusion, or omega-3 fatty acid supplementation.
Screening, Adult Women: We revised the cervical cancer screening information based on new guidelines from the American College of Obstetricians and Gynecologists (ACOG).
Combination Vaccine for Hepatitis A and B (Drug Detail): In How It Works, we added that the combination hepatitis A and B vaccine can be given in a 4-dose schedule.
Viral Hepatitis (Special): We added that hepatitis E may be spread by contact with contaminated pigs.
Hepatitis E: Under "How is hepatitis E spread?" we added that people also can get hepatitis E from contact with an animal, such as eating undercooked meat from or touching an infected pig.
Treatment Overview: We now say if you still see live lice on a household member 7 to 10 days after he or she had the first treatment, it's best
for that person to have a second treatment.
Topic Overview: Under "How can you prevent HIV?" we added "You also can take antiretroviral medicine to help protect yourself from HIV infection. But to keep your risk low, you still need to practice safer sex even while you are taking the medicine."
Exams and Tests: In a new section called "Home test kits for HIV," we describe the test OraQuick and a home blood test kit.
Nucleoside/Nucleotide Reverse Transcriptase Inhibitors for HIV
(Drug Detail): We added the medicine Stribild (cobicistat, elvitegravir, emtricitabine, and tenofovir) as an example of a combination medicine that contains a nucleoside/nucleotide reverse transcriptase inhibitor for HIV.
Adult Immunizations: Regarding pneumococcal vaccination, we now say that people ages 19 and older who have immune system problems, cerebrospinal fluid leaks, cochlear implants, no
spleen, or a damaged spleen need both PCV and PPSV.
Other Treatment: We say that there is not good evidence that soy products reduce the chance of broken bones, but that they are a good source of non-dairy protein. We also deleted hip protectors, since they are no longer widely used.
Bisphosphonates for Osteoporosis (Drug Detail): Under What to Think About, we now say "It is not clear how long you should take bisphosphonates. Experts have suggested that taking bisphosphonates for 3 to 5 years may be enough if you are at low risk of fractures. Talk to your doctor about how long you should take these medicines."
Raloxifene (Drug Detail): Under Why It Is Used, we say that raloxifene may be a good choice for women who are considering medicines to prevent or treat osteoporosis and who also have a high risk for breast cancer.
Treatment Overview: We say that NSAIDs come in pills or in a cream that you rub over the sore area. We also say that platelet-rich plasma (PRP) is being studied.
Type 1 Diabetes: We organized, streamlined, and used plain language to make content easier to understand and reduce redundancy within the topic.
A
primary care physician or a specialist in the field reviewed the following
topics. We verified all information for medical accuracy and added new medical
information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.
How It Is Done: We removed the instructions for a "clean-catch midstream one-time urine collection," because this test is almost always done on a urine sample collected over 24 hours.
A primary care physician or a specialist in the field reviewed the following topics. No medical revisions were needed.
A
primary care physician or a specialist in the field reviewed the following
topics. We verified all information for medical accuracy and added new medical
information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.
Check Your Symptoms: In the question on forceful injury, we removed the language about a penetrating object and added language about a forceful sports injury.
Check Your Symptoms: In the question on forceful injury, we removed the language about a penetrating object and added language about a forceful sports injury.
Check Your Symptoms: We added a question about a new, different, sudden, and severe headache with 911 "call emergency." We also added a question about a new, different, and severe headache with Red "call now" disposition.
There are updated Physician Data Query (PDQ) topics from the National Cancer Institute included in this release. Refer to your product Tech Docs for a complete list of new and updated titles.
Updated Medication Topics
Medication topics
from Cerner Multum, Inc. are not included in all
systems. Updates may include new information and/or the addition of new drug
names. Refer to your product Tech Docs for a complete list of new and updated titles.
Topic Title Changes, Topic Replacements, Medical Guideline Reviews
The following searchable topics have been archived, and replacement topics are listed. Many rank-3 frames, which are non-searchable documents, have also been archived, because they contained duplicate information. See your product Tech Docs for a complete list of archived documents.
Albendazole for the Treatment of Pinworms has been removed. You can find the content in Anthelmintics for Pinworms.
Hemophilia: Should I Have Regularly Scheduled or On-Demand Clotting Factor Replacement? has been removed. You can find the content in Clotting Factor Replacement for Hemophilia.
Job Training for People With Schizophrenia has been removed. You can find the content in Vocational Training.
Lindane for Lice has been removed. You can find the content in the Medications section of Lice.
Self-Awakening for Bed-Wetting has been removed. You can find the content in the Other Treatment section of Bed-Wetting.
Taking Medicines for Schizophrenia has been removed. You can find the content in Keeping Track of Medicines.
Type 1 Diabetes: Living With Complications has been removed. You can find the content in Type 1 Diabetes.
Type 1 Diabetes: Living With the Disease has been removed. You can find the content in Type 1 Diabetes.
Type 1 Diabetes: Recently Diagnosed has been removed. You can find the content in Type 1 Diabetes.
What You Need to Know Before Exercising With an Implantable Cardioverter-Defibrillator (ICD) has been removed. You can find the content in Heart Problems: Living With an ICD.
Medical Guideline Reviews
The following medical guidelines have been reviewed to ensure Healthwise
content is accurate, consistent, and helpful to consumers.
American College of Obstetricians and Gynecologists (2012). Screening for Cervical Cancer. ACOG Practice Bulletin No. 131. Obstetrics and Gynecology.
Centers for Disease Control and Prevention (2012). Use of 13-valent pneumococcal conjugate vaccine and 23-valent pneumococcal polysaccharide vaccine for adults with immunocompromising conditions: Recommendations of the Advisory Committee on Immunization Practices (ACIP).
What's Next
The next release of the Healthwise
Knowledgebase is scheduled for April 2013.
New Topics
New topics on the
following subjects are in development and are expected to release within the next 6 months:
Aggression in youth
Anal cancer
End-of-life care: Newborn
Golfer's elbow
Growth and development milestones
High- and low-potassium foods
Hodgkin's lymphoma
Sonohysterogram
Staying healthy around animals
Suprapubic catheter
Teens and birth control
Unused medicine
Enhancements
The following topics are currently being revised to improve the readability and key actions for consumers:
This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use.
How this information was developed to help you make better health decisions.
