Acupuncture for chronic pain? | Race, socioeconomic status and ovarian cancer treatment | Better diabetic treatment for dementia patients
 
 
April 16, 2015
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Acupuncture for chronic pain?
While healers and practitioners have used acupuncture to relieve pain for millennia, modern clinical trials assessing the efficacy of this approach yield seemingly inconsistent and contradictory results. The American Journal of Medicine (4/2015) Share: Email
 
Clinical Updates
Race, socioeconomic status and ovarian cancer treatment
There are racial and socioeconomic disparities in the receipt of specific components of National Comprehensive Cancer Network guideline care for ovarian cancer. American Journal of Obstetrics & Gynecology (4/2015) Share: Email
 
Better diabetic treatment for dementia patients
Which type of diabetic treatment is better for nursing home residents with dementia? Dementia residents with Type 2 diabetes in an Italian study were more likely to have episodes of severe hypoglycemia. Moreover, residents with diabetes are twice as likely to have dementia. This points to a need for using safer anti-diabetic drugs, such as rapid- and long-acting insulin analogs, rather than sulphonylureas. It is possible that the different pharmacodynamics of the insulin analogs are responsible for this difference. Journal of the American Medical Directors Association (4/2015) Share: Email
 
Functional neuroimaging to understand sexual decision-making
This investigation demonstrates the feasibility of a neuroimaging paradigm examining sexual decision-making in young women. A decision about whether to engage in sex incorporates degree of risk into decision-making differently than in nonsexual decisions. Future research can use this paradigm to examine how brain function is related to subsequent sexual behavior. Journal of Adolescent Health (4/2015) Share: Email
 
Secondary findings in pediatric genomic sequencing
In March 2013, the American College of Medical Genetics and Genomics presented a policy statement that whenever whole-exome or whole-genome sequencing was ordered, 56 genes known to be highly penetrant in high-risk groups must also be reported to the clinician. More than 300 members of the American Academy of Pediatrics Section on Bioethics and Section on Genetics and Birth Defects were surveyed about this policy. There was broad consensus that parents should have the right to opt out of receiving secondary findings. The Journal of Pediatrics online (2/26) Share: Email
 
Digoxin use in atrial fibrillation
In this study of digoxin use in patients with atrial fibrillation, in-hospital mortality was high in the study population (29%). Only 4% of patients suffered arrhythmic deaths, all of which were attributed to secondary causes. The American Journal of Cardiology (4/1/2015) Share: Email
 
Cholesterol treatment and changes in guidelines
American College of Cardiology/American Heart Association guidelines expand the number of patients recommended to receive statins, particularly among patients who were previously thought to be at moderate risk, and would increase the intensity of treatment for many patients at high risk. In this study population, significant numbers of patients at risk for cardiovascular events were not receiving guideline-based treatment. New cholesterol guidelines may make treatment decisions easier. The American Journal of Medicine (4/2015) Share: Email
 
Continuing Medical Education
2014 Joint ACTRIMS-ECTRIMS Meeting Reporter: Recent Clinical Advancements in Multiple Sclerosis
This Medical Meeting Reporter will summarize critical presentations and abstracts from the 2014 Joint ACTRIMS-ECTRIMS Meeting. Medical professionals specializing in multiple sclerosis debate and discuss the recent clinical trials in multiple sclerosis research as well as emerging treatments for progressive multiple sclerosis, rehabilitation and environmental factors affecting the disease. This CME program will assist medical professionals in providing the most current and up-to-date treatment for the management of patients with multiple sclerosis. Elsevier CME Share: Email
Medical News
USPSTF review explores screening for type 2 diabetes
A literature review released ahead of final recommendations from the U.S. Preventive Services Task Force found type 2 diabetes screening in asymptomatic patients does not improve survival over 10 years, although it's possible there is a longer-term mortality benefit. However, screening for and treating impaired fasting glucose or impaired glucose tolerance could stem progression to diabetes, according to the evidence, published in the Annals of Internal Medicine. It's not clear when the final guidelines will be released. Medscape (free registration) (4/13) Share: Email
Diabetes in early pregnancy linked to higher autism risk in children
Children whose mothers were diagnosed with diabetes by the 26th week of pregnancy had a 42% increased risk of being diagnosed with autism, according to a study in the Journal of the American Medical Association. Diabetes after 26 weeks of pregnancy and type 2 diabetes before conception were not associated with increased autism risk. USA Today (4/14) Share: Email
Aspirin after prostate cancer diagnosis linked to increased death risk
A study in the Journal of Urology showed that men who received aspirin therapy after being diagnosed with prostate cancer had an increased risk of dying from the disease or from other causes. Researchers said the connection was likely due to confounding factors. Aspirin use before diagnosis was not associated with higher mortality risk, the study found. Medscape (free registration) (4/14) Share: Email
Business Practice News
Medicare "doc fix" bill passes Congress
Congress approved a bill Tuesday that would prevent a 21% cut in payments to Medicare physicians. The 92-8 vote in the Senate came hours before the cut was supposed to be implemented. The bill, which is expected to be signed by President Barack Obama, also extends the Children's Health Insurance Program for two years. Reuters (4/14), USA Today (4/14), CNN (4/14) Share: Email
Patient's Perspective
Weight concerns impede smoking cessation among U.S. women
The belief that smoking helps control weight makes women less likely to attempt to quit smoking, compared with female smokers who believe otherwise, according to a study in the journal Tobacco Control. Researchers found that an increase in cigarette prices and exposure to anti-smoking messages were associated with an increase in attempts to quit smoking, but not among women who think smoking helps control weight. HealthDay News (4/13) Share: Email
IOM report lists ways to protect brain function with aging
An Institute of Medicine report said performing physical activity and reducing or managing heart disease risk factors can help people protect their brain function as they age. Being socially and intellectually active and getting enough sleep also are important, and the report recommended people talk with their health care practitioner about any medications or medical conditions that may affect cognition. HealthDay News (4/14), Medscape (free registration) (4/14) Share: Email
SmartQuote
Have patience. All things are difficult before they become easy."
-- Saadi,
poet Share: Email
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