Saturday, November 06, 2004

Telmisartan May Not Be Inferior to Enalapril for ...

"The angiotensin II-receptor blocker (ARB) telmisartan is not inferior to the angiotensin-converting-enzyme (ACE) inhibitor enalapril for renoprotection in type 2 diabetes, according to the results of a randomized, multicenter, five-year trial published in the Nov. 4 issue of the New England Journal of Medicine."

Telephone Triage of Abdominal Pain

"When discussing a child experiencing abdominal pain with a parent over the telephone, what are the most critical questions to ask in order to distinguish urgent from routine?"

Sildenafil May Be Effective for Pulmonary Arterial Hypertension

"Sildenafil citrate produced significant improvement in six-minute walk test results of patients with pulmonary arterial hypertension (PAH), according to a randomized, placebo-controlled study presented here during a late-breaking clinical trials session at CHEST 2004, the 70th annual meeting of the American College of Chest Physicians."

Which Approach to Alcohol Screening Should We Use?

"The CAGE questions and the single question were equivalent by most measures examined. Clinicians in Missouri were significantly more likely to use the single question when it was the assigned screening approach (81% of encounters) than the CAGE questions(69%, P = .001), but we found no such difference in the AAFP network."

Sildenafil May Be Effective for Pulmonary Arterial Hypertension

"Sildenafil citrate produced significant improvement in six-minute walk test results of patients with pulmonary arterial hypertension (PAH), according to a randomized, placebo-controlled study presented here during a late-breaking clinical trials session at CHEST 2004, the 70th annual meeting of the American College of Chest Physicians."

Reduced Residency Hours Improves Patient Safety in Critical Care Units

"Elimination of extended work shifts and a reduction in work hours for medical residents in critical care units results in significant increases in sleep and significantly decreased rates of attentional failure and serious medical errors, according to the results of two prospective studies conducted by the Harvard Work Hours, Health and Safety Group and published in the Oct. 28 issue of the New England Journal of Medicine"

Reduced Residency Hours Improves Patient Safety in Critical Care Units

"Elimination of extended work shifts and a reduction in work hours for medical residents in critical care units results in significant increases in sleep and significantly decreased rates of attentional failure and serious medical errors, according to the results of two prospective studies conducted by the Harvard Work Hours, Health and Safety Group and published in the Oct. 28 issue of the New England Journal of Medicine"

FDA Approves Implantable Chip Used to Access Medical Records

"On Oct. 13, the U.S. Food and Drug Administration (FDA) approved the VeriChip, a computer chip implanted subcutaneously to facilitate medical record access. Advocates of the chip, produced and marketed by Applied Digital Solutions Inc. (ADS) in Delray Beach, Florida, believe it will improve rapid access to vital medical information on unconscious or uncommunicative patients, but some privacy experts have voiced confidentiality concerns."

Aggressive Statin Strategy Best for Patients With Heart Disease

"A management strategy emphasizing aggressive lipid lowering with statin therapy with atorvastatin is better than usual care for preventing a first cardiovascular event in patients with coronary heart disease (CHD), new research shows."

Shortage of 200,000 Doctors Predicted in US by 2020

"Over the next two decades, a shortage of 200,000 physicians could occur in the US unless measures are taken to curb current economic and medical trends, according to a new report. Still, what should be done to remedy the problem remains unclear."

Wednesday, November 03, 2004

Rosiglitazone May Improve Beta-Cell Function in Type 2 Diabetes

Rosiglitazone improves pancreatic ?-cell function in type 2 diabetes mellitus (DM) independent of correction of glucotoxicity, according to the results of a randomized trial published in the November issue of Diabetes Care.

Warfarin May Be Unnecessary After Mitral Valve Repair

"Patients who are in sinus rhythm after mitral valve repair are not at risk for stroke and therefore do not require the standard three-month course of warfarin (Coumadin) after surgery, according to a retrospective study."