tag:blogger.com,1999:blog-50365732011-07-15T14:27:33.998-07:00Welcome to the '96 Batch Medical College Trivandrum Blog Page!Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.comBlogger3501100tag:blogger.com,1999:blog-5036573.post-1108039988053896582005-02-10T04:53:00.000-08:002005-02-10T04:53:08.053-08:00

We did not focus exclusively on the blood pressure question. CAMELOT was more about what therapeutic strategy should be used with CAD patients.[1] We knew that some people advocated the use of angiotensin-converting enzyme (ACE) inhibitors, and although the results of the Heart Outcomes Prevention Evaluation (HOPE)[2] were not yet available when CAMELOT was set up, there was a lot of support for

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com8tag:blogger.com,1999:blog-5036573.post-1106293601252324082005-01-20T23:46:00.000-08:002005-01-20T23:46:41.253-08:00

"A recent error occurred when a nurse who was taking a patient's history recorded his insulin dose using the letter 'u' instead of the word 'unit' (Figure 1). The physician misread the 'u' as a '4' and wrote orders for doses dramatically different from what the patient had been taking (Figure 2). Although the physician also used the abbreviation 'u,' thankfully it was not misread as yet another 4

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1106293454990112222005-01-20T23:44:00.000-08:002005-01-20T23:44:14.990-08:00

"An order was written for '1.25 mg of Toradol x 1,' or so it seemed (Figure 1). Despite a spelling error (Tordol), that's the way a pharmacist initially read the transcribed telephone order (see below). Since the dose didn't make sense, the pharmacist checked with the transcribing nurse, who responded by saying she'd numbered the order for 25 mg of TORADOL (ketorolac) IV using the number 1

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1106276227753342362005-01-20T18:57:00.000-08:002005-01-20T18:57:07.753-08:00

The cyclooxygenase (COX)-2 inhibitor celecoxib (Celebrex) more than doubled the risk of cardiovascular events in subjects enrolled in the Adenoma Prevention with Celecoxib (APC) study, Celebrex maker Pfizer Inc said today. The large randomized, double-blind, placebo-controlled, multicenter study was designed to investigate whether celecoxib could prevent colon cancer in people who had previously

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1106080323413491562005-01-18T12:32:00.000-08:002005-01-18T12:32:03.413-08:00

Exercising before a meal improves postprandial endothelial function, according to the results of a study published in the Dec. 21 issue of the Journal of the American College of Cardiology. 'Free-living humans spend the majority of their lives in the postprandial state, and the changes to metabolism seen during the hours after meal ingestion are likely to play an important role in the

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1106080267535733772005-01-18T12:31:00.000-08:002005-01-18T12:31:07.536-08:00

The American Heart Association has updated its 1993 recommendations for blood pressure measurements. The new guidelines that are published in the February issue of Hypertension emphasize out-of-office blood pressure readings, proper cuff size, and more. 'Since the last statement, there have been huge changes in the technology used to measure blood pressure and in our knowledge about the

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1106080176229335002005-01-18T12:29:00.000-08:002005-01-18T12:29:36.230-08:00

Radio waves from mobile phones harm body cells and damage DNA in laboratory conditions, according to a new study majority-funded by the European Union, researchers said on Monday. The so-called Reflex study, conducted by 12 research groups in seven European countries, did not prove that mobile phones are a risk to health but concluded that more research is needed to see if effects can also be

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1106041675211361102005-01-18T01:47:00.000-08:002005-01-18T01:47:55.210-08:00

"A moderate-fat diet is better than a low-fat diet at improving cardiovascular disease risk factors, according to the results of a study published in the February issue of the American Journal of Clinical Nutrition."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1104486255958317872004-12-31T01:44:00.000-08:002004-12-31T01:44:15.956-08:00

Nonsteroidal anti-inflammatory drugs (NSAIDs) offer only a small, short-term benefit that may not be clinically significant for people with knee osteoarthritis (OA), according to the results of a meta-analysis published in the Nov. 30 Online First issue of the BMJ. Due to the long-term harm and lack of demonstrated benefit, the investigators recommend against long-term use of NSAIDs for OA."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1102788319512886812004-12-11T10:05:00.000-08:002004-12-11T10:05:19.513-08:00

"Elevated Alanine Aminotransferase Predicts New-Onset Type 2 Diabetes Independently of Classical Risk Factors, Metabolic Syndrome, and C-Reactive Protein in the West of Scotland Coronary Prevention Study"

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1102788172373202512004-12-11T10:02:00.001-08:002004-12-11T10:02:52.373-08:00

"Drinking one or two alcoholic beverages per day is inversely associated with extensive coronary calcification in individuals without coronary heart disease, according to the results of a study published in the November 22nd issue of the Archives of Internal Medicine."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1102788127270594732004-12-11T10:02:00.000-08:002004-12-11T10:02:07.270-08:00

"People with diabetes mellitus in midlife are nearly three times more likely to develop dementia in old age than their counterparts without diabetes, according to a report in the November 23rd issue of Neurology."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1102787455838980482004-12-11T09:50:00.000-08:002004-12-11T09:50:55.836-08:00

Other anticonvulsants that are being used for the treatment of painful diabetic neuropathy -- valproic acid, carbamazepine, gabapentin, and vigabatrin, for example -- have been associated with weight gain and/or impaired glycemic control. This is in contrast to the topiramate experience in this study in which a large number of subjects experienced weight loss. Of note, however, approximately 1 of

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1102786980558742962004-12-11T09:43:00.000-08:002004-12-11T09:43:00.556-08:00

"Unlike rofecoxib, celecoxib does not appear to increase risk of myocardial infarction (MI), according to the results of a case-control study posted online Dec. 7 and published in the Feb. 1, 2005, print issue of the Annals of Internal Medicine."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1102786739743538722004-12-11T09:38:00.000-08:002004-12-11T09:38:59.743-08:00

"Sleep deprivation alters hormones and increases appetite, according to the results of a brief randomized study published in the Dec. 7 issue of the Annals of Internal Medicine. The editorialists suggest that getting enough sleep may help reduce weight gain." Now I understand why I feel bloated after night duties!

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1102786655783597602004-12-11T09:37:00.000-08:002004-12-11T09:37:35.783-08:00

"Breast magnetic resonance imaging (MRI) has high sensitivity but not specificity for breast cancer, according to the results of a prospective trial published in the Dec. 8 issue of JAMA. The authors conclude that this test does not obviate the need for biopsy."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100889688351992952004-11-19T10:41:00.000-08:002004-11-19T10:41:28.350-08:00

"Premature birth, even with normal size for gestational age, may be a risk factor for insulin resistance developing in childhood, according to the results of a study published in the Nov. 18 issue of the New England Journal of Medicine."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100803035690103502004-11-18T10:37:00.000-08:002004-11-18T10:37:15.690-08:00

Analysis of the Losartan Intervention For Endpoint Reduction in Hypertension (LIFE) study and substudy published in the Nov. 17 issue of JAMA showed that improved outcome of antihypertensive therapy was associated with reduction in left ventricular hypertrophy (LVH) either by electrical criteria or echocardiography. The editorialist suggests that while we are awaiting the definitive study, it may

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100802715890777842004-11-18T10:31:00.001-08:002004-11-18T10:31:55.890-08:00

"Higher blood levels of selenium are associated with lower rates of colorectal neoplasia, the results of a study in the November 17th issue of the Journal of the National Cancer Institute suggest."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100802678114391822004-11-18T10:31:00.000-08:002004-11-18T10:31:18.116-08:00

"Higher blood levels of selenium are associated with lower rates of colorectal neoplasia, the results of a study in the November 17th issue of the Journal of the National Cancer Institute suggest."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100697857235893182004-11-17T05:24:00.000-08:002004-11-17T05:24:17.236-08:00

"Preliminary findings reported last year of bone marrow stem cell transfer to boost heart function after intervention for ST-segment elevation myocardial infarction (STEMI) appear to be holding up over the longer term. The 18-month results of the Bone Marrow Transfer to Enhance ST-Elevation Infarct Regeneration Trial (BOOST) show on magnetic resonance imaging (MRI) that left ventricular ejection

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100697829047505232004-11-17T05:23:00.000-08:002004-11-17T05:23:49.046-08:00

"Even for those older than 85 years, the target international normalized ratio (INR) for patients anticoagulated with warfarin for atrial fibrillation should be 2.5, according to the results of a case-control study published in the Nov. 16 issue of the Annals of Internal Medicine. The risks of intracranial hemorrhage (ICH) were not reduced with low-dose warfarin in this age group."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100358286890147902004-11-13T07:04:00.000-08:002004-11-13T07:04:46.890-08:00

"Drinking a sucrose beverage before exercise improves exercise capacity and sense of well being for patients with McArdle's disease, according to the results of a single-blind, randomized trial published in the Dec. 25 issue of the New England Journal of Medicine. The perspective writer agrees that this intervention can be helpful."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100358197074739552004-11-13T07:03:00.000-08:002004-11-13T07:03:17.073-08:00

"Patients with stable coronary artery disease (CAD) do not benefit from the addition of an angiotensin-converting enzyme (ACE) inhibitor, particularly trandolapril, according to the results of a randomized study published in the Nov. 11 issue of the New England Journal of Medicine."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100180995512898622004-11-11T05:49:00.000-08:002004-11-11T05:49:55.513-08:00

Sports Injuries in Children: "In recent years, medical and lay media have publicized the epidemic of obesity in Americans. Further, the last four decades have seen a disturbing increase in sedentary lifestyles in adults. Youth are also more sedentary, largely due to the influence of television watching and hours of indulgence in video games and online chats, activities that neglect cardiovascular

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100139493056167222004-11-10T18:18:00.000-08:002004-11-10T18:18:13.056-08:00

"Mutations in the glucocerebosidase gene (GBA) appear to increase the risk of idiopathic Parkinson's disease, according to findings of study involving Ashkenazi Jews. Previous reports have shown type 1 Gaucher's disease, which is caused by certain GBA mutations, is associated with parkinsonism. However, the role of GBA mutations in idiopathic Parkinson's disease was unclear."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100139448522411812004-11-10T18:17:00.000-08:002004-11-10T18:17:28.523-08:00

"Antibiotics targeting Chlamydia pneumoniae do not reduce cardiac events or mortality in patients with ischemic heart disease, according to a report in the October 25th issue of the Annals of Internal Medicine."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100139415567166752004-11-10T18:16:00.000-08:002004-11-10T18:16:55.566-08:00

"Antibiotics targeting Chlamydia pneumoniae do not reduce cardiac events or mortality in patients with ischemic heart disease, according to a report in the October 25th issue of the Annals of Internal Medicine."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100139146954379132004-11-10T18:12:00.001-08:002004-11-10T18:12:26.953-08:00

"Results from a placebo-controlled pilot study of statin therapy for the treatment of mild Alzheimer's disease suggest that 80 mg of atorvastatin daily can stabilize or slow progress of the disease, a finding that the lead investigator characterized as a 'proof of concept.'"

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100139124937581862004-11-10T18:12:00.000-08:002004-11-10T18:12:04.936-08:00

"Orlistat combined with lifestyle modifications reduces the incidence of type 2 diabetes, according to the results of a randomized trial published in the January issue of Diabetes Care. A related study in the same issue showed that in type 2 diabetics, use of orlistat results in greater improvement in free fatty acid (FFA) levels and insulin sensitivity (IS) with the same degree of weight loss.

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100139082022114802004-11-10T18:11:00.001-08:002004-11-10T18:11:22.023-08:00

"Daily replacement therapy with 50 mg of dehydroepiandrosterone (DHEA) significantly decreases visceral and subcutaneous abdominal fat and significantly increases insulin sensitivity in the elderly, according to the results of a six-month, randomized, double-blind, placebo-controlled preliminary trial published in the Nov. 10 issue of JAMA."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100139068940613492004-11-10T18:11:00.000-08:002004-11-10T18:11:08.940-08:00

"Carvedilol does not appear to worsen glycemic control and may improve some components of the metabolic syndrome in patients with diabetes and hypertension, according to the results of a randomized, double-blind, parallel-group trial published in the Nov. 10 issue of JAMA. The findings were also presented Tuesday at the American Heart Association Scientific Sessions in New Orleans"

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100139053929585222004-11-10T18:10:00.001-08:002004-11-10T18:10:53.930-08:00

"Patients who have had oculorespiratory syndrome (ORS) can be revaccinated safely, according to the results of a randomized trial published in the November issue of the Archives of Internal Medicine."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100139020656055482004-11-10T18:10:00.000-08:002004-11-10T18:10:20.656-08:00

"Amlodipine reduces adverse cardiovascular (CV) events in patients with coronary artery disease (CAD) and normal blood pressure (BP), according to the results of a randomized trial published in the Nov. 10 issue of JAMA. Intravascular ultrasound (IVUS) in these patients also suggests a slowing of atherosclerotic progression."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100097434249563702004-11-10T06:37:00.000-08:002004-11-10T06:37:14.250-08:00

"Tight blood pressure (BP) control can reduce the risk of diabetic retinopathy, according to the results of a randomized controlled trial published in the November issue of the Archives of Ophthalmology."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100097362575989272004-11-10T06:36:00.000-08:002004-11-10T06:36:02.576-08:00

"Atenolol may not protect against heart disease and actually may be harmful, according to the results of an analysis of trials published in the Nov. 6 issue of The Lancet."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100097350816652802004-11-10T06:35:00.000-08:002004-11-10T06:35:50.816-08:00

"Tight blood pressure (BP) control can reduce the risk of diabetic retinopathy, according to the results of a randomized controlled trial published in the November issue of the Archives of Ophthalmology."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1100097268921469742004-11-10T06:34:00.000-08:002004-11-10T06:34:28.920-08:00

"Dietary viscous fiber can reduce progression of carotid intima-media thickness (IMT), according to the results of a prospective trial published in the December issue of the American Journal of Clinical Nutrition. This benefit appears to be partially mediated through an effect on the lipid profile."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099964282936821842004-11-08T17:38:00.000-08:002004-11-08T17:38:02.936-08:00

"The shuttle walk test is as reliable as treadmill testing, evokes less cardiovascular stress, and is preferred by patients for the evaluation of claudication, according to the results of a study published in the November issue of Medicine and Science in Sports & Exercise."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099964214452457112004-11-08T17:36:00.000-08:002004-11-08T17:36:54.453-08:00

"High-intensity exercise does not increase joint damage in rheumatoid arthritis (RA) and may even be protective, according to the results of a randomized trial published in the November issue of the Annals of the Rheumatic Diseases."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099764557172831632004-11-06T10:09:00.000-08:002004-11-06T10:09:17.173-08:00

"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."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099751802691913932004-11-06T06:36:00.000-08:002004-11-06T06:36:42.690-08:00

"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?"

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099750886749726062004-11-06T06:21:00.000-08:002004-11-06T06:21:26.750-08:00

"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."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099750845539668482004-11-06T06:20:00.000-08:002004-11-06T06:20:45.540-08:00

"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."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099750707071411922004-11-06T06:18:00.000-08:002004-11-06T06:18:27.070-08:00

"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."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099750049217848292004-11-06T06:07:00.000-08:002004-11-06T06:07:29.216-08:00

"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

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099749902377132082004-11-06T06:05:00.000-08:002004-11-06T06:05:02.376-08:00

"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

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099749356879747152004-11-06T05:55:00.000-08:002004-11-06T05:55:56.880-08:00

"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

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099749297832757402004-11-06T05:54:00.001-08:002004-11-06T05:54:57.833-08:00

"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."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099749265851090612004-11-06T05:54:00.000-08:002004-11-06T05:54:25.850-08:00

"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."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099510516127880472004-11-03T11:35:00.000-08:002004-11-03T11:35:16.126-08:00

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.

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099508920255895762004-11-03T11:08:00.000-08:002004-11-03T11:08:40.256-08:00

"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."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099143636851618312004-10-30T06:40:00.000-07:002004-10-30T06:40:36.850-07:00

"New data support the concept that endothelial dysfunction is an early event in atherosclerosis and that the state of the endothelium may modify the association between traditional cardiovascular risk factors and atherosclerosis."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1099143291003692792004-10-30T06:34:00.000-07:002004-10-30T06:34:51.003-07:00

"The modified low carbohydrate (MLC) diet causes greater weight loss than does the U.S. National Cholesterol Education Program (NCEP) diet, according to the results of a randomized trial published in the Oct. 25 issue of the Archives of Internal Medicine."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1098467961899642212004-10-22T10:59:00.000-07:002004-10-22T10:59:21.900-07:00

"Providing an earlier exposure to clinical experience could strengthen and integrate medical education curriculum, a new study finds, a benefit that would also complement the problem-based learning approach that is becoming more popular in medical education."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1098467196320592332004-10-22T10:46:00.000-07:002004-10-22T10:46:36.320-07:00

"The reason for the increased risk of heart attack and stroke with the withdrawn arthritis drug rofecoxib (Vioxx) is a mystery neither the drug's maker Merck and Co. Inc. nor the U.S. Food and Drug Administration (FDA) has been able to explain."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1098466755927555522004-10-22T10:39:00.000-07:002004-10-22T10:39:15.926-07:00

Mean gestational duration of the delivered babies was 38.9 ± 2.2 weeks, and mean birth weight was 3405 ± 677 g (range, 1,200 – 5,500 g). Two children were born prematurely at 31 and 35 weeks, with birth weights of 1,200 and 2,300 g, respectively. The baby born at 31 weeks had been exposed to ciprofloxacin, maternal smoking, and multiple x-rays in utero. The other preterm baby had been exposed to

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1098466093607974952004-10-22T10:28:00.000-07:002004-10-22T10:28:13.606-07:00

"The ORLIstat and CArdiovascular Risk Profile in Patients With Metabolic Syndrome and Type 2 DIAbetes (ORLICARDIA) Study"

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1098466000385931932004-10-22T10:26:00.000-07:002004-10-22T10:26:40.386-07:00

"Treating metabolic and cardiovascular risk factors associated with polycystic ovary syndrome (PCOS) could reduce the incidence of serious medical consequences, according to a position statement from the American Association of Clinical Endocrinologists (AACE)."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1098465869801839362004-10-22T10:24:00.000-07:002004-10-22T10:24:29.803-07:00

"On the basis of the ALLHAT results, the NHLBI published an update of the national blood pressure guidelines, the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7).[4] These guidelines proposed 2 major new concepts: * 'Prehypertension' * Start therapy with a diuretic Prehypertension. JNC 7 raised the bar

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1098465050116204442004-10-22T10:10:00.000-07:002004-10-22T10:10:50.116-07:00

"At present approximately 50 million Americans live with blood pressure (BP) levels elevated enough to be considered 'hypertensive.' According to most of the current national guidelines, this means sitting systolic/diastolic blood pressure (SBP/DBP) values > 140/90 mm Hg for nondiabetic individuals and 130/80 mm Hg for those with diabetes.[1-3] Although the proportion of patients who achieve BP

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1098388207348587232004-10-21T12:50:00.000-07:002004-10-21T12:50:07.346-07:00

"Two U.S. scientists won the 2004 Nobel prize for medicine on Monday for showing how the sense of smell enables people to recall, for instance, the scent of spring lilac in the winter or the stench of rotten food eaten long ago."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1098387341697062742004-10-21T12:35:00.000-07:002004-10-21T12:35:41.696-07:00

"Humans have just 20,000 to 25,000 genes - well down on previous estimates of 27,000 to 40,000, says the latest analysis of the gene-containing portion of the human genome."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1097846092442047412004-10-15T06:14:00.000-07:002004-10-15T06:14:52.443-07:00

"The study, conducted by the Institute of Environmental Medicine at Karolinska Institutet in Stockholm found that the risk of developing the tumors, known as acoustic neuromas, almost doubled for persons who started using their mobile phone at least 10 years before diagnosis."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1097776960702761092004-10-14T11:02:00.000-07:002004-10-14T11:02:40.703-07:00

"Air should be used for initial neonatal resuscitation, and oxygen should be reserved for backup, according to a meta-analysis published in the Oct. 9 issue of The Lancet. 'International consensus statements for resuscitation of newborn infants recommend provision of 100% oxygen with positive pressure if assisted ventilation is required,' write Peter G. Davis, MD, from Royal Women's Hospital in

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1097776881488306042004-10-14T11:01:00.000-07:002004-10-14T11:01:21.486-07:00

"Plasma cystatin C level is an accurate marker of renal function and an independent predictor of mortality, suggesting that its measurement can improve early risk stratification of patients with suspected or confirmed non-ST-elevation acute coronary syndrome (ACS), according to the results of a prospective study published in the Oct. 19 issue of Circulation and published online Oct. 11. However,

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1097632256189205802004-10-12T18:50:00.000-07:002004-10-12T18:50:56.190-07:00

"Mechanistically speaking, there are reasons why inhibiting COX-1 and COX-2 might affect cardiovascular risk. Because COX-1 helps promote thrombosis and COX-2 helps inhibit it, blocking COX-2 but not COX-1 could theoretically increase the risk of myocardial infarction and other thrombotic events. On the other hand, inflammation has also been implicated in cardiovascular events, so controlling

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1097632183500142702004-10-12T18:49:00.000-07:002004-10-12T18:49:43.500-07:00

"Mechanistically speaking, there are reasons why inhibiting COX-1 and COX-2 might affect cardiovascular risk. Because COX-1 helps promote thrombosis and COX-2 helps inhibit it, blocking COX-2 but not COX-1 could theoretically increase the risk of myocardial infarction and other thrombotic events. On the other hand, inflammation has also been implicated in cardiovascular events, so controlling

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1097520507327056412004-10-11T11:48:00.000-07:002004-10-11T11:48:27.326-07:00

"Esterified estrogen is not linked to increased risk of venous thrombosis, according to the results of a population-based, case-control study published in the Oct. 6 issue of JAMA. However, in this study and in the Women's Health Initiative, there was about a twofold risk of venous thrombosis from conjugated estrogen."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1097520145012849282004-10-11T11:42:00.000-07:002004-10-11T11:42:25.013-07:00

"Blood transfusion in patients with acute coronary syndrome (ACS) is associated with an increased risk of 30-day mortality, according to the results of a post-hoc analysis of data from three large trials published in the Oct. 6 issue of JAMA. The investigators suggest caution in using transfusions to maintain arbitrary hematocrit levels in stable patients."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1097428626630043572004-10-10T10:17:00.000-07:002004-10-10T10:17:06.630-07:00

"The cough-induced anal reflex has been validated, according to the results of a study published in the October issue of the Journal of Neurology, Neurosurgery, & Psychiatry. The investigators suggest that this test should be incorporated in clinical neurologic practice."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1097340650280097432004-10-09T09:50:00.000-07:002004-10-09T09:50:50.280-07:00

"A review of the literature, published in the Sept. 21 Online First issue of Psychopharmacology, allows for validation of caffeine withdrawal. The investigators suggest that this validation is sufficient to warrant inclusion in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV)."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1097340545495722172004-10-09T09:49:00.000-07:002004-10-09T09:49:05.496-07:00

"High blood pressure is likely to cause cognitive decline in young people as well as old, according to the results of a longitudinal study published in the Oct. 4 Online First issue of Hypertension."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1097171840811732572004-10-07T10:57:00.000-07:002004-10-07T10:57:20.810-07:00

Discoveries concerning the controlled process of cell protein degradation have earned three scientists the Nobel Prize in Chemistry for 2004. Aaron Ciechanover and Avram Hershko from the Technion, Israel Institute of Technology, Haifa, and Irwin Rose from the University of California, Irvine, share the $1.3 million prize for discovering the process by which a protein called ubiquitin attaches

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096993782251520612004-10-05T09:29:00.000-07:002004-10-05T09:29:42.253-07:00

"Methicillin-resistant Staphylococcus aureus (MRSA) infections may be coming soon to a clinic near you, suggest researchers here at the Infectious Diseases Society of America annual meeting."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096779016057743742004-10-02T21:50:00.000-07:002004-10-02T21:50:16.056-07:00

"Severe hyperthyroidism is not included in the traditional differential diagnosis of ketoacidosis. However, thyroid hormone has well-documented lipolytic effects on adipocytes and may also promote hepatic beta-oxidation. We present a case in which a woman with severe hyperthyroidism developed otherwise unexplained ketoacidosis during the acute phase of her illness. We propose that thyrotoxicosis

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096681049881136422004-10-01T18:37:00.000-07:002004-10-01T18:37:29.880-07:00

"As a means of predicting coronary heart disease (CHD), exercise treadmill testing (ETT) provides prognostic information beyond that obtained with the Framingham risk score, even in asymptomatic subjects, new research shows."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096649657166108922004-10-01T09:54:00.000-07:002004-10-01T09:54:17.166-07:00

"The aim of this review is to perform a critical analysis of all completed studies evaluating pentasaccharides-synthetically derived, selective inhibitors of activated factor X-in prophylaxis in major orthopedic surgery and the treatment of venous thromboembolism."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096649119537721932004-10-01T09:45:00.000-07:002004-10-01T09:45:19.536-07:00

"Treatment with pravastatin reduces the risk of cardiovascular events in patients with or at risk for heart disease and concomitant chronic kidney disease (CKD), according to a report in the September 21st issue of Circulation."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096382314161578322004-09-28T07:38:00.000-07:002004-09-28T07:38:34.160-07:00

"Fondaparinux is at least as good as unfractionated heparin for the treatment of pulmonary embolism, according to the results of a randomized, open-label trial published in the Oct. 30 issue of the New England Journal of Medicine. The editorialist suggests the need for comparison to low-molecular-weight heparin, which is also as good as unfractionated heparin."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096382246437355522004-09-28T07:37:00.000-07:002004-09-28T07:37:26.436-07:00

"Among diabetics and even among individuals who are not diabetic, chronic hyperglycemia is independently associated with increased risk for cardiovascular disease, according to two reports in the Annals of Internal Medicine for September 21. As one group notes, it may be time for trials of 'interventions to reduce hemoglobin A1c in persons without diabetes"

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096382172061938622004-09-28T07:36:00.000-07:002004-09-28T07:36:12.063-07:00

"Rapid progression of coronary artery disease (CAD) in patients with stable angina is associated with increased C-reactive protein (CRP) levels, according to the results of a study published in the Sept. 20 Rapid Access issue of Circulation."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096382049173574292004-09-28T07:34:00.000-07:002004-09-28T07:34:09.173-07:00

"In an actual practice setting, the combination of bupropion standard release (SR) with counseling is associated with 23% to 33% quit rates, according to the results of an open-label, randomized trial published in the Oct. 27 issue of the Archives of Internal Medicine."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096382003404212542004-09-28T07:33:00.000-07:002004-09-28T07:33:23.403-07:00

"The American College of Chest Physicians (ACCP) has revised its guidelines for the prevention of venous thromboembolism (VTE). The updated guidelines, published in the September supplement of Chest, offer formal recommendations for long-distance travelers, advise against previously recommended antiplatelet therapy, and discuss new treatments and preventive measures for thrombosis."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096381814659402642004-09-28T07:30:00.000-07:002004-09-28T07:30:14.660-07:00

"An international expert committee on the diagnosis and classification of diabetes mellitus has published revised guidelines, which incorporate new data since the last report of 1997, in the November issue of Diabetes Care. Decreasing the cutoff for impaired fasting glucose from 110 mg/dL to 100 mg/dL could increase diagnoses of prediabetes by approximately 20%."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096197814739152422004-09-26T04:23:00.000-07:002004-09-26T04:23:34.740-07:00

"Oral erythromycin alone doubles the risk of sudden cardiac death, but when combined with the antihypertensives diltiazem or verapamil, the risk rises fivefold, according to the results of a study published in the Sept. 9 issue of the New England Journal of Medicine. 'Oral erythromycin prolongs cardiac repolarization and is associated with case reports of torsades de pointes,' write Wayne A. Ray,

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096197524377918152004-09-26T04:18:00.000-07:002004-09-26T04:18:44.376-07:00

"Results of a randomized trial published in the October issue of Chest confirm that 100% oxygen can be harmful for asthmatics and support recommendations to use the minimum concentration required to maintain target O2 saturation."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096196728373549592004-09-26T04:05:00.000-07:002004-09-26T04:05:28.373-07:00

"Full-body computed tomographic (CT) scanning may significantly increase the risk of cancer, according to the results of an analysis published in the September issue of Radiology. 'Our research provides definitive evidence that radiation risk is associated with full-body CT scans,' lead author David J. Brenner, PhD, DSc, from Columbia University in New York, says in a news release. 'The radiation

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096196203282341512004-09-26T03:56:00.000-07:002004-09-26T03:56:43.283-07:00

"Anakinra combined with methotrexate is safe and effective for patients with rheumatoid arthritis (RA) who have inadequate responses to methotrexate, according to the results of a multicenter, double-blind, randomized trial published in the September issue of the Annals of Rheumatic Diseases."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096196054682245872004-09-26T03:54:00.000-07:002004-09-26T03:54:14.683-07:00

"Adding nifedipine gastrointestinal therapeutic system (GITS) to conventional treatment of angina pectoris is not harmful and may reduce symptoms and need for coronary interventions, according to the results of a randomized trial published in the Aug. 31 issue of the Early Online Publication of The Lancet."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096195966624495322004-09-26T03:52:00.000-07:002004-09-26T03:52:46.623-07:00

"Ultrasonography-guided treatment is useful for breast abscesses in lactating women, according to the results of a retrospective study published in the September issue of Radiology."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1096195855923918172004-09-26T03:50:00.000-07:002004-09-26T03:50:55.923-07:00

"Ingestion of yogurt containing Lactobacillus acidophilus (La5) and Bifidobacterium lactis (Bb12) significantly decreases urease activity of Helicobacter pylori after six weeks, according to the results of a placebo-controlled intervention study published in the September issue of the American Journal of Clinical Nutrition."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1095952968604249782004-09-23T08:22:00.000-07:002004-09-23T08:22:48.603-07:00

"Serum 25-hydroxyvitamin D (25[OH]D) concentrations higher than 40 nmol/L are associated with improved lower extremity function in ambulatory patients aged 60 years and older, regardless of activity level, sex, age, race or ethnicity, and calcium intake, according to the results of a population-based survey published in the September issue of the American Journal of Clinical Nutrition. "

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1095952770377504222004-09-23T08:19:00.000-07:002004-09-23T08:19:30.376-07:00

"Enoxaparin sodium is a subcutaneously (SC) administered low-molecular-weight heparin approved in the United States for the inpatient or outpatient treatment of deep venous thrombosis (DVT) in place of standard heparin infusion. It may also be used as DVT prophylaxis in patients undergoing general or orthopaedic surgery. The standard prophylactic dose of enoxaparin for orthopaedic surgery is 30

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1095789427825036612004-09-21T10:57:00.000-07:002004-09-21T10:57:07.826-07:00

"The angiotensin-converting enzyme (ACE) inhibitor ramipril decreases risk of sudden cardiac arrest and nonfatal serious arrhythmic events in patients without left ventricular dysfunction, according to an analysis of the Heart Outcomes Prevention Evaluation (HOPE) trial results published in the Sept. 14 issue of Circulation and posted online Sept. 7 as a rapid access publication"

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com1tag:blogger.com,1999:blog-5036573.post-1095788564141420322004-09-21T10:42:00.001-07:002004-09-21T10:42:44.140-07:00

"Too many questions remain unanswered regarding the long-term effects of low carbohydrate diets for clinicians to recommend them to their patients, according to a paper in the September 4th issue of The Lancet."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1095788523490733892004-09-21T10:42:00.000-07:002004-09-21T10:42:03.490-07:00

"People who drink alcohol frequently in middle age are twice as likely as less regular drinkers to develop mild cognitive impairment in later life, a report in this week's British Medical Journal shows."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1095341167189623742004-09-16T06:26:00.000-07:002004-09-16T06:26:07.190-07:00

Critically ill adults receiving continuous infusions of lorazepam may accumulate propylene glycol (PG), causing a hyperosmolar anion gap metabolic acidosis, according to the results of a prospective trial published in the August issue of Critical Care Medicine.

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1094961122485379662004-09-11T20:52:00.000-07:002004-09-11T20:52:02.486-07:00

"The U.S. Food and Drug Administration (FDA) and Pfizer have notified healthcare professionals by letter of revisions to the warnings section of drug labeling for ziprasidone (Geodon), according to an alert sent today from MedWatch, the FDA's safety information and adverse event reporting system. The warning refers to the increased risk of hyperglycemia and diabetes in patients treated with

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0tag:blogger.com,1999:blog-5036573.post-1094961096691753102004-09-11T20:51:00.001-07:002004-09-11T20:51:36.690-07:00

"Anakinra combined with methotrexate is safe and effective for patients with rheumatoid arthritis (RA) who have inadequate responses to methotrexate, according to the results of a multicenter, double-blind, randomized trial published in the September issue of the Annals of Rheumatic Diseases."

Dr. Kayhttp://www.blogger.com/profile/16005011282711237295noreply@blogger.com0