Fasting insulin model helps identify
prediabetes.(Endocrinology)(Clinical report)
BOSTON -- Prediabetes can be accurately and easily identified in
the clinical setting using a predictive model based on fasting insulin
quartiles, a study has shown.
Given its clinical utility, . . .
Study confirms safety of diclofenac gel for actinic
keratosis.(Dermatology)
AMSTERDAM -- Diclofenac 3% gel was well tolerated and showed an
excellent safety profile for treatment of multiple actinic keratoses in
a primary care postmarketing safety surveillance study.
The . . .
Seven common myths about cancer debunked.(Dermatology)
ZURICH -- Recent advances in cancer genetics have fueled the push
for targeted therapeutics--and are standing the field of oncology on its
head, Dr. Levi A. Garraway said at the annual meeting of . . .
Genes tied to methotrexate response.(Dermatology)
ZURICH -- The goal of individualized methotrexate therapy for
psoriasis has drawn a big step closer as a consequence of a large
pharmacogenetic study that identified polymorphisms in key genes in . . .
Pregnancy registries.(DRUGS, PREGNANCY, AND LACTATION)
Pregnancy registries are valuable sources of information, and for
many drugs and vaccines they are the primary source of human pregnancy
experience. The strengths of these registries are their . . .
Prior GDM? Treat without screening.(Women's
Health)(gestational diabetes mellitus)
AMSTERDAM -- Seeing and presumptively treating all women with
previous gestational diabetes mellitus for GDM early in their subsequent
pregnancies--without rescreening them--is likely to improve . . .
Contraceptive ring beats patch in trial.(Women's
Health)
MINNEAPOLIS -- Women who are content with combined oral
contraceptives but are willing to try a nondaily method of birth control
are more likely to be satisfied with the contraceptive ring than . . .
Risk of urinary incontinence rises after
hysterectomy.(Women's Health)
Women who undergo hysterectomy for benign indications are more than
twice as likely to develop stress urinary incontinence requiring
surgery, according to data from a large cohort study.
Dr. . . .
Ablation, hysterectomy short-term results similar.(Women's
Health)
SAN DIEGO -- Both hysterectomy and endometrial ablation were highly
effective short-term treatments for dysfunctional uterine bleeding in a
randomized, multi-center trial, but about one-third of . . .
Hysterectomy increases risk of prolapse surgery.(Women's
Health)
HOLLYWOOD, FLA. -- Hysterectomy, regardless of surgical approach,
increases the risk of future pelvic organ prolapse surgery. In addition,
risk is greatest within the first 5 postoperative years, . . .
'Dear Doctor' warning issued on risks of buccal
fentanyl.(Neurology)
The manufacturer of the buccal formulation of fentanyl is notifying
health care professionals about serious adverse events, including
deaths, that have been reported in patients treated with the . . .
Methadone-related emergency visits and deaths on the
rise.(Neurology)
SAN FRANCISCO -- The increasing use of methadone for pain
management has been shadowed by steep increases in the number of
emergency department visits and deaths associated with the drug,
according . . .
Patients on chronic opioids can be safe
drivers.(Neurology)
SAN FRANCISCO -- On driving simulators, 51 patients on chronic
opioids performed just as well as 49 control subjects, preliminary data
from an ongoing study found.
The conventional recommendation . . .
Vitamins to prevent cognitive decline.(MINDFUL PRACTICE)
The Problem
A well-nourished, ambulatory 62-year-old man presents for a general
medical exam. He has a history of coronary artery disease and
hypertension. He tells you that he has been reading . . .
Coping with dementia booklet.(Neurology)
A 12-page booklet called "What Happens Next?" is designed
to answer patients' questions about early-stage dementia.
The authors themselves are patients with early-stage dementia who
wanted to . . .
Early-onset Alzheimer's gets name change.(Neurology)
CHICAGO -- The increasing incidence of early-onset dementia
represents both a national challenge and a future crisis, according to
the Alzheimer's Association, which is about to change . . .
Courageous analysis.(LETTERS)(Letter to the editor)
I was pleased to read the analysis by Dr. Jamshid A. Marvasti
("Physicians as Terrorists," Guest Editorial, Sept. 1, 2007,
p. 9).
At a time when much of our discourse is based on depictions . . .
Even physicians can be sociopaths.(LETTERS)(Letter to the
editor)
Dr. Jamshid A. Marvasti explains to us why some doctors become
suicidal, homicidal killers ("Physicians as Terrorists," Guest
Editorial, Sept. 1, 2007, p. 9).
He gives the example of Iraqi doctor . . .
Be clear on 'life' and
'death'.(LETTERS)(Letter to the editor)
Thank you for publishing the interesting exchange between Dr.
Robert Sade and Dr. Michael A. Grodin on organ donation after cardiac
arrest--misnamed "cardiac death" in the article ("Should
organ . . .
Patients contribute to errors.(LETTERS)(Letter to the
editor)
As an endocrinologist, I deeply admire the gumption of internists
who soldier on despite all the cards stacked against them in the current
medical practice world. As such I was both disturbed and . . .
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