April 2014

New Blood Pressure Guidelines May Take Millions Off Hypertension Medications

April 14, 2014

Cardiology

New blood pressure treatment guidelines announced in February 2014 by the Eighth Joint National Committee (JNC 8) may result in nearly 6 million American adults no longer requiring hypertension medications.

Normalizing Blood Pressure May Prevent a Second Stroke

April 07, 2014

Neurology

Although many clinicians presumed patients with poor collateral blood vessel formation near their stroke site should have their blood pressure left high to prevent a second stroke, a study published in Neurology found lowering blood pressure to normal levels reduces subsequent stroke risk more effectively.

'All or None' Switch in Brain Determines Epileptic Seizure Severity

April 14, 2014

Neurology

Yale University researchers have found a single "switch" in the brains of patients with epilepsy that determines whether an epileptic seizure will be mild or trigger a dangerous, debilitating loss of consciousness.

Antihyperglycemic Agent Has No Cardiovascular Effect in Type 2 Diabetics

April 08, 2014

Endocrinology

Although the US Food and Drug Administration revised its approval processes for antihyperglycemic agents to include cardiovascular safety components, researchers still cannot discern whether those drugs affect cardiovascular outcomes.

Re-Engaging Internists in Menopause Management

April 10, 2014

Endocrinology

In the field of women's health, the publication of the 2002 Women's Health Initiative (WHI) study was such a defining event that clinicians talk about menopausal hormone therapy "before WHI" and "after WHI."

Male Infertility Is Not Just a Question of Reproduction

April 03, 2014

Endocrinology

Assisted reproductive technology (ART) has increased steadily since the mid-1970s. However, the number of male reproductive evaluative procedures has fallen, which suggests that many couples bypass the exam and go directly to ART.

Concurrent Opioid Prescribing Prevalent among Elderly with Multiple Providers

April 01, 2014

Pain Management

Among Medicare beneficiaries with 4 or more pain medicine providers, concurrent opioid prescribing is common and significantly associated with increased rates of hospital admission related to narcotic use.

Closing the Postherpetic Neuralgia Treatment Gap in Primary Care

April 14, 2014

Pain Management

Noting the management and treatment of postherpetic neuralgia (PHN) are currently subpar in the primary care setting, 2 researchers recently reviewed and outlined key clinical considerations for the chronic neuropathic pain syndrome.

Best-practice Models for Alzheimer's Disease Require Primary Care Redesign

April 04, 2014

Psychiatry

Adopting new best-practice approaches to dementia care would decrease caregiver burden, rule out onerous treatments, and improve the quality of care for older adults with Alzheimer's disease, but the current primary care structure is an obstacle to implementation.