Knowledge of Medicine

Women Less Likely to Get Trauma Center Care After Injury: Study

admin — Wed, 22 May 2013 12:23:13 +0000

Title: Women Less Likely to Get Trauma Center Care After Injury: Study
Category: Health News
Created: 5/20/2013 12:36:00 PM
Last Editorial Review: 5/21/2013 12:00:00 AM
MedicineNet Daily News

Well: Can Cholesterol Drugs Undo Exercise Benefits?

admin — Wed, 22 May 2013 11:40:31 +0000

An important new study suggests that statins, the cholesterol-lowering medications that are the most prescribed drugs in the world, may block some of the fitness benefits of exercise, one of the surest ways to improve health.

NYT > Money & Policy

News From The Annals Of Family Medicine, May/June 2013

admin — Wed, 22 May 2013 11:17:32 +0000

Much of the May/June 2013 issue of Annals of Family Medicine and the entirety of an accompanying supplement published in partnership with the U.S. Agency for Healthcare Research and Quality are about changing primary care practice…
Arthritis / Rheumatology News From Medical News Today

Platelet Function Tests in Clinical Cardiology Unfulfilled Expectations

admin — Wed, 22 May 2013 10:40:49 +0000

This review is a critical evaluation of publications in the past decade on the usefulness of platelet function tests (PFTs) in clinical cardiology, in aiding diagnosis, predicting risk, and monitoring therapy. The ideal PFT should: 1) detect baseline platelet hyperreactivity; 2) allow individualization of antiplatelet medication; 3) predict thrombotic risk; and 4) predict bleeding risk. The practicalities of clinical cardiology demand rapid, accurate, and reliable tests that are simple to operate at the bedside and available 24 h a day, 7 days a week. Point-of-care PFTs most widely evaluated clinically include PFA-100 and VerifyNow. None of these tests can reliably detect platelet hyperreactivity and thus identify a prothrombotic state. Identification of antiplatelet nonresponsiveness or hyporesponsiveness is highly test specific, and does not allow individualization of therapy. The power of PFTs in predicting thrombotic events for a given individual is variable and often modest, and alteration of antithrombotic treatment on the basis of the results of PFTs has not been shown to alter clinical outcome. PFTs in current mainstream use cannot reliably assess bleeding risk. These tests have been in use for over a decade, but the hopes raised by PFTs in clinical practice remain unfulfilled. Although physiologically relevant measurement of platelet function now is more important than ever, a critical reappraisal of available techniques in light of clinical requirements is needed. The use of native blood, global stimulus instead of individual agonists, contribution of thrombin generation by activated platelets to the test results, and establishment of a PFT therapeutic range for each antiplatelet drug should be considered and is discussed.
Journal of the American College of Cardiology Current Issue

The Write Stuff: How Good Writing Can Enhance Patient Care and Professional Growth

admin — Wed, 22 May 2013 09:56:37 +0000

Life is short, said Hippocrates, the art long. Human lifespan has lengthened substantially in the 2400 years since the Father of Medicine wrote, but these gains have been dwarfed by the explosive discoveries that have revolutionized the art and science of medicine.
The American Journal of Medicine

TAVR quickly dominates high-risk aortic stenosis

admin — Wed, 22 May 2013 09:52:30 +0000

SAN FRANCISCO Its been barely half a year since U.S. cardiologists and cardiac surgeons first became able to routinely offer operable, high-risk patients with aortic stenosis the option of…

Surgery News

Novel Medicine For The Treatment Of Chronic Wounds

admin — Wed, 22 May 2013 09:18:31 +0000

Every 20 seconds, a limb is lost as a consequence of diabetic foot ulcer that does not heal. To date, medical solutions that can change this situation are very limited…
Dermatology News From Medical News Today

Effect of Hand Size on the Stimulation Intensities Required for Median and Ulnar Sensory Nerve Conduction Studies

admin — Wed, 22 May 2013 09:06:11 +0000

Abstract: Objectives: To examine the effect of hand size on median and ulnar sensory nerve conduction study (NCS) stimulation intensities and pain scores.Design: Prospective, single group design to compare main outcomes by using a standard distance of 14cm versus the proximal wrist crease in 3 different hand sizes.Setting: Electrodiagnostic laboratory in a department of rehabilitation medicine.Participants: Healthy volunteers (N=25) aged 20 to 30 years.Interventions: Hand size was determined, based on the distance between the proximal wrist crease and the base of the long finger, resulting in 3 groups (≤11cm, >11–12cm, >12cm) with 12 hands per group. Antidromic median and ulnar sensory NCSs were performed. The nerves were randomly stimulated at the proximal wrist crease and 14cm from the recording electrode.Main Outcome Measures: Supramaximal stimulation intensities and 10-cm visual analog scale (VAS) pain scores at each stimulating site were recorded and compared.Results: Thirty-six hands from 25 young healthy volunteers were studied. There was no correlation between the body mass index (BMI) and stimulation intensity, and BMI and VAS (r<0.3) in both median and ulnar nerves. Overall analysis showed that the stimulation intensity and VAS at 14cm were significantly greater than at the proximal wrist crease. Subgroup analysis showed the same result in all groups for the median sensory NCS, but in only the small hand group for the ulnar sensory NCS.Conclusions: When the same distance is used for NCSs regardless of patient size, smaller individuals required greater stimulation and reported greater discomfort. This may reflect greater nerve depth and suggests that one size fits all may not be the best approach with NCSs.
Archives of Physical Medicine and Rehabilitation

Report highlights cycle of deficits: with scant funding to fight HIV among gay men, missing data leads to missing response, and . . . scant funding

admin — Wed, 22 May 2013 08:34:35 +0000

You can only imagine the impact of the HIV epidemic on men who have sex with men in a country where institutionalized discrimination, bias and abuse is so extreme that sex between men is a felony that can lead to life in prison. You can only imagine, because in such an environment the data is [...]

(Read more…)

Science Speaks: HIV & TB News

Methotrexate Sodium, USP Injectable Vials by Sandoz US: Recall – Particulate Matter In Vials

admin — Wed, 22 May 2013 07:56:57 +0000

Particulate matter in parenteral drugs has been recognized as a potential health hazard.
MedWatch Safety Alert RSS Feed

Knowledge of Medicine

Women Less Likely to Get Trauma Center Care After Injury: Study

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