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General Hospital Practice

News, opinions and meeting coverage in hospital-based medicine.

<乌鸦传媒>Skin, Vessel Damage Seen with Tainted Cocaine

MIAMI BEACH -- People who use cocaine contaminated with the veterinary drug levamisole may experience more than just dermatological effects, including end-organ damage and stroke, researchers reported here.

<乌鸦传媒>Small Brain Bleeds Not So Bad for Preemies

Low-grade hemorrhage in very premature infants doesn't appear to hurt their early neurodevelopment, a longitudinal study suggested.

<乌鸦传媒>ECG for Eyes Sorts Strokes from Vertigo

A device described as an ECG for the eye accurately distinguishes stroke from other causes of dizziness in the emergency department, a small proof-of-concept study showed.

<乌鸦传媒>Fatal Reactions Prompt Omontys Recall

All lots of the new anemia drug peginesatide (Omontys) have been recalled because of severe hypersensitivity reactions -- some fatal -- observed after the drug was approved last March.

<乌鸦传媒>FDA Warns About Codeine Following Tonsillectomy

Products that contain codeine should not be used for pain relief in children following tonsillectomy or adenoidectomy because of a possible risk of serious adverse events or death, the FDA said Wednesday.

<乌鸦传媒>Is Pot Smoking a Stroke Trigger?

HONOLULU -- Middle age stroke patients were twice as likely to be pot smokers than healthy middle age controls, researchers found.

<乌鸦传媒>ACE Inhibitors Linked to Hallucinations in Elderly

Elderly patients with memory problems who suddenly have visual hallucinations may need to stop taking ACE inhibitors, researchers suggested.

<乌鸦传媒>Cardio Notes: Stress Test Finds Heart Disease in Seniors

Researchers are taking a second look at the accuracy of treadmill exercise testing for women over 65. Also this week, the birth of a subspecialty for adults with congenital heart disease and leg artery stenting.

<乌鸦传媒>ALS Drug Gets Review for VA Coverage

LAS VEGAS -- Riluzole (Rilutek) should remain on the Veterans Administration formulary as a treatment for patients with amyotrophic lateral sclerosis, despite having only modest benefits and considerable cost, a researcher said here.

<乌鸦传媒>FDA to Look at Tainted Skin Preps

Antiseptic skin preparation products can be contaminated by microbes, a problem the FDA will address at an upcoming public hearing.

<乌鸦传媒>Cardio Notes: Sex Improves with Stenting

Opening the arteries of those with stable coronary disease also opens the door to an improved sex life. Also this week, bariatric surgery helps remodel the heart.

<乌鸦传媒>Working with Weights May Help Stroke Rehab

Resistance training -- which is often overlooked in stroke rehab -- may help improve thinking and memory in stroke survivors, researchers found.

<乌鸦传媒>Low Preop Sodium Raises Mortality Risk

Preoperative hyponatremia significantly increased the risk of 30-day postsurgical mortality, a risk that extended across all subgroups of surgical patients, investigators reported.

<乌鸦传媒>Anemia a Risk with Low-Dose IVIG, Too

Even small doses of intravenous immune globulin (IVIG) can cause acute, severe anemia, researchers warned.

<乌鸦传媒>Adult Lungs Can Sprout New Growth

The lungs may have greater capacity for regeneration in adults than thought, according to a case report of new growth after lung cancer resection.

<乌鸦传媒>Facebook Status: Need Kidney

WASHINGTON -- Promoting living kidney donation on social networks could increase the organ donor pool, researchers said here.

<乌鸦传媒>Second Kidney Transplant Lasts as Long as First

WASHINGTON -- Patients who have a second kidney transplant may not be as bound for failure as once thought, researchers said here.

<乌鸦传媒>SocialMed: Drafting a Social Media Policy

As more hospitals and medical centers join Facebook and Twitter, developing a social media policy may be topping more agendas.

<乌鸦传媒>Most ICD Patients Die of Heart Failure

Patients with implantable defibrillators or resynchronization devices with defibrillator were most likely to die of heart failure or non-cardiac causes, not sudden death, a single-center study found.

<乌鸦传媒>'Visual Snow' Called Real, Not Drug Related

NEW ORLEANS -- A mysterious and troubling phenomenon called "visual snow" is a distinct syndrome that does not appear to stem from illicit drug use, nor is it a migraine aura, a researcher said here.

<乌鸦传媒>Brain Bleed Size Affects Therapy in Afib Patients

NEW ORLEANS -- The size of a brain bleed appears to determine which medications, if any, are given to atrial fibrillation patients after an intracerebral hemorrhage, a retrospective study showed.

<乌鸦传媒>Smoking Cuts Risk of Benign Brain Tumor

The risk of developing an acoustic neuroma was greatly reduced among male smokers, but not among those who take snuff, researchers reported.

<乌鸦传媒>Doctors Say 45 Common Tests 'Overused'

Nine specialty groups have listed tests and treatments that are frequently overused, such as antibiotics for sinus attacks and CT scans for low back pain, in the first phase of a long-term project.

<乌鸦传媒>Renal Function Key in C. Diff Therapy Choice

SAN DIEGO -- Patients with Clostridium difficile infection and underlying impaired renal function fared better with fidaxomicin treatment than with vancomycin, a researcher said here.

<乌鸦传媒>Extreme Obesity Adds More Risk in Hysterectomy

AUSTIN, Texas -- Increasingly severe obesity drives up complication rates after hysterectomy, and outcomes continually worsen with rising body mass index, according to results from a study reported here.

<乌鸦传媒>Cheney's Heart Makes Him a Million Dollar Man

Keeping former Vice President Dick Cheney's heart beating probably will cost the healthcare system at least a million dollars, cardiac transplantation experts told 乌鸦传媒.

<乌鸦传媒>Antibiotic Clears Stubborn E. Coli

Patients in last spring's outbreak of severe Escherichia coli who were treated with azithromycin had a lower frequency of long-term infection, German investigators reported.

<乌鸦传媒>Hormones Out of Whack With Long Opioid Therapy

PALM SPRINGS, Calif. -- Intractable pain patients on long-term, high doses of opioids should be screened for hormonal abnormalities, researchers said here.

<乌鸦传媒>Meaningful Use Tops IT Issues for Hospitals

茂禄驴LAS VEGAS -- Meeting federally mandated health information technology benchmarks will be a top priority for hospital IT departments over the next two years, according to survey results presented here.

<乌鸦传媒>ABMS Sets Time Limit for Board Certification

Physicians have between three and seven years after finishing residency to become board certified, according to a new policy from the American Board of Medical 乌鸦传媒.

<乌鸦传媒>In Cocaine Users Think About Levamisole

HOUSTON -- Half of a group of cocaine users tested positive for levamisole, a potentially hazardous veterinary drug that cocaine dealers often use to prepare street product, investigators reported here.

<乌鸦传媒>Readers: Cheating Is Wrong, But Is This Cheating?

Nearly two-thirds of 乌鸦传媒 readers expressed concern about allegations of radiology residents cheating on their boards, but asked if reviewing old exam questions is really cheating.茂禄驴

<乌鸦传媒>ER Presentation Not the End for Colon Cancer Patients

SAN FRANCISCO -- Curative therapy is still a possibility, even if a colon cancer patient is seen for the first time in the emergency department with acute symptoms, researchers said here.

<乌鸦传媒>India Emerges as Source for Execution Drugs

Unable to get Pentothal through regular channels, Nebraska prison officials turned to a broker in India so they could execute two convicted murderers.

<乌鸦传媒>Parkinson's Called Hidden Killer

Life expectancy for patients with Parkinson's disease is poorer than some previous studies have suggested, with barely one-third of patients surviving six years with the condition, researchers said.

<乌鸦传媒>Two-Drug Combo Appears Best for Refractory Epilepsy

For patients with refractory epilepsy, a combination of lamotrigine and valproate may be the best option for preventing seizures, a retrospective analysis showed.

<乌鸦传媒>FDA Panel Split Over Inhaled Antipsychotic

WASHINGTON -- An FDA advisory panel punted on the question of approval for an inhaled version of the antipsychotic drug loxapine (Adasuve) to treat agitation in bipolar and schizophrenic patients, despite the risk for respiratory side effects.

<乌鸦传媒>ADHD Drug Helpful in Adult Depression

Phase II trial results suggested that a stimulant drug approved to treat attention deficit-hyperactivity disorder may improve cognitive function in adults with major depression, its manufacturer said.

<乌鸦传媒>'Upset Stomach' Feels Better After Killing H. pylori

Eradicating Helicobacter pylori with antibiotics provided significant benefits to primary care patients with functional dyspepsia, according to results of a randomized trial.

<乌鸦传媒>Low-Dose Zolpidem Gets FDA Okay for Wee-Hours Awakening

A new formulation of the insomnia drug zolpidem tartrate (Ambien) has been approved to treat middle-of-the-night awakenings followed by difficulty returning to sleep, the FDA said.

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