Internal Medicine Alert – October 30, 2009

October 30, 2009

• Hand Hygiene and Facemasks for Influenza Rejected at Home

  Hand hygiene and facemasks used within 36 hours of patient symptom onset resulted in a small reduction of household transmission of influenza, but adherence to recommended practices was poor despite home-based education.

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• A Little Tipsy with a Case of Vestibular Dysfunction

  One-third of adults older than age 40 has vestibular dysfunction.

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• Not All Sleepiness Is Sleep Apnea

  In patients with obstructive sleep apnea who are treated with CPAP, those who report persistent sleepiness are more likely to have history of depression, diabetes, and heart disease, and to have been sleepier prior to treatment.

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• Pharmacology Update: Asenapine Sublingual Tablets (Saphris^®

  The ninth atypical antipsychotic agent has been approved by the FDA. Asenapine is somewhat unique in the class with different receptor binding than risperidone and olanzapine.

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• Clinical Briefs by Louis Kuritzky, MD

  Sex hormone-binding globulin (SHBG) is a protein that might seem to be most interesting to the endocrinologist, since its sole function - until very recently - has been thought to be regulation of the availability of gonadal steroids.

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