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  • Clinical Briefs in Primary Care supplement

  • Predicting Aggressive CLL

    Three CLL cellular markers have been shown to be of prognostic value in determining those patients likely to have aggressive disease. Of the three, ZAP-70 was shown, in this current report from the CLL Research Consortium, to be the greatest discriminator of need for early treatment. The current value of these markers remains investigational.
  • Washington Watch: Proposed rule expands reach of refusal laws

    The Bush administration announced in August that it was introducing a new regulation on the topic of providers' "conscience" or "refusal" rights.
  • New research shows value of family planning

    While you might know your work in family planning is important, new research confirms it. Approximately 1.4 million unintended pregnancies and 600,000 abortions are averted each year in the United States each year due to family planning services.
  • Use skills training to boost female condom use

    While female condoms may be a powerful tool in preventing transmission of sexually transmitted diseases (STDs), women need education to use them effectively. Results from a newly published study indicate that skills training can increase female condom use and the overall level of protected sexual acts.
  • Research eyes male circumcision's impact against HIV acquisition

    Just-presented research at the XVII International AIDS Conference in Mexico City indicates that adult male circumcision continues to reduce the risk of acquiring HIV through heterosexual intercourse for at least 3.5 years.
  • Accuracy of the ECG for STEMI

    Although the ECG is key in the triage of suspected ST wave elevation myocardial infarction (STEMI), it is imperfect.
  • Imatinib for Acute Ischemic Stroke

    Blockage of the harmful effects of tissue plasminogen activator by imatinib (Gleevec) might improve ischemic stroke outcomes.
  • Full October 1, 2008 Issue in PDF

  • Lack of Residual Vein Thrombosis Predicts for Low Risk of Recurrent DVT

    The optimal duration of oral anticoagulation therapy after an initial symptomatic deep venous thrombosis remains unknown. Siragusa et al assessed patients by ultrasonography for the presence of residual vein thrombosis (RVT) after three months of anticoagulation for a DVT. Those with RVT were randomized to 9 additional months of anticoagulation versus discontinuation. Among the 70% with RVT, prolonged anticoagulation showed only a non-significant trend for reducing recurrent DVT. For the 30% without RVT, all of whom stopped anticoagulation after three months, only one of 78 patients (1.3%) developed a recurrent DVT. For select patients, the lack of RVT after initial anticoagulation identifies patients in whom anticoagulation may be safely discontinued. The optimal duration of anticoagulation for higher risk patients, including those with RVT, remains undefined.