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Internal Medicine News

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Many heart patients are aspirin nonresponders.(Cardiovascular Medicine)(Clinical report)
ORLANDO -- About 10% of patients who presented to a hospital emergency department with chest pain and suspected acute coronary syndrome had platelets that were nonresponsive to aspirin, in a . . .

Steroids and antivirals for Bell's palsy.(MINDFUL PRACTICE)(Clinical report)
The Problem A 45-year-old man presents with a 2-day history of right eye dryness and facial weakness. His symptoms started with right eyelid twitching, progressed to dryness in the right eye, and . . .

Include the heart in stroke evaluations.(Neurology)(Clinical report)
CHICAGO -- Up to 20% of strokes begin in the heart, so cardiac imaging should be part of the work-up of many stroke patients, Dr. Gautham Reddy said at the annual meeting of the American Society . . .

Top 10 causes of death for people aged 15-24 years.(DATA WATCH)
Top 10 Causes of Death for People Aged 15-24 Years (mortality rate per 100,000 population) Accidents 37.0 Assault . . .

Inpatient approach works for some obese children.(Adolescent Health)
NEW ORLEANS -- Inpatient programs that focus on diet, exercise, and behavior appear to be an effective approach to weight management for some obese children. One such program was effective for . . .

South Beach Diet recommended for adolescents: 'we know now that low-fat diets are just not effective in causing weight loss in o
SALT LAKE CITY -- A South Beach Diet-type program may be the one to recommend to adolescents who want to lose weight, Sharon Weston, a registered dietician, said at the annual meeting of the North . . .

Fatty liver found to be common in adolescents.(Adolescent Health)
SALT LAKE CITY -- Fatty liver is found in almost one in five older adolescents, a prevalence not much different from that found in adults, Dr. Jeffrey B. Schwimmer said at the annual meeting of the . . .

Urodynamic testing can change treatment plan.(Urology)
HOLLYWOOD, FLA. -- The addition of multichannel urodynamic testing data changed treatment recommendations for medical and surgical management of women with urinary incontinence in one small study. . . .

Outcomes drop with break in prostate cancer Tx.(Urology)
LOS ANGELES -- For men with low-risk prostate cancer, skipping more than two sessions of radiotherapy beyond their scheduled weekends off can have long-term consequences, investigators found when . . .

RAS blockade in chronic kidney disease may reduce cardiovascular, renal events.(Nephrology)(renin angiotensin system)
CHICAGO -- Routine use of renin angiotensin system blockers is indicated in patients with chronic kidney disease as part of a strategy to reduce cardiovascular and renal events, Dr. Matthew Weir . . .

Preeclampsia associated with later renal disease.(Nephrology)
SAN FRANCISCO -- Women who experience preeclampsia in one or more pregnancies have a greatly increased chance of developing end-stage renal disease, according to a Norwegian study of more than half . . .

Lower ESRD mortality seen with early nephrology care.(Nephrology)(end-stage renal disease)(Clinical report)
SAN FRANCISCO -- Patients treated by a nephrologist at least 12 months before their diagnosis of end-stage renal disease had 29% lower mortality during the first year after the diagnosis than did . . .

In dialysis patients, one answer predicts mortality.(Nephrology)(Clinical report)
SAN FRANCISCO -- If a person on dialysis answers "poor" to the question, "How would you say your health is in general?" the risk of death is four times that of people who answer "excellent" or . . .

Kidney info for African Americans.(Nephrology)
The National Kidney Disease Education Program is offering a brochure tailored to African Americans. The eight-page publication--"Kidney Disease: What African Americans Need to Know"--explains . . .

Chronic kidney disease ups sudden cardiac death risk.(Nephrology)(Clinical report)
SAN FRANCISCO -- A declining glomerular filtration rate is a strong and independent predictor of sudden cardiac death in patients with significant coronary artery disease, Dr. Thomas R. Smarz . . .

Environment, attitude, assessment can improve nutrition.(Geriatrics)(Clinical report)
ARLINGTON, VA. -- Poor nutrition remains a chronic problem for individuals in long-term care and stems from environmental factors as well as personal factors, Dr. Philip Sloane said at a meeting . . .

Nursing homes' use of antipsychotics edges down.(Geriatrics)(Survey)
CHICAGO -- The use of antipsychotic medications in nursing home residents with dementia appears to have peaked and may be starting to decline, according to a survey of 670 nursing homes in the . . .

Meetings with families of dementia patients require planning.(Geriatrics)
BALTIMORE -- Meeting with family to plan terminal care for patients with advanced dementia takes a lot of planning and thought on the part of the clinical team to ensure that everyone involved is . . .

Debate continues over early cognition screening: 'we know it's a good thing for people to talk to their physicians about any mem
WASHINGTON -- Some Alzheimer's disease-related groups--but not all--are stepping up calls for earlier and more frequent cognition screening, citing an aging population increasingly at risk for . . .

Certolizumab plus methotrexate eases RA.(Rheumatology)(rheumatoid arthritis)
BARCELONA -- Treatment of rheumatoid arthritis with a combination of certolizumab pegol and methotrexate improved symptoms in a significantly greater proportion of patients than methotrexate . . .

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