Today's NEJM released studies from the Netherlands and from the Framingham Study concluding that elevated homocysteine levels being a predictive risk factor for osteoporosis.

Here are comments from the accompanying editorial:
Whether it is a culprit or a bystander, homocysteine can now be added to the growing list of risk factors for fractures. Its use might increase the predictive power of an assessment based not ...

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AMNews:
Cold kits stifle pleas for antibiotics

Minnesota physicians may have found a way to satisfy patients who hate to take no for an answer where antibiotics are concerned, researchers announced Feb. 29 at the International Conference on Emerging Infectious Diseases.

Patients with upper respiratory illnesses or acute bronchitis were provided boxes filled with over-the-counter pain relievers, decongestants, cough syrup and lozenges, powdered chicken soup and a teabag ...

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The ACP released a paper today focusing on uncompensated care for the uninsured. This paper coincides with Cover the Uninsured Week taking place from May 10-16:
In 2001, for instance, the American health care system provided close to $99 billion in care to uninsured patients, $35 billion of which was uncompensated.

Hospitals provided $24 billion of that care while physicians volunteered about $5.1 billion in uncompensated care, including ...

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AMNews:
Smoking cessation success reported

Training nurses and medical assistants who register patients at primary care facilities to use specific, guideline-based methods to encourage smoking cessation increases the likelihood that patients will successfully quit, according to a study published in the April 21 Journal of the National Cancer Institute.

Researchers tested the effectiveness of guidelines developed by the Agency for Healthcare Research and Quality in a randomized, controlled ...

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AMNews:
In what's believed to be the first lawsuit of its kind, a Texas patient who presented a fake ID and the patient's father were allowed to go forward with a civil lawsuit against a physician who gave the girl an abortion without contacting her parents.

Cherise Mosley Hughes first came into the clinic where Houston general practice physician Douglas Karpen, DO, works in the summer of 2000. She ...

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I'm flying soon, and thought this would be a relevant article to share.

Prescriber's Letter:
Practical Tips for Avoiding "Economy Class Syndrome"

What Is Economy Class Syndrome?

Economy class syndrome is a condition that can happen after sitting in a cramped space, such as the economy class section of an airplane. This can lead to blood clots in the legs and sometimes the ...

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Boston Globe:
2 chains urge OK for drug imports
CVS, Walgreens add to growing support

The nation's two largest chain drugstores, CVS and Walgreens, launched a challenge to the nation's drug manufacturers yesterday by calling on the Bush administration to develop a legal, safe channel for Americans to buy imported drugs.

CVS Corp.'s Tom Ryan, chairman and chief executive of the Rhode Island company, led the way ...

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AMNews:
Doctors prefer prescribing newer blood pressure drugs

Physicians are more likely to prescribe newer anti-hypertensives than their less expensive predecessors recommended by the Joint National Commission on High Blood Pressure Treatment, according to a study published in the December Journal of General Internal Medicine.

Researchers at the University of Michigan surveyed 1,700 primary care physicians, finding that most believed diuretics were less effective and that beta-blockers had ...

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This past Sunday, 60 Minutes did a piece on the emergence of drug-resistant bacteria. One of the major contributing factors is the overprescription of antibiotics for non-bacterial infections:

While we can't stop the bacteria from trying to outwit antibiotics, health officials say a dramatic cut in their use could help reverse the tide. That means doctors will have to stop writing, and patients will have to stop demanding, ...

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As you may know, Claritin has been OTC in the United States for awhile now. The repercussions of this is that competing brands such as Allegra and Zyrtec have been pushed to the most expensive co-pay tier in many drug plans. This is especially of concern for those who are not on a tiered drug plan. It has been my experience that some allergy sufferers do not ...

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Last year, there was a study done by the Royal Society of Medicine that suggested that patients forget up to 80 percent of what a physician tells them during an office visit:

"While you might not recall everything your doctor tells you, you're pretty confident you remember most of the information. Right?

Probably not, new research contends. Most patients forget as much as 80 percent of what their ...

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