Internal Medicine Alert – November 30, 2011
November 30, 2011
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Recommending the Appropriate Physical Activity to Your Patients
A newly developed instrument to measure brief physical activity counseling in primary care demonstrates that physicians need to do a better job. -
Hot Flash Treatment: 2011
In a randomized, double-blind, placebo-controlled trial, clonidine and venlafaxine both proved superior to placebo in reducing hot flashes in breast cancer patients. The study was insufficiently powered to prove superiority of one drug over the other. However, venlafaxine produced earlier reductions and it appeared clonidine had more sustained effect (i.e., at 12 weeks of treatment). -
Risk of Perioperative MI in Patients with Stents Undergoing Surgery
The authors conclude that patients with coronary stents undergoing an invasive procedure are at high risk of perioperative cardiovascular and bleeding complications, and that these are associated with a high mortality. -
Height and Cancer Risk
From a large cohort of women followed prospectively and with an adjunct meta-analysis of existing evaluable studies, a clearly demonstrated, nearly universal (i.e., across tumor types) incremental increase in cancer incidence was observed with advancing height. -
Tadalafil Tablets for BPH (Cialis)
Tadalafil, Eli Lillyâs blockbuster drug for erectile dysfunction, has now been approved to treat signs and symptoms of benign prostatic hyperplasia. Tadalafil is the first drug of its class to be approved for this indication. -
Clinical Briefs By Louis Kuritzky, MD
Recent retrospective studies in Europe have created concern because of an observed increased risk of cancer (hazard ratio = 1.55) in users of insulin glargine (GLAR) compared to nonusers.