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  • Full August 15, 2003, Issue in PDF

  • Should Both Aspirin and Clopidogrel Be Used for the Treatment of Acute Coronary Syndromes?

    Jneid and associates critically analyzed the results of the Clopidogrel in Unstable Angina to Prevent Recurrent Events (CURE) study and several other antiplatelet trials to provide guidance to the physician regarding the use of aspirin and/or clopidogrel in patients with ACS.
  • Prostate-Specific Antigen: To Test and Test and Test Again? Or Should We Test at All?

    Serum prostate-specific antigen (PSA) testing is frequently used in early detection programs for prostate cancer. While PSA testing has resulted in an increase in prostate cancer detection, its routine use has been questioned because of a lack of specificity. The objective of this study was to determine whether year-to-year fluctuations in prostate-specific antigen levels are due to natural variation and render a single PSA test result unreliable.
  • ECG Review: A 3-Beat Run in Lead V1

    The ECG in the Figure was obtained from a 57-year-old woman with palpitations. Is there a short run of VT (ventricular tachycardia) in lead V1? What else may be wrong with the tracing?
  • Clinical Briefs

    Metformin and Thiazolidinedione Use in Medicare Patients with Heart Failure; Alcohol Consumption Patterns and Biologic Markers of Glycemic Control Among 459 Women; Azelaic Acid Gel as a New Treatment for Papulopustular Rosacea
  • Pharmacology Update: Omalizumab Injection (Xolair)

    The FDA has approved Genentechs omalizumab, the first biotechnology drug for the treatment of asthma.
  • The Outpatient Bleeding Risk Index

    In 1998, Beyth and colleagues developed a modified outpatient bleeding risk index. In this prospective study conducted at the University of Ottawa, 222 patients with diagnosed pulmonary embolism or deep venous thrombosis were observed for an average of 18.5 months.
  • More Bad News for Folic Acid

    Elevated homocysteine levels have been associated with atherosclerosis. Folic acid supplementation is a simple, inexpensive way to reduce homocysteine levels, which has become popular for secondary prevention in patients with coronary artery disease (CAD), despite a paucity of long-term clinical trial data. Thus, Liem and colleagues studied 593 patients with stable CAD on statins who were randomized to open-label folic acid 0.5 mg/d or standard care, which included aggressive pursuit of lipid goals.
  • Report: CPOE adoption a long-term process

    A new report based on research co-sponsored by the California HealthCare Foundation (CHCF) of Oakland and First Consulting Group (FCG) of Long Beach, CA, shows that the successful adoption of computerized physician order entry (CPOE) actually is one of the later stages of a comprehensive clinical information system initiative.
  • News Briefs

    Hospitals outscored eight other industries in a recent customer satisfaction survey by J.D. Power and Associates. In the survey of 2,350 randomly selected patients recently discharged from general acute-care hospitals, three out of four patients who stayed in the hospital at least one night expressed satisfaction with their hospital stay.