Family Practice News articles from October 2005

Family Practice News archives from October 2005

Floods show need for emergency plan.(News)
October 1, 2005... The recent disaster in New Orleans may be a wakeup call for all physicians to establish some kind of emergency backup system for their businesses. "Physicians don't always think of themselves as running a business, but they're going to...

Fewer CV events seen with combo blood pressure Tx; amlodipine plus perindopril saved lives.(Cardiovascular Medicine)
October 1, 2005... Stockholm -- An antihypertensive combination of amlodipine plus perindopril was strikingly superior to a combination of atenolol and a thiazide diuretic in a major study that followed nearly 20,000 patients for 5.5 years. The...

FDA panel cautiously favors inhaled insulin.(News)
October 1, 2005... Silver Spring, Md. -- Advisors to the Food and Drug Administration voted to recommend approval of inhaled insulin, but at the same time expressed concern about the product's long-term pulmonary effects as well as the level of training that...

Ultra-endurance sports: bad for the heart?(News)
October 1, 2005... Stockholm -- Speculation that ultra-endurance athletics results in myocardial damage predisposing to subsequent serious cardiac arrhythmias and sudden death has been boosted by the findings of a new study of Australian Ironman Triathlon...

Report: all children need advice, comfort after a disaster.(News)
October 1, 2005... Doctors play a key role in caring for the young victims of Hurricane Katrina and educating patients on the importance of community response, the author of a new clinical report on the aftereffects of disasters from the American Academy of...

Disrupted ecology may protect La. from West Nile.(News)
October 1, 2005... Amosquito-eradication program is underway in storm-ravaged Gulf coast states, and federal officials hope that effort, combined with the hurricane's impact on the vector cycle, will prevent a surge in West Nile virus and other mosquito-borne...

First responders share their stories of Katrina.(News)
October 1, 2005... While television relentlessly conveyed Hurricane Katrina's destructive impact on property, the catastrophe's human costs emerged most powerfully in the clarity of individual voices. In the following e-mail, one physician shared his experiences...

Pioglitazone improves heart outcomes in diabetes.(News)
October 1, 2005... Pioglitazone significantly reduced the combined risk of myocardial infarction, strokes, and death in high-risk patients with type 2 diabetes, investigators reported at the annual meeting of the European Association for the Study of Diabetes....

FDA panel recommends muraglitazar alone, with metformin.(News)
October 1, 2005... Silver Spring, Md. -- A Food and Drug Administration advisory panel endorsed the approval muraglitazar for the treatment of type 2 diabetes, as monotherapy and in combination with metformin, but rejected its use in combination with...

Feds shouldn't have health care role.(Letters)
October 1, 2005... Predictably, neither of the commentators in the health savings accounts debate made an effort to correctly diagnose the problem; they just want to treat symptoms, an approach that we physicians should know is not optimal ("Will health savings...

Picking up the pieces.(Guest Editorial)
October 1, 2005... My entire professional career, except for 2 years in the U.S. Army, has been centered in New Orleans--at Tulane Medical School, the U.S. Veterans Affairs Medical Center, and for the past decade on the faculty of Louisiana State University....

Female genital cutting.(Guest Editorial)
October 1, 2005... Female genital cutting, a practice seen in parts of Africa and Asia, is becoming more relevant to health providers here in the United States. More than 130 million women worldwide have undergone female genital cutting (FGC), and...

Reducing homocysteine doesn't cut cardiovascular risk.(Cardiovascular Medicine)
October 1, 2005... Stockholm -- Lowering plasma homocysteine with B vitamin therapy does not prevent subsequent MIs and strokes in patients who have had an MI--to the contrary, it may even be harmful, according to the results of the first large randomized...

Society issues backwoods cardiac care guidelines.(Cardiovascular Medicine)
October 1, 2005... Snowmass, Colo. -- You're camping in remote backcountry when someone in your party develops chest pain that you believe is due to an acute coronary syndrome. Now what? New practice guidelines from the Wilderness Medical Society tackle...

Intense activity, emotion can spur aortic rupture.(Cardiovascular Medicine)
October 1, 2005... Vancouver, B.C. -- At the moment acute aortic dissection occurs, two-thirds of affected patients are engaged in extreme physical exertion or have just experienced profound emotional distress, John A. Elefteriades, M.D., reported at a meeting...

Aerobic fitness decreases mortality in hypertensive women.(Cardiovascular Medicine)(Brief Article)
October 1, 2005... Nashville, Tenn. -- Higher cardiorespiratory fitness is associated with lower all-cause mortality in hypertensive women, Carolyn E. Barlow said in a poster presented at the annual meeting of the American College of Sports Medicine. Ms....

Soy protein lowered blood pressure in Chinese trial.(Cardiovascular Medicine)
October 1, 2005... Vancouver, B.C. -- Increased intake of soybean protein may provide an important means of preventing and treating hypertension, Jiang He, M.D., declared at a meeting sponsored by the International Academy of Cardiology. He presented results...

Diet lowered LDL by 30%.(Cardiovascular Medicine)
October 1, 2005... New York -- Diet can work almost as well as a statin for cutting a patient's level of LDL cholesterol. Patients who stuck with a highly structured diet rich in plant sterols, soy protein, viscous fibers, and almonds maintained their serum...

Fibrate/statin called safer combo therapy.(Cardiovascular Medicine)
October 1, 2005... New York -- The combination of fenofibrate and a statin appears to be safer than gemfibrozil and a statin, according to an analysis of adverse event reports to the Food and Drug Administration. From January 1998 through March 2002, the FDA...

High-quality carbs may reduce C-Reactive protein.(Cardiovascular Medicine)(Brief Article)
October 1, 2005... Washington -- A high-quality carbohydrate diet is associated with reduced levels of C-reactive protein, Emily B. Levitan reported at conference on cardiovascular disease epidemiology and prevention sponsored by the American Heart Association....

Aceon, invader UGT1A1 molecular assay.(New & Approved)
October 1, 2005... Aceon (perindopril, Solvay Pharmaceuticals and CV Therapeutics) An angiotensin-converting enzyme inhibitor approved for reducing the risk of cardiovascular mortality or nonfatal MI in patients with stable coronary artery disease....

British data back efficacy of selective EVAR use.(Cardiovascular Medicine)(endovascular aneurysm repair)
October 1, 2005... Midterm findings from two British studies of endovascular repair of abdominal aortic aneurysms may have limited relevance to U.S. practice because the aneurysms were relatively large and the wait for surgery was long. Still, the findings...

New resuscitation guidelines to emphasize compression.(Cardiovascular Medicine)
October 1, 2005... Montreal -- Although the content of new resuscitation guidelines will not be released until December, the elimination of interruptions to chest compression during CPR is likely to be one of the major issues that is addressed. The...

Metabolic syndrome Dx upheld by heart groups.(Metabolic Disorders)
October 1, 2005... Less than a month after two major diabetes organizations called metabolic syndrome a poorly defined and misleading diagnosis, the American Heart Association and the National Heart, Lung, and Blood Institute issued a joint statement reaffirming...

Stress reduction may benefit heart disease, diabetes patients.(Metabolic Disorders)
October 1, 2005... Washington -- Increasing evidence suggests that patients with chronic conditions such as diabetes and heart disease who receive "coping skills" training do better physically and mentally, Redford B. Williams, M.D., said at the annual meeting of...

Radioiodine therapy low risk for eye disease.(Metabolic Disorders)
October 1, 2005... Washington -- Graves' ophthalmopathy is uncommon in the first year after ablative radioiodine therapy, Julie E. Hallanger-Johnson, M.D., and her associates reported in a poster at the annual meeting of the American Association of Clinical...

Radioactive iodine rarely induces thyroid storm: patients with severe thyrotoxicosis can be treated, but they should receive [beta]-blockers and counseling.(Metabolic Disorders)
October 1, 2005... Toronto -- The risk of provoking thyroid storm with administration of radioactive iodine appears to be vanishingly small even in cases of severe thyrotoxicosis, Vani Vijayakumar, M.D., said at the annual meeting of the Society of Nuclear...

Hypothyroidism linked to lower risk of breast cancer.(Metabolic Disorders)
October 1, 2005... Women treated for hypothyroidism were less likely to develop primary breast carcinoma--and more likely to have more indolent disease when they did develop cancer--than women with normal thyroid function in a retrospective, case-control study....

Evidence supports aggressive papillary thyroid ca treatment.(Metabolic Disorders)
October 1, 2005... Multifocal tumors in papillary thyroid cancer appear to often arise as independent tumors--a finding that supports the use of bilateral thyroidectomy and radioablation of remaining tissue, according to Trisha M. Shattuck of the University of...

Hospital system begins to see success in MRSA screening.(Infectious Diseases)
October 1, 2005... A Chicago-area hospital system has launched an ambitious effort to sharply reduce the rate of in-hospital methicillin-resistant Staphylococcus aureus infections by screening all patients. The new admissions screening process at each of...

Strategies can help curb multidrug-resistant gram-negative infections.(Infectious Diseases)
October 1, 2005... Bethesda, MD. -- The supply of weapons against multidrug-resistant gram-negative pathogens is running low, Henry M. Blumberg, M.D., said at an annual conference on antimicrobial resistance sponsored by the National Foundation for Infectious...

Stool cultures rarely useful in managing diarrhea.(Infectious Diseases)
October 1, 2005... Aspen, Colo. -- Stool cultures cost millions of dollars annually, but rarely turn up meaningful information for physicians managing diarrhea in the United States, according to Ann-Christine Nyquist, M.D. Cultures should be ordered only when...

MMRV approval should boost immunization rate.(Infectious. Diseases)(measles, mumps, rubella, and varicella)
October 1, 2005... The Food and Drug Administration's recent approval of the first combination vaccine designed to protect children against measles, mumps, rubella, and varicella is raising expectations of improved immunization rates, but is also eliciting some...

MMRV efficacy similar to MMR II plus Varivax.(Infectious Diseases)
October 1, 2005... A quadrivalent measles, mumps, rubella, and varicella vaccine was well-tolerated and effective in children aged 12-23 months, according to data from a pair of studies conducted by Henry Shinefield, M.D., of the University of San Francisco,...

'Herd immunity' keeps varicella hospitalizations down in wake of vaccine.(Infectious Diseases)(Brief Article)
October 1, 2005... Hospitalizations for varicella have declined 88% since 1994-1995, with the biggest decrease seen among infants. Because infants are not eligible to receive the vaccine, "The decline reflects reduced force of varicella infection in the...

Fast track vaccinations for young globetrotters.(Infectious Diseases)
October 1, 2005... Aspen, Colo. -- Routine vaccinations can be accelerated to protect very young travelers against infectious diseases in developing countries, Sarah K. Parker, M.D., advised at a conference on pediatric infectious diseases sponsored by Children's...

Visits to families abroad pose risks.(Infectious. Diseases)(Brief Article)
October 1, 2005... Foreign-born families taking young children to meet relatives in their home countries face significantly greater health risks, compared with other travelers, according to Dr. Parker. The youngsters are often very young; mothers may travel...

HPV-related vulvar diseases persist in HIV-positive women.(Infectious Diseases)
October 1, 2005... Bethesda, MD. -- HIV-infected women shed more human papilloma virus, have higher rates of high-grade cervical intraepithelial neoplasia, and are diagnosed more frequently with vulvar intraepithelial neoplasia (VIN) than are women who are not...

Drug resistance factors into HIV treatment failures.(Infectious Diseases)
October 1, 2005... Bethesda, MD. -- Drug resistance poses a problem in treating HIV patients, in part because of the virus's high mutation rate, Roy M. Gulick, M.D., said at an annual conference on antimicrobial resistance sponsored by the National Foundation for...

Rabies death signals need for clinical vigilance.(Infectious Diseases)
October 1, 2005... Rabies should be part of the differential diagnosis of any patient hospitalized with encephalitis of unknown etiology, and rabies should be considered in people who have been bitten by a dog, especially if the bite occurs in a country where...

Caution warranted in immunocompromised kids.(Infectious Diseases)
October 1, 2005... Aspen, Colo. -- Two groups of immunocompromised children present special challenges in community-based practices, Elizabeth J. McFarland, M.D., said at a conference on pediatric infectious diseases, sponsored by Children's Hospital, Denver. ...

Teach parents about zoonoses.(Infectious Diseases)
October 1, 2005... Many physicians--Dr. McFarland among them do not have the heart to banish all pets from the home of an immunocompromised child. "The better you can take care of your animal... the less likely your pet will get sick," is the message she...

List of skin cancer prevention agents grows: evidence suggests a role for retinoids, statins, NSAIDs, and vitamins E, C, and D.(Skin Disorders)
October 1, 2005... Naples, Fla. -- Retinoids, NSAIDs, and perhaps statins lead the increasingly long list of possible skin cancer chemo-preventive agents, James Spencer, M.D., said at the annual meeting of the Florida Society for Dermatology and Dermatologic...

Family history and age increase risk of skin cancers in women.(Skin Disorders)
October 1, 2005... St. Louis -- Family history is a strong risk factor for melanoma in women, while age appears to be the biggest risk for the development of basal cell carcinoma, Abrar Qureshi, M.D., said at the annual meeting of the Society for Investigative...

Hit atopic dermatitis on several fronts: cleansers, emollients, topical steroids, antihistamines, baths, and topical calcineurin inhibitors all can help.(Skin Disorders)
October 1, 2005... San Francisco -- Atopic dermatitis is a multifactorial disease requiring multi-modal treatment, Jeffrey Sugarman, M.D., said at a meeting on clinical pediatrics sponsored by the University of California, San Francisco. Dr. Sugarman of the...

Steroid, calcineurin inhibitor best for AD at different times.(Skin Disorders)(atopic dermatitis)
October 1, 2005... Glasgow, Scotland -- A rational approach to the treatment of atopic dermatitis is to use calcineurin inhibitors and topical corticosteroids in different therapeutic niches, based on a scientific understanding of the effects of the drugs on the...

Don't rely on "ABCD" for nodular melanoma.(Skin Disorders)
October 1, 2005... Glasgow, Scotland -- The success in recent years of public- and professional-relations efforts to spread awareness of early signs of melanoma has had one unfortunate downside: The common checklists that identify worrisome features of skin...

Derm dx.(Skin Disorders)
October 1, 2005... A 57-year-old Asian woman presented with a recent eruption of a dozen dull, erythematous papules and nodules on her extremities and numerous, well-demarcated, faintly erythematous patches on her chest and back. She had had symptoms of...

Melanoma investigators look beyond genetics.(Skin Disorders)
October 1, 2005... Vienna -- There are multiple genetic targets and combinations of therapies that hold great promise for changing the fate of melanoma patients, Christoph Hoeller, M.D., said at the 10th World Congress on Cancers of the Skin. A major focus...

Promising approaches are on horizon for treating nonmelanoma skin cancer.(Skin Disorders)
October 1, 2005... Vienna -- Imatinib, a protein-tyrosine kinase inhibitor indicated for chronic myeloid leukemia and certain stages of gastrointestinal stromal tumors, has shown clinical activity against dermatofibrosarcoma protuberans, Jens Gille, M.D.,...

Purpura morphology setting may indicate cause.(Skin Disorders)
October 1, 2005... CHICAGO -- The morphology and distribution of purpura can help to narrow a differential diagnosis, Warren W. Piette, M.D., said at the American Academy of Dermatology's Academy 2005 meeting. Purpura is the result of one of three hemorrhagic...

Rx delivery systems in pipeline for depression, ED.(Mental Health)(erectile dysfunction)
October 1, 2005... NEW YORK -- Two new transdermal and intranasal drug delivery systems, for which approval is foreseeable, may have utility in treating depression and erectile dysfunction, Donald S. Robinson, M.D., said at a meeting on psychopharmacology...

To reveal root of incomplete SSRI response, ask.(Mental Health)(selective serotonin reuptake inhibitor)
October 1, 2005... SAN FRANCISCO -- Thegoal of anti-depressant treatment should be remission, but most clinical trials use a 50% response in 50% of patients as the criterion for effectiveness. Only about 20%-30% of patients achieve complete remission, and this...

Prior antidepressant use predicts treatment adherence.(Mental Health)
October 1, 2005... ATLANTA -- Patients who are taking antidepressants for the first time are at greatest risk for discontinuing the therapy, Mark Vanelli, M.D., said in a poster presentation at the annual meeting of the American Psychiatric Association. The...

Pilot study: drug combo spurred speedier antidepressant effects.(Mental Health)
October 1, 2005... Boca Raton, Fla. -- A combination of escitalopram and bupropion might produce early remission in as many as one-third of patients with unipolar depression, according to a pilot study presented at a meeting of the New Clinical Drug Evaluation...

Many bipolar patients are also ailing and obese.(Mental Health)
October 1, 2005... PITTSBURGH -- Patients with bipolar disorder have an unexpectedly high prevalence of medical comorbidities, based on findings from a study of 175 patients. These 175 patients, with an average age of 35, had a high prevalence of...

Bipolar-specific psychosocial therapy reduces episodes.(Mental Health)
October 1, 2005... PITTSBURGH -- Psychosocial therapy can be a useful adjunct to drug therapy in patients with bipolar disorder, based on results from a study with 175 patients. The study's findings also documented the high prevalence of medical...

Spectrum mania bridges gap between unipolar and bipolar.(Mental Health)
October 1, 2005... PITTSBURGH -- About a third of patients with unipolar depression actually have "lifetime spectrum mania," which means they also have symptoms of mania and anxiety disorders, based on results from a study with 148 patients. Lifetime spectra...

Childhood anxiety disorders challenge entire family.(Mental Health)
October 1, 2005... ATLANTA -- A significant burden is placed on the family members of children and adolescents with anxiety disorders, regardless of the age of the child, Catherine Mancini, M.D., said in a poster presentation at the annual meeting of the American...

Comorbidities don't block talk therapy in children.(Mental Health)
October 1, 2005... SEATTLE -- The presence of a comorbid anxiety disorder in children with phobias does not interfere with the child's ability to respond to cognitive-behavioral therapy. The children who responded to cognitive-behavioral therapy (CBT) were...

Strong association found between anxiety and general health.(Mental Health)
October 1, 2005... SEATTLE -- Anxiety disorders are associated with a wide range of physical health problems, even after adjusting for other common mental disorders such as depression, Jitender Sareen, M.D., said in a poster presentation at the annual conference...

Stimulants for ADHD: No link to later drug abuse.(Mental Health)(attention-deficit hyperactivity disorder)
October 1, 2005... YOSEMITE, CALIF. -- Will my child become a dope fiend? That's a common question Robert S. McKelvey, M.D., fields from parents of children who are prescribed a class II stimulant for attention-deficit hyperactivity disorder (ADHD). "The...

Health Canada reinstates Adderall XR after review of children's deaths.(Mental Health)(Brief Article)
October 1, 2005... Patients in Canada with attention-deficit hyperactivity disorder are now able to obtain Adderall XR. Sales of the drug, distributed by Shire Pharmaceuticals Group PLC, had been suspended earlier this year in Canada after the release of...

No withdrawal syndrome seen with modafinil for ADHD.(Mental Health)
October 1, 2005... Boca Raton, Fla. -- Children and adolescents with attention-deficit hyperactivity disorder did not experience withdrawal or discontinuation syndrome after abrupt cessation of modafinil film-coated tablets in a phase III, double-blind,...

Sleep-disordered breathing and inattention are linked in teens.(Mental Health)
October 1, 2005... Denver -- Adolescents with symptoms of sleep-disordered breathing had a 2.5-fold increased prevalence of inattention-type attention-deficit hyperactivity disorder in the first large, population-based study to examine this relationship, Eric O....

USPSTF: no routine screening for BRCA mutations.(Women's Health)
October 1, 2005... Women should not routinely undergo genetic screening or counseling for breast and ovarian cancer risk based on gene mutations unless they are at high risk, according to a first-time recommendation on this topic by the U.S. Preventive Services...

Black women welcome genetic tests for breast ca.(Women's Health)(Brief Article)
October 1, 2005... Grapevine, Tex. -- African American women are almost as likely to pursue genetic testing for breast cancer as are white women, North Carolina researchers report. "There is a perception in the genetic counseling field that African Americans...

Weight loss and BRCA1 cut risk of breast cancer.(Women's Health)(Brief Article)
October 1, 2005... A weight loss of at least 10 pounds will significantly decrease the risk of early-onset breast cancer in women who carry a BRCA mutation, results of a large case-control study suggest. Early-adulthood weight loss is especially important for...

Is mammography-detected breast ca less deadly?(Women's Health)
October 1, 2005... Women whose breast cancers were detected IV V by screening mammography were 53% less likely to die of breast cancer over a 10- to 15-year period than those whose cancers were detected symptomatically, Donald Berry, Ph.D., and his colleagues...

DCIS patients tend to overestimate their risk.(Women's Health)(ductal carcinoma)
October 1, 2005... Boston -- Many women with newly diagnosed ductal carcinoma in situ harbor grossly inaccurate perceptions of the breast cancer risks they face, which in turn can influence their decision making and health behaviors as well as psychosocial...

Switch to anastrozole after tamoxifen beneficial in hormone-sensitive cancer.(Women's Health)
October 1, 2005... Postmenopausal women with hormone-sensitive early breast cancer who were switched to anastrozole after 2 years of tamoxifen treatment were 40% less likely to experience disease recurrence, compared with those who remained on tamoxifen,...

Liability risk low for prescribers of progesterone: study results show progesterone can prevent preterm birth in asymptomatic women with previous history.(Women's Health)
October 1, 2005... With proper informed consent, the prescription of progesterone to prevent preterm birth in appropriate patients should not put physicians at increased risk of liability, according to several experts. In fact, physicians may face a lawsuit...

Studies back progesterone injections to prevent preterm birth.(Women's Health)
October 1, 2005... SAN FRANCISCO -- Recent studies provide some guidance in applying recommendations from the American College of Obstetricians and Gynecologists on the use of progesterone to prevent preterm birth, Steve Caritis, M.D., said at a meeting on...

Women prefer female endoscopists.(Clinical Capsules)(Brief Article)
October 1, 2005... Nearly half of women prefer a female endoscopist for colorectal cancer screening, reported Stacy B. Menees, M.D., and her associates at the University of Michigan, Ann Arbor. A questionnaire completed by 202 of 212 women while waiting for...

Female victimization and violence.(Clinical Capsules)(Brief Article)
October 1, 2005... Girls who reported being the victims of violence were 2.2 times more likely to engage in violent behavior themselves, wrote Beth E. Molnar, Sc.D., and her colleagues at the Harvard School of Public Health, Boston (Arch. Pediatr. Adolesc....

S. aureus tied to surgical infection.(staphylococcus aureus)(Brief Article)
October 1, 2005... Surgical site infections were significantly more likely among women who harbored Staphylococcus aureus prior to undergoing breast cancer surgery, according to data from 615 patients, A. Krishna, M.D., said at the joint annual meeting of the...

Older moms may have special genes.(Clinical Capsules)(Brief Article)
October 1, 2005... Women who give birth after age 45 may have a special set of genes that makes them more fertile than average women, according to Israeli researchers. "These women are models for us to learn about fertility," Neri Laufer, M.D., said at the...

Discuss wine with pregnant patients.(Clinical Capsules)(Brief Article)
October 1, 2005... Take time to focus specifically on wine consumption when routinely questioning pregnant patients about their use of alcohol. That was the message in a poster on a study of alcohol consumption during pregnancy presented at the annual meeting...

CNS defects linked to parvovirus in pregnancy: subtle neurobehavioral effects in normal children may be tied to mild maternal parvovirus B19 infections.(Women's Health)(central nervous system)
October 1, 2005... St. Pete Beach, Fla. -- Typical primary effects of parvovirus B 19 infection during pregnancy include hydrops fetalis, fetal death, and spontaneous abortion, but a recent case and a review of the literature suggest that central nervous system...

Maternal citalopram treatment prompts adverse event reports.(Women's Health)
October 1, 2005... St. Pete Beach, Fla. -- A total of 228 adverse events associated with the use of citalopram (Celexa) during pregnancy has been reported to the Food and Drug Administration's Adverse Event Reporting System since the drug was approved in 1998, J....

Diclectin exposure held harmless to neurocognitive development.(Women's Health)
October 1, 2005... St. Pete Beach, Fla. -- Diclectin used for nausea and vomiting of pregnancy does not appear to affect the later neurocognitive development of children who are exposed to the drug in utero, Irena Nulman, M.D., and her colleagues at the Hospital...

Heavy prenatal alcohol ravages school-age kids.(Women's Health)
October 1, 2005... Santa Barbara, Calif. -- Thepsychiatric and behavioral consequences of heavy prenatal alcohol exposure on children are abundantly clear by midchildhood and adolescence, according to studies presented at the annual meeting of the Research...

Defusing attitudes about drug-user moms.(Women's Health)(Brief Article)
October 1, 2005... St. Pete Beach, Fla. -- Attending a specialized clinic for pregnant women with substance-use disorders helped medical students in a recent study feel more comfortable and less judgmental when working with such patients. A total of 104...

Third-trimester alcohol worst for attention-deficit woes.(Women's Health)
October 1, 2005... Santa Barbara, Calif. -- Prenatal alcohol exposure is most likely to affect children's attention problems when it occurs during the third trimester, a prospective study of 492 children determined. There is a high degree of correlation...