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News, opinions and meeting coverage in hospital-based medicine.

ALS Drug Gets Review for VA Coverage

LAS VEGAS -- Riluzole (Rilutek) should remain on the Veterans Administration formulary as a treatment for patients with amyotrophic lateral sclerosis, despite having only modest benefits and considerable cost, a researcher said here.

FDA to Look at Tainted Skin Preps

Antiseptic skin preparation products can be contaminated by microbes, a problem the FDA will address at an upcoming public hearing.

Cardio Notes: Sex Improves with Stenting

Opening the arteries of those with stable coronary disease also opens the door to an improved sex life. Also this week, bariatric surgery helps remodel the heart.

Working with Weights May Help Stroke Rehab

Resistance training -- which is often overlooked in stroke rehab -- may help improve thinking and memory in stroke survivors, researchers found.

Low Preop Sodium Raises Mortality Risk

Preoperative hyponatremia significantly increased the risk of 30-day postsurgical mortality, a risk that extended across all subgroups of surgical patients, investigators reported.

Anemia a Risk with Low-Dose IVIG, Too

Even small doses of intravenous immune globulin (IVIG) can cause acute, severe anemia, researchers warned.

Adult Lungs Can Sprout New Growth

The lungs may have greater capacity for regeneration in adults than thought, according to a case report of new growth after lung cancer resection.

Facebook Status: Need Kidney

WASHINGTON -- Promoting living kidney donation on social networks could increase the organ donor pool, researchers said here.

Second Kidney Transplant Lasts as Long as First

WASHINGTON -- Patients who have a second kidney transplant may not be as bound for failure as once thought, researchers said here.

SocialMed: Drafting a Social Media Policy

As more hospitals and medical centers join Facebook and Twitter, developing a social media policy may be topping more agendas.

Most ICD Patients Die of Heart Failure

Patients with implantable defibrillators or resynchronization devices with defibrillator were most likely to die of heart failure or non-cardiac causes, not sudden death, a single-center study found.

'Visual Snow' Called Real, Not Drug Related

NEW ORLEANS -- A mysterious and troubling phenomenon called "visual snow" is a distinct syndrome that does not appear to stem from illicit drug use, nor is it a migraine aura, a researcher said here.

Brain Bleed Size Affects Therapy in Afib Patients

NEW ORLEANS -- The size of a brain bleed appears to determine which medications, if any, are given to atrial fibrillation patients after an intracerebral hemorrhage, a retrospective study showed.

Smoking Cuts Risk of Benign Brain Tumor

The risk of developing an acoustic neuroma was greatly reduced among male smokers, but not among those who take snuff, researchers reported.

Doctors Say 45 Common Tests 'Overused'

Nine specialty groups have listed tests and treatments that are frequently overused, such as antibiotics for sinus attacks and CT scans for low back pain, in the first phase of a long-term project.

Renal Function Key in C. Diff Therapy Choice

SAN DIEGO -- Patients with Clostridium difficile infection and underlying impaired renal function fared better with fidaxomicin treatment than with vancomycin, a researcher said here.

Extreme Obesity Adds More Risk in Hysterectomy

AUSTIN, Texas -- Increasingly severe obesity drives up complication rates after hysterectomy, and outcomes continually worsen with rising body mass index, according to results from a study reported here.

Cheney's Heart Makes Him a Million Dollar Man

Keeping former Vice President Dick Cheney's heart beating probably will cost the healthcare system at least a million dollars, cardiac transplantation experts told 51成人动漫.

Antibiotic Clears Stubborn E. Coli

Patients in last spring's outbreak of severe Escherichia coli who were treated with azithromycin had a lower frequency of long-term infection, German investigators reported.

Hormones Out of Whack With Long Opioid Therapy

PALM SPRINGS, Calif. -- Intractable pain patients on long-term, high doses of opioids should be screened for hormonal abnormalities, researchers said here.

Meaningful Use Tops IT Issues for Hospitals

茂禄驴LAS VEGAS -- Meeting federally mandated health information technology benchmarks will be a top priority for hospital IT departments over the next two years, according to survey results presented here.

ABMS Sets Time Limit for Board Certification

Physicians have between three and seven years after finishing residency to become board certified, according to a new policy from the American Board of Medical 51成人动漫.

In Cocaine Users Think About Levamisole

HOUSTON -- Half of a group of cocaine users tested positive for levamisole, a potentially hazardous veterinary drug that cocaine dealers often use to prepare street product, investigators reported here.

Readers: Cheating Is Wrong, But Is This Cheating?

Nearly two-thirds of 51成人动漫 readers expressed concern about allegations of radiology residents cheating on their boards, but asked if reviewing old exam questions is really cheating.茂禄驴

ER Presentation Not the End for Colon Cancer Patients

SAN FRANCISCO -- Curative therapy is still a possibility, even if a colon cancer patient is seen for the first time in the emergency department with acute symptoms, researchers said here.

India Emerges as Source for Execution Drugs

Unable to get Pentothal through regular channels, Nebraska prison officials turned to a broker in India so they could execute two convicted murderers.

Parkinson's Called Hidden Killer

Life expectancy for patients with Parkinson's disease is poorer than some previous studies have suggested, with barely one-third of patients surviving six years with the condition, researchers said.

Two-Drug Combo Appears Best for Refractory Epilepsy

For patients with refractory epilepsy, a combination of lamotrigine and valproate may be the best option for preventing seizures, a retrospective analysis showed.

FDA Panel Split Over Inhaled Antipsychotic

WASHINGTON -- An FDA advisory panel punted on the question of approval for an inhaled version of the antipsychotic drug loxapine (Adasuve) to treat agitation in bipolar and schizophrenic patients, despite the risk for respiratory side effects.

ADHD Drug Helpful in Adult Depression

Phase II trial results suggested that a stimulant drug approved to treat attention deficit-hyperactivity disorder may improve cognitive function in adults with major depression, its manufacturer said.

'Upset Stomach' Feels Better After Killing H. pylori

Eradicating Helicobacter pylori with antibiotics provided significant benefits to primary care patients with functional dyspepsia, according to results of a randomized trial.

Low-Dose Zolpidem Gets FDA Okay for Wee-Hours Awakening

A new formulation of the insomnia drug zolpidem tartrate (Ambien) has been approved to treat middle-of-the-night awakenings followed by difficulty returning to sleep, the FDA said.

Acetaminophen OD More Deadly if Taken in Stages

Acetaminophen overdoses were more likely to be fatal if patients consumed a series of high doses spread over the course of a day rather than downing, say, a bottle of pills at one time, outcomes among patients admitted to a specialized liver center showed.

FDA Revokes Avastin Approval for Breast Cancer

WASHINGTON -- The FDA has announced that bevacizumab (Avastin) is no longer approved for the treatment of breast cancer; the Genentech drug retains its other indications and will remain on the market.

Use of Psych Drugs Up, Women Biggest Users

One American in five takes psychiatric medication for conditions such as depression and anxiety, and use of the drugs is more common among women, researchers found.

ACR: Savella Brings Relief Long-Term in Fibromyalgia

CHICAGO -- Milnacipran (Savella), a selective serotonin and norepinephrine reuptake inhibitor, brought long-term relief to fibromyalgia patients who remained on therapy, researchers said here.

Systolic BP That's Too Low After Stroke Not Good Either

Systolic blood pressure that is too low -- as well as too high -- may put patients who have had a noncardioembolic ischemic stroke at risk for another one, researchers found.

AMA Adopts Policies on Circumcision, Gun Safety

The American Medical Association (AMA) House of Delegates has adopted a number of new policies at its interim meeting, including policies on male circumcision, physician discussion of gun safety, and a new medical coding system that will go into effect in 2013.

Jumpy Legs in Parkinson's Likely Not RLS

Patients with early Parkinson's disease were more likely to have a movement disorder called leg motor restlessness than true restless legs syndrome, a study found.

Vodka, Malt Liquor Most Likely to Buy Trip to Emergency Room

WASHINGTON -- Vodka and malt beverages were the forms of alcohol most likely to have been consumed by patients who wound up at the emergency department, seeking treatment for an injury, according to a small study.

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