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

<乌鸦传媒>Striking a Nerve: MS Cured With an OTC Drug?

A neurology researcher is planning a clinical trial of a widely available drug that he thinks could stave off disability in multiple sclerosis patients. How much should he (or we) say publicly about it?

<乌鸦传媒>Daytime Snoozing May Tell Risk of Hypoglycemia

Older patients with diabetes who are overly tired during the day may be at a higher risk for hypoglycemia, researchers reported.

<乌鸦传媒>AAFP to Look at Allowing NPs, PAs to Join

SAN DIEGO -- The American Academy of Family Physicians wants to further study whether nurse practitioners and physician assistants should -- or would want to -- become nonvoting members.

<乌鸦传媒>Neurotransmitter Linked to Post-Traumatic Stress

Post-traumatic stress disorder is associated with lowered levels of norepinephrine transporter, a neurotransmitter in a brain region that plays a role in panic and stress, researchers reported.

<乌鸦传媒>ACP Hedges in Debate on Scope of Practice

The American College of Physicians took a nuanced position on the role advanced nurse practitioners play in clinical care teams in a position paper published Monday.

<乌鸦传媒>N.H. Hospital May Have Exposed Patients to CJD

Health officials in New Hampshire said eight neurosurgery patients at one hospital in the state may have been unwittingly exposed to Creutzfeldt-Jakob disease (CJD).

<乌鸦传媒>Low BP May Be Fatal in CKD

Chronic kidney disease patients, including those with diabetes, who were not on dialysis were more likely to die when blood pressure was too low, even if only on the diastolic measure, a veterans cohort showed.

<乌鸦传媒>Range of Due Dates Better for Expectant Moms

Pregnant women may be better off with a range of delivery dates rather than a set date due to variability in gestation times, researchers found.

<乌鸦传媒>FDA Panel Vetoes New Tolvaptan Indication

SILVER SPRING, Md. -- An FDA advisory committee has declined to endorse an expanded indication for tolvaptan (Samsca) to treat autosomal dominant polycystic kidney disease.

<乌鸦传媒>Lab Notes: Meth May Worsen Fungal Infection

Mice injected with methamphetamine and exposed to Cryptococcus fungi showed more extensive and hard-to-eradicate infections. Also this week: an organic pesticide fights parasitic worms.

<乌鸦传媒>FDA Warns of Fatal Skin Reactions with Acetaminophen

SILVER SPRING, Md. -- Acetaminophen is associated with rare but severe and sometimes fatal skin reactions at usual doses, the FDA said Thursday.

<乌鸦传媒>Death Spurs GE to Recall Scanning System

The FDA announced on Monday a class I recall of GE Healthcare's nuclear medicine systems stemming from a patient death reported last month.

<乌鸦传媒>Wounds Heal Better When Debrided Often

Faster and more complete wound healing was achieved with more frequent debridement regardless of wound type, size, or duration, researchers found.

<乌鸦传媒>Randy Travis Gets an LVAD, Future Uncertain

Grammy award-winning country music star Randy Travis has received the Impella pump, a temporary percutaneous left ventricular assist device, to help him as he battles viral cardiomyopathy, according to his publicist.

<乌鸦传媒>Sun Damage: Darker Not Better for Sunglasses

Seeking some new shades? There is whole lot more than style at stake, experts say.

<乌鸦传媒>FDA Adds GI Warning to Benicar Label

WASHINGTON -- The FDA ordered the maker of the blood pressure drug olmesartan (Benicar) to add a warning about risk of the intestinal condition known as sprue-like enteropathy to the drug's label.

<乌鸦传媒>Honey, Cola May Disrupt Heart

A detailed history of patients with arrhythmia or syncope might need to include their cola intake or the origin of the honey they consume, two case studies suggest.

<乌鸦传媒>Aricept Helps Cognition in Parkinson's

SYDNEY -- Parkinson's disease patients who have impaired cognition appeared to benefit from the Alzheimer's disease medicine donepezil (Aricept) with no detriment to their motor skills, researchers reported here.

<乌鸦传媒>Medicare to Pay for More FDG-PET Scans

WASHINGTON -- Up to three scans using 18F-fluorodeoxyglucose-enhanced positron emission tomography technology can be covered by Medicare for oncology treatment planning, the Centers for Medicare and Medicaid Services said.

<乌鸦传媒>ASCO: Targeted Agent Has Slim NSCLC Benefit

CHICAGO -- The novel kinase inhibitor nintedanib may slightly delay relapse of non-small cell lung cancer when added to chemotherapy, with perhaps greater benefit in adenocarcinomas, the LUME-Lung 1 trial showed.

<乌鸦传媒>Biological Death Needs Better Definition

An international consensus is needed on contemporary and practical criteria for brain and circulatory death, according to experts gathered in Barcelona for the annual congress of the European Society of Anesthesiology.

<乌鸦传媒>Diabetes Experts Divided About 'Lone Wolf' Butler

Top experts in diabetes and endocrinology have offered mixed reactions to a profile of Peter Butler, MD, chair of endocrinology at the University of California Los Angeles, in the New York Times.

<乌鸦传媒>FDA Limits Magnesium to Prevent Preterm Labor

The FDA today advised clinicians not to give pregnant women magnesium sulfate to prevent preterm labor for more than 5 to 7 days because it may harm developing fetal bones.

<乌鸦传媒>Shots Best Way to Give B12 After Bariatric Surgery

Vitamin B12 injections are the preferred treatment for patients who develop a deficiency following bariatric surgery, researchers found.

<乌鸦传媒>Zilver Stent Recalled, System May Break

Cook Medical's Zilver PTX drug-eluting stent for peripheral artery disease has been recalled because of a defect in its associated delivery system, the company and the FDA said.

<乌鸦传媒>Low Potassium Linked with Liver Disease

Patients with non-alcoholic fatty liver disease also had low potassium levels, researchers in China found.

<乌鸦传媒>APA Leaders Defend New Diagnostic Guide

SAN FRANCISCO -- The fifth edition of the "psychiatrist's bible" was officially released here in all its 947-page glory, with its developers offering a spirited rebuttal to their critics.

<乌鸦传媒>Is Protein the Key to Fountain of Youth?

The cardiac clocks of aging mice were turned back to a more youthful time when they received a protein taken from the blood of younger mice, researchers found.

<乌鸦传媒>On-Call Pay Varies Widely by Specialty

Surgeons commanded more than $1,000 a day for being on-call at the hospital, while primary care physicians reported compensation rates of around $150 a day, according to annually compiled data.

<乌鸦传媒>How Much Exercise to Burn Off a Burger?

Menus displaying the amount of exercise required to burn off calories in a meal had some impact on food choice, researchers found.

<乌鸦传媒>Cinnamon Game Harms Players

The "cinnamon challenge鈥� -- a party trick among youths who accept a dare to swallow a spoonful of ground cinnamon -- has led to a surge in calls to poison control centers with reports of spice-induced choking and aspiration, according to a new report.

<乌鸦传媒>Full Thyroid Removal May be Best in Graves' Disease

Removing the whole thyroid lessens the chance of hyperthyroidism recurrence in Graves' disease compared with partial thyroidectomy, but it also leads to increased temporary hypoparathyroidism, researchers found.

<乌鸦传媒>C. Diff Dangerous in ESRD

ORLANDO -- Kidney dialysis patients who are infected with Clostridium difficile have a greater risk of infection relapse and also have a higher all-cause mortality that patients who do not have kidney disease, researchers said here.

<乌鸦传媒>'Latex-Free' Claims Not Valid, FDA Says

The claim "latex-free鈥� is impossible to guarantee and should not be used on labeling of medical products, according to a new FDA guidance.

<乌鸦传媒>PML Not Fatal if Caught Early

SAN DIEGO - All multiple sclerosis patients taking natalizumab (Tysabri) who were diagnosed with a serious condition called PML before symptoms appeared were still alive a year later, researchers said.

<乌鸦传媒>Lichen Planus in Ear Not Uncommon

MIAMI BEACH -- The autoimmune disease lichen planus may affect the ear more commonly than previously thought, researchers reported here.

<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>UVB Exposure May Boost Low Vitamin D

MIAMI BEACH -- Narrowband UVB therapy may be a better treatment for vitamin D deficiency than supplementation, Swedish researchers reported here.

<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.

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