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Money for medicine

Last week, it was announced that drug addicts in England are to be given shopping vouchers for complying with treatment programmes. In this week's British Medical Journal, two experts debate whether it is acceptable for people to be paid to adhere to medication.

3 Aug 2007

Headaches of computerized medicine

Clinical information technology systems especially those known in the health care industry as computerized provider order entry (CPOE) systems promise to improve health outcomes, reduce medical errors and increase cost efficiency, but hospitals adopting them must plan for immense workflow issues and a host of other unanticipated consequences that come with them or face potentially crippling problems.

3 Aug 2007

Age is important in HRT use

Five years ago this summer the National Institutes of Health's stopped early a major portion of the Women's Health Initiative (WHI), a large and ambitious study to address the most common causes of death, disability and impaired quality of life in postmenopausal women.

3 Aug 2007

Medical residents unclear about TB guidelines

US medical residents are not proficient at diagnosing and managing tuberculosis (TB), according to a report published in the online open access journal, BMC Infectious Diseases.

3 Aug 2007

Medical residents score poorly in diagnosing and managing tuberculosis

When quizzed about their knowledge in diagnosing tuberculosis and deciding on the best treatment, medical residents in Baltimore and Philadelphia get almost half the answers wrong, according to a survey by TB disease experts at Johns Hopkins and elsewhere.

3 Aug 2007

Integrated system, rapid transfer offers lifeline for heart attack victims

Heart attack patients received lifesaving treatment quickly when hospitals and communities used an integrated, rapid transfer system to get patients to a facility equipped to perform artery-opening procedures, according to a report in Circulation: Journal of the American Heart Association.

3 Aug 2007

Immunity in social amoeba suggests ancient beginnings

Finding an immune system in the social amoeba (Dictyostelium discoideum) is not only surprising but it also may prove a clue as to what is necessary for an organism to become multicellular, said the Baylor College of Medicine researcher who led the research that appears in the journal Science.

3 Aug 2007

Insulin Resistance Syndrome could be key to preventing cardiovascular disease, cancer, diabetes and Alzheimer's

New and important evidence shows that Insulin Resistance Syndrome can lead to elevated risk for cardiovascular disease, breathing and sleep disorders, liver disease, Polycystic Ovarian Syndrome, type 2 diabetes, certain cancers, Alzheimer's Disease and more.

3 Aug 2007

Gastroenterologist-directed sedation safe and effective for endoscopic procedures

The use of an evidence-based sedation protocol for endoscopic procedures improves the quality of practice and reduces the incidence of sedation-related adverse events, according to an AGA Institute Review of Endoscopic Sedation published in the August issue of Gastroenterology , the official journal of the American Gastroenterological Association (AGA) Institute.

3 Aug 2007

Potential biomarker to predict acute kidney injury earlier than current tests

Clinicians currently lack advance warning of acute kidney injury (AKI) for patients where kidney injury timing is unknown.

3 Aug 2007

Efalizumab effective in treatment of heavy psoriasis

A meta-analysis of four randomized Phase III placebo-controlled trials confirms that the injectable drug Efalizumab, a humanized therapeutic antibody designed to selectively and reversibly block the activation, reactivation and trafficking of T-cells that lead to the development of psoriasis, had an acceptable safety and efficacy profile in the treatment of psoriasis in heavy patients, researchers at Mount Sinai School of Medicine announced today.

3 Aug 2007

Daily stress exacerbates the symptoms lupus

Lupus is an autoimmune disease which produces antibodies causing injuries to the body's cells and tissue.

3 Aug 2007

Jump in cancer-related clots

Blood clots are increasingly common in cancer patients, but University of Rochester Medical Center researchers have created a novel risk model that can predict, with 98 percent certainty, which patients will not get a blood clot.

3 Aug 2007

Cognitive impairment link found in popular acid blockers

Long-term use of histamine2 receptor antagonists (H2A), one class of drugs that blocks stomach acid, may be associated with cognitive impairment in older African-American adults.

3 Aug 2007

Violence associated with disorders of arousal

Disorders of arousal (i.e., sleepwalking, confusional arousals and sleep terrors) have sometimes been associated with violent behaviors against other individuals.

3 Aug 2007

Gene variation makes people with depression more likely to respond to the medication citalopram

A variation in a gene called GRIK4 appears to make people with depression more likely to respond to the medication citalopram (Celexa) than are people without the variation, a study by the National Institute of Mental Health (NIMH), part of the National Institutes of Health, has found.

3 Aug 2007

Study compares specialty orthopedic and general hospitals

Specialty orthopedic hospitals serve a healthier population of Medicare patients compared to general hospitals, according to a new study by investigators at the University of Iowa and Department of Veterans Affairs (VA) Iowa City Health Care System.

3 Aug 2007

Sex and gender differences in chronic obstructive pulmonary disease

In the first study to directly compare men and women with chronic obstructive pulmonary disease, or COPD, and severe emphysema, researchers have found that there are marked differences between the sexes.

3 Aug 2007

Stem cell therapy rescues motor neurons in ALS model

In a study that demonstrates the promise of cell-based therapies for diseases that have proved intractable to modern medicine, a team of scientists from the University of Wisconsin-Madison has shown it is possible to rescue the dying neurons characteristic of amyotrophic lateral sclerosis (ALS), a fatal neuromuscular disorder also known as Lou Gehrig's disease.

3 Aug 2007

New detection techniques for pancreatic cancer

Using novel light-scattering techniques, researchers have found the first evidence that early stage pancreatic cancer causes subtle changes in part of the small intestine.

3 Aug 2007