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<乌鸦传媒 class='mpt-top_cat_title'>Hospital-Based Medicine >

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

<乌鸦传媒>Metformin and TSH: Is There a Link?

Canadian study suggests raises questions about metformin use in diabetics with underlying hypothyroidism.

<乌鸦传媒>Multiple Sclerosis Risk Tied to Some OCs

BOSTON -- Women using combined oral contraceptives containing norethindrone or levonorgestrel were substantially more likely to develop multiple sclerosis than those not on "The Pill."

<乌鸦传媒>Azithromycin Linked to Belly Blockage in Infants

WASHINGTON -- Infants who received azithromycin (Zithromax) in the early days of life were at an increased risk for developing infantile hypertrophic pyloric stenosis (IHPS), researchers reported here.

<乌鸦传媒>C. diff. Differs by Season and Region

WASHINGTON -鈥� March is the month when hospitals see more Clostridium difficile infections, and the Northeast is the region that leads the nation in the difficult to treat infection, researchers reported here.

<乌鸦传媒>Ebola Response: Slowed by a 'Perfect Storm' of Setbacks

WASHINGTON -- The world was taken by surprise by the West Africa Ebola outbreak and has been scrambling ever since to catch up, with many setbacks and only a few bright spots in the picture, international experts said at the Interscience Conference on Antimicrobial Agents and Chemotherapy.

<乌鸦传媒>Vancomycin May Protect Against C. Diff Recurrence

WASHINGTON -- Prophylaxis with oral vancomycin (Vancocin) appeared to protect at-risk patients from experiencing a recurrence of Clostridium difficile infection, researchers reported here.

<乌鸦传媒>ESC: Mixed Results with Steroids in TB Pericarditis

BARCELONA -- Adding steroids to anti-tuberculosis treatment for patients with tuberculous pericarditis can reduce the risk of complication and the resulting hospital admission, but adding prednisolone to tuberculosis treatment did not reduce the risk of death, researchers said here.

<乌鸦传媒>Doctors' Spouses: What's Not to Like?

When it comes to domestic life for physicians, things have changed since an oversexed and gory 1971 film with Gene Hackman called "Doctors' Wives" featured as one of its taglines, "Doctors' wives have everything. Except husbands."

<乌鸦传媒>Derms Want NP/PA Practice Limits

NPs and PAs who bill Medicaid as independent practitioners are more likely to bill for a dermatology visit than for any other office-based service -- so much so that in 2012, 55% of their Medicaid billings were for derm codes, to which dermatologists claim scope of practice violations.

<乌鸦传媒>Glucometer Control Test Underused in Diabetes

ORLANDO -- Control solution for ensuring the proper function of glucose meters didn't appear to be a priority among physicians, pharmacists, or patients, researchers reported here.

<乌鸦传媒>Truth vs. Fiction: Measuring 'The Knick'

How does John Thackery -- from Cinemax's "The Knick" -- measure up to the surgeon his character is based on, William S. Halsted?

<乌鸦传媒>Patients Want Diabetes-Friendly Meals on the Menu

ORLANDO -- It's easy to find heart-healthy or vegetarian-friendly meals labeled on restaurant menus, but diabetes patients are often left in the dark about options best suited to them.

<乌鸦传媒>Dementia Tied to More ICD Placements

Dementia patients get more implantable cardioverter-defibrillators than expected, and even cognitively normal individuals may not understand their options about cardiac device replacement.

<乌鸦传媒>Vitamin D Blog: Nutrient or Hormone?

Few people view their vitamin D supplement as hormone replacement therapy, but that鈥檚 exactly what it is, experts told 乌鸦传媒.

<乌鸦传媒>Are Your Patients Using Fake Names?

A case study in the American Journal of Medicine poses a vexing question many healthcare professionals have faced: What should you do when your patients use fraudulent names?

<乌鸦传媒>Tesamorelin May Help HIV Patients Shed Fat

MELBOURNE, Australia -- HIV-infected patients treated with tesamorelin, a growth hormone releasing hormone analog, achieved modest reductions in abdominal and liver fat, researchers said.

<乌鸦传媒>Morning Break: The B.O. Talk, No Love for Niacin

Health news and commentary from around the Web, gathered by the 乌鸦传媒 staff.

<乌鸦传媒>Staples or Sutures: Which Is Better After C-Section?

The decision to use sutures or staples to close incisions after a cesarean delivery has been debated in the obstetrics community, but results from a new study seem to give sutures the edge.

<乌鸦传媒>Estrogen Alone May Not Suppress Testosterone

CHICAGO -- Simply giving estrogen to male-to-female transgender patients won't completely suppress testosterone levels, researchers reported here.

<乌鸦传媒>FDA: No Clear Sign of Harm With Olmesartan in Diabetics

The evidence linking use of the angiotensin II receptor blocker (ARB) olmesartan in patients with diabetes and increased cardiovascular risk is not conclusive, according to a completed FDA safety review.

<乌鸦传媒>Obesity, T2D May Alter Gut Bacteria

CHICAGO -- The portfolio of gut bacteria in patients with obesity and type 2 diabetes may look different from that of healthy people, researchers reported here.

<乌鸦传媒>Learning How to Deal With Egos

Managing physicians need to take egos -- including their own -- into account when resolving conflicts among staff, says consultant Rosemarie Nelson.

<乌鸦传媒>PDE4 Inhibitor May Help PCOS Patients Slim Down

CHICAGO -- Adding the phosphodiesterase-4 inhibitor roflumilast to metformin may help obese women with polycystic ovarian syndrome shed pounds and improve other metabolic markers, researchers reported.

<乌鸦传媒>AMA Highlights: VA, Cheerleaders, and Guns

CHICAGO -- Wrapping up a full agenda, the AMA agrees cheerleading is a sport, doctors outside the VA need to pitch in to help care for veterans, and e-cigarettes need to be regulated.

<乌鸦传媒>AMA Mulls Gun Violence CME

CHICAGO -- As the AMA's House of Delegates was meeting in a downtown hotel here, 29 local residents were shot and four killed within a 10-mile radius.

<乌鸦传媒>ASCO: Myeloma Study Results Inconclusive

CHICAGO -- A trial comparing two immunomodulatory regimens for myeloma failed to demonstrate noninferiority for the newer drug.

<乌鸦传媒>Victoza Accused of Causing Pancreatitis

The watchdog group Public Citizen has conducted its own analysis of FDA adverse event reports and concluded that the type 2 diabetes drug liraglutide(Victoza) likely causes pancreatitis, the group said.

<乌鸦传媒>Lethal Injections, MOC, and E-Cigs on AMA Agenda

The American Medical Association is being asked to strengthen its ethical stance on physician participation in execution by extending its ban on doctors participating to include all health professionals.

<乌鸦传媒>ASCO: Targeting PD-1 Works in Advanced Melanoma

CHICAGO -- Two studies indicate that using investigative immunotherapy drugs improves survival and response in patients with metastatic melanoma, researchers said here.

<乌鸦传媒>Small eGFR Drops May Predict Kidney Outcomes

Declines in estimated glomerular filtration rate (eGFR) smaller than those that currently attract clinical attention may help predict the risk of end-stage renal disease, researchers reported.

<乌鸦传媒>ASCO: Ipilimumab Cuts Relapse but Safety Issues Remain

CHICAGO -- High-risk melanoma patients have a reduced level of relapse if they are taking the monoclonal antibody ipilimumab (Yervoy) when compared with placebo, researchers said here.

<乌鸦传媒>Real-Time Monitoring Cuts Cardiac Cath Radiation

LAS VEGAS -- A radiation detector that emits audible beeps might help interventional cardiologists and others in the cardiac catheterization laboratory reduce their exposure, researchers found.

<乌鸦传媒>More Brain Bleeds With Stroke Drug in 'Real World鈥�

BOSTON -- Intracerebral hemorrhage was more common among patients receiving tissue plasminogen activator (tPA) in the real world compared with those in a clinical trial, a small, single-center study showed.

<乌鸦传媒>Calif. Docs Among Top Billers for Complex Visits

Three California doctors are among the top five nationally in billing for the most complex office visits, according to data released by Medicare and analyzed by ProPublica and KQED.

<乌鸦传媒>Vitamin C May Save Newborn's Lungs When Mom Smokes

SAN DIEGO -- Damage to the lungs of babies born to mothers who smoked through pregnancy may be mitigated with vitamin C supplementation during gestation, researchers reported here.

<乌鸦传媒>Lung Foam Disappoints in COPD

SAN DIEGO -- A trial of hydrogel-based lung volume reduction therapy in patients with chronic obstructive pulmonary disease (COPD) complicated by emphysema failed to show consistent enough results and has been abandoned by the agent's developer, researchers said here.

<乌鸦传媒>Does Tylenol Protect Kidneys in Sepsis?

SAN DIEGO -- Acetaminophen (Tylenol) for severe sepsis patients improved renal function but gave mixed signals in terms of changes in the expected oxidative injury mechanism, researchers found in a pilot trial.

<乌鸦传媒>ICD-10 Follies: Falling From the Sky

The switch to the ICD-10 coding system may have been pushed back at least a year by Congress, but 乌鸦传媒 still thinks it's worthwhile to spotlight some of those thousands of new codes that might just be getting a bit too granular.

<乌鸦传媒>'Bulletproof' Coffee May Hike Lipids

LAS VEGAS -- Spiking coffee with butter and coconut oil -- a concoction known as "bulletproof coffee" -- may be boosting hyperlipidemia in otherwise healthy patients, researchers said here.

<乌鸦传媒>FDA Slashes Starting Dose for Lunesta

SILVER SPRING, Md. -- Patients starting on the sleep drug eszopiclone (Lunesta) should take no more than 1 mg at bedtime -- one-third the current label-recommended dose -- because of the risk of next-day impairment, the FDA said Thursday.

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