Antibiotics Medicines And Antifungal Drugs – Third-generation Cephalosporins

These have a broad spectrum of activity and include the following drugs:

Cefotaxine (Biotax, Clazforn, Omnatax), Ceftazidime (Fotum), Ceftizoxime (Cefizox), Cefoperazone (Magnamycin), Ceftriaxone (Cefaxone, Monocef), Cefixime (Cefspan, Topcef), Cefdinir (Adcef), Cefpodoxime (Cepodem) Ceftibuten (Procadax).

Due to their ability to penetrate the central nervous sxstem, third-generation cephalosporins – except cefoperazone and cefixime – can be used to treat meningitis, including meningitis caused by pneumococci, meningococci, H influenzae, and susceptible gram-negative rods (bacillary infections of alimentary system). Cefoperazone and ceftazidine are effective in pseudomonas infections of various body organs. In these infections an aminoglycoslde such as gentamicin is also given. Other potential indications include sepsis of unknown causes in the immunocompetent patient and susceptible infections in which cephalosporins are the least toxic drugs available. In neutropenic, febrile immunocompromised patients, third-generation cephalosporins can be effective if used in combination with an aminoglycoslde. They are commonly used in hospital settings in patients with serious systemic infections. Ceficime, cefdinir, cefpodoxime and ceftibuten are effective orally also.

Fourth-Generation Cephalosporins

Cefepime (Kefage) can be used in resistant infections due to gram negative rods and staphylococci causing septicemia. Cefpirome (Cepodem, Cefoprox) has same utility as cefepime. These are very expensive.

Adverse Effects of Cephalosporins: Allergy: Cephalosporins are sensitizing and may variety of hypersensitivity reactions, including anaphylaxis, fever, skin rashes, nephritis, granulocytopenia, and hemolytic anaemia. The chemical nucleus of cephalosporins is sufficiently different from that of penicillins, enabling some individuals with a history of penicillin allergy to tolerate cephalosporins. However, patients with a history of anaphylaxis to penicillins should never receive cephalosporins.

Toxicity: Local irri!ation can produse severe pain after intramuscular injection and thrombophlebitis after intravenous injection. Renal toxicity, including interstitial nephritis (kidney tissue swelling) and even tubular necrosis, has been demonstrated and has caused the abandonment of cephaloridine.

Cephalosporins that contain a methylthiotetrazole group (for example, ceftriaxone, cefoperazone) frequently cause hypoprothrombinemia and bleeding disorders. Adminstration of vitamin K, 10 mg twice weekly, can prevent this. White cells count and platelet count are reduced in rare cases.

Drugs with the ‘methylthiotetrazole ring can also cause severe reaction with alcohol (intolerance), consequently, alcohol and alcohol-containing medications must be avoided.

Super-Infection

Many second and particularly third generation cephalosporins are ineffective against grampositive organisms, especially stayphylococci and enterococci. During treatment with such drugs, these resistant organisms, as well as fungi, often proliferate and may induce super infection.

Linezolid (Lizolid, Linox)

It is effective in resistant pneumococci, staphylococci and enteric organisms induced infections. It may cause suppression of bone marrow and interacts with decongestant drugs whose dose should be reduced.

Fluoroquinolones

Ciprofloxacin (Cipad, Ciplox, Cipride), Norfloxacin (Anquin, Biofloxin, Norflox), Ofloxacin (Travid, Zanocid), Pefloxacin (Peflox, Piflasyn), Lomefloxacin (Lomef), Sparfloxacin (Torospar), Levofloxacin (Loxof), and Gatifloxacin (Gatri)

In 1990 fluoroquinolones were introduced to tackle ever increasing menace of resistance gram-negative rods. Since then many more drugs have been developed which have effects against both gram positive and negative bacteria, anaerobes and tuberculosis organisms. These drugs affect the DNA of bacteria. Unfortunately due to overuse, resistance is becoming the problem again.

Ciprofloxacin is presently a drug of choice for typhoid fever, (chloramphenicol is no longer used) gonorrhoea, abdominal (bowel) infections and diarrhoea, soft tissue and bone infections. It can be used 500 mg twice a day orally or intravenously in serious cases.

Adverse Effects: Some of the adverse effects of ciprofloxacin are loss of appetite, nausea and bowel upset, dizziness, restlessness, loss of sleep, poor concentration and tremulousness (avoid driving). Drug allergy may cause skin eruptions. A potentially serious problem is that it may cause cartilage damage as based on animal studies so should be used sparingly in children (although it is best to avoid it). Theophylline, caffeine, warfarm show toxicity when taken with ciprofloxacin and require staggering or reduction in dose. Pain relievers may cause more CNS adverse effects of ciprofloxacin. Antacids, milk and iron salts reduce absorption of ciprofloxacin, therefore, do not take with milk or after meals.

Norfloxacin is less potent to ciprojloxacin but is effective in the treatment of urinary tract infection and diarrhoea. Its usual dose is 400 mg twice a day in adult and it is not recommended for children.

Pefloxacin is a good drug for meningeal infections and typhoid fever. A single dose of 400 cures gonorrhoea.

Ofloxacin is effective in urethritis, cervicitis and atypical pneumonia. It is useful in tuberculosis also. Food does not reduce its absorption.

Sparfloxacin has greater activity to treat pneumonia, sinus infection, and ear infections, It is longer acting so it given in a dose of 200-400 mg once a day. It may cause disturbed heart beats particularly when other drugs are given along with it (drugs for depression and cisapride).

Gatefloxacin is like sparfloxacin in action and is increasingly used for the treatment of pneumonia, gonorrhoea, and urinary passage infections. Usual dose is 400 mg once a day. It has the same drawbacks as sparfloxacin.

Levofloxacin is completely absorbed orally and is less likely to interact with drugs (unlike ciprojloxacin and others). High cure rates are achieved in pneumonia, sinusitis, acute kidney infections and soft tissue infections. It is used in a dose of 500 mg once a day.

Plant Medicine Helps Body Destroy The Molluscum Virus Fast

Molluscum contagiosum is a skin infection that causes small pearly or flesh-colored bumps. The bumps may be clear, and the center often is indented. The infection is caused by a virus. The virus is easily spread but is not harmful. Symptoms of molluscum contagiosum include bumps that are most often found on the trunk, face, eyelids, or genital area in temperate climates and on extremities in the tropics. In children, bumps usually appear on the trunk, face, and arms. In sexually active teens and young adults, the bumps are usually located in the genital area.
Bumps usually go away on their own in two to four months, although they may last longer. Bumps may develop along with eczema, and you may not notice them as much as the eczema. Molluscum contagiosum in people who have an impaired immune system, such as HIV infection, can be more serious. The bumps are widespread and can mimic other serious diseases of people with HIV infection. Conditions that may appear similar to molluscum contagiosum include warts, chickenpox, genital warts, basal cell skin cancer, and lichen planus.
Molluscum contagiosum is usually diagnosed during a physical exam. If you have bumps in your genital area, your doctor may check for other sexually transmitted diseases, such as genital herpes. Some doctors may consider testing for human immunodeficiency virus (HIV) if you are at risk for the condition and you have bumps on your face or other symptoms of a severe case of molluscum contagiosum. A biopsy may be done if the diagnosis is unclear and other conditions are suspected.
Treatment for molluscum contagiosum is not always needed because most bumps will go away within two to four months, although they may last longer. But if bumps are visible or embarrassing, or in order to prevent their spread, you may want them removed. Removal or other treatment is recommended for bumps in the genital area. Treatment varies depending on your age and health and the location of the bumps. There has been little research on how well any of the treatments work or how they compare to each other.
You apply the nonprescription medicine, such as salicylic acid, directly to the bumps. It is usually not painful and is often regarded as the first treatment to try. Immunotherapy triggers your immune system to fight the virus causing the skin growth. Imiquimod is applied three times a week, left on the skin for six to ten hours, and washed off. A course may last from four to sixteen weeks. Small studies have shown that it is successful about eighty percent of the time.
Manual extrusion means that the viral material is removed by squeezing the bumps with fingers or a forceps. This is done carefully by a doctor to avoid scarring and keep the infection from spreading. Curettage means that the viral material in the center of the bump is scraped out. A local or topical anesthetic can be used to numb the area. A small scraping instrument called a curette is used to quickly remove the bumps. This procedure may cause scarring.
Your doctor may apply a chemical to the bumps. This destroys the top layers of the skin, allowing a new layer to form. When the chemical is applied, you may feel a burning sensation. Side effects may include mild scarring. Home treatment for molluscum contagiosum involves taking care of the bumps if they have been treated and preventing them from spreading to other parts of your body or to others. If the bumps have been treated, it is important to keep the area clean and protected.
For recent years, plant medicine is considered to be very important because of the unique advantage in the treatment of molluscum. It is natural and does not have significant toxicity and side effects. Plant medicines, just as the name imply, are bulk drugs and preparations that take plant primary metabolites such as protein and amylose and secondary metabolites such as alkaloid, phenols and terpene as active ingredient. It plays a dominant role in natural drugs.
It is clear that chemical drugs can cause serious harm to the body at the time of dealing with animal diseases. The toxicity issue of chemical drugs is an increasing concern. While, natural drugs are not for destroying enemy but for mobilizing autologous tissue or self-recovery capability. Additionally, natural drugs have an effect to improve effect and decrease toxicity by compatibility of medicines and reduce side effect further. To learn more, please go to http://www.naturespharma.org.

What is the Anthroposophical Approach to Medicine

The anthroposophical approach to medicine explores spiritual insight and a human-centered approach to medical diagnosis and healing. This holistic approach to medicine explores the body’s relationship to the soul and spirit. Anthroposophic medicine is a form of complementary medicine that takes into account that human beings, nature, and the cosmos are interrelated.

This natural approach is ideal for those that are unsatisfied with traditional medicinal approaches and techniques, which can result in harmful side effects. When forced to rely on traditional medical practices, many people suffer from a medical dependency or are forced to deal with harmful additives that can worsen a condition or result in a number of other conditions. Anthroposophic remedies tend to consist of homeopathic herbs, nutritional supplements, music therapy, massage, and traditional therapy approaches that are safe and beneficial to patients.

This natural, effective form of medicine focuses on human health, as opposed to disease, which makes it ideal for relief of long-term and chronic conditions. Anthroposophical medicine is offered by trained medical doctors who specialize in the alternative medical approach. It is important to find an experienced specialist to ensure that you are getting medicinal care that you can count on.

The anthroposophical approach to medicine is based on Rudolf Steiner’s studies and utilizes traditional medicinal approaches, holistic medicinal approaches, and therapeutic modalities to provide the most comprehensive treatment. Many licensed medical doctors that utilize the anthroposophical approach to medicine also often utilize the assistance of counselors, hydro-therapists, and other experienced therapists to ensure that you are getting the best care possible.

About The Author:

At Raphael Medicine + Therapies, individuals can benefit from therapeutic modalities inspired by Rudolf Steiner. Anthroposophic Medical Providers are conventionally educated and licensed practitioners who have undertaken further training in the approach to anthroposophical medicine. (http://www.raphaelmedicine.com/)

Acid Reflux Medicine

If you are like many hundreds of others who suffer from acid reflux you will be aware of the different types of acid reflux medicine that you can choose. However for those of us who have only heard about this particular condition and may suffer from it at some stage in their lives they probably do not know what types of medication are available to them in order to treat this particular condition. Below we will take a closer look at some of the ones that are available today.

1. Antacids

This particular medication is the mainstay of any kind of treatment provided for acid reflux. The medication is designed to neutralize the acid in a person’s stomach so no acid is produced which can then be regurgitated (refluxed). However the main problem with a person using antacids in order to help treat acid reflux is that they prevent the problem occurring for a short period of time. Normally they are removed from an empty stomach quickly and so this then allows acid to build up in the stomach again. The best to take any type of antacid to avoid this problem is by taking them about one hour after you have had a meal or just before the symptoms start to appear whilst you are having the meal. So therefore as it takes food longer to empty from the stomach by taking the antacid after you have eaten will ensure that it stays in the stomach for longer and so is then more effective in helping to reduce the amount of acid in your stomach.

Normally antacids are either aluminum, magnesium or calcium based. However it is not recommended that you use calcium based antacids such as Rolaids or Tums as they are ineffective against chronic acid reflux.

2. Histamine Antagonists

If you are looking for a more long lasting way of neutralizing the acid produced by your stomach each day then you should try a histamine antagonist.

This is the first acid reflux medicine which has been developed to provide a person which much more effective relief to the condition. This particular medicine is designed to block the receptor which normally produces histamine which in turn can increase acid production in the stomach. Generally such acid reflux medicine is more commonly referred to as H2 antagonists as it has a specific receptor which blocks the Histamine Type 2 receptor (the one that helps to stimulate the production of acid in the stomach). In most cases this particular form of acid reflux medicine should be taken 30 minutes before a person eats a meal as this means that the H2 antagonists which be at their highest levels in the body and so be there when the stomach is actively producing acid in order for the food that you have eaten to be digested.

Buy Cheap Prescription Medicine Online with Free Prescription

Pharmaceutical Needs, like most things these days, can now be ordered online. Pharmaceutical Needs can be bought in traditional drugstores, but most patients prefer to buy via internet to avail medicines online.

An online pharmacy is an innovative way of offering medicines with no prescription needed while taking advantage medicines online. There are many online pharmacies nowadays, but not all offer cheap prescription medicine. It is important to get access to online pharmacies that offer cheap medicines but also guarantees the quality of medicines ordered.

Unlike traditional drug stores, online pharmacies offer wider reach, convenience, simplicity, privacy, security and quality medicines. Access to online pharmacies can easily be accessed by anyone with internet connection. Clients can choose from a wide range of products the pharmacy offers. Ordering can be done anytime and anywhere. There is never the need to wait in line and no prescription is required. Online pharmacies even offer free consultation and free prescription to every order made of cheap prescription medicine. Buying the medication is simple. It just involves selecting the medicines needed, completing a quick questionnaire, and submitting orders. Orders are also handled with utmost confidentiality; medicines are packed in discreet, unmarked packages. Online pharmacies also utilize a secured order system, making it possible to keep credit information submitted secured and protected. Clients are even assured of high-quality medicines ordered. Orders are only reviewed by highly-trained U.S. licensed physicians, and fulfilled by accredited U.S. licensed pharmacies.

Online pharmacies not only offers specific medicines for an illness, but also offers a wide range of medicines to treat allergies, infection, anxiety, arthritis, viral infections, parasites, blood pressure, headache, heartburn, motion sickness, pain, skin care, smoking habits, sexual health, weight loss, men and women’s health.

For more information, please visit www.CheapPrescriptionMedicine.net.

Heartgard is Heartworm Medicine for Dogs

Heartgard: Dogs and Heartworm

Heartgard protects all dogs from heartworm disease. Adult dogs and puppies can get heartworms when infected mosquitoes bite them. Mosquitoes become infected when they pick up the heartworm larvae after biting an infected dog. The mosquitoes then transmit the larvae to each subsequent dog they bite. The heartworm larvae work their way into the bloodstream of the dog and navigate to his or her heart within about three months. The larvae become adult heartworms within six to seven months and begin producing larvae.

Adult heartworms are very large and can grow to be 12 inches or longer. They reside in the right chamber of a dog’s heart. They can also live in the blood vessels that connect the heart to the lungs. Heartworms sometimes extend past the valves of the heart. They prevent the valves from opening and closing properly, which prevents the heart from pumping correctly. Heartworms block major blood vessels and impede the flow of oxygenated blood. Eventually, heartworms can end up in the pulmonary artery making it difficult for the dog to breathe, even while he’s resting. Heartgard heartworm medicine for dogs kills the heartworm larvae before they have a chance to grow into adult heartworms. Even if a dog is infected multiple times by the same or by multiple mosquitoes, Heartgard protects dogs from heartworm disease.

If a dog does not take Heartgard and becomes infected with heartworm disease, he can suffer from serious health problems if the disease is not treated. While veterinarians do have ways of treating heartworm infection, there are often no symptoms until the very late stages of the disease. And, treatments typically involve arsenic and can be very uncomfortable for the dog and quite costly for the owner. In some cases, even with aggressive treatment, the heartworm infection is so severe that survival is not possible. Giving dogs Heartgard heartworm preventative once a month is a safe and easy way to prevent heartworm infection and unnecessary suffering and expense. Heartgard is safe for all dog breeds. And, it is also safe for senior dogs and puppies as young as six weeks.

Heartgard Once a Month for Dogs

Heartgard once a month for the life of the dog will help prevent him from getting heartworm disease. A dog can be infected multiple times, even by the same mosquito. Dogs that spend significant time outside during summer months are often bitten several times a day. This raises the likelihood of heartworm infection. Giving a dog Heartgard once a month will reduce the likelihood of infection. Even dogs in cold climates should be given Heartgard year-round. Heartgard heartworm medicine for dogs has a cumulative effect, which means that protection is provided even if a dose is administered late.

Traditional Chinese Medicine And Bnew For Weight Loss

Bnew Beauty and Body capsules are an herbal weight loss supplement formulated from herbs and all natural ingredients used in traditional chinese medicine.

Traditional Chinese Medicine or TCM can be traced back as far as 500 BC. As its name implies, it is based on medical practices originating in China and is much accepted throughout most of the East Asian medical communities. The philosophical concept that the universe is made of an energy called qi, forms the basis of this eastern medicine. Qi can amount to any state of energy present, however, in TCM it represents the “life-force”. It is believed that the body represents a small universe in itself. Within this universe lies intricate subsystems and levels of energy that work together to maintain a healthy state of being in mind, body, and spirit. TCM is based on various schools of thought including Ying/Yang theory, influences from Taoism and Buddhism, and described in terms of the five elements – metal, water, wood, fire, and earth.

Herbal medicine is one of the various treatments used in traditional chinese medicine. It is often used as an alternative to traditional western medicine where drugs are prescribe to help with illness, acne, and even weight loss. The all natural herbal approach is said to help you lose weight naturally, clear your skin, boost your energy levels, and help to restore the natural balance between body and mind.

bnew Beauty and Body capsules contain some of the ingredients used in TCM to help you lose weight and feel better naturally. Among bnew’s main ingredients are bee pollen, seaweed, dietary fiber, chinese yam, and lotus seed. Bee pollen has been called “the perfect food” because it contains every nutrient that your body needs to survive. It also increases your metabolism and is effective at dissolving and flushing fat from your body. Lotus seeds, another ingredient used in TCM, supports your spleen and kidneys and helps to keep them functioning properly. While seaweed, dietary fiber, and chinese yams work together to cleanse the body of toxic pollutants. The combination of these ingredients provide essential nutrients and vitamins, like zinc and Vitamin E that help you lose weight and clear your skin.

Because bnew uses all natural ingredients, it doesn’t pose the harsh side effects of other weight loss supplements. It helps to heal your body naturally with added benefits of clearer skin and more energy. As with most supplements, the best results occur when used in conjunction with proper diet and exercise. Whether you use bnew or any other herbal weight loss supplement you should consult your physician.

An Education in Medicine May Cost an Arm and a Leg

These days it can be a real challenge to save for college. This is especially true for medical students who have to pay for an additional four years of schooling. Some students may feel discouraged by the sky high tuition and think that achieving the education needed is not an option for them. However, it is important that students know their options. Certainly, financial aid and scholarships provide some funding, but it is not always enough. About 50 percent of college students end up paying for higher education with student loans. Even if a student finds that they were able to save for college, just not enough, a medical student loan can help supplement the cost. A student wanting to attend medical school may find that applying for a loan is the best option for them.

Most students will find that getting a medical school loan is a practical choice. One of the reasons for this is that often the borrowed money will not have to be paid back until after graduation. By the time they must begin to pay back the money, many graduates will have obtained a position at a hospital or other medical facility and will be financially secure enough to be able to handle the payments. This allows a person to focus all of their mental energies on studying instead of worrying about having enough money for school. Also, having a loan may be a practical choice as many companies will send the money straight to the college when payment for the classes is due. Additionally, many companies provide low interest rates. This makes the process of repayment much easier. Likewise, a person taking out a medical school loan can have another person cosign with them if their credit history is not strong. This option allows some students who might not have been able to secure a loan on their own to be able to obtain the money needed for school. A benefit of this is that it can build up credit for students who are typically younger in age.

Finally, it is not hard to apply for a medical school loan. This is an additional benefit, as time could be a factor for some students. Many companies have made the process even simpler by allowing the applications to be filled out online. The convenience of this provides a person with the ability to apply from home.

China’s Tibetan Medicine Treatment Common Cold

Chinese Tibetan Medicine In Tibetan medicine, the common cold is a commonly encountered disorder caused by abnormal seasonal factors, aggravated by filthy pathogens plus overstrains, anger, fright, a dirty or immoderate diet. The external pathogen enters the body through the two vessels besides the nostril.
Symptoms of common cold include sneezing, running nose, sore throat,coughing and abnormal badkan, mkhris pa, and rlung due to pathogenic invasion.The manifestations may also vary due to the different sites affected. When the nose is affected, it is called a nasal common cold, manifesting running nose, withburning pain, and sour-itching; when the throat is affected, it is called a throat common cold, manifested by symptoms in the pharynx, upper palate and nasal cavity, such as running nose, sore throat with burning sensation, and sneezing at the later stage; when the lung is affected, the manifestations include frequent coughing, pain in the head, back and chest, spitting of purulent mucus, and hoarseness. There is also a kind of epidemic common cold, which is a rather serious condition, manifested by general lassitude, general sour pain in the jointslike being beaten, severe chills, bitter taste, loss of appetite, and restless sleep. this case is not well treated, or is complicated by over-exertion (vigorous physical labor, excessive sexual activities), a severe condition may result.
For its treatment, a general recipe can be administered including Caulis Tinospora, Fructus Terminalia chebula, Fructus Terminalia bellirica, Fructus Phyllanthi, Herba Swertia purpurascens, Radix Inula, Rhizoma Acrorrhiza, Take the decoction warm to promote sweating, Jiu-wei-qing-peng Powder may also be administered (Radix Aconiti tangutica, Fructus Terminalia chebula, Radix Inula, Benzoin, Herba Pterocephali, Radix Rodiola crenulate, Rhizoma Acrorrhiza, Herba Pagaeophyton, Herba Oxytropis).
For a nasal common cold, vaporization to the nose can be applied with the juice from a radish; a throat common cold can be treated with Liu-wei-ding-xiang Powder (Flos Eugenia, Calciosinter, Radix Glycyrrhiza, flower from Gentiana, Radix Vladimiria, Fructus Terminalia chebula, with sugar added).
If you have a clod ,Please Clink to http://net.zoosnet.net/LR/Chatpre.aspx?id=NET39826137

Source:http://www.tcmadvisory.com/index.asp

Get Internal Medicine Certification for Better Career Opportunities in Medical

The American Board of Internal Medicine conducts certification exam for physicians who are practicing internal medicine or the sub-specialties. Though the organization is a non-profit, independent physician organization in the USA, it still charges fees for Internal Medicine Certification which is $1,345. Similarly, candidates are asked to pay $2,165 (except for Advanced Heart Failure & Transplant Cardiology, Transplant Hepatology, Cardiovascular Disease, Interventional Cardiology, and Clinical Cardiac Electrophysiology) for Sub-specialty Certification Exams.

Candidates doing Sub-specialty Certification Exam in Cardiovascular Disease need to pay $2,310 and doctors willing to get Sub-specialty Certification in Advanced Heart Failure & Transplant Cardiology, Transplant Hepatology, Interventional Cardiology, and Clinical Cardiac Electrophysiology, etc. need to pay $2,785. The non-refundable Late Registration fee is $400 and fees for International Test Center are $500.

Important Dates For the year the 2011 deadline for the registration is February 1. For the year 2012, it is February 1. Similarly, the last date for late registration which requires a non-refundable late fee is February 2 for the year 2011. The February 2 will be the last date for late registration for the year 2012. Whereas deadline for Late Registration is March 1 for the year 2011, March 1 will be the deadline for late registration for the year 2012. Nonetheless, the deadline date for Cancellation will be June 1 for the year 2011 and for the year 2012, the date will be June 1.

What is Internal Medicine? This is a kind of medicine which is used for diagnosis, prevention and treatment of adult diseases. Thus, the medical professionals involved in internal medicine should not only possess excellent knowledge but also an expertise on internal medicines. The certification exam conducted by the American Board of Internal Medicines asks questions from the following disciplines:

Medical oncology, Nephrology, Pulmonology, Rheumatology, Adolescent medicine, Clinical cardiac electrophysiology, Critical care medicine, Geriatric medicine, Interventional cardiology, Hospital medicine, Sleep medicine, Sports medicine, Transplant hepatology, etc. The comprehensive internal medicine study with the help of study material can help candidates prepare well for ABIM certification. However, once certified, candidates require re-certifying themselves every ten years.

Candidates appearing for internal medicine certification must have successfully completed residency or fellowship training. Medical professionals feel the requirement for internal medicine for the reason that it is considered a mark of excellence in the field and enhances the employability. Nonetheless, the ABIM being the only recognized U.S. board in the specialty of internal medicine; it is recognized widely among medical practitioners.

ATI Medical Education provides Internal Medicine Board Review CD-ROM for candidates doing internal medicine internship. Priced at $199.95 the program/software is auto-installable onto the computer by the insertion of disc. It compatible with Windows 95/98/ME/NT/2000/2003/XP/Vista/7 and can be used offline. http://www.medvideoprep.com