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Annals of Internal Medicine, tip sheet, July 16, 2002

The US Preventive Services Task Force recommends that all adults over 50 be screened for colorectal cancer using methods like the fecal occult blood test or flexible sigmoidoscopy. The Task Force also notes that clot-busting drugs and angioplasty are underused in certain patient groups, particularly women and specific types of heart at...

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·DateJul 15, 2002

UT Southwestern researchers discover better tests to detect congenital syphilis in newborns

UT Southwestern researchers have developed two blood tests that can predict central nervous system infection in infants born to mothers with syphilis. These tests, which detect neonatal antibodies and DNA of the syphilis organism, were found to be effective in identifying all cases of CNS infection in a study of 148 infants.

SourceUT Southwestern Medical Center·JournalNew England Journal of Medicine·DateJun 5, 2002

When every minute counts

QuikClot is a granulated material that rapidly absorbs all liquid in the blood and leaves behind clotting factors to effect coagulation within seconds. The product has been cleared by the FDA and is being distributed to US troops in Afghanistan, with plans for wider use in military and civilian settings.

Improving accuracy of cross-cultural neuropsychological testing

Researchers found that African Americans scored lower on neuropsychological tests due to poor educational experiences, but incorporating reading tests addressed this issue. The study suggests that including reading assessments can improve diagnosis accuracy among individuals with diverse educational backgrounds.

SourceColumbia University Irving Medical Center·JournalJournal of the International Neuropsychological Society·DateMay 20, 2002

Testosterone aids older men’s brains, UCSF study says

A new UCSF study found that older men with higher testosterone levels performed better on tests of cognition, including concentration, memory, and attention. However, the researchers emphasize that the study only examined natural testosterone levels and did not prove the benefits of testosterone supplements for cognitive health.

SourceUniversity of California - San Francisco·JournalJournal of the American Geriatrics Society·DateApr 15, 2002

More patients would refuse treatment if the outcome were impaired quality of life

Researchers found that when treatment outcomes were impaired quality of life, such as severe functional or cognitive impairment, a significant number of patients (74.4% and 88.8%) lost their willingness to receive treatment. In contrast, the impact on preferences was more nuanced with mortality, where only when the likelihood increased...

SourceYale University·JournalNew England Journal of Medicine·DateApr 3, 2002

Preventing HIV infection in newborns

A retrospective review of 6 cases involving HIV-positive infants whose mothers did not know their own HIV status revealed incomplete application of guidelines. The authors recommend universal HIV testing and counselling to prevent perinatal transmission, while a commentary discusses 5 critical steps needed for prevention.

SourceCanadian Medical Association Journal·JournalCanadian Medical Association Journal·DateApr 1, 2002

African-American heart patients

Researchers at Duke University found significant racial disparities in heart disease symptoms and functional status among African-American patients. They reported higher levels of chest pain and poorer quality of life compared to white patients, despite receiving similar procedures.

Early malnutrition and parasitic infections reduce cognitive ability later in childhood

Children with severe stunted growth at age 2 scored 10 points lower on cognitive tests than their peers, indicating that the detrimental effects of malnutrition linger through childhood. Diarrhea caused by G. lamblia parasite also reduced test scores, highlighting the importance of addressing nutritional needs in young children.

Predicting preterm birth still nearly impossible, study in New England Journal finds

A recent study published in the New England Journal of Medicine found that predicting preterm birth remains challenging due to low predictive value of current tests such as ultrasound and fetal fibronectin. The study suggests that prematurity in America is on the rise, with a 23% increase in premature births since the 1980s.

SourceMarch of Dimes Foundation·JournalNew England Journal of Medicine·DateJan 23, 2002

Thyroid disease raises risk for birth defects

A recent study published in Johns Hopkins Medicine found that women with overactive or underactive thyroid have an increased risk of birth defects in their babies, including cardiac problems and cleft lip or palate. The research suggests routine testing for thyroid disease prior to pregnancy may be warranted.

Diagnostic criteria for brain death vary worldwide

A comprehensive survey of brain death diagnosis in adults worldwide reveals significant variations in procedures, including differences in required physicians, observation time, and confirmatory tests. These discrepancies may be due to collective decisions by task forces or cultural attitudes, highlighting the need for standardization.

SourceAmerican Academy of Neurology·JournalNeurology·DateJan 7, 2002

Gatekeepers may not be essential to keep HMO costs down

A new study found that eliminating gatekeepers in health maintenance organizations (HMOs) does not necessarily increase costs. In contrast to traditional HMOs, point-of-service plans with open physician panels showed comparable spending on medical care expenditures, including physician services, hospital services, and prescription drugs.

SourceCenter for Advancing Health·JournalHealth Services Research·DateDec 3, 2001

Hookworms may prevent asthma

A recent study found that individuals with hookworm infections were half as likely to develop asthma compared to those without the infection. The researchers suggest that hookworms may alter the body's response to allergens, leading to reduced inflammation and increased resistance to asthma.

SourceThe Lancet_DELETED·JournalThe Lancet·DateNov 1, 2001