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Health Care RSS FeedsPrimary Cutaneous Cryptococcosis in a Lung Transplant Recipient - Cryptococcus neoformans is the only encapsulated fungus that infects humans. The usual mode of infection is by inhalation of infective forms resulting in pulmonary and-or central nervous system cryptococcal infections. Recently, the incidence of cryptococcal infections has been increasing with the advent of human immunodeficiency virus (HIV) and transplantation.Southern Medical Journal...Feed Source: www.medscape.com FDA Safety Labeling Changes: NephrAmine and Neumega - The FDA has approved safety labeling changes for 5.4% amino acid injection (NephrAmine) and oprelvekin (Neumega).Medscape Medical NewsYael Waknine... Diagnostic Methods for Insect Sting Allergy - This review overviews advances from mid-2002 to the present in the validation and performance methods used in the diagnosis of Hymenoptera venom-induced immediate-type hypersensitivity. (CME)... Drug and Device Approvals: Europe and Japan - The EU has approved rituximab (MabThera) and duloxetine (Yentreve-Ariclaim) for use in the European Union, and orphan status for inhaled cyclosporine; Japan has approved a cobalt alloy stent (Driver Coronary Stent System).Medscape Medical NewsYael Waknine... Urine Pads Help Diagnose Urinary Tract Infection in Hospitalized Children - In a randomized trial, changing collection pads every 30 minutes almost eliminates contamination and facilitates the diagnosis of urinary tract infection in children still in diapers. (CME)Medscape Medical News... Mental Health of Caregivers Still at Risk After Patient With Dementia Is Institutionalized - Caregivers, especially spouses, are still at risk for depression and anxiety after the patient with dementia is placed in a long-term health care facility. (CME)Medscape Medical NewsGary Vogin,Désirée Lie,Laurie Barclay... Highlights of Obesity and the Built Environment: Improving Public Health Through Community Design - What event could bring together physicians, urban planners, dietitians, meteorologists, architects, social activists, policy planners, and politicians? Medscape Diabetes & Endocrinology... Hand-foot Syndrome in a Patient with Multiple Fire Ant Stings - Imported fire ant infestation has been an increasing problem in the Southeast United States for the last seventy years.Southern Medical Journal... Will Automatic Enrollment Save the Medicare Drug Card? - The Bush Administration seems to have abandoned its 7.3 million cardholder projection.Drug Benefit Trends®... The Validity and Accuracy of the Work Productivity and Activity Impairment Questionnaire -- Irritable Bowel Syndrome Version (WPAI:IBS) - Is the WPAI modified for IBS valid? Is it useful for quantifying productivity loss?Alimentary Pharmacology & Therapeutics... Eating Safely During Pregnancy - Use this printable patient handout on food safety for pregnant women, prepared by the American College of Nurse Midwives.Journal of Midwifery & Women's Health... Efficacy and Tolerability of Moxifloxacin in Patients With Sinusitis Treated in General Practice - This study suggests Moxifloxacin is a very effective and safe treatment for patients with acute sinusitis because of rapid symptom improvement and good tolerability.Clinical Drug Investigation™... Advances in Diabetes for the Millennium: Toward a Cure for Diabetes - This article reviews the current state-of-the-art strategies aimed at curing diabetes. The central rationale revolves around replacing the function of pancreatic islets. (CME)... Statins May Reduce Cardiovascular Risk in Type 2 Diabetes - Investigators in the CARDS trial suggest that patients with type 2 diabetes should receive a statin, even with "normal" cholesterol levels, but the editorialist is less confident. (CME)Medscape Medical News... Olympics Dispatch III: Victorious - Gary Hall, Jr, says he will give away his Olympic gold medal to the person who finds a cure for type 1 diabetes. Read an account of Gary's victory written by his endocrinologist, Anne Harmel, MD. Medscape Diabetes & Endocrinology... Advances in Left Ventricular Assist Devices: An Expert Interview With Yoshifumi Naka, MD, PhD - Most LVADs are implanted as a bridge to transplantation, but recently some have been used in lieu of heart transplant.Medscape Medical News... Cardiopulmonary Resuscitation Programs Revisited: Results of a Community Study Among Older African Americans - population-based study was conducted to assess knowledge and attitudes toward CPR and AED training and use in a sample population of African-Americans living in a large metropolitan area.The American Journal of Geriatric Cardiology... Current Recommendations for Influenza Vaccination in Children - Hospitalization rates for otherwise healthy children infected with influenza have been estimated at 100 per 100,000 children. In infants and children with chronic medical conditions, the rate of hospitalization is increased to 500 per 100,000 children.Pediatric Pharmacotherapy... A Randomized Controlled Trial to Increase Cancer Screening Among Attendees of Community Health Centers - Annals of Family Medicine... How Patients View Pharmacy Benefit Plans and Management Strategies - Patients have a slightly negative view toward formularies and do not have adequate knowledge about use of the formularies or the types of drugs covered.Drug Benefit Trends®... Stretching Impairs Balance and Reaction and Movement Times - Findings from a controlled study suggest that acute static stretching could be problematic for elite athletes as well as the elderly. (CME)Medscape Medical NewsGary Vogin,Désirée Lie,Laurie Barclay... Canadian Guidelines Address Prevention of Ventilator-Associated Pneumonia - If implemented effectively, this guideline could decrease morbidity, mortality, and costs of ventilator-associated pneumonia in mechanically ventilated patients. (CME)Medscape Medical NewsGary Vogin... Patient as Gatekeeper: Electronic Medical Records - The prospect of online access to our most personal information sounds somewhat disconcerting, and may prove to be a barrier to participation. Medscape General Medicine™... Is Politics Good for Medicine? - I was very disappointed that politics was brought into the article concerning "The American President and Electronic Medical Records." Medscape General Medicine™... A Dissenting Voice Regarding Mandated Electronic Medical Records - After reading recent manifestos about electronic medical records from President Bush, US Department of Health and Human Services officials, and others, I am profoundly disturbed.Medscape General Medicine™... Pulmonary Hemorrhage Syndrome Associated With an Autochtonous Case of Dengue Hemorrhagic Fever - The term dengue was introduced into the English medical literature in 1827.Southern Medical Journal... Editor's Response - Dr. George Lundberg responds to readers' Letters to the Editor regarding one of his MedGenMed Webcast Video Editorials from June 6, 2004 -- "The American President and Electronic Medical Records."Medscape General Medicine™... In the Pipeline: FDA Advisory Committee Reviews - In July 2004, the FDA Advisory committee convened to review topics currently under FDA Review. Dermatologic, gastrointestinal and oncologic agents are reviewed.AdComm Bulletin... Sticking the Landing: How to Create a Clean Ending to a Medical Visit - Seven skills will help you end the medical visit with greater satisfaction for both you and your patient.Family Practice Management... Physician's Role in a Natural Disaster: A Newsmaker Interview With John O. Agwunobi, MD, MBA - In the wake of Hurricane Charley and during future disasters, to be most effective, clinicians should integrate into plans established by FEMA or other governmental agencies.Medscape Medical NewsLaurie Barclay... Effects of Different Hypocaloric Diets on Protein Secretion From Adipose Tissue of Obese Women - In this study, macronutrient composition, at least the fat and carbohydrate contents, of hypocaloric diets was not of major importance for the outcome of dietary treatment.Diabetes... Boosting Child Immunizations as Kids Head Back to School - Child Immunization rates are at an all-time high in the U.S., but major gaps remain. As kids head back to school, we need to redouble our efforts to improve access to vaccinations among all children.American Public Health Association... Lumiracoxib May Be Useful for Osteoarthritis Without Worsening Cardiac Risk - Two reports from the TARGET trial show that lumiracoxib was associated with an 80% reduction in gastric complications compared with conventional NSAIDs, but the editorialists urge caution.Medscape Medical NewsLaurie Barclay... Was There Physician Complicity in State-Sponsored Human Torture in Guantanamo, Iraq, and Afghanistan? An Invitation for Military Physicians to Speak Out - I offer these pages of Medscape General Medicine as an opportunity for military physicians, who may remain nameless on request, to report any violations in accepted medical ethics. Medscape General Medicine™... Managed Care Matters: Plan Member Response to Increase in Copays Varies by Therapeutic Class - Price sensitivity was highest for NSAIDS and antihistamines, the study found.Drug Benefit Trends®... FDA Approvals: Adderall XR for Adults, Topamax for Migraines, and Others - The FDA has approved an amphetamine-dextroamphetamine combination (Adderall XR) for use in adults, topiramate (Topamax) for migraine prophylaxis, a new dosing algorithm for radiation therapy (AAA), and two kinds of pentetate (Ca-DTPA and Zn-DTPA) for internal radiation contamination.Medscape Medical NewsYael Waknine... Nicotine Patch May Be More Helpful Than Bupropion for Adolescent Smoking Cessation - In a randomized trial, bupropion did not improve smoking cessation over nicotine patch alone, suggesting that adolescents seem to respond differently than adults. (CME)Medscape Medical NewsGary Vogin,Désirée Lie,Laurie Barclay... Cutaneous Manifestations of Proteus Syndrome Reflect General Severity - In a prospective cohort study, numbers of cutaneous and extracutaneous findings were correlated, consistent with the postulated mosaic basis for this syndrome. (CME)Medscape Medical NewsGary Vogin,Laurie Barclay,Charles Vega... Olympics Dispatch II: August 19, 2004 - Anne Peters Harmel, MD, the physician of Olympic swimmer and type 1 diabetes patient Gary Hall, Jr, reports from Athens on Gary's win in the 50-meter freestyle prelims. Medscape Diabetes & EndocrinologyLaurie Barclay... Pseudomonas Sternoclavicular Pyarthrosis - Bone and joint infection in general caused by Pseudomonas organisms is a very well-described entity primarily affecting immunocompromised hosts.Southern Medical Journal... Post-Exercise Massage Has Questionable Physiological Benefit - A small study found that massage increased blood flow to skin but not to the femoral artery, suggesting diversion from recovering muscles.Medscape Medical NewsYael Waknine... FDA Safety Labeling Changes: Taxotere, Twinject, Paxil, and Others - The FDA has approved changes to safety labeling for docetaxel (Taxotere), epinephrine auto-injector (Twinject), and several antidepressants.Medscape Medical NewsYael Waknine... Extended Outpatient Rehabilitation Helpful After Hip Fracture - In a randomized trial, six months of this therapy improved function and quality of life for community-dwelling, frail elderly patients. (CME)Medscape Medical NewsGary Vogin,Laurie Barclay,Charles Vega... Combination Antibiotic Therapy Best for Pneumococcal Bacteremia - In a prospective multicenter trial, combination therapy improved survival for critically ill patients with pneumococcal bacteremia compared with monotherapy. (CME)Medscape Medical NewsGary Vogin,Laurie Barclay,Charles Vega... August 2004 - This month's column reviews FDA's new product approvals and labeling changes for Alinia, Botox Cosmetic, Mobic, Aldara, and Campral.Medscape Pharmacists... 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