Low-Risk Food Pattern May Reduce Risk for Diabetes
Dietary patterns affect the risk for type 2 diabetes to a greater extent vs intake of specific food groups, according to findings from the Multi-Ethnic Study of Atherosclerosis (MESA), reported in the June 10 Online First issue of Diabetes Care.
Post-MI Angina Common, Underappreciated, Undertreated in Registry Study
One in five patients with a myocardial infarction (MI) experienced angina one year after hospitalization for the acute event, and a substantial minority of those with angina had symptoms at least weekly, in a prospective, multicenter registry analysis appearing in the June 23, 2008 Archives of Internal Medicine [1].
Coronary Calcium Better Than Carotid IMT for Predicting CVD Risk, MESA Analysis Shows
Coronary artery calcium (CAC) scores are better than carotid intima media thickness (IMT) at predicting risk of subsequent cardiovascular disease events, a new analysis from the Multi-Ethnic Study of Atherosclerosis (MESA) suggests [1]. While CAC was best at predicting risk of all cardiovascular disease or coronary heart disease specifically, carotid IMT was modestly better than […]
Autogenous Tendon Grafting Effective for Extensor Tendon Reconstruction
Autogenous palmaris longus tendon grafting is effective for repairing ruptured extensor tendons in the wrist in patients with rheumatoid arthritis (RA), according to a report in the April 24th Journal of Orthopaedic Surgery and Research.
Salivary Duct Clips Control Drooling in Neurologically Impaired Children
Interruption of major salivary ducts using vascular clips controls saliva and improves quality of life in neurologically challenged children, according to a report in the May issue of the Archives of Otolaryngology–Head and Neck Surgery.
Universal Truths Abide in Medicine, Even in Parallel Universes
Medicine is practiced differently around the world, and yet some aspects — especially the frustrations — are fairly universal. Where better can you experience the similarities and differences than in the blogging world, where clinicians share stories from their practices and their personal lives? Two physician bloggers, known as "Dr. Dino" and "Dr. Emer," provide […]
Did Low Payments in Ambulatory Care Spawn the Hospitalist Movement?
One of the most interesting developments in American healthcare in the past decade is the emergence of hospitalists: internists whose sole job is to manage hospitalized patients, and who never venture into the more traditional outpatient setting.
VA Study: ART Confers Negligible Risk for Heart Disease
Four-year follow-up of more than 40,000 HIV-infected patients revealed no association between longer durations of ART exposure and risk for cardiovascular disease. Summary Many antiretroviral regimens have been associated with metabolic perturbations that are linked to risk for atherosclerotic heart disease. Consequently, there is keen interest in determining the rates of cardiovascular events among HIV-infected […]
Post-Myocardial Infarction Cardiogenic Shock: What’s New?
Cardiogenic Shock: Current Concepts and Improving OutcomesReynolds HR, Hochman JSCirculation. 2008;117:686-697 Cardiogenic Shock: Basics and Clinical ConsiderationsGowda RM, Fox JT, Khan IA Int J Cardiol. 2008;123:221-228 Historically, cardiogenic shock (CS) was nearly always fatal after myocardial infarction (MI). Mortality rates were consistently reported at approximately 80% until the 1990s, when the mortality improved but only […]
New Recommendations Issued for Treatment of Malaria in the United States
A systemic review of treatment of malaria in the United States, published in the May 23/30 issue of JAMA, provides recommendations to minimize morbidity and mortality of this disease. "Even though endemic malaria has been eliminated from the United States, it remains a leading infectious disease worldwide," write Kevin S. Griffith, MD, MPH, from the […]
