December 2014

Racial, Ethnic Disparities Continue in Medicare Advantage Plans

December 16, 2014

Cardiology

A nationwide study of elderly enrollees in Medicare Advantage health plans concluded that disparities in control of blood pressure, cholesterol, and glucose had not improved nationally for blacks in these plans despite the disparities being eliminated in the US west in 2011.

Older COX-2 Inhibitors Increase Mortality Risk in Ischemic Stroke

December 16, 2014

Neurology

A new Danish database analysis in the November 2014 issue of Neurology, indicated increased mortality after ischemic stroke in patients taking older non-steroidal anti-inflammatory drugs (NSAIDs) that inhibit COX-2 (e.g. diclofenac, etodolac).

Heart Transplantation in Short Term after Chemotherapy

December 16, 2014

Cardiology

Patients with a history of cancer are considered high-risk candidates for solid organ transplantation because of concerns about potential adverse effects or recurrence with posttransplant immunosuppression.

Many Options for Diabetics' Pain

December 17, 2014

Pain Management

Diabetics often experience peripheral neuropathy. In an estimated 30% to 50% of patients, this condition results in pain. The most common painful neuropathy is distal symmetric sensorimotor polyneuropathy.

Mu Opioid Receptor Binding and Smoking Pleasure

December 17, 2014

Pain Management

For smokers and other users of nicotine, the rewarding effects of the substance had been associated with activation of nicotine receptors. But studies have found evidence that the endogenous opioid system is also involved in creating this sense of pleasure.

Streptococcus Prediction Rules Not Accurate in Pediatric Cases

December 17, 2014

Infectious Disease

Pharyngitis prediction rules are not as accurate at identifying group A streptococcus cases as previously thought, according to findings published in the Canadian Medical Association Journal.

More Milk, Delayed Osteoarthritis?

December 17, 2014

Rheumatology

The benefits of drinking milk have been established in a number of previous studies, but one group recently looked at whether there were specific benefits in helping to delay knee osteoarthritis in women.

Testosterone Treatment Put Under Many Microscopes

December 17, 2014

Endocrinology

There had been a "remarkable convergence of many disciplines" when weighing the health risks and effectiveness of testosterone replacement therapy (TRT), according to an article published in JAMA.

Growth Hormone Therapy Effective at Increasing Anemics' Height During Childhood

December 18, 2014

Endocrinology

For children with Diamond-Blackfan Anemia (DBA) - an inherited condition defined by low red blood cell counts and limited progenitor cells in the bone marrow - growth hormone (GH) therapy was found to increase the short stature of patients - a symptom not widely analyzed.

What's the Story with Statins and Stroke Prevention? - A Q&A with Koto Ishida, MD

January 08, 2015

Quick Consult

There have been some disappointing studies and contradictory recommendations on using statins to treat stroke. HCPLive's Gale Scott interviewed Koto Ishida, MD, medical director of the NYU Langone Comprehensive Stroke Care Center, about the implications for clinicians.