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drugs

What is the best insulin regimen for patients with diabetes?

November 6, 2009

Originally published in Insidermedicine
The best method for taking insulin among individuals with type 2 diabetes has been identified in research published in the latest issue of the New England Journal of Medicine.

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Vaccines do not cause autism in children, whether or not they have inborn errors of metabolism

November 6, 2009

Originally published in MedPage Today
by Michael Smith, MedPage Today North American Correspondent
Vaccination does not appear to cause autism or other health problems in children with inborn errors of metabolism, a researcher said here.
In a retrospective analysis, children with such conditions were not more likely than normal children to visit emergency rooms or need hospital [...]

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Clostridium difficile infection is spreading from the hospital to the community

November 5, 2009

Originally published in MedPage Today
by Charles Bankhead, MedPage Today Staff Writer
Clostridium difficile infection has spread from the hospital to the community but has proved manageable thus far.
From 1991 to 2005, the incidence of community-acquired C. difficile in Olmsted County, Minn., quadrupled but still remained less common than the hospital-acquired gastrointestinal infection, Sahil Khanna, MD, [...]

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Do antipsychotic drugs cause weight gain in children?

November 3, 2009

Originally published in Insidermedicine
Second-generation antipsychotic drugs can produce unwanted weight gain and other metabolic effects among children and youths after only a few weeks, according to research published in the latest issue of the Journal of the American Medical Association.

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H1N1 vaccine adverse events, and how to reassure patients

November 3, 2009

Originally published in MedPage Today
by Crystal Phend, MedPage Today Senior Staff Writer
Failure to account for background rates when considering adverse events from pandemic H1N1 flu vaccination could spark public panic, researchers cautioned.
Coincidental cases of dramatic events including sudden death, Guillain-Barré syndrome, and spontaneous abortion can be expected to boost the true incidence of adverse [...]

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Rheumatologists debate whether fibromyalgia is really a disease

November 2, 2009

Originally published in HCPLive.com
What defines a “disease?” At what point does a collection of symptoms and causes make the transition from “condition” to disease? Is it when a consensus forms around a concrete, observable, and repeatable set of biochemical and/or physiological processes and outcomes? Surely there is little doubt that diabetes or hypertension qualify as [...]

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Poll: Should boys get Gardasil, the HPV vaccine?

November 2, 2009

The FDA recently approved the vaccine against human papillomavirus for use in boys and men to prevent genital warts. The vaccine has been used successfully in females to prevent cervical cancer, which is associated with the virus.
But should we recommend the vaccine for men?
Studies have concluded that the HPV vaccine was successful in reducing [...]

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Depression is bad for your heart

October 30, 2009

Originally published in Journal Watch Psychiatry
by Steven Dubovsky, MD
And attaining remission significantly improves mortality risk in patients with acute coronary syndromes.

Depression is common after myocardial infarction (MI), and medical outcomes are worse in depressed patients. These researchers addressed long-term survival in a 6.7-year follow-up study of 361 patients with acute coronary syndromes (ACS) and [...]

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Beware using the web for H1N1 pandemic flu drugs

October 29, 2009

Originally published in MedPage Today
by Michael Smith, MedPage Today North American Correspondent
The Internet can be a great source of information about the pandemic H1N1 flu, but it’s also the mother lode of swine flu scams, the FDA is warning.
The agency says consumers should beware of products sold over the Internet that claim to diagnose, [...]

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This is why children need the H1N1 flu vaccine

October 28, 2009

by Crystal Phend, MedPage Today Senior Staff Writer
The pandemic H1N1 influenza virus continues to disproportionately attack the young, the CDC warned.
Children and adults under age 25 have accounted for 53% of hospitalizations for laboratory-confirmed H1N1 and 23.6% of related deaths since Sept. 1, the agency reported at a press briefing.
Seniors, on the other hand, [...]

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Have drug companies really curbed gifts to doctors at medical conferences?

October 27, 2009

by Roberta Friedman, PhD
Banning pharmaceutical companies from handing out token items to doctors at conferences is so tip of the iceberg.
I have tales to tell of conferences past, where the excesses were beyond farcical. As a medical reporter covering such meetings, I have seen everything. When my kids were young, I enjoyed roaming the floor [...]

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Is the newest, long-lasting insulin necessarily the best?

October 27, 2009

Originally published in HCPLive.com
by Anita Ramsetty, MD
We are very fortunate to have a number of newer insulins available for our patients.
For years we had animal insulins only. NPH and Regular, then we had Ultralente. The development of analog insulins marked the upswing in technology that we would sustain for a period of time. The [...]

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Both the far left and right agree not to receive the H1N1 vaccine

October 26, 2009

What can unify Glenn Beck and Rush Limbaugh with the progressive anti-vaccine bloggers of the Huffington Post?
Both camps are revolting against the H1N1 vaccine.
In a piece from Slate, Christopher Beam notes that “the two sides have finally found common cause,” and share a worldview where there’s “distrust—of doctors and modern medicine or of government.”
On the [...]

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Are we underusing aldosterone antagonists in congestive heart failure patients?

October 25, 2009

Originally published in Insidermedicine
Less-than one third of eligible patients being discharged from hospital with heart failure are being prescribed guideline-recommended treatment, even though the hospitals are participating in a program aimed at improving compliance with treatment guidelines, according to research published in the latest issue of the Journal of the American Medical Association.

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Texting young liver transplant patients to take their medications

October 16, 2009

Originally published in MedPage Today
by Todd Neale, MedPage Today Staff Writer
Here’s a case where texting may actually improve a teenager’s health: Text message reminders appear to be effective in getting young liver transplant patients to take their immunosuppressive medications, a small study showed.
In 41 patients with a median age of 15, there was a [...]

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One way to treat patients with severe H1N1 flu

October 15, 2009

Originally published in MedPage Today
by Todd Neale, MedPage Today Staff Writer
Most patients who underwent extracorporeal membrane oxygenation (ECMO) for respiratory failure survived their struggle with pandemic H1N1 flu, according to a study by researchers from Australia and New Zealand.
Of the 68 patients treated with ECMO during the Southern Hemisphere’s winter, 54 were still alive as [...]

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