Methemoglobinemia: An unusual cause of postoperative cyanosis - Journal of Vascular Surgery  
Save This Article To My Filing Cabinet Email This Article Methemoglobinemia, although rare, must be considered in surgical patients presenting with acute respiratory distress and cyanosis. We report two cases of methemoglobinemia in patients undergoing aortic reconstruction...  
  Gene Expression Profiling Identifies Genes Associated with Invasive Intraductal Papillary Mucinous Neoplasms of the Pancreas - American Journal of Pathology  
Save This Article To My Filing Cabinet Email This Article The molecular pathology of intraductal papillary mucinous neoplasms (IPMNs) of the pancreas has not been well characterized, and there are no reliable markers to predict the presence of an associated invasive carcinoma in IPMNs. Using oligonucleotide microarrays, we performed a large-scale gene expression profiling of 12 IPMNs with or without an associated invasive carcinoma...  
  Loss of activin receptor type 2 protein expression in microsatellite unstable colon cancers - Gastroenterology  
Save This Article To My Filing Cabinet Email This Article Conclusions: ACVR2 mutations are highly frequent in MSI-H colon cancers and in most cases cause loss of ACVR2 expression, indicating biallelic inactivation of the gene. Loss of activin signaling through mutation of ACVR2, similar to observations with TGFBR2, may be important in the genesis of MSI-H colorectal cancer...  
  Gastrointestinal stromal tumors (GISTs) - Current Opinion in Gastroenterology  
Save This Article To My Filing Cabinet Email This Article Conclusion: In the past year there have been significant developments in our understanding of GISTs and their response to therapy. Many questions remain unanswered and new issues have arisen as the benefits of imatinib mesylate therapy are revealed. There is considerable optimism that the targeted molecular approach being applied to the treatment of GISTs will serve as a model for the development of similar approaches to other more common tumors...  
  Subcutaneous Fondaparinux vs intravenous unfractionated heparin in initial treatment of pulmonary embolism - Journal of Vascular Surgery  
Save This Article To My Filing Cabinet Email This Article Conclusion: Fondaparinux, given as once daily subcutaneous treatment without monitoring, was as effective and as safe as intravenously administered unfractionated heparin for treatment of hemodynamically stable patients with symptomatic pulmonary embolism...  

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  Post-operative adjuvant thoracic radiotherapy for patients with completely resected non-small cell lung cancer with nodal involvement: outcome and prognostic factors - British Journal of Radiology  
Save This Article To My Filing Cabinet Email This Article The purpose of this study was to analyse the outcome and prognostic factors of non-small cell lung cancer (NSCLC) patients with nodal disease treated by complete tumour resection followed by radiotherapy alone...  
  Unusual uptake of radioiodine in the chest in a patient with thyroid carcinoma - British Journal of Radiology  
Save This Article To My Filing Cabinet Email This Article A wide spectrum of potentially misleading artefacts can arise in 131I whole body scans from various anatomical variants and physiological processes as well as several unrelated non-thyroidal disease processes. A proper understanding of the causes of false positive 131I scans is essential for accurate interpretation of the images and to obviate diagnostic errors which may lead to administration of unnecessary therapy doses...  
  Download Acrobat Reader  Estrogen receptor-alpha polymorphism in a Taiwanese clinical breast cancer population: a case?control study - Breast Cancer Research  
Save This Article To My Filing Cabinet Email This Article Conclusions: Our data suggest that ER-alpha polymorphisms are correlated with various aspects of breast cancer in Taiwan. ER-alpha genotype, as determined during presurgical evaluation, might represent a surrogate marker for predicting breast cancer lymph node metastasis...  
  Useless and dangerous?fine needle aspiration of hepatic colorectal metastases - British Medical Journal  
Save This Article To My Filing Cabinet Email This Article Conclusion: The potential benefit of FNAC in suspected liver lesions is the confirmation of suspected metastases, and this may be attained effectively by other investigations with less than 2% of benign lesions misdiagnosed as metastases. This benefit is outweighed by the risks, including the serious and often fatal complication of needle tract metastasis and the risk of deriving false reassurance from a false negative FNAC result... The Full Text of This Article Is Available  
  Download Acrobat Reader  Molecular analysis of metastasis in a polyomavirus middle T mouse model: the role of osteopontin - Breast Cancer Research  
Save This Article To My Filing Cabinet Email This Article Conclusions: We conclude that OPN is an essential regulator of the metastatic phenotype seen in polyomavirus middle T-induced mammary tumors. Yet OPN expression alone is not sufficient to cause metastasis. These data suggest a link between metastasis and phosphatidylinositol-3-kinase-mediated transcriptional upregulation of OPN, but additional phosphatidylinositol-3-kinase-regulated genes may be essential in precipitating the metastasis phenotype in the polyomavirus middle T model...  
MORE NEWS...
  The Advantage of Total Thyroidectomy to Avoid Reoperation for Incidental Thyroid Cancer in Multinodular Goiter - Archives of Surgery  
Save This Article To My Filing Cabinet Email This Article Conclusion: We recommend total or near-total thyroidectomy in multinodular goiter to eliminate the necessity for early completion thyroidectomy in case of a final diagnosis of thyroid cancer... The Full Text of This Article Is Available  
  Computed tomography and magnetic resonance imaging in the assessment of acute pancreatitis - Gastroenterology  
Save This Article To My Filing Cabinet Email This Article Conclusions: MRI is a reliable method of staging AP severity, has predictive value for the prognosis of the disease, and has fewer contraindications than CT. It can also detect pancreatic duct disruption, which may occur early in the course of AP...  
  Download Acrobat Reader  Blood management in intensive care medicine: CRIT and ABC ? what can we learn? - Critical Care  
Save This Article To My Filing Cabinet Email This Article In 284 US intensive care units (ICU) the CRIT study assessed allogeneic red blood cell (RBC) transfusion and outcome in 4892 patients. As in the former European ABC study, the mean pre-transfusion hemoglobin was approximately 8.5...  
  Methemoglobinemia: An unusual cause of postoperative cyanosis - Journal of Vascular Surgery  
Save This Article To My Filing Cabinet Email This Article Methemoglobinemia, although rare, must be considered in surgical patients presenting with acute respiratory distress and cyanosis. We report two cases of methemoglobinemia in patients undergoing aortic reconstruction...  
  Current update of short-bowel syndrome - Current Opinion in Gastroenterology  
Save This Article To My Filing Cabinet Email This Article Conclusion: Systemic side effects from growth hormone factors have been reported. Current trophic should be considered investigational and not standard of practice in the author's opinion...  

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  Carotid artery stenosis: Gray-scale and Doppler ultrasound diagnosis - Journal of Vascular Surgery  
Save This Article To My Filing Cabinet Email This Article Conclusion: A consensus conference convened by the Society of Radiologists in Ultrasound developed a set of criteria for grading internal carotid artery (ICA) stenosis with Doppler ultrasound scanning. Criteria are based primarily on ICA peak systolic velocity (PSV) and demonstration of presence of plaque on gray-scale and color Doppler scans...  
  Useless and dangerous�fine needle aspiration of hepatic colorectal metastases - British Medical Journal  
Save This Article To My Filing Cabinet Email This Article Conclusion: The potential benefit of FNAC in suspected liver lesions is the confirmation of suspected metastases, and this may be attained effectively by other investigations with less than 2% of benign lesions misdiagnosed as metastases. This benefit is outweighed by the risks, including the serious and often fatal complication of needle tract metastasis and the risk of deriving false reassurance from a false negative FNAC result... The Full Text of This Article Is Available  
  Emergent endovascular stent-graft placement to treat ruptured Stanford type B acute aortic dissection - Journal of Vascular Surgery  
Save This Article To My Filing Cabinet Email This Article Uncomplicated Stanford type B acute aortic dissection, for which medical treatments are effective in most cases, is associated with a better prognosis than Stanford type A dissection. However, ruptured Stanford type B dissection still is associated with high mortality, because of the risks of open surgery and the complications of the disease...  
  Enteral feeding - Current Opinion in Gastroenterology  
Save This Article To My Filing Cabinet Email This Article Conclusion: Enteral nutrition is an established modality of nutritional support that has received wide acceptance. However, it is not clear in which conditions it improves patient outcome and how to optimize its delivery. In this review, articles addressing the outcome of patients and methods to optimize delivery of enteral nutrition are reviewed. Unfortunately, with few exceptions, most studies are based on few patients or do not have a placebo arm. The usual comparison is with total parenteral nutrition, and in such comparisons, the studies fail to make the two groups comparable in terms of energy intake and the occurrence of a major risk factor for sepsis, namely, hyperglycemia...  
  Activated mast cells in proximity to colonic nerves correlate with abdominal pain in irritable bowel syndrome - Gastroenterology  
Save This Article To My Filing Cabinet Email This Article Conclusions: Colonic mast cell infiltration and mediator release in proximity to mucosal innervation may contribute to abdominal pain perception in IBS patients...  
ALL NEWS...

 
 NEWS

Defective RNA Editing Seen in Neurons of ALS Patients
Findings from a new study show that mRNA for a subunit of glutamate receptors is not edited correctly in the spinal motor neurons of patients with amyotrophic lateral sclerosis (ALS). This could contribute to the neuronal death seen with ALS, according to the authors.
Reuters Health Information 2004


Gene Targeting Disrupts Osteogenesis Imperfecta Mutation in Stem Cells
Using viral vectors, US researchers have been able to target and eliminate the dominant gene mutations found in mesenchymal stem cells from patients with osteogenesis imperfecta.
Reuters Health Information 2004


Adipocyte Hormone May Regulate Blood Glucose Levels, Linking Obesity to Diabetes
Hepatic gluconeogenesis is reduced in mice lacking the adipocyte hormone resistin, Dr. Mitchell A. Lazar and colleagues report. In addition to at least partially explaining the role of obesity in the development of type 2 diabetes, targeting the resistin metabolic pathway may offer a new therapeutic strategy.
Reuters Health Information 2004

One Vaccine Could Counter All HCV Strains
Work in chimpanzees suggests that vaccination against one strain of hepatitis C virus (HCV) confers cross-genotype immunity. This study, lead investigator Dr. Robert E. Lanford told Reuters Health, "demonstrates for the first time that chimpanzees that develop immunity to one strain of HCV are immune to highly divergent strains -- genotypes."
Reuters Health Information 2004


TNF Polymorphisms Tied to Hepatitis C Severity
Tumor necrosis factor (TNF)-beta polymorphisms appear to be associated with greater disease severity in patients infected with hepatitis C virus (HCV), according to Indian researchers.
Reuters Health Information 2004


Rhesus TRIM5-Alpha Blocks Uncoating of HIV-1 Capsid
The non-human primate TRIM5-alpha protein, but not its human orthologue, impedes HIV-1 infection by targeting its capsid protein, Dr. Joseph Sodroski and fellow investigators at Harvard Medical School report.
Reuters Health Information 2004


HIV Escape Mutations Do Not Always Survive Transmission
HIV mutations that arise in order to escape cytotoxic T-lymphocyte (CTL) recognition do not necessarily lead to significant evolution of the virus at the population level, researchers report in the February 8th advance online edition of Nature Medicine.
Reuters Health Information 2004


Patients With HIV-1 215 Revertants Face Higher Risk of Failure With Thymidine Analog Therapy
Patients carrying a particular mutation in the reverse transcriptase region of the HIV-1 pol gene face an increased risk of virologic failure on regimens that include thymidine analogs, according to a report in the January 23rd issue of AIDS.
Reuters Health Information 2004


HIV Recombination May Follow Superinfection With Diverse Strains
There are new data suggesting that superinfection with a new strain of HIV in a chronically infected individual can lead to genetic recombination, investigators report.
Reuters Health Information 2004


Polypyrimidine Tract-Binding Protein Promotes Rapid Genesis of Insulin Secretory Granules
Polypyrimidine tract-binding protein (PTB) promotes rapid biogenesis of insulin secretory granules and may, therefore, represent a therapeutic target in type 2 diabetes, according to a new report. In vivo, downregulation of PTB resulted in depletion of insulin secretory granules from insulinoma cells.
Reuters Health Information 2004


NEUROSURGICAL TOPICS
Lumbar Intradiscal Electrothermal Therapy Less Effective Than Previously Suggested
In a study of worker's compensation claimants, provider self-referral and previous narcotic use were significant risk factors for poor outcomes.
Medscape Medical News 2004


WEST NILE
CDC Issues Guidelines for Infants Born of West Nile-Infected Mothers
Evidence suggesting adverse consequences of congenital West Nile virus (WNV) infection has prompted the Centers for Disease Control (CDC) to recommend a neonatal evaluation for dysmorphia and hearing and other abnormalities in infants whose mothers were infected with WNV during pregnancy.
Reuters Health Information 2004


MULTIPLE SCLEROSIS
New Research Challenges Pathogenesis of Multiple Sclerosis
Findings from an autopsy study by Australian researchers question the theory of multiple sclerosis (MS) that holds that an autoimmune attack on myelin is the inciting event for the disease.
Reuters Health Information 2004


Corkscrew Clot Device Has 'Potential' -- US Experts
U.S. medical experts expressed cautious support on Monday for a tiny corkscrew-like device that captures and removes clots blocking critical blood flow to the brain, potentially reversing brain damage in stroke victims.
Reuters Health Information 2004


OTHER NEUROLOGY TOPICS
Cognitive Decline After CNS Lymphoma Compounded by Radiation Treatment
The cognitive decline that is associated with treatment of primary central nervous system lymphoma (PCNSL) may be exacerbated by whole brain radiotherapy, according to results of two studies in the February 24th issue of Neurology.
Reuters Health Information 2004


Intranasal Influenza Vaccine Strongly Linked to Bell's Palsy
Immunization with an intranasal influenza vaccine used in Switzerland is strongly associated with the development of Bell's palsy, according to a new study. Nasalflu use was associated with a 84-fold increased risk of Bell's palsy, whereas parental flu vaccine use was not tied to an elevated risk.
Reuters Health Information 2004


HIV and HCV Independently Cause Psychomotor Slowing
Whether alone or in co-infection, both HIV and hepatitis C virus (HCV) can cause central nervous system (CNS) disturbances, according to researchers at Heinrich Heine University in Dusseldorf, Germany.
Reuters Health Information 2004


Defective RNA Editing Seen in Neurons of ALS Patients
Findings from a new study show that mRNA for a subunit of glutamate receptors is not edited correctly in the spinal motor neurons of patients with amyotrophic lateral sclerosis (ALS). This could contribute to the neuronal death seen with ALS, according to the authors.
Reuters Health Information 2004

Pulmonary Medicine

thumbnailDrinking Fluids During a Cold Not Backed by Medical Evidence
A review of the literature published in the Feb. 28 issue of the British Medical Journal found no randomized trials to determine the benefit or harm of this practice, which could be harmful in patients with lower respiratory tract infections.
Medscape Medical News 2004

medpulse subtopic logo

Exercise Improves Pelvic Girdle Pain After Pregnancy
In a randomized trial published in the Feb. 15 issue of Spine, specific stabilizing exercises improved pain and function.
Medscape Medical News 2004

Cardiology

Blacks and Whites Usually Respond Similarly to Antihypertensive Drugs
Findings from a meta-analysis of previous trial data reported in the March issue of Hypertension suggest that blacks and whites are more alike than different when it comes to their response to antihypertensive agents. This suggests that physicians should focus less on patient race when prescribing such drugs, the author states.
Reuters Health Information 2004

Monitored Therapy Articles: 01 Mar 04
The articles below have been selected on the basis of your Monitored Therapies. To view your Monitored Therapies,
adenosine
  The management of pleural space infections -(Respirology)
  Seizure secondary to citalopram overdose -(J Emerg Med)
  Combination antiplatelet therapy in patients with peripheral vascular bypass grafts -(Clin Appl Thromb Hemost)
albumin
  Calcium metabolism in the morbidly obese -(Obes Surg)
  Nutritional markers following duodenal switch for morbid obesity -(Obes Surg)
  Circulating blood volumes in pulmonary hypertension associated with erythrocytosis--the effects of therapeutic hemodilution -(Cardiol Young)
  Isolation and characterization of a heat-resistant beef allergen: myoglobin -(Allergy)
  ARF in children with minimal change nephrotic syndrome may be related to functional changes of the glomerular basal membrane -(Am J Kidney Dis)
  Does atorvastatin influence serum C-reactive protein levels in patients on long-term hemodialysis? -(Am J Kidney Dis)
  Optimum dietary protein requirement in nondiabetic maintenance hemodialysis patients -(Am J Kidney Dis)
  Renal replacement therapy with high-cutoff hemofilters: Impact of convection and diffusion on cytokine clearances and protein status -(Am J Kidney Dis)
dalteparin
  Serious adverse incidents with the usage of low molecular weight heparins in patients with chronic kidney disease -(Am J Kidney Dis)
dobutamine
  Terbutaline for Chronotropic Support in Heart Transplantation -(Ann Pharmacother)
dopamine
  Neurology of Tourette's syndrome (TS) TS as a developmental dopamine disorder: a hypothesis -(Brain Dev)
  Neurophysiology of Tourette's syndrome: pathophysiological considerations -(Brain Dev)
  Psychosis in Parkinson's disease -(Movement Disord)
  Massive hydroxychloroquine overdose -(Acta Anaesthesiol Scand)
drotrecogin alfa
  Use of drotrecogin alfa (activated) in bariatric surgery patients with severe sepsis syndrome: experience in an urban community teaching hospital -(Obes Surg)
heparin
  Heparin-induced thrombocytopenia in neurologic disease treated with unfractionated heparin -(Neurology)
  Prophylactic treatment with desmopressin does not reduce postoperative bleeding after coronary surgery in patients treated with aspirin before surgery -(Anesth Analg)
  Treatment of heparin-induced thrombocytopenia: a critical review -(Arch Intern Med)
  Prevention of thromboembolism with low-molecular-weight heparin in orthopedic surgery: a 5-year experience -(Clin Appl Thromb Hemost)
  Laboratory diagnosis of heparin-induced thrombocytopenia in Asian Indians as investigated with functional and immunologic methods -(Clin Appl Thromb Hemost)
  Thrombotic complications in three hemodialysis patients with heparin-induced thrombocytopenia type I -(Clin Appl Thromb Hemost)
  Lepirudin in Heparin-Induced Thrombocytopenia and Extracorporeal Membranous Oxygenation -(Ann Pharmacother)
  Variability of Plasma Anti-Xa Activities with Different Lots of Enoxaparin -(Ann Pharmacother)
  Peri-operative anticoagulation with danaparoid for a patient with Budd-Chiari syndrome and heparin-induced thrombocytopenia -(Ann Fr Anesth Réanim)
lidocaine
  Continuous psoas compartment blocks after major orthopedic surgery in children: a prospective computed tomographic scan and clinical studies -(Anesth Analg)
  The influence of ambulation time on the incidence of transient neurologic symptoms after lidocaine spinal anesthesia -(Anesth Analg)
  Pretreatment with thiopental for prevention of pain associated with propofol injection -(Anesth Analg)
  Intrathecal and oral clonidine as prophylaxis for postoperative alcohol withdrawal syndrome: a randomized double-blinded study -(Anesth Analg)
  Adding dexmedetomidine to lidocaine for intravenous regional anesthesia -(Anesth Analg)
lidocaine, morphine
  Application of a mandibular nerve block using an indwelling catheter for intractable cancer pain -(Acta Anaesthesiol Scand)
morphine
  Patients' perceptions of pain management after cardiac surgery in an australian critical care unit -(Heart Lung J Acute Crit Care)
  Incidence of constipation associated with long-acting opioid therapy: a comparative study -(South Med J)
  Dextromethorphan-associated epidural patient-controlled analgesia provides better pain- and analgesics-sparing effects than dextromethorphan-associated intravenous patient-controlled analgesia after bone-malignancy resection: a randomized, placebo-controlled, double-blinded study -(Anesth Analg)
  Effects of gabapentin on postoperative morphine consumption and pain after abdominal hysterectomy: A randomized, double-blind trial -(Acta Anaesthesiol Scand)
  Desflurane-remifentanil-nitrous oxide anaesthesia for abdominal surgery: optimal concentrations and recovery features -(Acta Anaesthesiol Scand)
norepinephrine
  Prospective evaluation of somatic and autonomic small fibers in selected autonomic neuropathies -(Neurology)
octreotide
  Metastatic insulinoma: case report and review of the literature -(South Med J)
more articles

   RECENTLY SCORED NTK ARTICLES OF INTEREST
28 Feb 04 NTK Score Amisulpride a selective dopamine antagonist and atypical antipsychotic: results of a meta-analysis of randomized controlled trials -(Int J Neuropsychopharmacol)NEW
 
28 Feb 04 NTK Score Safety and Efficacy of Enoxaparin Compared With Unfractionated Heparin and Oral Anticoagulants for Prevention of Thromboembolic Complications in Cardioversion of Nonvalvular Atrial Fibrillation. The Anticoagulation in Cardioversion using Enoxaparin (ACE) Trial -(Circulation)NEW
 
27 Feb 04 NTK Score EMR combined with chemoradiotherapy: A novel treatment for superficial esophageal squamous-cell carcinoma -(Gastrointest Endosc)NEW
 
26 Feb 04 NTK Score A radical explanation for glucose-induced beta cell dysfunction -(J Clin Invest)
 
26 Feb 04 NTK Score Clinical Pharmacology of MAO Inhibitors: Safety and Future -(Neurotoxicology)
 
The articles above obtained NTK Scores of 51 or higher using the NTK Science Scoring System.  NTK Scores reflect ratings received through February 29.
BURNING PAIN AND STIFFNESS
49-year-old bipolar, hypertensive woman with history of burning pain and stiffness. Pain is never gone, and treatments haven't worked. What is the diagnosis?

EEG OVERSIGHTS?
Is it possible that several episodes of symptoms consistent with a complex partial seizure disorder in a profoundly retarded 24-year-old man would not be detected on a 24-hour EEG?

THE NEW COMBINATION TABLET FOR PARKINSON'S DISEASE
What is the difference between levodopa/carbidopa and entacapone vs the newly approved combined formulation of these 3 drugs? Are there any special considerations when switching a patient from levodopa/carbidopa and entacapone to the levodopa/carbidopa/entacapone formulation?

"COMA" VS "PERSISTENT VEGETATIVE STATE"
What is the difference between these?

PRIMARY SMALL CELL CARCINOMA OF THE CNS?
Looking for doctors who've had experience with a case of "primary" small cell carcinoma of the central nervous system.

MELKERSON-ROSENTHAL SYNDROME
12-year-old girl with recurring episodes of facial nerve palsy and orofacial edema; undergoing rehabilitation and taking NSAIDs, to little benefit. How should she be managed?

 


       More news...

 

Internal Medicine

thumbnailFruit, Cereal Fiber May Reduce Cardiovascular Risk
Fiber from vegetables was not associated with reduced risk of coronary heart disease, according to a pooled analysis published in the Feb. 23 issue of the Archives of Internal Medicine.
Medscape Medical News 2004

medpulse subtopic logo

Procalcitonin Testing Reduces Antibiotic Use in Lower Respiratory Tract Infections
In a randomized intervention trial published in the Feb. 21 issue of The Lancet and posted online Feb. 10, this measurement reduced unnecessary antibiotic use without compromising outcome.
Medscape Medical News 2004

Ob/Gyn & Women's Health

thumbnailPostmenopausal Hormone Use May Increase Asthma Risk
In a prospective cohort study published in the Feb. 23 issue of the Archives of Internal Medicine, postmenopausal women who used hormone therapy were at a higher risk of developing asthma but not chronic obstructive pulmonary disease.
Medscape Medical News 2004

Cardiology

Infusion of Insulin With Dextrose May Improve Outcome in Acute STEMI
Insulin appeared to have an anti-inflammatory and profibrinolytic effect on ST-segment-elevation myocardial infarction, according to the results of a randomized trial published in the Feb. 24 issue of Circulation.
Medscape Medical News 2004

Infectious Diseases

thumbnailPrevalence of West Nile Virus "Shocking" in U.S. Blood Donors
More than 1,000 blood donors have tested positive for West Nile virus in the United States, making the mosquito-borne disease one of the most common illnesses that can be acquired through transfusions, the Centers for Disease Control and Prevention said on Monday.
Reuters Health Information 2004

HIV/AIDS

Nevirapine May Cause Severe Hepatotoxicity
Prodromal signs and symptoms, risk information, and monitoring recommendations have been added to the labeling.
Medscape Drug Alert 2004

Neurology & Neurosurgery

thumbnailTriptan Use for Migraine Does Not Increase Cardiovascular Risk
Triptan drugs, as used in general practice in the UK for treatment of migraine, do not increase the risk of stroke, cardiovascular events, and death, investigators report in the Feb. 24 issue of Neurology.
Reuters Health Information 2004

Critical Care

Discrepant Autopsy Findings in ICU Patients Remain Common
Nearly one third of the autopsies conducted on patients who died while in one intensive care unit in France over a 3-year period revealed major diagnostic errors, physicians report in the Archives of Internal Medicine for Feb. 23. Many of these discrepancies were probably due to false-positive and false-negative findings on diagnostic studies.
Reuters Health Information 2004

Pediatrics

thumbnailProbe of Lead Investigator in Vaccine-Autism Study Eyed After Lancet Statement
Britain's General Medical Council (GMC) is considering launching an inquiry of Dr. Andrew Wakefield, the man at the center of Britain's MMR vaccine furor, after The Lancet reported undisclosed conflicts of interest in a key article.
Reuters Health Information 2004


medpulse subtopic logo

thumbnailGuidelines Validated for the Management of Mild Head Injury
Based on a prospective study reported in the March issue of the Journal of Neurology, Neurosurgery and Psychiatry, the investigators suggest that the proposed guidelines may be reliable, clinically sensible, and potentially cost-effective for use in the emergency department.
Medscape Medical News 2004

Infectious Diseases

Risk of Postoperative MRSA Infections Linked to Socioeconomic Status
Patients living in more socially deprived areas may be more likely to become infected with methicillin-resistant Staphylococcus aureus (MRSA) after major surgery, British investigators report in the Feb. 28 issue of The Lancet.
Reuters Health Information 2004

Family Medicine

thumbnailFolic Acid Fortification in US More Effective Than Previously Thought
A folic acid fortification strategy recently implemented in the US may have decreased the rate of neural tube defects (NTDs) to a greater extent than previously thought, new research reported in the March issue of Obstetrics and Gynecology suggests.
Reuters Health Information 2004

Gastroenterology

Slow-Transit Constipation May Be a Distinct Clinical Entity
Half of patients with slow-transit constipation also had reduced gastric emptying and 44% had gallbladder dysmotility, according to research published in the February issue of the Southern Medical Journal.
Medscape Medical News 2004

Ob/Gyn & Women's Health

thumbnailUS Justice Dept. Seeks Hundreds of Medical Records
The U.S. Justice Department has subpoenaed Planned Parenthood for the confidential medical records of hundreds of women as part of its defense against challenges to a federal law that bans a type of late-term abortion, the family planning organization said on Thursday.
Reuters Health Information 2004

Money & Medicine

FBI Examines Possible Congressional Bribes in Medicare Bill -- Paper
Federal agents have begun examining whether bribes were offered to win passage of a White House-backed Medicare prescription drug bill, a Capitol Hill newspaper reported on Thursday.
Reuters Health Information 2004

Pediatrics

Alliance Sets Goal to Increase Child Vaccinations
An international alliance launched a campaign on Friday to save the lives of one million children by 2006 by increasing access to immunizations in the world's poorest countries.
Reuters Health Information 2004

Critical Care

thumbnailPoor Prognosis for COPD Patients With Do Not Intubate Orders
Those patients using only noninvasive ventilation had about 30% survival at one year, compared with 65% for usual care, which is important in discussing prognosis and making informed decisions. The findings are published in the February issue of Critical Care Medicine.
Medscape Medical News 2004

SCCM Meeting Coverage

Early Initiation of Drotrecogin Alfa May Improve Survival
Timing of treatment as well as APACHE II scores predict outcome, according to a presentation at the 33rd Critical Care Congress, the annual meeting of the Society of Critical Care Medicine.
Medscape Medical News 2004
Are You Eating Too Much Salt? - How much salt is healthy? It’s a question that many Americans have asked yet there is still much confusion over what is truly a healthy amount. If you’ve ever thought twice about adding salt to your food, you won’t want to miss this article. Plus, find out which type of salt is best.

Vitamin D Lowers Inflammation - Along with preventing cancer, arthritis, and osteoporosis, research has revealed that vitamin D lowers C-Reactive Protein (CRP), a measure of inflammation in the body that has been linked to diabetes and heart disease. If you haven't had your vitamin D levels tested, find out why you'll want to consider getting them checked today.

"The Weight Optimizing Benefits of Atkins & South Beach, but Then a Whole Lot More" -- at 20% Off for a Limited Time! - See what John Gray, Ph.D., author of a dozen blockbuster bestsellers including the "Men are from Mars, Women are from Venus" series of books, had to say about my new book presenting my entire dietary program in Part One and over 150 brand-new healthy and delicious recipes in Part Two. And for a limited time, take a full 20% off this book that is guaranteed for life to help you avoid disease, optimize weight and live longer!

 

 

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Six Ways Garlic Can Improve Your Health - Looking for something to fight viruses, fungus and bacteria while preventing heart disease and cancer? Try garlic, an incredibly inexpensive and simple way to improve your health.

Outrageous Congressional Abuse - Read how one congressman may have been dealing with drug companies while holding one of the most powerful positions in Congress and drafting legislation involving drug benefits. The potential conflicts of interest are hard to ignore.

How to Live Healthy in "Our Toxic World" - Most people are not aware that chemicals in our environment, from the air we breathe to the homes we live in, can cause many of the diseases plaguing the nation such as cancer, obesity, and fertility problems. Find out how what you can do to avoid these toxins and improve your health in this review of Dr. Rapp’s important book, "Our Toxic World: A Wake Up Call."

Philadelphia & Surrounding Cities: Register Now for the Food & Health Expo Where I'll Be the Keynote on March 21 - Attend the 12th annual Food & Health Expo on Sunday, March 21 in Philadelphia. I am honored to be this year's keynote speaker, and will provide a full presentation on How to Fight Disease & Achieve Total Health, and have a table at the event. Other premier health speakers will be featured, you'll be able to sample from a wide variety of foods, and much more -- all for just $15!

Can Spirituality Improve Your Health? - Is prayer and spirituality an effective way to improve your health? Find out what the scientific studies have revealed.

Odds Are The Drug Industry is Paying Off Your Doctor - Many doctors are unaware that gifts and freebies from the drug companies are significantly influencing their prescribing habits. Find out how to seek the truth about your health without relying on drugs.

People Lie More by Phone Than by E-Mail - If you’re concerned someone is lying to you, you may be better of e-mailing them next time! Find out why researchers say it makes sense that more people lie by phone than by e-mail.

10 Interesting Facts on Money - Find out what is less important to Americans than having money and becoming rich. The surprising answers really put what's important in life into perspective.

Mercury and Vaccine Link to Autism - There is increasing evidence that exposure to mercury while in the womb is indeed associated with an increased risk of autism and attention-deficit hyperactivity disorder (ADHD). The number of women who have enough mercury in their systems to harm a developing child is shocking. Find out the primary method of exposure to mercury for women of childbearing age.

Diet Wars Have Religious Fervor - The ongoing battles between which diet is the best become so intense that they take on a religious fervor. Find out about the diet wars that have been going on for centuries, and learn how to determine which diet is right for you.

Get Fit, Increase Energy, and Eliminate Cravings with the Healthiest Convenience Food: Living Fuel Rx - Want to shed pounds, regain energy and live longer but don't always have time to prepare a full meal? Living Fuel Rx -- in Super Greens and new Super Berry -- is the answer. I researched many "healthy" convenience foods, but only Living Fuel Rx provides the total nutrition your body needs. Find out all the ways this all-natural superfood will help you!


thumbnailOf Tumors, Genes, and Unsuspected Talents
The latest reports from the annual meeting of the American Society of Cell Biology and a debate on genetics vs individual freedom
Medscape Molecular Medicine 6(1) 2004


Conference Report - Extracellular Matrix and Cancer: Revisiting Metalloproteinases
Has the last word been said on metalloproteinase inhibitors or are new findings raising new hopes?
Medscape General Medicine 6(1) 2004


Evaluation of a Deidentification (De-Id) Software Engine to Share Pathology Reports and Clinical Documents for Research
In the sixth century BC, the Hippocratic oath made it very clear: "Whatever I shall see or hear in the course of my dealings with patients, it should not be published abroad, I will never divulge, holding such things to be holy secrets."
Am J Clin Pathol 121(2) 2004


Relapsing Polychondritis
Relapsing polychondritis was first described 80 years ago, and although much has been written about this unusual disease, there continues to be much that we do not know.
Curr Opin Rheumatol 16(1) 2004


Neutralization of Free Digoxin-like Immunoreactive Components of Oriental Medicines Dan Shen and Lu-Shen-Wan by the Fab Fragment of Antidigoxin Antibody (Digiband)
Traditional Chinese medicines are readily available in health food stores in the United States.
Am J Clin Pathol 121(2) 2004


Expression of bcl-6 and CD10 Protein is Associated With Longer Overall Survival and Time to Treatment Failure in Follicular Lymphoma
Follicular lymphoma (FL) is one of the most common B-cell lymphomas in Europe and the United States, accounting for 40% of all non-Hodgkin lymphomas.
Am J Clin Pathol 121(1) 2004


DYNAMIC CANCER NETWORKS: LATEST FINDINGS
Are there new targets still awaiting discovery in anticancer
treatments? Catch up on latest findings. Read the Medscape
Conference Report "Extracellular Matrix and Cancer: Revisiting
Metalloproteinases," NEW in the Biologic Therapies in Cancer
Resource Center from Medscape.




FROM MEDSCAPE NEUROLOGY/NEUROSURGERY
A Practical Approach to Recognizing and Managing Restless Legs Syndrome
In this CME activity, learn the proper diagnosis and management of restless legs syndrome, a common movement disorder.


thumbnailTemporal Lobe Epilepsy: The Current State of Knowledge
Learn about the latest research and practice parameters being used to manage patients with temporal lobe epilepsy.


ACE Inhibitors and Secondary TIA Prevention
Do ACE inhibitors play a role in the secondary prevention of transient ischemic attacks?
Medscape Neurology & Neurosurgery 6(1) 2004


thumbnailLimb Contractures in Parkinsonian Patients
Although rare, limb contractures associated with PD can lead to severe deformities in hands and feet. Learn about possible etiology, differential diagnosis, and management strategies here.
Medscape Neurology & Neurosurgery 6(1) 2004


Fibromyalgia
Fibromyalgia is a syndrome characterized by generalized pain, fatigue, disturbed sleep, and numerous unexplained somatic complaints that is present in at least 5% of the general adult population (mostly women) in Western countries.
WebMD Scientific American Medicine 2004


Late Complications of Adult Idiopathic Scoliosis Primary Fusions to L4 and Above
The authors characterize complications related to primary long fusions using modern 2+ rods and hook/pedicle screw instrumentation methods in the treatment of adult idiopathic scoliosis?
Spine 29(3) 2004


Vertebral Body Replacement With an Expandable Cage for Reconstruction After Spinal Tumor Resection
Learn about one group's clinical experience with expandable cages used to stabilize the spine after vertebrectomy.
Neurosurg Focus 15(5) 2003


FROM OTHER MEDSCAPE SPECIALTIES
Abnormal IVP
57 year old presenting with dull, aching right flank discomfort.
Appl Radiol Online 3(2) 2004


Behcet Syndrome
Behcet syndrome is a systemic vasculitis of small and large vessels of unknown origin. In one prospective study, 20 of the 140 patients with BS were diagnosed as having CNS involvement.
Curr Opin Rheumatol 16(1) 2004


MEDSCAPE NEUROLOGY RESOURCE CENTERS
Medscape Pain Management Resource Center
This Medscape Resource Center provides the latest medical news and clinical information on pain and its management, including reports from recent conferences, review articles, CME programs, and links to clinical practice guidelines and other related resources on the Web.


PARKINSONISM-ASSOCIATED LIMB CONTRACTURES
What modalities are recommended to overcome these rare, severe
deformities in advanced PD? Read "Limb Contractures in Parkinsonian
Patients" and join this Ask the Experts discussion, NEW in the
Parkinson's Disease Resource Center from Medscape.


 NEWS

MOVEMENT DISORDERS
Anxiety and Depression Common Among Patients With Restless Legs Syndrome
Patients with restless legs syndrome exhibit relatively high levels of anxiety and depression, according to a report in the February issue of the Journal of Neurology, Neurosurgery, and Psychiatry.
Reuters Health Information 2004


ALZHEIMER'S DISEASE AND DEMENTIAS
Cognitive Benefits of Galantamine Sustained During Long-term Use
In an open-label extension study, this drug slowed cognitive decline in patients with Alzheimer disease during 36 months of continuous use.
Medscape Medical News 2004


Testosterone Decline May Add to Impairment in Alzheimer's and Parkinson's
The age-related decline in plasma testosterone levels is similar in men with Parkinson's disease (PD) and in those with Alzheimer's disease (AD), researchers report. They say testosterone deficiency "may act as a 'second hit' to impair cognitive function in neurodegenerative disease."
Reuters Health Information 2004


Lilly Warns of Zyprexa Risks for Elderly Demented Patients
Eli Lilly and Co. on Friday said it has warned doctors that its schizophrenia treatment Zyprexa significantly raises the risk of death and stroke in elderly patients with dementia.
Reuters Health Information 2004


HEADACHE AND OTHER PAIN-RELATED TOPICS
Topiramate Effective in Preventing Migraines
Treatment with the antiepileptic drug topiramate (Topamax) significantly reduces the frequency of migraines. Moreover, the benefits occur within the first month of treatment, researchers report in the February 25th issue of the Journal of the American Medical Association.
Reuters Health Information 2004


Triptan Use for Migraine Does Not Increase Cardiovascular Risk
Triptan drugs, as used in general practice in the UK for treatment of migraine, do not increase the risk of stroke, cardiovascular events, and death, investigators report in the February 24th issue of Neurology.
Reuters Health Information 2004


Increasing Standing Periods for Children With Cerebral Palsy Improves Spine BMD
Non-ambulant children with cerebral palsy (CP) have an improved vertebral but not tibial bone mineral density (BMD) after participating in longer periods of standing, according to a report in the February issue of the Archives of Diseases in Childhood.
Reuters Health Information 2004


Novel Pathologic Prion Causes Amyloid Plaque in BSE Cattle
In a previously undescribed phenotype of bovine spongiform encephalopathy (BSE), amyloid plaques are deposited in cortical areas of the brain, Italian researchers report. The molecular properties of the intracerebral prion protein (PrP) in this amyloidotic form of BSE resemble those associated with one subtype of sporadic Creutzfeldt-Jakob disease (sCJD) in humans.
Reuters Health Information 2004


LEGISLATION, POLICY, PRACTICE MANAGEMENT
US Mandates Bar Codes on Medicines to Boost Safety
Prescription drug makers will be required within two years to put bar codes on packaging in an effort to reduce potentially dangerous dispensing errors in hospitals, U.S. health officials said on Wednesday.
Reuters Health Information 2004


Probe of Lead Investigator in Vaccine-Autism Study Eyed After Lancet Statement
Britain's General Medical Council (GMC) is considering launching an inquiry of Dr. Andrew Wakefield, the man at the center of Britain's MMR vaccine furor, after The Lancet reported undisclosed conflicts of interest in a key article.
Reuters Health Information 2004