September 2014

Withdrawal Symptoms Cease over 12 Months When Cannabis Users Acknowledge Use

September 30, 2014

Psychiatry

Cannabis users who acknowledge their problem and report withdrawal symptoms are likely to increase abstinence over a 12-month period, according to research published in the Journal of Addiction Medicine.

Increased Development in Carpal Tunnel Syndrome

October 01, 2014

Rheumatology

As people spend more time sitting and working in front of computer screens, studies have shown the risk of developing carpal tunnel syndrome (CTS) has grown. A team of researchers recently worked to take a deeper look at specific factors and their roles in the development in the condition.

Mental Health Drugs: High Risk for Adverse Events

October 01, 2014

Psychiatry

Prescription medications for mental health diagnoses (e.g. antidepressants, antipsychotics, and mood stabilizers) consume approximately 25% of commercial health insurers' pharmacy budgets and almost 35% of public payers' pharmacy spending. In 2011, an estimated 26.8 million US adults-more than 11%-took prescription medications for mental illness.

Older Folks and Influenza: High Dose Vaccine 24% More Effective

October 01, 2014

Pulmonology

Scientists from Sanofi Pasteur's Swiftwater, PA facility have published results of a study indicating that a high-dose, trivalent, inactivated influenza vaccine (IIV3-HD or high dose Fluzone®) improves antibody responses to influenza among adults 65 years of age or older.

Treatment Guidelines Cut Clostridium Difficile Mortality

October 02, 2014

Gastroenterology

Clostridium difficile (C. diff) infection is now the leading cause of infectious nosocomial diarrhea in the industrialized world. But by following Infectious Disease Society of America (IDSA) treatment guidelines, clinicians can significantly reduce recurrence and mortality, a Texas Tech University Health Sciences Center School of Pharmacy team reports.

Hemoglobin A1c Levels Act as an Independent Gauge for Coronary Artery Disease

October 02, 2014

Cardiology

For individuals without diabetes, hemoglobin A1c (HbA1c) levels not only predicted the prevalence of coronary artery disease (CAD), but also anticipated its severity, according to research published in Mayo Clinic Proceedings.

Managing Diverticulitis Without Surgery

October 02, 2014

Gastroenterology

In an article in Annals of Surgery, Debbi Li, MD and colleagues at the University of Toronto, Toronto, Ontario, Canada report on a retrospective study of 14,124 diverticulitis patients cared for without surgery. The research goal was to quantify the risks of readmission and emergency surgery when patients did not get a prophylactic colectomy.

Potential Drug LY2951742 to Prevent Migraines?

October 02, 2014

Neurology

Physicians have few effective weapons to treat a migraine, an ailment that accounts for more than half of disability with a neurological cause. Chronic migraine is said to affect 2% of the world's population.

Option of Arthroscopic Surgery for Degenerative Meniscal Tears

October 02, 2014

Rheumatology

A recent study published in the Canadian Medical Association Journal looked at the steady progression of treatments for patients with degenerative muscular tears as well as the different efficiency levels between those patients who had surgery and those who took another treatment option.

US Residents of Indian Origin Have Elevated Risk of Inflammatory Bowel Disease

October 02, 2014

Gastroenterology

Patients of Indian ancestry living in the United States are at greater risk for all types of inflammatory bowel disease (IBD) than other American populations, according to a new study by Reenu Malhotra, MD, and colleagues published online in Clinical Gastroenterology and Hepatology on July 29, 2014.

Jaw Osteonecrosis as Potential Adverse Effect to Oral Bisphosphonate Therapy

October 02, 2014

Rheumatology

In a review published in the New England Journal of Medicine, Brett noted that the results from the first study suggested that in Taiwan, one out of every 200 patients who are "long-term users of oral alendronate," develop the condition.

Oral Fluoroquinolone Use and Risk of Peripheral Neuropathy

October 02, 2014

Neurology

Current users of oral fluoroquinolone (FQs) antibiotics, especially new users of FQs, are at higher risk of developing peripheral neuropathy (PN), concludes a recent study published in Neurology.

Don't Count Us Out Just Yet

October 03, 2014

Editor's Letter

The Ebola epidemic in Central Africa has riveted the American public. Press accounts of the homegrown case of a Liberian man who developed symptoms after arriving in Texas has driven anxiety higher. There is growing fear among many that the virus will spread rapidly in the US causing widespread death. This week a patient advised me to stock up on food and water and get a gun to prepare for the impending epidemic.

Utility of the Ankle-brachial Index in Clinical Practice: A Q&A with Harry Agis

October 10, 2014

Quick Consult

Harry Agis, MD, is a vascular surgeon and a partner in the New Jersey Vein Institute, Morristown, NJ. He speaks with Internal Medicine World Report Editor-in-Chief, Simon Douglas Murray, MD about the utility of the ankle-brachial index (ABI) in screening for peripheral artery disease and atherosclerosis and then will touch briefly on a few other subjects that might be relevant to internists with regards to vascular surgery.