Hypermobility Conditions Treatment Hampered Due to Lack of Clinical Understanding
August 27th 2015Mobility is great. Hypermobility? Less great. In the joints, hypermobility leads to musculoskeletal pain – and often times, lots of it. A recent review in the Journal of Pain Research outlined several of the challenges in treating generalized joint hypermobility (GJH) and found many difficult questions and few easy answers.
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Internet-based Therapy Potentially Useful for Adolescents with Anxiety Disorders
August 27th 2015Recent study results suggest Internet-based cognitive behavioral therapy (ICBT) could be useful for adolescents with anxiety disorders along with standard treatment delivered in child and adolescent psychiatric clinics.
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Early Use of DMARDs Linked to Delayed Need for Joint Replacement Surgery
August 27th 2015Study results suggest that longer exposure to methotrexate and other disease-modifying anti-rheumatic drugs within the first year of diagnosis is associated with a significantly longer time to joint replacement surgery.
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Health Experts to White House: "Widen Access to Hepatitis C Medications"
August 26th 2015Experts from the Public Health Service and President Obama's Advisory Council on HIV/AIDS have asked the administration in a letter to widen access to new, high-cost medications that successfully treat hepatitis C.
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Even Light Drinking Can Increase Alcohol-related Cancer Risk
August 26th 2015A new cohort review in BMJ suggests that even light to moderate alcoholic consumption is associated with minimally increased risk of overall cancer. Earlier studies have made the link to increased risk of cancer (particularly colorectal, female breast, oral cavity, pharynx, larynx, liver, and esophagus) for heavy consumption, but the news here is that even amounts less than 30 g/day have potential bearing on cancer risk.
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Minority Melanoma Paradox is Invasive, Reversible
August 24th 2015A retrospective review in Clinical, Cosmetic & Investigational Dermatology tried to answer the difficult question of why African Americans (AA), who have a much lower incidence of melanoma than Caucasians do, have a five-year survival rate that is drastically lower than it is for Caucasian patients. This is what's known as the "minority melanoma paradox," and the reasons for it are not well-understood.
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Psoriasis Further Linked to Cardiovascular Disease, Smoking
August 24th 2015Medical researchers know there is a connection between psoriasis and cardiovascular diseases, but a new Iranian study in Clinical, Cosmetic & Investigational Dermatology further verifies lipid abnormalities linked to psoriasis and suggests a serum lipid profile and blood pressure check for all of those patients.
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Alopecia Areata Associated with Significant Comorbidities
August 24th 2015A systematic review of alopecia areata (AA) in Clinical, Cosmetic & Investigational Dermatology highlighted the unpredictability and lack of treatment options for the condition. But it also pointed to a larger problem: more than half of patients with AA experience poor health-related quality of life (QOL). Patients with AA are at risk for depression and anxiety, atopy, vitiligo, thyroid disease, and other autoimmune conditions.
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Combination Technique Significantly Speeds Up Tattoo Removal
August 24th 2015Safe and effective tattoo removal has a sketchy history, but a new study in Lasers in Surgery and Medicine suggests that a new technique can clear unwanted ink more rapidly than conventional methods. The technique involves a combination approach to a well-known and widely accepted technique – removal with Q-switched lasers – with a perfluorodecalin (PFD)-infused silicone patch.
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Major Depressive Disorder: Protein Linked to Potential Suicidality
August 21st 2015Investigators have shown that changes in toll-like receptor 4 (TLR4) mRNA expression level are significantly associated with major depressive disorder (MDD). The study, which appeared in Neuropsychiatric Disease and Treatment, is a follow-up to an earlier study by the same researchers that first established the connection between TLR4 and MDD.
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Blunter Needle Has Safety Advantages for Some Intravascular Steroid Injections
August 21st 2015Some studies have shown the benefit of a blunt, Whitacre-type needle in reducing the incidence of intravascular injection during TFESI, but other studies showed that a short-bevel needle did not reduce the incidence of intravascular injection in lumbar TFESI compared to long-bevel, Quincke-type needles.
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Does the Analgesic Placebo Response Differ in Children?
August 21st 2015There has been a great deal of study on the placebo effect in the medical literature, and despite some evidence suggesting that placebo response rates in randomized controlled trials are higher in children and adolescents compared to adults, there has only been limited research involving the placebo response of children.
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Studies: Exercise and Sleep Are Key in Ankylosing Spondylitis
August 21st 2015A recent study suggests that patients with ankylosing spondylitis (AS) have a higher incidence of obstructive sleep apnea syndrome that increases with the severity of cervical vertebral involvement. A separate study published on the same day suggests that specific exercise regimens may be beneficial for patients with AS.
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What Role Do miRNAs Play in the Onset and Severity of OCD?
August 21st 2015Obsessive–compulsive disorder (OCD) presents several diagnostic and treatment challenges, in part because etiology and pathogenesis remains relatively unknown. Most studies of OCD focus on adult patients, but there have been some studies of OCD onset before the age of 6 years, and the vast majority of OCD patients (80%) report that related symptoms began before age 18.
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Lack of Standardized Measurements Clouds Picture of Pain Interventions
August 21st 2015Data concerning general outcomes and indicating performance of general pain clinics remain sparse, according to a study in the Journal of Pain and Research. The United Kingdom study suggests that this lack of standardized measurements negatively impacts the ability to judge the overall effectiveness of pain clinics, both in the UK and in other parts of the world.
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Can a Woman's Finger Length Predict Susceptibility to Acne Vulgaris?
August 21st 2015What can the length of a woman's fingers tell us about their susceptibility to acne vulgaris (AV)? Plenty, it turns out, according to a study in the American Journal of Clinical Dermatology. The study suggests that a more masculine second-to-fourth digit (2D:4D) ratio may predict sebum levels and, therefore, the potential for developing AV.
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Cluster Headache Remains an Enigma Despite Clinical Clues
August 21st 2015A recent study in The Journal of Headache and Pain sheds some additional light on the chronobiological experience of patients with cluster headache (CH). However, it still leaves lingering mysteries around the pattern of pain CH that patients typically experience, the triggers of those headaches, and the mechanisms and interactions that drive headache frequency and severity.
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Chronic Low Back Pain: Pregabalin Helps Reduce Pain and Sleep Interference
August 14th 2015A new study suggests that pregabalin shows significantly greater improvements in pain-related interference of sleep relative to usual care in patients with chronic low back pain with accompanying neuropathic pain (CLBP-NeP).
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Predicting Fracture Risk in Patients with Osteoporosis
August 13th 2015In 2014, the fracture risk algorithm FRAX celebrated its 20-year anniversary. Developed by a World Health Organization (WHO) study group in 1994, FRAX is a freely available diagnostic tool used to evaluate the 10-year probability of bone fracture risk, mostly for patients with osteoporosis. It is a part of many national health guidelines worldwide.
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Impact of Genetic Variations on Schizophrenia Treatment Effectiveness
August 12th 2015Safe, effective treatments for schizophrenia are well-established in the United States and worldwide, with several second-generation antipsychotics (SGAs) approved for use. But earlier schizophrenia studies have shown that several single nucleotide polymorphisms (SNPs) – the genetic variations that can underlie differences in susceptibility to disease – are overexpressed in Caucasian patients with schizophrenia but not in their Chinese counterparts, and vice versa.
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Study Will Evaluate Bipolar Medication in Treating Borderline Personality Disorder
August 12th 2015Borderline personality disorder (BPD) is challenging to diagnose and treat. As yet, there are no drugs currently licensed for BPD treatment. In fact, guidance from England's National Institute for Health and Care Excellence recommends that pharmacologic therapy not be used for patients with BPD at all. This is potentially troubling, because those patients typically experience rapid and extreme changes in mood, poor social functioning and have high rates of suicidal behavior.
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Plasma Exchange May Be Effective Treatment for CRPS
August 12th 2015Complex regional pain syndrome (CRPS) is one of the pain conditions that has remained fairly mysterious, but a new, effective treatment may be on the horizon. It is known that CRPS most often develops following trauma, however, and evidence suggests a maladaptive response to nervous system damage involving immune and inflammatory pathways as well as abnormalities in both peripheral and central processing of afferent inputs. No single therapy – including pharmacologic therapy – wholly addresses the condition.
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Self-Management for Patients Suffering from Depression
August 12th 2015Self-management for chronic or long-term conditions such as pain, diabetes, asthma, or arthritis is now a common part of long-term care. The same is not true for depression. At least, not yet. As clinicians learn more about depression, it has ceased to be viewed alongside other acute conditions and is now often thought of as chronic or long-term. Research shows that more than half of all people will have at least one further depressive episode after their first.
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