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Internal Medicine News

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Symlin pens to be available for select patients.(Endocrinology)(Brief article)
The glucose-lowering drug pramlintide will now be available in pens, but only for patients using premeal bolus insulin. Last month the Food and Drug Administration said Amylin could . . .

Asthma diagnosis and management.(THE EFFECTIVE PHYSICIAN)
Background Asthma is one of the most common chronic diseases of children and young adults, affecting more than 22 million Americans. The National Heart, Lung, and Blood Institute recently . . .

IL-9 blocker appears safe in asthmatics.(Pulmonary Medicine)
CHICAGO -- An investigational fully humanized monoclonal antibody that blocks interleukin-9 cleared an early safety hurdle in patients with asthma. In a phase II prospective randomized trial, no . . .

Dry powder inhalers are commonly misused.(Pulmonary Medicine)
CHICAGO -- Nearly one-third of patients with asthma or chronic obstructive pulmonary disease incorrectly used their dry powder inhalers in a study of 224 patients reported at the annual meeting of . . .

Arthritis can take a painful toll on workers: among adults with physician-diagnosed arthritis, work limitations were reported by
Arthritis creates work limitations for about a third of the working-age adults with the disease, impacting nearly 7% of the total U.S. workforce, according to a state-by-state study by the Centers . . .

Search for OA susceptibility gene gets started.(Rheumatology)(osteoarthritis)
A genomewide association study of osteoarthritis susceptibility is underway in the United Kingdom with 8,000 affected patients and 6,000 controls, the largest study of its kind ever undertaken. . . .

Stroke awareness tool kit in Spanish.(Neurology)(Brief article)
A Spanish language tool kit to increase stroke awareness in the Hispanic population is available from the National Institute of Neurological Disorders and Stroke, part of the National Institutes . . .

Alcohol may be neuroprotective in trauma.(Neurology)
CHICAGO -- Alcohol may actually protect the cognitive health of some patients who sustain a head injury while intoxicated, Rael Lange, Ph.D., said at the annual meeting of the Research Society on . . .

Midlife migraine/aura linked with late-life brain infarcts.(Neurology)
WASHINGTON -- Migraines in midlife with accompanying visual aura predict later-life brain infarcts, according to a poster presentation at the annual meeting of the American Neurological . . .

Many migraine patients at risk for serotonin syndrome.(Neurology)
VIENNA -- An estimated 700,000 Americans were at risk for serotonin syndrome in 2004 because they were simultaneously on a triptan and a selective serotonin reuptake inhibitor or . . .

Preclinical clues may speed diagnosis of Parkinson's.(Neurology)
NEW YORK -- The recognition that Parkinson's disease is a systemic disease with identifiable prodromal features is providing hope for early detection and, ultimately, for possible early . . .

Drivers taking Ambien should follow proper regimen.(Psychiatry)
MIAMI BEACH -- A medical literature review and a news database search indicate that zolpidem is safe when a proper dosing regimen is followed--despite recent media reports suggesting an association . . .

Inform patients before prescribing lamotrigine.(Psychiatry)(Brief article)
MIAMI BEACH -- Inadequate informed consent places physicians prescribing lamotrigine at increased risk of malpractice liability, Dr. Neelam Varshney suggested. Given that, it is important to . . .

Social rhythm therapy reduces bipolar episodes.(Psychiatry)( interpersonal and social rhythm therapy )
VIENNA -- A psychosocial intervention aimed at instilling greater regularity of daily routines in patients with bipolar disorder effectively protects against recurrences of both mania and . . .

Credit cards: the nuts and bolts.(GUEST EDITORIAL)
Accepting credit cards in your office--both for capturing charges immediately at the time of service and for billing residual balances--has huge advantages. But how do you arrange for credit . . .

Correction.(Correction notice)
In "CT Not Advised for Lung Ca Screening" (Oct. 15, 2007, p. 1), we incorrectly reported that Dr. James L. Mulshine participates in the International Early Lung Cancer Action Program. Also, . . .

Treatment options for MRSA.(LETTERS)(Letter to the editor)
As medical director for Homeless Health Care Los Angeles, where I run a clinic at a needle exchange on Skid Row, and as a staff physician at the free Venice Family Clinic, where 25% of our patients . . .

Accounts receivable in action.(LETTERS)(Letter to the editor)
Eighteen months ago our 35-person group practice read with great interest Dr. Joseph S. Eastern's article ("How to Slash Accounts Receivable," March 15, 2006, p. 13). He suggested obtaining a . . .

Coping with chronic kidney disease.(GUEST EDITORIAL)(Editorial)
Chronic kidney disease affects more than 20 million Americans and costs our health care system billions of dollars annually. About 8 million individuals have an estimated glomerular filtration rate . . .

Which approach is best for colon surgery?(POINT/COUNTERPOINT)
Strong evidence supports the laparoscopic approach. Evidence from randomized trials of open vs. laparoscopic cholecystectomy has clearly demonstrated less impairment and more rapid recovery of . . .

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