Internal Medicine News articles from January 2007

Internal Medicine News archives from January 2007

HIV testing poses clinical challenge.(News)(human immunodeficiency virus)
January 1, 2007... WASHINGTON -- Efforts to make HIV screening an integral part of primary care have created a new set of educational, reimbursement, and workforce challenges for physicians. In response, the Society of General Internal Medicine (SGIM) is...

States requiring consent from nonpregnant patients for HIV testing.(VITAL SIGNS)
January 1, 2007... States Requiring Consent From nonpregnant Patients for HIV Testing Source: National HIV/AIDS Physicians' Consulting Center ELSEVIER GLOBAL MEDICAL NEWS

FDA scrutinizes antidepressants, risk of suicidality: warning may be applied to young adults.(News)(Food and Drug Administration)
January 1, 2007... SILVER SPRING, MD. -- Concerns about the risk of suicidality in patients on antidepressant therapy have deepened as a result of a Food and Drug Administration advisory panel's recommendation to expand a black box warning to include young...

Medicare pay expected to climb 5% for internists.(News)
January 1, 2007... In one of its last actions, the 109th Congress approved a sweeping tax and health bill that included a 1-year delay in the scheduled cut in Medicare physician fees. In 2007, physicians were due to see an overall 5% reduction in pay, thanks...

Universal HIV screening may overload care system.(News)
January 1, 2007... WASHINGTON -- New recommendations to test routinely for HIV in all patients aged 13-64 years will overburden the U.S. health care system with newly diagnosed patients unless additional funding is provided, experts said at a press briefing by...

Even with low HIV prevalence, routine screening pays off.(News)
January 1, 2007... WASHINGTON -- Routine HIV screening among all adults is cost-effective even in settings where the prevalence is low, Dr. Rochelle P. Walensky said at a meeting on HIV diagnosis, prevention, and care in the United States. But there's a...

Health IT adoption is critical.(GUEST EDITORIAL)(information technology for physicians)
January 1, 2007... Although the field of medicine has been on the cutting edge of technology in many areas, critical medical information is stored and accessed in largely the same way as it was 50 years ago. The average patient chart is simply a folder with...

What is the best way to reform the U.S. health care system?(POINT/COUNTERPOINT)
January 1, 2007... Single payer is the way to go. The health care financing organ in the United States is failing. It has all the manifestations of a patient with heart failure. We have poor output, where we can't circulate health insurance to cover the...

'Quality' measures riddled with errors.(LETTERS)(Letter to the editor)
January 1, 2007... The topic of quality-of-care ratings by insurers needs far more media exposure ("Doctors Sue Over 'Quality' Exclusion," Nov. 1, 2006, p. 1). In our practice in western Massachusetts, we get such "quality" reports up to four times yearly...

Much of our work can't be measured.(LETTERS)(Letter to the editor)
January 1, 2007... You reported that the Washington State Medical Association and six of the state's physicians sued an HMO because its pay-for-performance standards excluded many physicians ("Doctors Sue Over 'Quality' Exclusion," Nov. 1, 2006, p. 1). ...

Problems with quality-of-care ratings.(LETTERS)(Letter to the editor)
January 1, 2007... As medical director of the Boulder Valley Individual Practice Association in Colorado, I can tell you that we have had very negative experiences with the United-Healthcare designation program for 2 years running ("Doctors Sue Over 'Quality'...

Zoster vaccine may be money loser.(LETTERS)(Letter to the editor)
January 1, 2007... As a internal medicine physician in primary care practice, I am working with a very narrow profit margin ("Zoster Vaccination Faces Payment Gap," Nov. 15, 2006, p. 1). The zoster vaccine is terribly expensive and fragile, and it requires...

Financial data on income misleading.(LETTERS)(Letter to the editor)
January 1, 2007... The recent "Vital Signs" graph looks impressive, but it represents only a 3% rise per year ("Median Income of Internists in Group Practice Up 34% Over the Past Decade," Nov. 15, 2006, p. 1). This barely keeps us even with inflation, and for...

Pain relievers.(Opinion)(Cartoon)
January 1, 2007... "Lose some weight, quit smoking, move around more, and eat the carrot."

Cholesterol level tied to prostate ca prognosis.(Urology)(cancer)
January 1, 2007... BOSTON -- Among men with prostate cancer, those with low plasma cholesterol are significantly less likely to develop more aggressive forms of the disease, compared with those who have higher cholesterol levels, Elizabeth A. Platz, Sc.D.,...

'Male lumpectomy' works well in prostate cancer: the 'very aggressive' focal cryoablation technique succeeds without affecting potency or continence.(Urology)
January 1, 2007... CHICAGO -- Focal cryoablation results in better local control of prostate cancer than other standard treatments, Dr. Gary Onik said at the annual meeting of the Radiological Society of North America. By destroying only the cancerous portion...

Prostate cancer drugs linked to higher diabetes, CHD risk.(Urology)(coronary heart disease)
January 1, 2007... Prostate cancer treatment with a gonadotropin-releasing hormone agonist increases the risk of developing diabetes and coronary heart disease, according to an observational study of about 73,000 men with local or regional prostate cancer. ...

Sildenafil can also relieve lower urinary tract problem.(Urology)
January 1, 2007... TUCSON, ARIZ. -- Monotherapy with sildenafil provides relief for men with both erectile dysfunction and lower urinary tract symptoms, Dr. Jay Young and his associates reported in a poster at the annual meeting of the North American Primary Care...

Rosiglitazone has lower treatment failure rate.(Endocrinology)
January 1, 2007... A multinational study showing that rosiglitazone monotherapy was associated with a lower treatment failure rate at 5 years than either metformin or glyburide has fueled debate over whether thiazolidinediones should be considered for first-line...

Rimonabant cut Hb[A.sub.1c] in type 2 diabetic patients.(Endocrinology)
January 1, 2007... New data on rimonabant suggest that the selective endocannabinoid type 1-receptor blocker has beneficial effects on glycemic control and other risk factors in diabetic patients. In treatment-naive patients with type 2 diabetes, 6 months of...

Radioiodine-131 overused in low-risk thyroid ca.(Endocrinology)(cancer)
January 1, 2007... VERONA, ITALY -- Radioactive iodine-131 therapy is appropriate for patients with high-risk thyroid cancer, but unjustified in low-risk patients, Dr. Bryan McIver said at a joint meeting of the Italian Association of Clinical Endocrinologists...

Guidelines seek tighter opioid therapy control.(Nephrology)
January 1, 2007... SCOTTSDALE, ARIZ. -- Sustained opioid therapy should be prescribed only for chronic headache patients, according to stringent new guidelines that would exclude most headache patients, Dr. Joel R. Saper proposed at a symposium sponsored by the...

Mirapex.(NEW & APPROVED)(Boehringer Ingelheim Corp)
January 1, 2007... Mirapex (pramipexole, Boehringer Ingelheim) A dopamine agonist that was approved by the Food and Drug Administration for moderate to severe restless legs syndrome (RLS). This is the second drug and the second dopamine agonist approved...

Apitherapy for multiple sclerosis.(ALTERNATIVE MEDICINE)
January 1, 2007... History of Use Bee products were widely used for therapeutic purposes in various ancient civilizations. Drawings on ancient Egyptian temples depict beekeeping and the preparation of honey, and Hippocrates and Galen described treatments,...

Wine intake may have cognitive benefits.(Nephrology)
January 1, 2007... MENDOZA, ARGENTINA -- Many studies show that light to moderate drinkers have better cognitive function than do abstainers--particularly in old age--Dr. Roger Pinder reported at the Sixth World Congress on Depressive Disorders. Moderate...

Strong quad muscles may slow knee osteoarthritis: participants who had the greatest quadriceps strength were 60% less likely to lose knee cartilage.(Rheumatology)
January 1, 2007... WASHINGTON -- Strong quadriceps muscles appear to protect against cartilage loss in some parts of the knee in most people, but larger muscle mass in the knee may be associated with x-ray progression of knee osteoarthritis in women, according to...

Chondroitin reduces joint space narrowing in OA.(Rheumatology)(osteoarthritis)
January 1, 2007... WASHINGTON -- The dietary supplement chondroitin sulfate significantly reduced the progression of joint space narrowing among patients with knee osteoarthritis in a multicenter, prospective, double-blind study presented in a late-breaking...

Total new hip eases spine syndrome pain, aids function.(Rheumatology)
January 1, 2007... SEATTLE -- Total hip replacement surgery may alleviate low back pain and significantly improve spinal function in patients with severe osteoarthritis of the hip, according to a small, multicenter study presented at the annual meeting of the...

Acupuncture eases back pain.(CLINICIAL CAPSULES)
January 1, 2007... A short course of traditional acupuncture can relieve nonspecific lower-back pain better than usual care at a small increased cost, a new study has found. The study randomized 160 adults from York, England, into acupuncture and 81 into...

Brace-wrap combo aids ankle sprains.(CLINICIAL CAPSULES)(Brief article)(Clinical report)
January 1, 2007... Use of the Air-Stirrup brace in combination with an elastic wrap promotes a more rapid return to function following first-time grade I and II ankle sprains than either treatment alone or other modes of treatment, reported Bruce D. Beynnon,...

Smoking tied to arthritis in women.(CLINICIAL CAPSULES)(Brief article)
January 1, 2007... Smoking is associated with increased risk of rheumatoid arthritis in older white women who are not genetically predisposed to the disease, according to Dr. Lindsey A. Criswell of the University of California, San Francisco, and her associates....

Antidepressants tied to suicide attempts only.(Psychiatry)(Statistical data)
January 1, 2007... PARIS -- A cohort study of 15,390 suicide-prone people in Finland found that those who used antidepressants were much more likely to attempt suicide, but also much less likely to complete suicide or to die of any cause. Antidepressant use...

FDA issues warning on venlafaxine overdose risk.(Psychiatry)(Food and Drug Administration)(Wyeth)(Brief article)
January 1, 2007... A warning about an increased risk of overdose associated with venlafaxine and a recommendation to prescribe small quantities of the medication have been issued by the Food and Drug Administration and Wyeth, manufacturer of the antidepressant....

Triiodothyronine enhances response to sertraline.(Psychiatry)
January 1, 2007... PARIS -- Triiodothyronine supplementation significantly increased the antidepressant effects of sertraline in a randomized placebo-controlled clinical trial presented by Dr. Bernard Lerer in a breaking news session at the annual congress of the...

Interventional oncology: a field on the move.(Clinical Rounds)
January 1, 2007... ROME -- The future of the fledgling field known as interventional oncology lies in the development of multimodal combination therapies and fusion imaging, Dr. Luigi Solbiati predicted at the annual meeting of the Cardiovascular and Radiological...

Torcetrapib failure may not doom other drugs in class.(Cardiovascular Medicine)
January 1, 2007... The demise of torcetrapib may be a "bitter disappointment" to researchers, but it's too soon to give up on the entire class of HDL cholesterol-raising agents, several of which are still under development, experts say. "While this is a huge...

Fluvastatin XL cuts LDL level with less myalgia: trial finds drug is well tolerated and less likely than other statins to cause muscle-related side effects.(Cardiovascular Medicine)(low density lipoprotein)
January 1, 2007... CHICAGO -- Fluvastatin XL, either alone or in combination with ezetimibe, is an effective, well-tolerated, and safe option for lowering LDL cholesterol in patients who can't tolerate other statins because of muscle-related side effects, Dr....

Medication combo trumps rosuvastatin in cutting LDL.(Cardiovascular Medicine)
January 1, 2007... COPENHAGEN -- A combination of ezetimibe and simvastatin provides additional lipid-modifying benefits compared with rosuvastatin monotherapy among patients with type 2 diabetes or with metabolic syndrome without diabetes, Dr. Alberico L....

Off-Label DES raise thrombosis risk, panel warns.(Cardiovascular Medicine)(drug-eluting stents )
January 1, 2007... GAITHERSBURG, MD. -- When used off label, coronary drug-eluting stents are associated with a greater risk of stent thrombosis, death, and myocardial infarction, and this critical information needs to be communicated to physicians and patients,...

Wi-Fi no threat to implanted cardiac devices.(Cardiovascular Medicine)(Brief article)
January 1, 2007... CHICAGO -- The mushrooming proliferation of wireless computer networks poses no clinically significant threat to pacemaker or implantable cardioverter defibrillator users, Dr. Fritz Mellert said at the annual scientific sessions of the American...

Tools predict community pneumonia's course.(Infectious Diseases)
January 1, 2007... SAN FRANCISCO -- Two simple new tools may help predict which patients with community-acquired pneumonia are likely to die or to need ICU care, investigators reported in separate presentations at the annual Interscience Conference on...

Resistance can torpedo treatment with macrolides.(Infectious Diseases)(Brief article)
January 1, 2007... SAN FRANCISCO -- Drug resistance was a common cause of treatment failure in 26 patients with community-acquired pneumonia who developed bacteremia while being treated with macrolide antibiotics, Dr. Gavin Bayan Grant said at the annual...

Garenoxacin shows promise for community-acquired pneumonia.(Infectious Diseases)
January 1, 2007... SAN FRANCISCO -- An experimental fluoroquinolone compared favorably with amoxicillin or ceftriaxone for treating community-acquired pneumonia in two phase III trials, researchers reported in poster presentations at the annual Interscience...

Dental, oral clues can point to celiac disease.(Gastroenterology)(Clinical report)
January 1, 2007... NEW YORK -- Dental enamel defects and aphthous ulcers are both strongly associated with celiac disease, and should be followed up with a full investigation for the disorder in undiagnosed people, Theologos Malahias, D.D.S., said at an...

Check for IgA deficiency in suspected celiac cases.(Gastroenterology)(Immunoglobulin A)(Brief article)
January 1, 2007... NEW YORK -- Serology tests for suspected celiac disease are often inappropriately ordered or managed, increasing the chance of missed diagnosis, according to a study presented at an international symposium on celiac disease. An analysis of...

Natalizumab takes Crohn's remission Past 2 years.(Gastroenterology)
January 1, 2007... BERLIN -- Treatment with natalizumab maintained remission for more than 2 years in selected patients with severe Crohn's disease, in an open-label extension study with 87 patients. "The data show that if a patient [with Crohn's disease]...

Fecal-tagging prep tested for CT colonography.(Gastroenterology)(computed tomographic)
January 1, 2007... BOSTON -- Computed tomographic colonography using a fecal-tagging bowel preparation performed well, showing high sensitivity, specificity, and negative predictive value for polyps measuring 8 mm or more, Dr. Didier Bielen reported at an...

Virtual colonoscopy compares well with optical screening in two studies.(Gastroenterology)
January 1, 2007... BOSTON -- New data from two studies are putting virtual colonoscopy in a good light compared with optical colonoscopy. Interim results from a large military study comparing virtual and optical colonoscopy for colorectal cancer screening...

Screening colonoscopy finds more cancers in men.(Gastroenterology)(Brief article)
January 1, 2007... Colonoscopy detects cancers and advanced neoplasia at a higher rate in men than in women, according to a cross-sectional analysis of more than 50,000 participants in a Polish national colon cancer screening program. The findings suggest...

Medical schools just say no to pharmaceutical gifts.(Practice Trends)
January 1, 2007... SACRAMENTO -- Another medical school has joined what could be a growing movement to ban faculty and residents from accepting any gifts whatsoever from drug company representatives. The University of California, Davis, Health System decided...

Public NPI directory possible.(POLICY & PRACTICE)(National Provider Identifiers)(Brief article)
January 1, 2007... The Centers for Medicare and Medicaid Services is strongly considering publishing a directory of physicians who have National Provider Identifiers. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) mandated that all...

Poll: no off-label use.(POLICY & PRACTICE)(Survey)
January 1, 2007... About half of Americans said physicians should not be allowed to prescribe pharmaceuticals for unapproved uses, according to a WSJ.com/Harris Interactive poll. About half of those polled--about 3,000 adults in November--were not even aware that...

Medicare Advantage costs more.(POLICY & PRACTICE)(Brief article)
January 1, 2007... If the incoming Democrat-majority Congress is looking for funding to expand the Medicare drug benefit, Medicare Advantage may be a ripe target, according to an analysis by researchers at the Commonwealth Fund. They estimate that in 2005, the...

Consumer-directed plans dictated.(Practice Trends)(Survey)
January 1, 2007... Many individuals enrolled in consumer-directed health plans may not have much of a choice in the matter, according to a report from the Center for Studying Health System Change. The report, based on survey responses from employers, found that...

ALS linked to military service.(POLICY & PRACTICE)(amyotrophic lateral sclerosis)(Brief article)
January 1, 2007... There is "limited and suggestive evidence" of a link between military service and the later development of amyotrophic lateral sclerosis (ALS), according to a report from the Institute of Medicine. A panel of experts convened by IOM reviewed...

Better quality at integrated groups?(POLICY & PRACTICE)(Brief article)
January 1, 2007... University of Pittsburgh researchers say patients receiving care at integrated medical groups may get better-quality care, according to a study in the Dec. 5 issue of Annals of Internal Medicine. Dr. Ateev Mehrotra and colleagues analyzed data...

Bonus linked to Physician Voluntary Reporting.(Practice Trends)
January 1, 2007... Physicians who report quality data to Medicare will receive bonus payments of 1.5% starting in July, under a provision of the omnibus legislation passed at the end of the 109th Congress. Under the provision, bonus payments would be linked...

Federal Web site offers health data.(Practice Trends)(www.hhs.gov/transparency)(Brief article)
January 1, 2007... The U.S. Department of Health and Human Services has launched a Web site for providers and consumers that describes the federal initiative to bring transparency to health care. The site includes a link to Hospital Compare (with quality data...

Looking ahead: 10 ideas at 10 years.(THE EFFECTIVE PHYSICIAN)(health care system management)
January 1, 2007... As the Effective Physician starts its 10th year of publication, we'd like to share 10 thoughts and predictions about evidence, practice, and the health care system: 1. All guidelines are not created equal. In selecting material for this...

New Part D program targets top script fillers.(Practice Trends)
January 1, 2007... PHILADELPHIA -- Starting this month, Medicare Part D will feature a new wrinkle in the drug insurance program: medication therapy management. A medication therapy management (MTM) program was mandated for 2007 by the Centers for Medicare...

Jury out on health courts for malpractice suits.(Practice Trends)
January 1, 2007... WASHINGTON -- The concept of using administrative law judges instead of civil jury trials to settle malpractice suits has gained some admirers in the U.S. Congress and generated interest among state legislatures. But it is uncertain whether...

Saving time and money with computerized dictation.(REINVENTING YOUR PRACTICE)
January 1, 2007... If you're frustrated with the expense and delays of Dictaphone transcriptions, Dr. Jonathan Krant's solution may be just what the doctor ordered. "Until 5 years ago, I utilized a Dictaphone with off-site transcriptions, a process that...

'Black bag' internist takes his practice to his patients.(REINVENTING YOUR PRACTICE)(Dr. Randolph J. Swiller)
January 1, 2007... About 300 people in the Fort Lauderdale, Fla., area are fortunate to be in the care of self-described patient advocate Dr. Randolph J. Swiller, an internist and psychiatrist who ministers to his patients in their homes. In fact, Dr....

Barbecue breath next.(INDICATIONS)(lawsuits on employee smoking)(Brief article)
January 1, 2007... A Massachusetts man is suing the Scotts Miracle-Gro company after he was fired when his blood test came back positive for nicotine content, Reuters reports. Massachusetts, unlike some other states, does not have laws to protect employees from...

But who smells worse?(INDICATIONS)(multiple pet dogs results in lower wheezing incidence)(Brief article)
January 1, 2007... According to a report published in the December issue of the Journal of Allergy and Clinical Immunology, infants in homes with high levels of endotoxins had a lower incidence of wheezing when the home was shared with multiple pet dogs. Dr....

Blackhawk fans unaffected.(INDICATIONS)(ambient noise can lead to hearing loss)(Brief article)
January 1, 2007... According to a new study published in the Canadian Medical Association Journal, the ambient noise (for example, cheering after goals are scored) experienced at hockey games can induce hearing loss. William Hodgetts and Dr. Richard Liu of the...

Two words: sphinx bite.(INDICATIONS)(pharaoh Tutankhamun's leg injury identified)(Brief article)
January 1, 2007... According to a report presented at the annual meeting of the Radiological Society of North America in Chicago, the Egyptian pharaoh Tutankhamun was likely killed by a leg wound, not a head injury, as previously believed. He most likely died...

Boasting sexiest, say U.S. men.(INDICATIONS)(marketing erectile dysfunction drug in Hong Kong)
January 1, 2007... To sell the erectile dysfunction drug Levitra in Hong Kong, the Wall Street Journal reports, Bayer HealthCare AG has had to tailor its message to the local culture in unexpected ways. Specifically, cartoons. Because Hong Kong men are generally...

Canned entertainment.(INDICATIONS)(spray-on condoms from Institute for Condom Consultancy)(Brief article)
January 1, 2007... For men without ED, German researchers have designed a spray-on condom, Reuters reports. The male partner inserts his member into a handheld spray canister, which, via multiple spray nozzles, coats said appendage in latex. This will ostensibly...

Generic oral contraceptive.(PRODUCTS)(Brief article)
January 1, 2007... Watson Pharmaceuticals Inc. has received final FDA approval for Quasense (ethinyl estradiol plus levonorgestrel) in oral tablet form (0.03/0.15 mg) as a generic equivalent to Duramed Pharmaceuticals' Seasonale extended-cycle oral contraceptive,...

Combination diabetes drug.(PRODUCTS)
January 1, 2007... Duetact (pioglitazone HC1 plus glimepiride) is available in 30 mg/2 mg and 30 mg/4 mg fixed-dose tablets from Takeda Pharmaceuticals. It is indicated as an adjunct to diet and exercise to improve glycemic control in patients with type 2...

FDA approves IV epirubicin.(PRODUCTS)(Food and Drug Administration)(Mayne Pharma Inc)(Brief article)
January 1, 2007... The Food and Drug Administration has approved epirubicin hydrochloride for injection. The drug is indicated for use as a component of adjuvant therapy in patients with evidence of axillary node tumor involvement following resection of primary...

Spot check device.(PRODUCTS)
January 1, 2007... The Spot Vital Signs LXi is a multiparameter device that can measure blood pressure, pulse oximetry, and temperature. The device is offered in several configuration options, can connect to select digital weight scales, and can transmit data to...

Evidence-based outcomes database.(PRODUCTS)
January 1, 2007... Evidence Matters is a new tool that allows clinicians to compare therapies based on peer-reviewed research. The system has a simple interface and organizes evidence-based results of different therapies into summary graphs or tables on the basis...

MR contrast tied to skin syndrome.(News)(magnetic resonance)
January 15, 2007... Gadolinium-based contrast agents, when given to patients with renal disease, have been associated with a rare, potentially fatal, sclerodermalike skin disease called nephrogenic systemic fibrosis or nephrogenic fibrosing dermopathy. On...

Physicians in different specialties work about the same number of hours per week.(VITAL SIGNS)(Table)
January 15, 2007... Physicians in Different Specialties Work About The Same Number of Hours per Week Family practice (n = 4,004) 38 Ob.gyn. (n = 1,271) 40 Internal medicine (n = 3,171) 40 Pediatrics (n = 2.072) 36 Note:...

Tamoxifen benefit persists 10 years, new data show: risk-benefit ratio rises after first 5 years.(Women's Health)
January 15, 2007... SAN ANTONIO -- A new 10-year follow-up from a landmark clinical trial of tamoxifen for breast cancer prevention indicates that the benefit continues strongly throughout the next half decade following completion of the standard 5 years of...

Hb[A.sub.1c] reporting could be dropped as early as 2008.(Endocrinology)
January 15, 2007... The days of hemoglobin [A.sub.1c] reporting may be numbered. If the final results of the 11 -center International Hb[A.sub.1c]/ Mean Blood Glucose (MBG) Study show that hemoglobin [A.sub.1c] levels can be mathematically correlated with...

Medicare urged to reduce disparities.(News)
January 15, 2007... WASHINGTON -- Medicare should use its clout to help reduce and eliminate the disparities in care for racial and ethnic minorities, according to a report from an independent panel of the National Academy of Social Insurance. The report,...

Bariatric surgery halves risk of coronary heart disease.(News)
January 15, 2007... PALM BEACH, FLA. -- Gastric bypass surgery does more than just cause weight loss. It produces rapid improvements in glucose tolerance, blood pressure, lipid levels, diabetes, and the risk of coronary heart disease as measured by the Framingham...

Exercise may cut colon cancer risk.(News)
January 15, 2007... BOSTON -- An exercise program consisting of moderate to vigorous aerobic activity 6 days per week was associated with reduced incidence of precancerous colon changes in men who participated in a yearlong clinical trial looking at the effect of...

Low-carb diet helped lipid levels, body weight.(News)
January 15, 2007... SAN DIEGO -- People on very-low-carbohydrate diets who consumed three times as much saturated fat per day as people on high-carbohydrate, low-fat diets lost more weight and had twice the reduction in saturated fat levels compared with those in...

Create a 'professional firewall'.(GUEST EDITORIAL)
January 15, 2007... People who are charged with taking care of others have a unique and continuous type of stress. We form a unique bond with patients that is not broken until the patients are fully healed, become angry and leave us, or die. Stress is...

Caution needed with CFS diagnosis.(LETTERS)(chronic fatigue syndrome)(Letter to the editor)
January 15, 2007... The term "chronic fatigue syndrome" is best seen as a starting point rather than a diagnosis ("CDC Campaign Targets Chronic Fatigue Syndrome," Dec. 1, 2006, p. 1). Management of heart failure isn't complete until one has identified and...