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PUTTING BREAKING MEDICAL NEWS INTO PRACTICE^™

Wednesday April 23, 2008

TODAY'S HEADLINES
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For the latest news, features, columns, video and audio reports and more, visit our home page at www.medpagetoday.com

Blacks Have Much Lower Incidence of Alcohol Abuse than Whites

BETHESDA, Md. -- Blacks are 40% less likely than whites to develop alcohol abuse, and Hispanics are half as likely as whites to develop generalized anxiety disorder. full story

http://www.medpagetoday.com/Psychiatry/Addictions/tb/9202

Gene Variant Gives Natural Beta-Blocker Effect to Many Blacks

ST. LOUIS -- About 40% of African Americans have a genetic variant that bestows a natural beta-blockade against heart failure, investigators here have found. full story

http://www.medpagetoday.com/Cardiology/CHF/tb/9210

Fewer Cardiac Events Seen with Everolimus-Eluting Stent

NEW YORK -- The investigational everolimus-eluting stent (Xience) had significantly fewer major adverse coronary events as well as reduced angiographic in-segment late lumen loss compared with the paclitaxel-eluting stent (Taxus), researchers here said. full story

http://www.medpagetoday.com/Cardiology/PCI/tb/9207

Observational Cancer Studies Warrant Skepticism

HOUSTON -- Observational comparisons of treatments for prostate or colon cancer appear inherently undependable compared with controlled clinical trials, researchers here reported. full story

http://www.medpagetoday.com/Urology/ProstateCancer/tb/9206

Declining Life Expectancy in Nation’s Poorest Counties

BOSTON -- American life expectancy has declined or stagnated over the past 25 years for the poor and those in communities with little access to healthcare, researchers here reported. full story

http://www.medpagetoday.com/Cardiology/Prevention/tb/9197

CABG Volume Goes Down but So Does Mortality

MINNEAPOLIS -- Declining rates of coronary artery bypass graft (CABG) procedures have not led to rising postop mortality rates, suggesting implications for regional health planning, researchers here said. full story

http://www.medpagetoday.com/Cardiology/CoronaryArteryDisease/tb/9203

Study Suggests Impending Shortage of General Surgeons

SEATTLE -- The general surgery workforce shrank by more than 25% between 1981 and 2005, possibly setting the stage for a severe shortage in the specialty, investigators here reported. full story

http://www.medpagetoday.com/Surgery/GeneralSurgery/tb/9201

Aggressive Paramedic Care Holds No Benefit for Trauma Patients

OTTAWA -- Advanced life support by paramedics in the field -- endotracheal intubation and intravenous fluid management -- does not improve survival in trauma patients, researchers here said. full story

http://www.medpagetoday.com/EmergencyMedicine/EmergencyMedicine/tb/9200

Ultrasound May Not Be Necessary to Diagnose Pulmonary Embolism

GENEVA -- When diagnosing pulmonary embolism, venous ultrasonography of the leg may be an extraneous step, researchers here found. full story

http://www.medpagetoday.com/Radiology/DiagnosticRadiology/tb/9199

Survival Rates Lower For Scalp or Neck Melanoma

CHAPEL HILL, N.C. -- A first invasive melanoma on the scalp or neck is nearly twice as lethal within five to 10 years as such malignant lesions on the extremities, trunk, face, or ears, a retrospective study found. full story

http://www.medpagetoday.com/HematologyOncology/SkinCancer/tb/9198

FDA Okays Miniaturized Pump for Heart Failure Patients
BETHESDA, Md. -- The first left ventricular assist device appropriate for small adults has received FDA approval. full story

http://www.medpagetoday.com/Cardiology/CHF/tb/9196

Nasal Surgery Improves Quality of Life in Obstructive Sleep Apnea

TAIPEI, Taiwan -- Nasal surgery to remove airway obstruction improved breathing, sleeping, and the ability to function for some patients with obstructive sleep apnea, a study found. full story

http://www.medpagetoday.com/Pulmonary/SleepDisorders/tb/9194

CME SPOTLIGHT

Epidemiology and Clinical Significance of Antibiotic Resistance
Epidemiology and Clinical Significance of MRSA Infections. Review the complexity, incidence and treatment of MRSA, and discuss treatment of a patient with MRSA endocarditis in a case vignette.
Source: CME Enterprise [more]

Heart Failure: From Emergency Department to Discharge
Join Drs. Frank Michota and Charles Emerman, as they provide the evidence-based science to support physicians in making critical decisions about appropriate ADHF management. This interactive CME activity will review effective diagnosis and treatment strategies in the ED, during admission, and after discharge to prevent rehospitalizations and improve patient healthcare outcomes.
Source: Med-IQ [more]

Emerging Patient Challenges in COPD: Interactive Case Simulator
Designed for primary care clinicians. This case-based CME activity provides a virtual learning experience, allowing participants to order diagnostic tests, prescribe drugs, diagnose and develop new treatment strategies; simulating clinical practice.
Source: CASIVUS [more]

Medical and Surgical Management of Aortic Valve Disease
Join Dr. Joseph E. Bavaria, MD and the team of University of Pennsylvania cardiology and surgery specialists in reviewing of all the important topics related to aortic valve conditions that a cardiovascular clinician faces on a daily basis.
Source: University of Pennsylvania School of Medicine [more]

Adequate Relief: Optimal Opioid Dosing and Side-Effect Management for Long-Term Care Patients
This CME/CE certified monograph addresses optimal opioid dosing and side effect management for long-term care patients.
Source: Interstate Postgraduate Medical Association and MEV Healthcom, Inc. [more]

MRI Evaluation of the Contralateral Breast in Women with Recently Diagnosed Breast Cancer
In this free CME/CE/CPE article review, William J. Gradishar, MD, discusses how early use of MRI in women with recently diagnosed unilateral breast cancer can improve detection of tumors in the contralateral breast.
Source: Projects In Knowledge [more]

New Frontiers in Targeted Therapy for Renal Cell Carcinoma
This activity is designed to educate clinicians on the most common malignancy of the kidney, renal cell carcinoma. Review evolving treatment strategies and best practices with Drs. Escudier, Eisen, and Rini.
Source: The Physicians Academy For Clinical and Management Excellence [more]

The Evolution and Role of Incretin-Based Therapeutics.
This activity reviews the pathogenesis of type 2 diabetes, the mechanisms by which incretin hormones affect glucose homeostasis, and the role of incretin-based therapeutics in the management of type 2 diabetes.
Source: SciMed New York [more]

RESOURCES

Review safety, efficacy and PIs for Pfizer oncology medicines; search clinical trials, review pipeline, and more
Visit PfizerOncology.com to access the latest reprints, slides, and other resources, organized by tumor type; efficacy, safety, and dosing for Pfizer oncology drugs; current oncology news; clinical trials suitable for your patients; and more. Source: Pfizer [more]

Access information on more than 150 Pfizer products at PfizerPro.com
Pfizer medicines have a new home on the Web. Visit PfizerPro.com for information on more than 150 Pfizer products. Convenient access to full prescribing information, scientific literature, professional resources, patient education material, and more. Source: Pfizer [more]

Find comprehensive, up-to-date information about clinical trials in oncology with TrialTrove™
Visit www.rocheexchange.com to access TrialTrove™, a real-time global oncology clinical trials database. For your convenience, each trial summary describes the study design, inclusion and exclusion criteria, and where the research is being conducted. Source: Roche [more]

Learn how Starlix� helps control mealtime glucose surges in patients with Type 2 Diabetes
View this e-learning for the latest information on Starlix and order valuable resources including samples and patient education materials. Source: Novartis [more]

Explore the Possibilities in Type 2 Diabetes.
View efficacy studies: Type 2 diabetes efficacy research & 18 and 24-week study designs. Source: Merck [more]

Featured Job Opportunities from MedJobs Today

Urology, Arkansas
Position consists of clinic, hospital consults, and surgery, and there is ER coverage with a minimum of 10 days per month.
http://www.medjobstoday.com/seeker/job_detail.cfm?jobid=17311&refsrc=dh
Urology, New York
A teaching facility in upstate New York is seeking two urologists to place for clinic and call coverage.
http://www.medjobstoday.com/seeker/job_detail.cfm?jobid=17590&refsrc=dh
Urology, Wisconsin
This opening is for weekend call coverage from Friday evening at 5pm to Monday morning at 8am.
http://www.medjobstoday.com/seeker/job_detail.cfm?jobid=17779&refsrc=dh

Visit MedJobs Today.com to search for a new job!

Is This a Job for Congress?
Rep. John D. Dingell (D-Mich.), chairman of the House Committee on Energy and Commerce, and Rep. Bart Stupak (D-Mich.), chairman of the Oversight and Investigations Subcommittee, are in the midst of a months-long investigation of the way Merck and Schering-Plough have handled the ENHANCE data. Vote

DDW Meeting

DDW: Contrary to Common Wisdom, Statins May Offer Liver Benefit

DDW: IBS And Restless Legs Syndrome Linked

AAPA Meeting

AAPA: Year-in-Review, Newly Approved Drugs

AANP Meeting

AANP: Pain May Be a Major Factor for Sleep Disturbances in Diabetes

ASCO Meeting

ASCO: No NSCLC Survival Benefit with Neoadjuvant Chemotherapy

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