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False-positive mammograms lead to anxiety and reduced quality of life

from Anaesthesia UK - 13 Jan 11

Doctors are suggesting that women receive more information about the drawbacks of breast cancer screening.


Intrauterine growth restriction: new concepts in antenatal surveillance, diagnosis, and management.

from Am J Obstet Gynecol - 11 Jan 11

Intrauterine growth restriction: new concepts in antenatal surveillance, diagnosis, and management. Am J Obstet Gynecol. 2011 Jan 5; Authors: Figueras F, Gardosi J Intrauterine growth restriction (IUGR) remains one of the main challenges in maternity care. Improvements have to start from a better definition of IUGR, applying the concept of the fetal growth potential. Customized standards for fetal growth and birthweight improve the detection of IUGR by better di


NHS Screening For Diabetes, UK

from MNTdiabetes - 08 Jan 08

Gordon Brown promised a more personal and preventative NHS today as he spelt out plans for a new national health screening programme to provide patients with early warning of some of the most serious conditions. His remarks came as he declared the Government's intention to set up the first national screening programme of its kind in the world, spotting the early signs of heart problems, stroke, diabetes and kidney disease.


Private body scans 'useless'This story has been made Editorial

from BBC - 11 Dec 07

Screening tests sold by private health insurers may pose a risk to health, a specialist warns.


Depression often untreated in Parkinson's disease patients

from Eurekalert - 09 Jul 07

While depression appears to be common in early Parkinson's disease (PD), it is often not treated or diagnosed, according to newly released research. A contingent of researchers from across North America found that just over 27 percent of PD subjects screened positive for depression, while 40 percent of subjects' depression went untreated. This study, is the first to systematically examine the impact of depressive symptoms in early, untreated PD.


ORIGINAL INVESTIGATION: Electronic Health Record Use and the Quality of Ambulatory Care in the United States

from ArchInte - 09 Jul 07

Background  Electronic health records (EHRs) have been proposed as a sustainable solution for improving the quality of medical care. We assessed the association between EHR use, as implemented, and the quality of ambulatory care in a nationally representative survey. Methods  We performed a retrospective, cross-sectional analysis of visits in the 2003 and 2004 National Ambulatory Medical Care Survey. We examined EHR use throughout the United States and the association of EHR use with


SPECIAL ARTICLE: The 100 Most Frequently Cited Articles in Ophthalmology Journals

from ArchOpht - 09 Jul 07

We screened 46 ophthalmology journals to identify the most frequently cited articles using the Science Citation Index Expanded (1975 to 2006). The 100 most-cited articles were published in 13 journals, most in the Archives of Ophthalmology (n = 30), followed by Ophthalmology (n = 27) and the American Journal of Ophthalmology (n = 11), and originated from 10 countries, led by the United States (n = 86). The topics covered by these classic articles included


[RESEARCH] Accuracy of liquid based versus conventional cytology: overall results of new technologies for cervical cancer screening: randomised controlled trial

from BMJ - 05 Jul 07

Objective To compare the accuracy of conventional cytology with liquid based cytology for primary screening of cervical cancer. Design Randomised controlled trial. Setting Nine screening programmes in Italy. Participants Women aged 25-60 attending for a new screening round: 22 466 were assigned to the conventional arm and 22 708 were assigned to the experimental arm. Interventions Conventional cytology compared with liquid based cytology and testing for human papillomavirus. Main outcome measur


[RESEARCH] Accuracy of reading liquid based cytology slides using the ThinPrep Imager compared with conventional cytology: prospective study

from BMJ - 05 Jul 07

Objective To compare the accuracy of liquid based cytology using the computerised ThinPrep Imager with that of manually read conventional cytology. Design Prospective study. Setting Pathology laboratory in Sydney, Australia. Participants 55 164 split sample pairs (liquid based sample collected after conventional sample from one collection) from consecutive samples of women choosing both types of cytology and whose specimens were examined between August 2004 and June 2005. Main outcome measures


The annual physical examination: important or time to abandon?

from Am J Surg - 03 Jul 07

Related Articles The annual physical examination: important or time to abandon? Am J Med. 2007 Jul;120(7):581-3 Authors: Chacko KM, Anderson RJ The annual physical examination remains a popular format with both patients and providers, despite the lack of evidence that either a comprehensive examination or laboratory screening tests are indicated for healthy adults. Patient desire for extensive testing and comprehensive examination combined with provider belief th


[RESEARCH] Telemonitoring or structured telephone support programmes for patients with chronic heart failure: systematic review and meta-analysis

from BMJ Online First - 10 Apr 07

Objective To determine whether remote monitoring (structured telephone support or telemonitoring) without regular clinic or home visits improves outcomes for patients with chronic heart failure.Data sources 15 electronic databases, hand searches of previous studies, and contact with authors and experts.Data extraction Two investigators independently screened the results.Review methods Published randomised controlled trials comparing remote monitoring programmes with usual care in patients with


Suicide risk in schizophrenia: learning from the past to change the future

from BMC psych - 16 Mar 07

Suicide is a major cause of death among patients with schizophrenia. Research indiactes that at least 5-13% of schizophrenic patients die by suicide, and it is likely that the higher end of range is the most accurate estimate. There is almost total agreement that the schizophrenic patient who is more likely to commit suicide is young, male, white and never married, with good premorbid function, post-psychotic depression and a history of substance abuse and suicide attempts. Hopelessness, social


New Colorectal Cancer Resource Available

from MNToncology - 10 Mar 07

In time for Colorectal Cancer Awareness Month, the American Society for Therapeutic Radiology and Oncology is encouraging people to get educated about the disease by updating its colorectal cancer patient brochure. An estimated 153,760 people will be diagnosed with colorectal cancer in 2007, according to the American Cancer Society. Starting at age 50, both men and women are encouraged to be screened for colorectal cancer by a test called a colonoscopy. [click link for full article]


Preventing Colorectal Cancer: Screening Is Key!

from MNToncology - 10 Mar 07

March is "National Colorectal Cancer Awareness Month" and the American Society for Gastrointestinal Endoscopy (ASGE), representing the specialists in colorectal cancer screening and other digestive diseases, has an important public health message: Colorectal cancer is largely preventable through screening. If you are over 50 or have a family history of colorectal cancer, talk to your doctor about getting screened. [click link for full article]


Preventing type 2 diabetes after gestational diabetes.

from Diabetes abs. - 30 Jan 07

Related Articles Preventing type 2 diabetes after gestational diabetes. Diabetes Educ. 2006 Nov-Dec;32(6):877-86 Authors: Case J, Willoughby D, Haley-Zitlin V, Maybee P PURPOSE: The purposes of this article are to examine the epidemiology of gestational diabetes mellitus (GDM) and subsequent type 2 diabetes, identify risk factors for the development of GDM and subsequent type 2 diabetes, discuss protocols for postpartum screening, and recommend evidence-based in


Type 2 diabetes.

from Diabetes abs. - 04 Jan 07

Related Articles Type 2 diabetes. Ann Intern Med. 2007 Jan 2;146(1):ITC1-15; quiz ITC16 Authors: Laine C, Wilson JF, , , It is nearly impossible to be a practicing internist in the United States and have a day of clinical work pass without encountering at least 1 patient with type 2 diabetes. Currently, over 20 million Americans and over 150 million worldwide have type 2 diabetes. Models estimate that this number will nearly double by the year 2050 so that ab


Alcohol abuse in the critically ill patient.

from Lancet - 28 Dec 06

Related Articles Alcohol abuse in the critically ill patient. Lancet. 2007 Dec 23;368(9554):2231-42 Authors: Moss M, Burnham EL Alcohol abuse and dependence disorders are common in the 10% of hospitalised patients who need admission to the intensive care unit (ICU), but these disorders are often undiagnosed. The systemic effects from the excessive use of alcohol increase susceptibility to, or directly cause various important disorders in the critically ill. Early


The two-week wait cancer initiative on oral cancer; the predictive value of urgent referrals to an oral medicine unit.

from Br Dent J - 13 Dec 06

Related Articles The two-week wait cancer initiative on oral cancer; the predictive value of urgent referrals to an oral medicine unit. Br Dent J. 2006 Dec 9;201(11):717-20 Authors: Singh P, Warnakulasuriya S Background The two-week wait cancer initiative was designed to speed up referral of patients suspected of having cancer. The National Institute of Clinical Excellence (NICE) has issued guidelines for head and neck cancers warranting urgent referral.Objective


Predictive value of urgent referrals for suspected oral cancer.

from Br Dent J - 13 Dec 06

Related Articles Predictive value of urgent referrals for suspected oral cancer. Br Dent J. 2006 Dec 9;201(11):714 Authors: Cowan CG Background The two-week wait cancer initiative was designed to speed up referral of patients suspected of having cancer. The National Institute of Clinical Excellence (NICE) have issued guidelines for head and neck cancers warranting urgent referral.Objective To look at the appropriate use of the two-week wait/urgent referrals by me


Study prompts repeat chlamydia screening

from - 04 Dec 06

Men and women treated for Chlamydia and gonorrhoea should be screened again within three months because of high repeat infection rates, according to US researchers. They analysed trial data on 2,419 patients who attended sexual health clinics with Chlamydia, gonorrhoea or Trichomonas. Subjects were followed-up every three months for a year, during which 25.8% of women and 14.7% of men had one or more new infections. 'Although single-dose therapy may adequately treat the infection, it of


CKD screening effective

from - 04 Dec 06

Targeted screening for chronic kidney disease can identify over 90% of patients, say Norwegian researchers. They followed up 65,604 people over 8 years, identifying 3,069 patients with stage 3 to 5 chronic kidney disease. Screening of those with hypertension, diabetes, or aged over 55 years would identify 93.2% of cases, with a number needed to screen of 8.7. BMJ 2006;333:1047 Update logo

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ORIGINAL CONTRIBUTION: PSA Screening Among Elderly Men With Limited Life Expectancies

from JAMA - 14 Nov 06

Context  Most guidelines do not recommend prostate-specific antigen (PSA) screening in elderly men who have limited life expectancies because the known harms of screening outweigh potential benefits. However, there are no large-scale studies of actual PSA screening practices in elderly men, according to life expectancy. Objective  To characterize the extent of PSA screening among elderly men, including those with limited life expectancies. Design, Setting, and Participants  Cohor


Researchers Report Rapid Non-Invasive Test For Pre-Diabetes

from MNTdiabetes - 04 Nov 06

Researchers today reported a new screening device that doesn't require blood was able to significantly outperform both the fasting plasma glucose (FPG) test and the A1C test for identifying individuals with impaired glucose tolerance (IGT), a condition that often progresses to type 2 diabetes. [click link for full article]


ORIGINAL ARTICLE: Colonoscopy in Colorectal-Cancer Screening for Detection of Advanced Neoplasia

from NEJM - 01 Nov 06

In a large, national program of colorectal-cancer screening in Poland, men were about twice as likely as women to have advanced neoplasia detected on colonoscopy. The yield of colonoscopy among men 40 to 49 years of age was similar to that among women 55 to 59 years of age (in these differing age groups, one advanced neoplasia detected for every 23 men and 22 women screened).


Plastic surgery helps migraine

from - 28 Oct 06

Plastic surgery to remove portions of muscle and nerves relieves symptoms in those suffering from migraine says the American Society of Plastic Surgeons. Patients in the study were first screened for their likely responsiveness to surgery by injection with Botox(R). The placebo-controlled study, funded by the American Society of Plastic Surgeons (ASPS) National Endowment for Plastic Surgery, will be presented during a first-ever, one day educational course at the University Hospitals Case Med


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