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Internal Medicine News

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Anti-MRSA program succeeds across institutions: 'a coordinated hand-hygiene program [can] bring significant reductions in MRSA i
CHICAGO -- Multisite implementation of a generic hand-hygiene culture-change program can significantly reduce infections caused by methicillin-resistant Staphylococcus aureus, according to Dr. M. . . .

Histology shows wide variation in resurgent syphilis.(Infectious Diseases)(Brief article)
BALTIMORE -- Secondary syphilis does not always have the textbook lichenoid-psoriasiform appearance, said Dr. Timothy H. McCalmont, a professor of clinical pathology at the University of . . .

Primary care often omits discussion of STD/HIV.(Infectious Diseases)(Survey)
SAN DIEGO -- A survey of STD and HIV risk among adult patients at a primary care clinic showed that 44% had never been asked about sexual health and 18% had never had a prostate or pelvic exam. . . .

Stent thrombosis rates increase over time.(Cardiovascular Medicine)(Statistical data)
VIENNA -- The incidence of stent thrombosis following placement of drug-eluting coronary stents suggested a possibly rising, curvilinear incidence during 3 years of follow-up of more than 5,000 . . .

Vitamin E beneficial in some diabetes patients.(Cardiovascular Medicine)
ORLANDO -- Vitamin E has fulfilled its promise as an antioxidant that can slow the progression of cardiovascular disease. Patients with diabetes who also had the haptoglobin 2-2 genotype and who . . .

Drug-eluting stents cut mortality and revascularization rates.(Cardiovascular Medicine)
ORLANDO -- The safety of drug-eluting coronary stents, compared with bare-metal stents, received a substantial boost in an analysis of data from more than 10,000 patients who received coronary . . .

Warfarin decreases stroke in elderly AF patients: results showed a 50% reduction in the primary end point of death or major disa
VANCOUVER, B.C. -- Thromboprophylaxis using warfarin produced a "huge, highly significant, 50% reduction" in death and major disability from stroke in elderly patients with a history of . . .

Genetic testing brochure from NCI.(Clinical Rounds)(National Cancer Institute)(Brief article)
The National Cancer Institute is offering an eight-page brochure, "Genetic Testing: What It Means for Your Health and for Your Family's Health." It explains what genetic tests are, lists the . . .

Consortium to investigate genetics of drug adverse events.(Clinical Rounds)
A group of seven of the largest drug manufacturers has formed a consortium to study the genetics of serious adverse drug reactions. The Serious Adverse Events Consortium will work closely with . . .

Family health history as a 21st-century genetic tool.(GENETICS IN YOUR PRACTICE)
Family history remains a crucial aspect of medical practice in 2007, even if it sometimes seems to be overshadowed by many exciting advances on the health care horizon. In this column, I will . . .

Olive, whey show promise in treating psoriasis.(Dermatology)
Two new natural products--one containing olive polyphenols and the other a proprietary combination of whey proteins--can reduce the symptom burden and appearance of mild to moderate psoriasis. . . .

Smoking history increases psoriasis risk in women.(Dermatology)
Women who smoke cigarettes increase their risk of developing psoriasis by 78%, according to a large prospective, longitudinal study. The increased risk appears to be dose dependent, wrote Dr. . . .

Pedicure caution and other onychomycosis tips.(Dermatology)
CORONADO, CALIF. -- A patient who has abnormal-looking nails with a normal plantar and web surface is unlikely to have onychomycosis, Dr. Boni E. Elewski said at the annual meeting of the Pacific . . .

Bazedoxifene helps reduce vertebral fracture risk after menopause.(Endocrinology)
HONOLULU -- Bazedoxifene is safe and effective in reducing the risk of new vertebral fractures in postmenopausal women with osteoporosis, according to the results of a 3-year, phase III, . . .

Vegans don't need dairy for good bone health.(Endocrinology)
HONOLULU -- Although vegans do not eat dairy products, they appear to have surprisingly good bone health, according to results from a study presented in a poster at the annual meeting of the . . .

Potency specifications tightened for levothyroxine.(Endocrinology)
The Food and Drug Administration has tightened the potency specifications required for levothyroxine sodium products, mandating that they cannot lose more than 5% of their baseline potency by the . . .

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 . . .

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