Family Practice News articles from July 2006

Family Practice News archives from July 2006

Male bone health deemed a frontier.(Antiresorptive therapy for idiopathic osteoporosis )(Disease/Disorder overview)
July 1, 2006... TORONTO -- The largest study thus far to evaluate antiresorptive therapy for idiopathic osteoporosis in men, and the first to use a once-weekly dosing schedule, found bone mineral density benefits equivalent to those seen with treatment for...

Follow-up of early breast cancer well managed by FPs: specialists no match on costs, satisfaction.(Family physician)(Clinical report)
July 1, 2006... ATLANTA -- Family physician follow-up care of early-stage breast cancer patients is an acceptable, cost-effective, and safe alternative to cancer specialist follow-up care, Dr. Eva Grunfeld reported at the annual meeting of the American Society...

'Clinical inertia' plagues diabetes care, data show.(Clinical report)
July 1, 2006... WASHINGTON -- "Clinical inertia" is a common, chronic condition among American physicians who treat patients with diabetes. That was the conclusion from several studies presented at the annual scientific sessions of the American Diabetes...

Once-daily type 2 drugs promising.(Type 2 diabetes)(Drug overview)
July 1, 2006... WASHINGTON -- A new class of drugs for type 2 diabetes shows promise in reducing blood glucose, improving beta-cell function, and helping patients control their weight--all via one oral dose per day, researchers reported at the annual...

ACE inhibitors linked to congenital malformations: the FDA wants more data on first-trimester use before changing the black box warning or designation.(Food and Drug Administration)(Angiotensin converting enzyme inhibitors)(Drug overview)
July 1, 2006... The use of ACE inhibitors in the first trimester has been linked to an array of congenital malformations of the fetal cardiovascular system, CNS, and renal system, and therefore can no longer be considered sale, according to an observation...

Clinton, Obama pitch patient safety approach to liability.
July 1, 2006... Two Democratic senators are aiming to move patient safety to the center of the medical liability debate. Sen. Hillary Rodham Clinton (D-N.Y.) and Sen. Barack Obama (D-Ill.) have introduced legislation that would provide grant funding for...

Switch to exemestane extends early breast cancer survival.(Tamoxifen therapy)(Drug overview)
July 1, 2006... ATLANTA -- Postmenopausal women with early-stage hormone-receptive breast cancer who have done well on 2-3 years of tamoxifen therapy have significantly improved disease-free and overall survival if they are switched to exemestane midway...

Early antidepressant response bodes well.(Drug overview)
July 1, 2006... TORONTO -- Most clinical recommendations advise that patients who start an antidepressant be given 4-6 weeks to see whether they respond and have improvement. But an analysis of more than 5,000 patients treated in clinical trials with a...

AMA takes a 'bold shift' on the uninsured.(American Medical Association)
July 1, 2006... CHICAGO -- Individual health insurance mandates, direct-to-consumer advertising, and store-based health clinics topped the list of issues addressed at the annual meeting of the American Medical Association's House of Delegates. On the...

Should physicians communicate with patients via e-mail?
July 1, 2006... E-mail Offers Advantages E-mail opens up the bandwidth of communication with our patients. Patients can initiate contact 24 hours a day, 7 days a week at their convenience, and physicians can reply at a time convenient for them. Unlike...

Name that syndrome: JHS or EDS-HM?(Letters)(Letter to the editor)
July 1, 2006... Your fine and timely publication provides a great service to our practice of family medicine, but I wanted to comment on the article about joint hypermobility syndrome ("Joint Hypermobility Syndrome Underdiagnosed," June 1, 2006, p. 44). I...

No news for swimmer's ear.(Letters)(Letter to the editor)
July 1, 2006... I am glad there are now official guidelines to back up what I have been doing all along ("New Swimmer's Ear Guidelines: Use Drops First," May 1, 2006, p. 6). I am, however, a little shocked to learn that specialists and apparently other...

Low vitamin D may elevate hypertension risk.(Disease/Disorder overview)
July 1, 2006... NEW YORK -- People with low serum levels of vitamin D have an increased risk of developing hypertension, based on the results from two prospective studies, one of which included more than 38,000 men. On the basis on both analyses, "we...

Combo antihypertensives should be first line: nearly half of patients on two agents met diastolic goals compared with a third of those on monotherapy.(Drug overview)
July 1, 2006... NEW YORK -- Combination antihypertensive therapy must be used more aggressively as the first-line treatment for patients, especially those with diabetes, Dr. Joel M. Neutel said at the annual meeting of the American Society of Hypertension. ...

Aliskiren plus a diuretic controls 24-hour blood pressure.(Drug overview)
July 1, 2006... NEW YORK -- A new oral antihypertensive drug, the renin inhibitor aliskiren, was effective when given with a diuretic, and it also achieved consistent, 24-hour blood pressure control as monotherapy in a pair of studies that together included...

Watch for statin-Rx interactions, side effects.(Drug overview)
July 1, 2006... PHILADELPHIA -- Be alert for potential interactions and side effects when prescribing statins, Dr. Douglas S. Paauw advised at the annual meeting of the American College of Physicians. While hepatotoxicity and rhabdomyolysis are relatively...

Two firms shelve dual-action diabetes drugs.(Drug overview)
July 1, 2006... The future of dual [alpha]-[gamma]-peroxisome proliferator--activated receptor agonists may be in question now that development has been halted on two such agents after the completion of phase III trials. In early May, AstraZeneca...

FDA recalls contaminated insulin syringes.(Food and Drug Administration)(Disease/Disorder overview)(Brief article)
July 1, 2006... The Food and Drug Administration has announced the recall of Closer-care insulin syringes and the extension of an earlier recall of Ultilet insulin syringes due to bacterial contamination with Paenibacillus. The recall includes Closercare...

Severity score simplifies foot ulcer management: for use with diabetic patients, the new system rates four wound factors found predictive of healing.(Metabolic Disorders)(Disease/Disorder overview)
July 1, 2006... A new system for scoring the severity of foot ulcers in diabetic patients helps predict the likelihood of healing, hospitalization, local surgery, and amputation, according to Dr. Stefan Beckert and his associates at the University of Tubingen...

Tailor exercise recommendations for patients with diabetes.
July 1, 2006... MIAMI -- Not enough diabetic patients exercise, but even when they do, greater attention needs to be paid to how to best manage the effects of exertion on their type of disease, Dr. Dennis A. Cardone said at the annual meeting of the American...

In hypertensives with impaired glucose, skip thiazide diuretics.
July 1, 2006... NEW YORK -- An angiotensin receptor blocker was unable to counter the glucose intolerance triggered by a thiazide diuretic in a study of more than 200 patients with metabolic syndrome and hypertension. Hydrochlorothiazide (HCTZ) is known to...

Middle-age factors predict fracture risk.(Brief article)(Clinical report)
July 1, 2006... TORONTO -- Risk factors for fractures in later life are already present in middle age, and their early identification can provide a window of opportunity for intervention, Dr. Anna H. Holmberg said at a world congress on osteoporosis. The...

BMD gains superior on monthly bisphosphonate.(Bone mineral density)
July 1, 2006... CHICAGO -- A 2-year analysis has shown that once-monthly ibandronate provides bone mineral density increases in women with postmenopausal osteoporosis superior to those seen with the proven daily dose. Previously reported 1-year results...

Vaginal ring upsets metabolism less than the pill: evidence suggests that oral contraceptives augment insulin resistance and related long-term risks.
July 1, 2006... WASHINGTON -- The contraceptive vaginal ring has fewer metabolic adverse effects than do oral contraceptives and may be a better alternative for insulin-resistant women, those with diabetes, and women with metabolic syndrome at increased risk...

Insulin levels higher among obese teens taking medroxyprogesterone.(Drug overview)
July 1, 2006... BOSTON -- The use of medroxyprogesterone may impair insulin and glucose metabolism in obese adolescents, thus increasing the long-term health risks of young women in an already vulnerable population, Dr. Nancy E. Fritz said at the annual...

FDA approves 'follow-on' human growth hormone.(Food and Drug Administration)(Omnitrope)(Drug overview)
July 1, 2006... The Food and Drug Administration has approved the first "follow-on" version of a human growth hormone, Omnitrope, a recombinant somatotropin made by Sandoz International GmbH. The approval is notable in that it raises questions about the...

Herpes zoster vaccine cost/benefit ages well.(Drug overview)
July 1, 2006... LOS ANGELES -- An attenuated herpes zoster virus vaccine effectively prevents herpes zoster and postherpetic neuralgia, according to a presentation by Dr. Samuel Cykert at the annual meeting of the Society of General Internal Medicine. The...

Check antibody levels before revaccinating adopted kids.(Clinical report)
July 1, 2006... SAN FRANCISCO -- Records for most vaccines flora most countries of origin for children adopted internationally are trustworthy, Dr. Bindy Crouch said in a poster presentation at the annual meeting of the Pediatric Academic Societies. For...

Antibiotic avoidance averts E. coli--related complications.(Escherichia coli diarrhea)
July 1, 2006... CHICAGO -- Aggressive fluid management and avoidance of medication are key in preventing the development of hemolytic uremic syndrome in children with Escherichia coli diarrhea, said Dr. Marianne GauscheHill at a meeting sponsored by the...

Test for inducible clindamycin resistance necessary in MRSA.(Methicillin-resistant Staphylococcus aureus)(Drug overview)
July 1, 2006... CHICAGO -- The "D test" is a critical second-step test when methicillin-resistant Staphylococcus aureus cultures come back showing erythromycin resistance and clindamycin susceptibility, according to Dr. Jeffrey Starke. "It should be...

HPV vaccine expected to prevent most vulvar and vaginal cancers.(Human papillomavirus vaccines)(Drug overview)
July 1, 2006... ATLANTA -- The recently approved quadrivalent human papillomavirus vaccine shown to be effective for preventing most HPV-related cervical cancers is also expected to prevent most vulvar and vaginal cancers, Dr. Jorma paavonen reported at the...

Treat bilateral AOM with antibiotics in toddlers: for children younger than 2 years but with AOM in only one ear, the benefit was much more modest.(Acute otitis media)(Drug overview)
July 1, 2006... SAN FRANCISCO -- Children younger than 2 years with acute otitis media in both ears constitute the pediatric population most likely to benefit from antibiotic treatment of this common childhood infection, according to the findings of a...

Corticosteroids, antihistamines fail to help acute otitis media.
July 1, 2006... SAN FRANCISCO -- Although it may seem logical that corticosteroids, antihistamines, and/or decongestants may be good adjunctive treatments of acute otitis media, the evidence does not bear this out, Dr. Tasnee Chonmaitree said at the annual...

Rifaximin-loperamide combo knocks out traveler's diarrhea.(Drug overview)
July 1, 2006... LOS ANGELES -- A combination of rifaximin and loperamide, taken at the first sign of traveler's diarrhea, is the optimal way to treat an illness that affects 10 million American tourists a year, Dr. Herbert L. DuPont said at the annual...

Intervene, monitor facial hemangioma on infants.(Disease/Disorder overview)
July 1, 2006... LAS VEGAS -- Telling parents that an infant's facial hemangioma will go away and doesn't need follow-up is no longer acceptable, Dr. Edward D. Buckingham said at an international symposium sponsored by the American Academy of Facial Plastic and...

FDA approves drops for chronic eczematous external otitis.(Food and Drug Administration approves Fluocinolone acetonide oil)(Brief article)
July 1, 2006... KOLOA, HAWAII -- Fluocinolone acetonide oil 0.01% ear drops are the first drug to earn a Food and Drug Administration indication for the treatment of chronic eczematous external otitis, Dr. Lawrence F. Eichenfield said at the annual Hawaii...

Caffeine posited to enhance psoriasis Tx response.(Methotrexate and sulfasalazine)(Clinical report)
July 1, 2006... PHILADELPHIA -- Patients with psoriasis who drink coffee frequently respond better to treatment with methotrexate and sulfasalazine, Dr. Yolanda Helfrich reported at the annual meeting of the Society for Investigative Dermatology. That...

Anticoagulation doesn't foul capsule endoscopy.(Small-bowel findings on capsule endoscopy )(Brief article)
July 1, 2006... LOS ANGELES -- The rate of small-bowel findings on capsule endoscopy was the same whether or not patients were on anticoagulation or antiplatelet therapy, results from a single-center study showed. The findings are important because many...

Diabetes, CAD tied to increased colorectal cancer.(Coronary artery disease)(Disease/Disorder overview)
July 1, 2006... LOS ANGELES -- The risk of developing colorectal adenomas is increased both in women with diabetes and individuals with coronary artery disease, according to two studies presented at the annual Digestive Disease Week. Dr. Jill E. Elwing of...

Red flags mark progression to Crohn's disease.(Disease/Disorder overview)
July 1, 2006... LOS ANGELES -- A number of clinical, laboratory, and serologic "red flags" may distinguish patients with ulcerative colitis who will progress to a diagnosis of Crohn's disease, researchers reported at the annual Digestive Disease Week. Dr....

Low literacy sabotages colonoscopy preparation.(Clinical report)
July 1, 2006... LOS ANGELES -- Low literacy was by far the most common independent predictor of poor bowel preparation and incomplete colonoscopy in a study presented at the annual Digestive Disease Week. Among 195 patients who underwent colonoscopy at an...

Autism test highly predictive of diagnosis at age 3.(Disease/Disorder overview)
July 1, 2006... SAN FRANCISCO -- An 18-month-old child who scored above the threshold for autism spectrum disorders on the Autism Diagnostic Observation Schedule was more than six times as likely to have a clinical diagnosis of autism spectrum disorder at the...

Comorbidities common in autistic kids.(Disease/Disorder overview)(Brief article)
July 1, 2006... SAN FRANCISCO -- Data from a large national survey document very high levels of comorbidity among children with autism, James G. Gurney, Ph.D., reported at the annual meeting of the Pediatric Academic Societies. Compared with children aged...

Insomnia.(Treated with Benzodiazepines)(Drug overview)
July 1, 2006... Several new prescription medications have been introduced recently for treating insomnia and have largely taken the place of the benzodiazepines, once the most commonly used medications for insomnia. The newer nonbenzodiazepine benzodiazepine...

Sexual-abuse cycle can be broken, experts assert.
July 1, 2006... ATLANTA -- The general perception is that society is at the mercy of sexual abusers and molesters, with little recourse besides knowing where they live. But that view is not shared by experts and professionals in the field. Prevention...

Advances in fibroid treatment loom on horizon.
July 1, 2006... TORONTO -- Treating uterine fibroids may eventually be as simple as prescribing a pill, of zapping the benign growths with high-intensity focused ultrasound--two of several promising nonsurgical alternatives to the roughly 300,000...

Weigh fetal exposure risks against undertreatment.
July 1, 2006... TORONTO -- Physicians weighing the risks versus benefits of medicating nonobstetric conditions during pregnancy should consider that their dilemma is not one of fetal exposure versus nonexposure, according to Dr. Zachary N. Stowe, a...

Prenatal vitamins and reducing pediatric cancer risk.
July 1, 2006... There is some evidence that the use of vitamins in general and folic acid in particular may inhibit the development of some types of cancer in adults, although the data are not from randomized trials and are debated. There are also several...

Contraceptive gel appears safer than nonoxynol-9: cellulose sulfate, an experimental vaginal gel, is reported effective in preventing HIV, pregnancy.(Clinical report)
July 1, 2006... WASHINGTON -- Cellulose sulfate, a new vaginal gel that is being developed as both a contraceptive and as a means of preventing human immunodeficiency virus and other sexually transmitted infections, is as effective as nonoxynol-9 in preventing...

Physicians debate conservative versus aggressive treatment of CIN 2 lesions.(Cervical intraepithelial neoplasia )(Disease/Disorder overview)
July 1, 2006... LAS VEGAS -- Experts are divided on how aggressively cervical intraepithelial neoplasia grade 2 should be treated, and on whether observation is an acceptable option, especially in low-risk populations. Cervical intraepithelial neoplasia...

Vaginal cytology deemed a poor endometrial Ca screen.(Endometrial cancer)(Clinical report)
July 1, 2006... PALM SPRINGS, CALIF. -- Routine vaginal cytology as a surveillance test for endometrial cancer recurrence is costly, inefficient, and benefits less than 1% of patients, Dr. Robert E. Bristow and his associates reported in a poster session at...

Premature ejaculation drug waits in the pipeline.(Clinical report)
July 1, 2006... PARIS -- Investigators have reported that an experimental on-demand drug for premature ejaculation was well tolerated in a 9-month open-label extension of two 12-week randomized controlled trials supporting its effectiveness. A total of...

Early conventional polytherapy slows RA course.(Rheumatoid arthritis)
July 1, 2006... CHICAGO -- In the era of biologically active agents for rheumatoid arthritis, it is worth remembering that early treatment with other disease-modifying antirheumatic drugs such as methotrexate, either alone or in combination, also can preserve...

Onychocryptosis strikes RA patients on biologics.(Rheumatoid Arthritis)(Disease/Disorder overview)
July 1, 2006... GLASGOW, SCOTLAND -- Onychocryptosis poses a particular risk to patients with rheumatoid arthritis being treated with biologics, so vigilance should be practiced in the foot care of these patients, reported Heidi J. Davys. Onychocryptosis...

Shoulder dislocation maneuvers lack evidence.(Medical condition overview)(Clinical report)
July 1, 2006... DENVER -- Shoulder dislocations are common occurrences, but there's surprisingly little agreement on the best way to treat them, Dr. John E. Kuhn said at the annual meeting of the American College of Sports Medicine. Based on the level of...

Panel backs rivastigmine for Parkinson's dementia: one study led to unanimous agreement that the cholinesterase inhibitor improves outcomes.(Clinical Rounds)
July 1, 2006... GAITHERSBURG, MD. -- The cholinesterase inhibitor rivastigmine is likely to be approved for a second indication: the treatment of mild to moderate dementia associated with Parkinson's disease, based on a study that found treatment was...

Multiple factors should guide an ankylosing spondylitis Dx.(Disease/Disorder overview)
July 1, 2006... GLASGOW, SCOTLAND -- Refinement of the clinical criteria for inflammatory back pain and the development of a probability approach to diagnosis are allowing earlier identification of ankylosing spondylitis, according to Dr. Martin Rudwaleit. ...

CMS expands coverage for cardiac rehabilitation.
July 1, 2006... MIAMI -- Private insurers are likely to follow the lead set by the Centers for Medicare and Medicaid Services and expand coverage for cardiac rehabilitation services, according to a presentation at the annual meeting of the American Medical...

Experts eager for easing buprenorphine limits.(Practice Trends)(Drug overview)
July 1, 2006... SAN DIEGO -- Despite the recent potential easing of the federal limit on the number of opiate-addicted patients a physician can treat, substance abuse experts continue to see a pressing need for more buprenorphine slots. At a recent...

Feds seek electronic credentials.(Brief article)
July 1, 2006... The ability to verify the identity and credentials of physicians after a disaster may be achieved via a chip or other technology, Anthony M. Cieri of the Department of Homeland Security said at a briefing sponsored by the Information Technology...

Survey: FDA influenced by politics.(Food and Drug Administration)(Public opinion)(Brief article)
July 1, 2006... A majority of Americans--82%--believe the Food and Drug Administration is greatly influenced by politics when making decisions about the safety and efficacy of new prescription drugs, according to a Wall Street Journal online Harris Interactive...

Too many screening tests?(Diagnostic tests during routine preventive health exams)(Brief article)(Clinical report)
July 1, 2006... Physicians are needlessly ordering certain diagnostic tests during routine preventive health exams, which is inflating the cost of medical care, according to a study from Johns Hopkins University, Baltimore. The U.S. Preventive Services Task...

J-1 visas for underserved areas.(Brief article)
July 1, 2006... J-1 visas remain the primary tool for recruiting physicians to work in underserved areas, according to a report by the U.S. Government Accountability Office. The GAO surveyed the 50 states, the District of Columbia, Guam, Puerto Rico, and the...

ICD-10 fraud concerns.(Brief article)
July 1, 2006... The Blue Cross and Blue Shield Association and the Medical Group Management Association are among those objecting to the planned implementation of ICD-10, the newest version of the comprehensive list of diagnostic billing codes used by health...

How about 'dark side of the moon'?(Colonoscopy for Treating Digestive Disease )(Brief article)
July 1, 2006... Could the iPod someday qualify as a medical device? A randomized, double-blind, controlled trial presented at this year's Digestive Disease Week found that letting patients listen to the music of their choice during colonoscopy reduced the need...

Then why is Utah so svelte?(childhood obesity linked with parental interaction)(Brief article)
July 1, 2006... Perplexingly, a study led by Dr. Kay Rhee of Boston University and published in the journal Pediatrics has found that strict parents have fatter kids. Of 872 families in 10 U.S. cities, 17% of children whose parents were deemed as "strict" via...

Pot causes pizza delivery, not cancer.(Smoking pot does not lead to cancer)(Clinical report)
July 1, 2006... Got teenagers at home? Quick, hide your medical journals! Investigators at the University of California, Los Angeles, led by Dr. Donald Tashkin, found that--contrary to their expectations--smoking pot does not lead to cancer, even in heavy...

Just don't do it after a colonoscopy.(Brief article)
July 1, 2006... Substituting an exercise ball for an office chair significantly boosts the energy you burn while sitting, according to a poster presented by Jeannie M. Haller at the annual meeting of the American College of Sports Medicine. Eight hours of ball...

Fluffy? We had to have him fristed.(Brief article)
July 1, 2006... The Tennessean newspaper reports that Senate Majority Leader Bill Frist, now shopping his memoirs to various publishers, is chagrined about his admission in his earlier book that as a medical student at Harvard, he would adopt cats from local...

Too bad we hear their conversations.(High school students are using a cellular phone )(Brief article)
July 1, 2006... According to an online report from the Associated Press, many high school students are using a cellular phone ring tone so high pitched that many adults--including their teachers--can't hear it, allowing the students to text-message each other...

Diabetes care for older Hispanics.(National Institute on Aging offers a free factsheet)(Brief article)
July 1, 2006... The National Institute on Aging offers a free factsheet in Spanish with information on preventing, detecting, and treating diabetes. To order a copy of "La diabetes en las personas mayores: una enfermedad que usted puede controlar," call...

Online database of children's services.(Brief article)
July 1, 2006... The Children's Advocacy Project hosts a Web site that provides physicians and families with a database of children's services, such as early intervention specialists and food and nutrition resources, in Philadelphia, New York City, and Hawaii....

Information on health care facilities.(Brief article)
July 1, 2006... UCompareHealthCare is an online service providing free in-depth reports about more than 16,000 nursing homes, more than 5,400 hospitals, and more than 535,000 physicians to help consumers make informed health care decisions. For more...

Online support for women with ALS.(Amyotrophic lateral sclerosis)(Brief article)
July 1, 2006... Duke University Medical Center has established an online support group for women with amyotrophic lateral sclerosis. Membership is limited to women with this neurodegenerative disorder, also known as Lou Gehrig disease. Women with ALS can join...

Cancer support for young adults.(FYI)(www.plwc.org )(Website overview)
July 1, 2006... People Living With Cancer, an American Society of Clinical Oncology Web site, offers information aimed at helping young adults with cancer to better understand their disease and to cope with issues unique to young cancer patients. For more...

Long-distance caregiving.
July 1, 2006... The National Institute on Aging is offering a new publication, "So Far Away: Twenty Questions for Long-Distance Caregivers," that focuses on concerns about long-distance care and offers ideas to help make the task more manageable. For more...

CMS proposes hike in E&M pay.(Centers for Medicare and Medicaid Services)(Evaluation and management)
July 15, 2006... A new proposal from the Centers for Medicare and Medicaid Services could result in a better bottom line next year for physicians who spend a lot of time on evaluation and management services. CMS officials are seeking to increase the work...

Febuxostat stamps out gout flares at four-year follow-up: low urate levels may eliminate tophi.(Clinical Rounds)
July 15, 2006... AMSTERDAM -- The investigational gout medication febuxostat consistently maintained serum urate levels below 6 mg / dL while markedly reducing gout flares in a 4-year study, Dr. H. Ralph Schumacher Jr. said at the annual European Congress of...

Hypertension risk soars in type 2 diabetic child.
July 15, 2006... WASHINGTON -- People of all ages with type 2 diabetes are at increased risk for essential hypertension, but the relationship is exceptionally strong among children and adolescents, Dr. Scott J. Jacober and his associates reported in a poster at...

West Nile virus.(Table)
July 15, 2006... West Nile Virus After Seven Summers, What's in Store for 2006? CASES DEATHS 1999 62 7 2000 21 2 2001 66 9 2002 4,156 284 2003 9,862 264 2004 2,539 100 2005...

BP declines in rimonabant users.(Blood pressure)(Drug overview)
July 15, 2006... MADRID -- Rimonabant, the novel cannabinoid type 1 receptor-blocking drug that has been gaining considerable attention for its ability to induce weight loss, improve glucose metabolism, raise HDL cholesterol, and lower triglycerides, also...

Emergency care system is shaky, panel warns.(News)
July 15, 2006... WASHINGTON -- The nation's emergency care is in a precarious state, strained by rising demand and insufficient resources, and Congress must act to shore up the system, an Institute of Medicine expert panel has concluded. Emergency...

Getting out of the boarding mind-set.(emergency nursing standards)(Brief article)
July 15, 2006... During the release of the Institute of Medicine report on the future of emergency medical care, Dr. Arthur Kellerman called for the immediate end to the practice of boarding patients in the emergency department. "There is a sense at many...

Gaps noted in EMS, pediatric services.(Emergency medical services)
July 15, 2006... Problems with the state of hospital-based emergency care received the most focus in the release of the Institute of Medicine reports, but two accompanying reports show that systemic issues with emergency medical services and pediatric emergency...