HIV testing should be routine part of primary health care for sexually active
...ss than many other diagnostic tests. This current recommendation reinforces the need for routine tests. "Now that we know that HIV testing is cost effective, even when the prevalence of HIV is low, we need a new approach," says Timothy P. Flanigan, MD, chief of infectious diseases at The Miriam Hospital and a prof...... liver values over the course of their usage. This recommendation may concern physicians whose patients also have known liver conditions, including elevated, though asymptomatic, liver enzymes. Naga Chalasani, M.D., of Indiana University School of Medicine, thoroughly examined the literature related to statin hepat...ESC releases the first European Guidelines on Percutaneous Coronary Interventions (PCI)
...olysis significantly reduced stroke. Overall, the recommendation is for primary PCI over thrombolysis in the first 3 hours of chest pain, in order to prevent stroke, and in patients presenting 3-12 hours after the onset of chest pain, to salvage myocardium as well as preventing stroke. 12. At present, there is n...New colorectal cancer screening recommendations for African Americans
...reening for colorectal cancer and data support the recommendation that African-Americans begin screening at a younger age because of the high incidence of colorectal cancer and a greater prevalence of proximal or right-sided polyps and cancerous lesions in this population. The recommendations are published in the M...GlaxoSmithKline receives unanimous favorable recommendation by FDA Advisory Committee for Boostrix
...e, Adsorbed (Tdap)] received a unanimous favorable recommendation from the Vaccines and Related Biological Products ...isory Committee has provided a unanimous favorable recommendation for FDA approval of Boostrix," said Barbara Howe, M.D., vice president, Clinical Research and Develo...SAM on the favorable recommendation by FDA Advisory Committee for Boostrix
...olescent Medicine supports the unanimous favorable recommendation of the Vaccines and Related Biological Products Advisory Committee of the U.S. Food and Drug Administration (FDA) regarding the development of a vaccine to prevent the occurrence of pertussis in adolescents. We believe that the development of this v...Blood pressure treatment could cut risk of strokes and heart attacks
...after the Steering Committee of ASCOT accepted the recommendation of its Data Safety Monitoring Board that the blood pressure arm of the trial should be stopped, due to far better results for those patients on the new treatment. The newer treatment strategy using the calcium channel blocker, amlodipine, and the ang...Antimicrobials to prevent infection in major surgery are used properly only about half the time
... in which the knowledge from years of research and recommendation from clinical practice guidelines are routinely incorporated into practice."...Gene signature can predict breast cancer spread
... of patients. If confirmed in further studies, the recommendation of additional hormone or chemotherapy in patients with lymph-node negative breast cancer could be guided by this prognostic signature." In an accompanying commentary Tor-Kristian Jenssen (PubGene AS, Vinderen, Norway) and Eivind Hovig (Norwegian Radi...Study finds no reason for expectant mothers to shy away from early epidurals
...of analgesia should be used until that time. This recommendation was based on studies that found an association between the initiation of epidurals early in labor and an increased cesarean delivery rate. "We hypothesized that the findings of these earlier studies linking epidurals to increased risk of cesarean de...Changing trends in herbal supplement use
... this prevalence may increase following the recent recommendation that all adults take a multivitamin daily," the authors write. "Although the deliberate use of herbal products may have reached a plateau in the last few years, exposure to individual herbal ingredients may continue to rise as more of them are added ...Teaching a less obvious medical skill -- Ethical decision-making
...bers should listen carefully when a doctor makes a recommendation and invite the doctor to explain the rationale for...Kaldjian said. When a patient rejects a doctor's recommendation for seemingly ethical reasons, it may be that those involved simply have not conversed with each oth...Full-body MRI shows promise for screening, but should stay in research area for now, study says
...ore difficult to calculate risks and benefits. Our recommendation is not to advertise this to the population, but to first undertake long-term studies to see if the benefits outweigh the potential risks," said Dr. Gehde. However, the researchers admit, news of this technique is spreading and many patients are reque...Cardiac imaging is underused in women to diagnose disease
...ping imaging technologies. The committee made no recommendation about using CT measurements of coronary calcium t...there is not enough gender-specific data to make a recommendation on cardiac MR imaging, but felt available data suggest some future role of this technology in diagno...Reviparin effective in reducing risk of death after heart attack
...REATE advances the field by demonstrating that the recommendation for antithrombotic therapy can now be made with confidence that the evidence is not built like a house of cards on a series of neutral 'equivalence trials or small outcome trials. Given the modest advantage of low-molecular-weight heparin in general ...Pharmacist review does not keep older people out of hospital
...eview need to be established, say the authors. The recommendation of the national service framework for older people and the NHS plan that this should be widely introduced in primary care seems to lack a clear evidence base, they conclude....Program effective at reducing depression in teens
...rovement model and results are consistent with the recommendation of the U.S. Preventive Services Task Force that depression screening in primary care is effective when combined with access to treatments such as those provided in the YPIC trial," the researchers write....Study finds heavy drinking linked to higher stroke risk
...o help clarify this finding. For now, the standard recommendation that men drink no more than two drinks per drinking day still appears to be a good one, say the authors. "Our findings directly support current public health recommendations stating that men should consume less than two drinks per day," the authors ...Getting pregnant while on the pill: Yet another health hazard of being overweight
...ndom or other barrier methods. Another recommendation for heavy women on the pill is to lose weight, although this study did not specifically examine the impact of weight loss on the pill's effectiveness. "I think losing weight, if one is substantially overweight, is a terrific idea for many health reas...Web-based tool to help clinicians make schizophrenia treatment decisions
...n, "It is not prescriptive in the sense of being a recommendation for any single patient." Being Web-based, the IPAP algorithms can also be easily adapted to reflect the results of the most recent research advances -- a problem inherent in print-based algorithms. Its Web-based format also allows the algorithms to b...