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Clinical Times: October 2007

Young children are not getting enough exercise

Archives of Disease in Childhood | 26 October 2007 | Musculoskeletal

Less than three per cent of 11-year-olds are taking enough exercise, according to new research from the United Kingdom. The researchers monitored the physical activity levels of more than 5,500 11-year-olds in the South West of England over seven consecutive... Read more

Research suggests Omega 3 cuts childhood diabetes risk

JAMA 2007;298:1420-1428 | 26 October 2007 | Diabetes

Preliminary research has suggested that for children at increased risk for type 1 diabetes, dietary intake of omega-3 fatty acids was associated with a reduced risk of pancreatic islet autoimmunity. In the study, American researchers, examined whether consumption of omega-3... Read more

Physiotherapy - short-term benefits after knee surgery

BMJ Online First | 26 October 2007 | Musculoskeletal

Physiotherapy can improve the daily lives of patients who have had knee replacement surgery due to osteoarthritis in the short-term. Six trials involving 614 patients were included overall in the review.... Read more

New strain of Streptococcus pneumoniae resistant to treatment

JAMA 2007;298:1772-1778 | 26 October 2007 | Eye, Ear, Nose & Throat, Infections & Immunology

A strain of the bacteria Streptococcus pneumoniae, which causes ear infections in children, has been detected that is resistant to all FDA-approved antibiotics for treatment of ear infections and is not covered by the pneumococcal 7-valent conjugate vaccine, according to... Read more

Occupational therapy effective for stroke patients

BMJ Online | 26 October 2007 | Cardiovascular

Occupational therapy can improve the lives of patients who have suffered a stroke and lessen their chances of deteriorating, according to a new study. Researchers in Scotland looked at nine randomised controlled trials with a total group size of 1,258... Read more

Improved sleep and behaviour in children after tonsillectomy

Archives of Otolaryngology and Head and Neck Surgery 2007;133:974-979 | 26 October 2007 | Eye, Ear, Nose & Throat

Children diagnosed with sleep-disordered breathing appear to sleep better and have improved behaviour following removal of their tonsils and adenoids, according to a new study. In the study, doctors enrolled 117 children whose average age was 6.5 years, who were... Read more

MRSA killed more than AIDS

JAMA 2007;298:1763-1771, 1803-1804 | 26 October 2007 | Infections & Immunology

Infections caused by methicillin-resistant Staphylococcus aureus (MRSA) appear to be more prevalent than previously believed, affecting certain populations disproportionately, according to a new study. Doctors at the Centers for Disease Control and Prevention conducted a study to determine the incidence... Read more

'Hospitalist' care may be linked to shorter stays in hospital

Archives of Internal Medicine | 19 October 2007 |

Patients at an academic medical centre who are cared for by a hospital-based general physician may have a shorter length of hospital stay than those who are not, according to a new report. In the study, doctors at the Montefiore... Read more

ACE inhibitor perindopril proven effective against aortic stiffness

JAMA 2007;298:1539-1547 | 19 October 2007 | Cardiovascular

New research from Australia has suggested that use of the ACE inhibitor perindopril, along with a beta-blocker, may help reduce cardiac measures such as aortic stiffness and dilation that are associated with the cardiac complications of Marfan syndrome. Marfan syndrome... Read more

Future trends in treating obesity

Prof Gerald H Tomkin, Consultant Physician | 19 October 2007 | Diabetes

The tremendous interest in weight, diabetes and obesity continues unabated. We are watching a world that is rapidly increasing in weight and has little idea of how to reverse the trend. The major increase is found in people from underdeveloped... Read more

Herbal medicine lacks evidence

Postgraduate Medical Journal 2007;83:615-617,633-637 | 19 October 2007 |

There is no sufficient evidence to suggest that individually tailored herbal medicine treatment works well, according to a meta-analysis of existing studies. Only three studies out of more than 1,300 studies investigated were randomised, controlled trials of sufficient quality to... Read more

Questions over bath products for eczema

Drugs and Therapeutics Bulletin October 2007 | 19 October 2007 | Skin

Specialised bath products to relieve the symptoms of atopic eczema are of “questionable” value, according to a new report from the UK’s Drugs and Therapeutics Bulletin. According to the report, there is little published research on the benefits of the... Read more

Colorectal neoplasms and advanced lesions were more prevalent in patients with coronary artery disease

JAMA 2007;298:1412-1419 | 12 October 2007 | Cancer

Patients in Hong Kong who were newly diagnosed with coronary artery disease had nearly twice the prevalence of colorectal tumors and cancers, with this association stronger in persons who had smoked or have the metabolic syndrome, according to a new... Read more

Vulnerable groups not at higher risk of physician-assisted death

BMJ | 12 October 2007 |

Claims that vulnerable groups, such as the elderly and people with physical or mental disabilities, are at an increased risk of physician-assisted death are not supported by evidence, according to a leading American expert. Physician-assisted death – both voluntary active... Read more

C difficile is more likely to kill those with IBD

Online First Gut | 12 October 2007 | Infections & Immunology

Clostridium difficile infection is four times more likely to kill patients with inflammatory bowel disease (IBD), according to new research. The findings are based on a representative sample of community hospital admissions in the US for 2003. The sample covered... Read more

The story of Down's syndrome

Dr Muhammad Arshad | 12 October 2007 |

“Having Down syndrome is like being born normal. I am just like you and you are just like me. We are all born in different ways – that is the way I can describe it. I have a normal life.”... Read more

Smoking ban has improved air and music quality

BMJ | 12 October 2007 | Respiratory

The smoking ban has not only improved air quality in Irish pubs but also appears to have improved the quality of the music, according to a study led by a specialist registrar at St Vincent’s Hospital. According to Dr John... Read more

Balancing the risks in eye care

Mr Abid Mahmood Qammar | 05 October 2007 | Eye, Ear, Nose & Throat

The use of intravitreal triamcinolone acetonide has proliferated. Indications have included macular oedema secondary to diabetes mellitus, retinal vein occlusion, uveitis and pseudophakia. Other indications are treatment of choroidal neovascularisation, proliferative diabetic retinopathy, idiopathic juxtafoveal telangiectasia and intraoperative visualisation of... Read more

Hypertension– a revision of the best practise guidelines

Dr John Cox | 05 October 2007 | Cardiovascular

The 2007 Guidelines for the Management of Arterial Hyper-tension (ESH/ESC guidelines) have recently been published by the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC)... Read more

Size matters – the miracle of modern key-hole surgery

Mr Paul Neary MD | 05 October 2007 |

The concept of ‘keyhole’ or minimally invasive surgery (MIS) is well-established in the psyche of the modern patient. Encompassing several specialities, it varies in application from orthopaedics to my own area of general and colorectal surgery. Yet from its origin... Read more

Osteoporosis on the increase

05 October 2007 | Men's Health, Musculoskeletal

Increasingly high levels of stress in our daily lives is leading to a reduction in the amount of sex hormones produced by men, which, among other factors, is leading to significantly more men developing osteoporosis, according to Prof Moira O’Brien,... Read more

No need for children with lazy eye to wear patches all day long

BMJ | 05 October 2007 | Eye, Ear, Nose & Throat

Children with amblyopia need only wear an eyepatch for three to four hours a day for 12 weeks to improve vision, according to a new study. Researchers at City University in London and McGill University in Montreal set out to... Read more

Chronic fatigue syndrome linked to stomach virus

Journal of Clinical Pathology | 05 October 2007 | Mental Health & CNS

Chronic Fatigue Syndrome, or ME (myalgic encephalitis), is linked to a stomach virus, new research has suggested. The researchers based their findings on 165 patients with ME, all of whom were subjected to endoscopy because of long-standing gut complaints.... Read more

Manage BP to lessen risk of heart failure

Online First Edition of Hypertension | 05 October 2007 | Cardiovascular

Preventing heart failure at age 70 or 80 may depend upon maintaining normal blood pressure and a healthy weight at age 50, researchers have reported in hypertension. An increase of just one standard deviation of about 20mmHg in systolic blood... Read more

Acupuncture more effective than conventional therapy for back pain

Archives of Internal Medicine | 05 October 2007 | Musculoskeletal

Six months of acupuncture treatment appears to be more effective than conventional therapy in treating lower back pain, according to a new German study. In the study, doctors conducted a randomised clinical trial involving 1,162 patients who had experienced chronic... Read more