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Can Opiates Be Administered by Nebulizer?
Some clinicians are using nebulized morphine to treat pain and breathlessness in patients with COPD and CHF, but is there evidence to back that up?
Expert Viewpoint, May 2008
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Pain in the Cognitively Impaired Elderly: Guidance for Clinicians
What do you do when your patients can't tell you they are in pain? Can you rely on self-report of pain in patients with dementia? Learn how to ask about pain, behaviors to watch for, and other tips.
Journal Article, May 2008
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CME
An Update From the Gastrointestinal Cancers Symposium
These summaries highlight important data presented at the 2008 Gastrointestinal Cancers Symposium in the areas of pancreatic and colorectal cancers.
Conference Coverage, May 2008
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A Tale of Two Neisseria: Video Blog with Paul Auwaerter, MD, MBA
It was the best of times, it was the worst of times. In the face of antimicrobial treatment resistance, what are the recommended changes in prescribing related to N. gonorrhoeae and N. meningitidis?
Expert Viewpoint, May 2008
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Can Patients With Liver Cirrhosis Take Warfarin?
Can patients with liver cirrhosis who already have a prolonged INR receive warfarin therapy if needed for other indications? If so, how do we assess anticoagulant activity?
Expert Viewpoint, May 2008
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Launch of Renvela for Patients With Chronic Kidney Disease in the United States: An Expert Interview With Jose Arruda, MD
Medscape Nephrology interviews Jose Arruda, MD, Chief of Nephrology at the University of Illinois College of Medicine, on the US launch of Renvela for chronic kidney disease.
Expert Viewpoint, May 2008
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Filling the Gaps in Current Guidelines for the Management of Hypertension
ACC.08: Treating very old patients with hypertension, initiating therapy with fixed-dose combinations, and regressing LV hypertrophy -- all good targets for antihypertensive therapy. Or are they?
Conference Coverage, May 2008
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Do Immigrants Help or Hurt US Healthcare?
Patients are not the only critical piece of the equation. A Web site that examines hot business topics in medicine offers an unusual perspective on this and other issues.
Article, May 2008
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Why the NIH Trial to Assess Chelation Therapy (TACT) Should Be Abandoned
The $30 million, NIH Phase 3 Trial to Assess Chelation Therapy (TACT) exposes subjects to a risky method that is known to be ineffective. The TACT should be abandoned and its origins investigated.
Article, May 2008
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What Are the Risks of Contracting MRSA From Domesticated Animals?
Is there a risk of contracting MRSA from domesticated animals? An expert answers a reader's question about disease transmission from animals to humans.
Expert Viewpoint, May 2008
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Infectious Syphilis: The Return of an Epidemic
An infectious syphilis epidemic returns to challenge public health. As past becomes present, what do clinicians need to know about this sexually transmitted infection?
Expert Viewpoint, May 2008
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Birth Control for P Values: A Single Scientific Question Should Be Addressed by a Single Statistical Test
Stick to a limited number of P values, says the statistician.
Article, May 2008
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Rheumatoid Arthritis is Milder in the New Millennium: Health status in RA patients 1994-2004: Commentary from F1000
Start RA treatment early and aggressively: A practice-changing study
Journal Article, May 2008
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Managing Expectations and Individualizing Treatment for Adults With ADHD: An Expert Interview With Richard H. Weisler, MD
Engaging adults with ADHD in treatment presents specific challenges. How do patient and provider characteristics influence treatment choices? Which comorbid conditions affect adherence?
Expert Viewpoint, May 2008
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When Is Noninferior Superior to Superior?
Testing against placebo (ie withholding therapy) in clinical trials is often unethical, so Dr Black explains why testing against an active comparator (another drug) means testing for "noninferiority".
Expert Viewpoint, May 2008
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Icyou: How Social Media Is the New Resource for Online Health Information
Prerna Mona Khanna, MD, MPH, Medical Editor, Icyou.com, Charleston, South Carolina, describes another promising use of the health Internet.
Expert Viewpoint, May 2008
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CME/CE
The Skinny on Weight Loss Supplements: Fact or Fantasy?
Patients who want to lose weight are likely to try an over-the-counter product that promises success.
Clinical Review, May 2008
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Antimicrobial Treatment for Acute Sinusitis
A study in the December 5, 2007, issue of JAMA looks at whether antibiotics and nasal steroids are effective in the treatment of acute sinusitis.
Expert Viewpoint, May 2008
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Genomic Research and Personalized Medicine: An Expert Interview With Francis Collins, MD, PhD
Dr. Francis Collins talks about how close we are to the achievement of personalized medicine.
Expert Viewpoint, May 2008
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Clopidogrel Preload Prior to Percutaneous Coronary Intervention: The ARMYDA-4 and ARMYDA-5 Trials
TCT 2007: Does clopidogrel pretreatment improve outcomes and decrease platelet aggregation in a broad spectrum of patients?
Conference Coverage, May 2008
