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Clinical Times: November 2009

Top tips in Osteoporosis

Dr Malachi McKenna | 27 November 2009 | Musculoskeletal

Continuing the Top Tips series, Dr Malachi McKenna offers his top tips for diagnosing and managing osteoporosis... Read more

The management of stable angina in the outpatient setting

Dr Dermot McCaffery | 26 November 2009 | Cardiovascular

Dr Dermot McCaffery writes that angina care has focused mainly on the symptoms of the condition, since symptoms are the patient's main complaint... Read more

The diagnosis of migraine and managing the disease

Dr Edward O'Sullivan | 26 November 2009 | Eye, Ear, Nose & Throat

Dr Edward O'Sullivan — Clinical Director of the Migraine Clinic in Cork University Hospital — outlines the types of migraine headache and how they affect patients' lives... Read more

New diabetes drug is 'best compound ever'

Niamh Mullen | 26 November 2009 | Diabetes

Novo Nordisk presented the latest data on its new diabetes drug at the 45th Annual Meeting of the European Association for the Study of Diabetes (EASD). Niamh Mullen reports from Vienna... Read more

Use of antipsychotic medications by children linked to significant weight gain

25 November 2009 | Mental Health & CNS

Many paediatric and adolescent patients who received second-generation antipsychotic medications experienced significant weight gain, along with varied adverse effects on cholesterol and triglyceride levels and other metabolic measures, according to a new study. In the study, American doctors investigated weight... Read more

Reduced muscle strength associated with AD risk

25 November 2009 | Mental Health & CNS

Individuals with weaker muscles appear to have a higher risk for Alzheimer’s disease and declines in cognitive function over time, according to a new report. The report followed a study of 970 older adults whose average age was 80.3 years... Read more

Nicotine patch looks best for smoking cessation

25 November 2009 | Cardiovascular

In a comparison of five different smoking cessation medications, a nicotine patch plus a nicotine lozenge appears most effective at helping smokers quit, according to a new report. The report followed a study in which doctors conducted a randomised clinical... Read more

Migraine with aura doubles risk of stroke

25 November 2009 | Cardiovascular

Migraine with aura is associated with a two-fold increased risk of stroke, a new study has found. Further risk factors for stroke among patients with migraine are being a woman, being young, being a smoker, and using oestrogen-containing contraceptives.... Read more

Smoking is major factor in choice of contraception

20 November 2009 | Genito-urinary

Clinical Update - Contraception: Many of the earlier contraceptive pills had much higher dosages than the more recently introduced pills on the market. The newer pills have very low doses of oestrogen and different types of progesterone.... Read more

Progesterone-only pills appeal to women for various reasons

Gary Culliton | 20 November 2009 | Genito-urinary

Clinical Update - Contraception: Previous progesterone-only pills did not regularly prevent ovulation, and there was a higher failure rate with them, according to Dr Caitriona Henchion, Medical Director of the Irish Family Planning Association.... Read more

LARCs suitable for stable relationships

20 November 2009 | Genito-urinary

Clinical Update - Contraception: Long Acting Reversible Contraceptives (LARCs) include copper coils, Mirena coils, Implanon implants and Depo provera injections (which are given every 12 weeks). All of the long-acting reversible contraceptives are progesterone only.... Read more

Mirena coil is effective choice

Gary Culliton | 20 November 2009 | Women's Health

Clinical Update - Contraception: The Mirena coil was a major leap forward in contraception, according to Dr Aisling Quinlan from Tullamore, who conducted research for a thesis on the extent to which Irish women were being offered Implanon and the... Read more

Psychiatric considerations in patients with diabetes

Drs Brian O’Shea, Catherine McCollam, Marjorie Stokes and John Yek | 19 November 2009 | Diabetes

Drs Brian O’Shea, Catherine McCollam, Marjorie Stokes and John Yek discuss how diabetes mellitus can impact on a patient’s mental health and well-being... Read more

Maternal obesity: what should we do?

Prof Michael Turner | 19 November 2009 | Women's Health

Prof Michael Turner examines the rising problem of obesity in pregnant women and how to manage it... Read more

Antidepressant use on the increase

18 November 2009 | Mental Health & CNS

A marked and broad expansion in antidepressant treatment occurred between 1996 and 2005, although treatment rates remain low among racial and ethnic minorities, according to a new report from the United States. In the study, doctors analysed data from the... Read more

Fatigue and stress in doctors in training linked to medical errors

18 November 2009 | Mental Health & CNS

Doctors in training who report higher levels of fatigue and distress are more likely to report a medical error, according to a new report. In the study, doctors assessed the independent contributions of fatigue and distress to self-reported medical errors... Read more

Benefits to doctors from mindful scheme

18 November 2009 | Mental Health & CNS

Doctors who participated in an educational programme that included an emphasis on ‘mindful’ communication reported improvement in personal well-being, emotional exhaustion, empathy and attitudes associated with patient-centred care, according to a new study. Researchers designed a continuing medical education (CME)... Read more

Depression among preschoolers may well continue into childhood

18 November 2009 | Mental Health & CNS

Depression among preschoolers appears to be a continuous, chronic condition rather than a transient developmental stage, according to new research. The report followed a study in which doctors followed 306 preschoolers aged three to six years.... Read more

Top tips on Asthma

13 November 2009 | Respiratory

Continuing with our series, Dr John Faul, Consultant Respiratory Physician and Sleep Disorder Specialist, gives his 10 top tips on managing asthma... Read more

New drug improves lung function in patients with COPD

12 November 2009 | Respiratory

A potential new treatment for COPD has been shown to significantly improve lung function... Read more

ESC study show niacin produces lipid benefits

Natalya Anderson | 12 November 2009 | Diabetes

Natalya Anderson reports from the 2009 European Society of Cardiology Congress on the benefits of niacin in producing significant beneficial lipid/lipoprotein changes in Type 2 diabetes mellitus... Read more

High BP and inflammation markers are more common in children of parents with Alzheimer’s disease

11 November 2009 | Cardiovascular

High blood pressure, evidence of arterial disease and markers of inflammation in the blood in middle age appear more common in individuals whose parents have Alzheimer’s disease than in individuals without a parental history of the condition, according to a... Read more

Needs of bottle feeding mums neglected

11 November 2009 | Women's Health

The needs of mothers who bottle feed are being neglected, potentially risking the health of their babies, research has concluded. The researchers based their conclusions on a systematic review of published research on attitudes to feeding methods, which included 23... Read more

Two traumatic episodes increase likelihood of PTSD

11 November 2009 | Mental Health & CNS

Individuals who experience both childhood adversity and traumatic events in adulthood appear more likely to develop post-traumatic stress disorder than those exposed to only one of these types of incidents, according to researchers. In addition, the risk was further increased... Read more

TV may be associated with aggressive children

11 November 2009 | Mental Health & CNS

Three-year-old children who are exposed to more TV appear to be at an increased risk for exhibiting aggressive behaviour, according to a new report. The report followed a study in which doctors analysed data from 3,128 mothers of children born... Read more

Preventing bone loss, reducing risk

Gary Culliton | 06 November 2009 | Musculoskeletal

CLINICAL UPDATE - Osteoporosis: Osteoporosis is a condition of the bone itself, where the bone mass is reduced. The bones become weaker and more prone to fracture. Good evidence supports the treatment of patients with osteoporosis to prevent further bone... Read more

HRT no longer recommended for PM women

Gary Culliton | 06 November 2009 | Musculoskeletal

CLINICAL UPDATE - Osteporosis: Osteoporosis – particularly in those who are predisposed to it – accelerates around the time of menopause. In the past there was a lot less that clinicians could do about it.... Read more

GPs need to check history

Gary Culliton | 06 November 2009 | Musculoskeletal

CLINICAL UPDATE - Osteporosis: New research has revealed a need for GPs to assess their patients’ history more closely when prescribing for post-menopausal osteoporosis, to reduce the risk of upper gastrointestinal (GI) side effects that could lead to treatment discontinuation.... Read more

DXA scans still gold standard

Gary Culliton | 06 November 2009 | Musculoskeletal

CLINICAL UPDATE - Osteoporosis: DXA scans (Dual Energy X-ray Absorptiometry) measure bone density in patients suspected of suffering from osteoporosis. They are the ‘gold standard’ test to recognise whether or not someone has osteoporosis.... Read more

When to suspect a diagnosis of lymphoma

Dr Philip Murphy | 05 November 2009 | Cancer

Classifying lyphoma types is only the first difficulty for physicians working in the area. Dr Philip Murphy outlines the aetiology of lymphomas and the differences in various types... Read more

The constant oscillation of life

Marie-Catherine Mousseau | 05 November 2009 | Mental Health & CNS

Marie-Catherine Mousseau on the internal clocks in every life form that regulate us in alignment with the universe... Read more

Free HPV vaccine in Austrialia dramatically reduces genital warts

04 November 2009 | Infections & Immunology

There has been a rapid and steep decline in new cases of genital warts in Australia since the human papillomavirus (HPV) vaccination became available, according to new research. The vaccine used in Australia is Gardasil, which targets HPV types 6,... Read more

Smoking, high BP and diabetes in mid-life can lead to dementia

04 November 2009 | Mental Health & CNS

Middle-aged people who smoke, have high blood pressure or diabetes are far more likely to develop dementia in later life, new research has suggested. Previous studies have shown that the presence of cardiovascular risk factors including high blood pressure, diabetes,... Read more

Living near green spaces reduces mental health problems in Dutch study

04 November 2009 | Mental Health & CNS

People living close to green space have lower rates of anxiety and depression than those living in concrete jungles, new research has found. The researchers based their findings on the health records of people registered with 195 family doctors in... Read more

Common mental disorders may be linked to an increased risk of obesity

04 November 2009 | Mental Health & CNS

People with common mental disorders such as depression and anxiety are at increased risk of becoming obese, according to new research. The findings also showed that individuals with chronic or repeat episodes of common mental disorders are particularly at risk.... Read more