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FDA Recommends Approval of Muraglitazar, But May Need To Reconsider; Which Antipsychotics Are More Dangerous?; Should CPOE Undergo Evaluation?; New Treatment for Tennis Elbow; FDA Actions
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Prostate cancer is one of the leading causes of cancer in men, both in this country and in Europe. Due to the introduction of the prostate specific antigen blood test (PSA test), the ability to diagnose prostate cancer well before signs or symptoms of the disease develop has been realized. Following its introduction, the PSA was endorsed widely and recommended by many major public health organizations as a useful screening test.
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Managing cardiac arrhythmias is a unique and complex challenge in the primary care setting. The clinician must balance proper initial assessment, long-term management schemes and effective acute and chronic treatment approaches with appropriate triage to a cardiac specialist and/or an electrophysiologist. The treating clinician must be able to diagnose the arrhythmia (if possible), understand the risks to the patients, and plan an acceptable therapeutic strategy. Available treatment options are evolving rapidly.
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Synopsis: After a province-wide educational campaign advocating salpingectomy at the time of benign gynecologic surgery for ovarian cancer risk reduction, the incidence of salpingectomy rose sharply in British Columbia. This was associated with a modest increase in operative time but no increase in overall surgical morbidity.
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Synopsis: A study using data from the California State Prenatal Screening Program has indicated a strong relationship between abnormal first and second trimester analyte values, as well as maternal characteristics, with placental abruption. This has stimulated a discussion of the possible benefit of retaining this type of biochemistry screening for prediction of other pregnancy complications.
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Ovarian cancer causes approximately 14,000 deaths in the United States each year, making it the most common cause of gynecologic cancer death and the fifth leading cause of cancer death in women after lung, breast, colorectal, and pancreatic cancer.
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Synopsis: Two years after vaginal surgery for prolapse and stress urinary incontinence, uterosacral ligament suspension and sacrospinous ligament fixation had similar outcomes. Perioperative pelvic floor muscle training did not improve urinary symptoms or prolapse symptoms.
