The drug dabigatran is now recommended by some doctors over warfarin in treatment of atrial fibrillation. New guidelines also suggest surgery.

According to new guidelines released in the ‘Canadian Journal of Cardiology’ on Feb. 18 2011, warfarin is out and a drug called dabigatran is in when it comes to treating the symptoms of atrial fibrillation. AF is the most common type of irregular heartbeat and 3 million people worldwide are estimated to have an atrial fibrillation-related stroke each year.

Dabigatran More Effective than Warfarin, Guidelines Say
The new guidelines cite a study released in November of 2010 that finds dabigatran (brand name Pradex) is just as effective, and possibly more effective, than is warfarin (brand name coumadin), the current most used drug treatment of atrial fibrillation symptoms. Dabigatran has also been determined to be easier for patients to use. The efficacy of warfarin needs to be regularly monitored, not so, the guidelines say, with dabigatran.

A drawback of dabigatran is that while it has been approved for use in Canada as well as other countries it’s an expensive medication.

Read more: http://www.suite101.com/content/new-drug-recommended-in-treatment-of-irregular-heartbeat-af-a349618

Ways to make primary care the key to health reform

Posted by: admin on: April 26, 2011

America is closer to meaningful health care reform than at any time in its history. Finding a way to both provide every American access to affordable health care while seeking to control health care costs has not been easy. One goal all sides can agree on, but have yet to meaningfully address, is the need to end the crisis of primary care in the United States

In a survey from the Journal of the American Medical Association, 94 percent of patients preferred seeing a primary care doctor first for their medical issues .But in most cases, patients wait weeks or months for a primary care appointment, which often leads them to the emergency department for care that ordinarily can be handled in a doctor’s office.

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The league’s Head, Neck and Spine committee announced the new concussion assessment protocol at the NFL Scouting Combine on Friday.

The revised guidelines combine a symptom checklist, cognitive evaluation, neurologic examination and a balance assessment and are derived from a sideline protocol developed by the international Concussion in Sport group, which last met in 2008 in Zurich.

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Video Games can lead to Violent Behaviour in the child

Posted by: admin on: April 26, 2011

Neither video game violence exposure, nor television violence exposure, were prospective predictors of serious acts of youth aggression or violence in a sample of 302 (52.3% girls) mostly Hispanic youth. However, current levels of depressive symptoms were strong predictors of serious aggression and violence across most outcome measures. Moreover, depressive symptoms also interacted with antisocial traits so that antisocial individuals with depressive symptoms were the most inclined toward youth violence.

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Optimum Pyresis

Posted by: admin on: April 26, 2011

Treat kids’ discomfort, not fevers

Don’t immediately reach for the medicine cabinet when your little one’s forehead feels warm, according to a new report from the American Academy of Pediatrics (AAP) that says fevers alone are not a cause for intervention.
“The focus should be on comfort and not on absolute temperature,” Dr. Janice Sullivan, the lead author of the report, told Reuters Health.

That’s because fever can be help fight illness, by slowing down the reproduction of bacteria and viruses or stimulating the body’s immune response.

The guidelines on treating fever with over-the-counter medications, published in the latest issue of the journal Pediatrics, are the first the AAP has released.

Sullivan, a professor at the University of Louisville and head of the AAP’s section on clinical pharmacology and therapeutics, said parents should recognize that fever is a sign that a child is ill, and they should take note of other symptoms – such as lethargy, pain or dehydration – to see if a call to the doctor is warranted.

 

Read more: http://www.reuters.com/article/2011/02/28/us-treat-kids-discomfort-fevers-pediatri-idUSTRE71R6EV20110228

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