From MedPage Today:

  1. Statins Tied to Boost in Men's Sexual Function. Statins appeared to improved erectile function to a clinically meaningful degree.
  2. Is 'Spring Ahead' a Heart Risk? In Michigan, the "spring forward" onto daylight saving time -- thus losing an hour's sleep -- appears to be associated with a temporary spike in heart attacks.
  3. Diet Soda -- Is This a Heart ...

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Apps used to monitor blood pressure need better design Here's a design approach that I really, really dislike: the scrolling wheel that is often used for number entry in iOS apps. I find that the scrolling wheel makes it very tiresome to enter numbers, and much prefer apps that offer a number pad, or another way to touch the number you need. (Or at least decrease the number at ...

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From MedPage Today:

  1. BP Control May Cut Second Stroke Risk in Half. Stroke patients do a poor job of consistently controlling their blood pressure, but those who do may cut their risk of having another stroke in half.
  2. Debulking, IP Chemo Best for Ovarian Ca. Optimal surgical debulking and intraperitoneal (IP) adjuvant chemotherapy afforded patients with advanced ovarian cancer the best outcomes in a ...

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From MedPage Today:

  1. Can the Health App Wild West Be Tamed? Mobile health applications can have a big impact on people's health and lifestyle habits and gather vast amounts of personal data -- all without any oversight. Is this a problem?
  2. Hypertension, Obesity Tied to Kidney Cancer. Increases in blood pressure and body mass were associated with greater risks of kidney cancer in U.S. ...

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When I meet a new patient, I’m frequently astounded by the health care he has received. I’ve met patients with absolutely no cardiac symptoms who have been receiving EKGs every six months for years. I’ve had patients brag to me about their annual executive physicals in which myriad tests including treadmill stress tests and chest x-rays were routinely performed. Patients get head-to-toe CT scans under the mistaken hope that they ...

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A small case with big implications almost escaped my notice this week.  The Boston Globe reported a case in which a family sued after a 23-year-old man died after being diagnosed with a lung infection. According to the Globe, the young man went to one of the Boston Emergency Rooms complaining of cough, fever, and chest pains.  Ok, stop right there all you armchair diagnosticians.  What does this man most ...

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From MedPage Today:

  1. Docs Unprepared for Payment Reform. A pair of recent reports call into question the ability of physician practices to embrace health reform efforts.
  2. Even a Few Drinks Tied to Poor Birth Outcomes. Women who consumed low levels of alcohol before conception and during pregnancy were more likely to have adverse birth outcomes such as low birth centile, low birth weight, and ...

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When it comes to high blood pressure treatment in the elderly, the plot continues to thicken. Last December, a minor controversy erupted when the JNC hypertension guidelines proposed a higher blood pressure (BP) treatment target (150/90) for adults aged 60+. And now this month, a study in JAMA Internal Medicine reports that over 3 years, among a cohort of 4961 community-dwelling Medicare patients aged 70+ and diagnosed with hypertension, those on blood pressure medication ...

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From MedPage Today:

  1. All-Oral HCV Regimen Works in 9 Out of 10. An all-oral, 12-week regimen appears to successfully treat hepatitis C virus (HCV) infection in about 90% of patients.
  2. CDC's Frieden to Docs: Dial Back Antibiotic Rx. Doctors in some hospitals are prescribing three times more antibiotics than physicians treating similar patients in other institutions.
  3. Anger Is Fast Trigger for Heart ...

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From MedPage Today:

  1. Bariatric Surgery Beneficial in Type 1 Diabetes. Overweight patients with type 1 diabetes may make good candidates for bariatric surgery, but unlike with type 2 disease, the procedure doesn't offer a chance of remission.
  2. Young Adults Undertreated for High BP. Primary care physicians may be dropping the ball on getting young adults with hypertension the medication they need to control their ...

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