Clinical Conversations

This week we talk with the CDC’s Irene Hall about the finding of an increased incidence of HIV infection in the U.S.
Journal Watch links
Do Not Screen for Prostate Cancer in Men 75 or Older, USPSTF Advises
Specialties Disagree on Need for ECG Evaluations Before Prescribing ADHD Drugs
Common Fertility Treatments of Little Benefit in Unexplained Infertility
Prostate screening
http://firstwatch.jwatch.org/cgi/content/full/2008/805/1
http://www.annals.org/cgi/content/full/149/3/185
ADHD and ECG screening
http://pediatrics.aappublications.org/cgi/content/full/122/2/451
http://circ.ahajournals.org/cgi/content/full/117/18/2407
http://firstwatch.jwatch.org/cgi/content/full/2008/804/1
Infertility
http://firstwatch.jwatch.org/cgi/content/full/2008/808/1
http://www.bmj.com/cgi/content/full/337/aug07_2/a716
Dr. Hall interview
http://jama.ama-assn.org/cgi/content/short/300/5/520
http://www.nytimes.com/2008/08/03/health/03aids.html
http://www.cdc.gov/media/pressrel/2008/r080803.htm
Acanthamoeba polyphaga mamavirus
http://www.nature.com/news/2008/080806/full/454677a.html
http://www.bartleby.com/100/211.5.html#txt1
The post Podcast 11: News and interview with Dr. Irene Hall, Division of HIV/AIDS Prevention, CDC first appeared on Clinical Conversations.

This week, after our usual news roundup, Michel Ovize is our guest, and he talks about preventing reperfusion injury during interventions for myocardial infarction. It all has to do with mitochondrial pores.
Journal Watch links
New NAMS Position Statement on Postmenopausal Hormone Therapy
Cyclosporine Attenuates Reperfusion Injury During Stenting
Does Cyclosporine Protect Against Myocardial Reperfusion Injury?
Pregestational diabetes
http://www.ajog.org/article/S0002-9378(08)00639-X/abstract
Chronic lymphocytic leukemia
http://www.ncbi.nlm.nih.gov/pubmed/18216293?dopt=Abstract
Encephalitis
http://infectious-diseases.jwatch.org/cgi/content/full/2008/730/3
http://www.ncbi.nlm.nih.gov/pubmed/18582201?dopt=Abstract
Postmenopausal hormone therapy
http://www.menopause.org/PSHT08.pdf
http://womens-health.jwatch.org/cgi/content/full/2008/731/3
Professor Ovize interview
http://content.nejm.org/cgi/content/short/359/5/473
http://content.nejm.org/cgi/content/extract/359/5/518
http://firstwatch.jwatch.org/cgi/content/full/2008/731/2
http://cardiology.jwatch.org/cgi/content/full/2008/730/1
Fit mice
http://www.cell.com/
The post Podcast 10: News and interview with Dr. Michel Ovize, Professor of Physiology and Cardiology, Universite Claude Bernard, Lyon first appeared on Clinical Conversations.

This week, Robert Hogg gives us his perspective on the increasing longevity seen with HIV infection in high-income countries.
Journal Watch links
Lipid Screening in Childhood – New Recommendations from the AAP
Consensus Statement Issued for Managing Prediabetes
Medicare to Reimburse Doctors Extra for Electronic Prescriptions
Lipid screening in children
http://pediatrics.jwatch.org/cgi/content/full/2008/716/1
http://pediatrics.aappublications.org/cgi/content/abstract/122/1/198
Corticosteroid insufficiency
http://hospital-medicine.jwatch.org/cgi/content/full/2008/721/1
http://www.ncbi.nlm.nih.gov/pubmed/18496365?dopt=Abstract
Managing prediabetes
http://firstwatch.jwatch.org/cgi/content/full/2008/724/1
http://www.aace.com/meetings/consensus/hyperglycemia/hyperglycemia.pdf
Medicare reimbursement
http://firstwatch.jwatch.org/cgi/content/full/2008/723/3
http://www.hhs.gov/news/facts/eprescribing.html
Shoot Out the Lights
http://online.wsj.com/article/SB121692767218982013.html
The post Podcast 9: News and interview with Prof. Robert Hogg, British Columbia Center for Excellence in HIV/AIDS, Vancouver. first appeared on Clinical Conversations.

We talk with Mary Tinetti about falls in the elderly and how to prevent them.
Journal Watch links
It’s Safe to Eat Tomatoes Again, FDA Says
U.S. Measles Hits 11-Year High – Most Cases Were Unvaccinated
Which Lipids Mark MI Risk Best?
Elderly Benefit from Joint Replacement, but Many Never Get the Option
FDA and Tomatoes
http://firstwatch.jwatch.org/cgi/content/full/2008/718/3
http://www.fda.gov/bbs/topics/NEWS/2008/NEW01862.html
Measles
http://www.cdc.gov/Features/MeaslesUpdate/
http://firstwatch.jwatch.org/cgi/content/full/2008/714/1
Apolipoprotein B/A1 ratio.
http://firstwatch.jwatch.org/cgi/content/full/2008/718/2
http://www.thelancet.com/journals/lancet/article/PIIS0140673608610764/abstract
Joint replacement in the elderly
http://firstwatch.jwatch.org/cgi/content/full/2008/715/1
http://archinte.ama-assn.org/cgi/content/short/168/13/1430
Dr. Tinetti interview
http://content.nejm.org/cgi/content/short/359/3/252
http://www.fallprevention.org/
http://nihseniorhealth.gov/
The post Podcast 8: News and interview with Dr. Mary Tinetti, Gladys Phillips Crofoot Professor of Medicine and Epidemiology and Public Health, Yale first appeared on Clinical Conversations.

Nelson Adams, president of the National Medical Association, joins us to discuss the American Medical Association’s apology to black physicians for its past efforts to exclude them from membership.
Journal Watch links
AMA Apologizes for Past Discrimination Against African-Americans
FDA Calls for Boxed Warning on Fluoroquinolones
Treating Hypertension Only Marginally Reduces Dementia Risk in the Very Elderly
HER2 Gene Test for Patients with Breast Cancer Approved
American Medical Association apology
http://firstwatch.jwatch.org/cgi/content/full/2008/711/1
Fluoroquinolones
http://firstwatch.jwatch.org/cgi/content/full/2008/709/1
Hypertension in the elderly
http://firstwatch.jwatch.org/cgi/content/full/2008/708/1
Herceptin
http://firstwatch.jwatch.org/cgi/content/full/2008/709/3
“The Americans”
http://www.amazon.com/Robert-Frank-Americans-Jack-Kerouac/dp/386521584X
The post Podcast 7: Interview with Dr. Nelson Adams, President, National Medical Association first appeared on Clinical Conversations.

Luigi Ferrucci joins us to discuss the prognostic value of subtle neurologic abnormalities in the elderly.
Journal Watch links
Mortality Rates During First 5 Years of HIV Infection Similar to Rates in General Population
Survival With and Without HIV: Getting Closer
Management of Non-ST-Elevation Acute Coronary Syndromes in Men vs. Women
Survival trends in HIV
http://firstwatch.jwatch.org/cgi/content/full/2008/702/1
http://jama.ama-assn.org/cgi/content/full/300/1/51
http://aids-clinical-care.jwatch.org/cgi/content/full/2008/701/1
Management of non-ST-elevation coronary syndromes
http://firstwatch.jwatch.org/cgi/content/full/2008/702/2
http://jama.ama-assn.org/cgi/content/short/300/1/71
http://content.onlinejacc.org/cgi/content/full/50/7/e1
Voyager II
http://en.wikipedia.org/wiki/Voyager_2
The post Podcast 6: News and interview with Dr. Luigi Ferrucci, NIH Institute on Aging, Bethesda, MD first appeared on Clinical Conversations.

Jack Hirsh discusses the American College of Chest Physicians’ new guidelines on antithrombotic and thrombolytic therapy.
Home blood pressure monitoring
http://general-medicine.jwatch.org/cgi/content/full/2008/624/2
Depression and diabetes
http://psychiatry.jwatch.org/cgi/content/full/2008/623/2
http://firstwatch.jwatch.org/cgi/content/full/2008/618/1
Stroke risk
http://firstwatch.jwatch.org/cgi/content/full/2008/624/1
Rivaroxaban
http://oncology-hematology.jwatch.org/cgi/content/full/2008/625/1
The post Podcast 5: News and interview with Dr. Jack Hirsh, Professor Emeritus, Dept of Medicine, McMaster and Founding Director of the Henderson Research Centre, Hamilton Ontario first appeared on Clinical Conversations.

Larry Allen talks with us about patients’ estimates of their life expectancy, compared with what disease models predict.
Antiepileptic drugs
http://firstwatch.jwatch.org/cgi/content/full/2008/619/1
Antipsychotic drug
http://general-medicine.jwatch.org/cgi/content/full/2007/315/5
Inhalers
http://pediatrics.jwatch.org/cgi/content/full/2008/618/1
Induced labor
http://womens-health.jwatch.org/cgi/content/full/2008/619/1
Rate vs. rhythm
http://cardiology.jwatch.org/cgi/content/full/2008/618/2
Dr. Allen interview
http://depts.washington.edu/shfm/
http://jama.ama-assn.org/cgi/content/abstract/299/21/2533
http://cardiology.jwatch.org/cgi/content/full/2008/618/5
http://cardiology.jwatch.org/cgi/content/full/2008/618/5
http://firstwatch.jwatch.org/cgi/content/full/2008/604/1
The post Podcast 4: News and interview with Dr. Larry Allen, Clinical Instructor in Cardiology, Duke first appeared on Clinical Conversations.

An interview with Steven Woloshin explores his work in showing patients the magnitude of the risks they face from, for example, smoking.
Avian flu vaccine
http://infectious-diseases.jwatch.org/cgi/content/full/2008/611/1
Dementia and melatonin, according to a JAMA study
http://psychiatry.jwatch.org/cgi/content/full/2008/610/1
ADHD
http://pediatrics.jwatch.org/cgi/content/full/2008/610/1
Revised guidelines for treating cardiac arrhythmias
http://cardiology.jwatch.org/cgi/content/full/2008/611/1
Patients in ICUs
http://hospital-medicine.jwatch.org/cgi/content/full/2008/609/1
Interview
http://firstwatch.jwatch.org/cgi/content/full/2008/611/1
Motorcycle helmet law
http://www.eurekalert.org/pub_releases/2008-06/uops-hii061008.php
The post Podcast 3: Interview with Dr. Steven Woloshin of Dartmouth Medical School first appeared on Clinical Conversations.

In this week’s interview, Joseph Ross talks with us about the prevalence of guest-authorship and ghostwriting in the medical literature.
Diabetes research.
http://content.nejm.org/
Asthma
http://general-medicine.jwatch.org/cgi/content/full/2008/603/1
Aliskiren
http://cardiology.jwatch.org/cgi/content/full/2008/604/1
http://general-medicine.jwatch.org/cgi/content/full/2008/604/1
Post-stroke depression
http://psychiatry.jwatch.org/cgi/content/full/2008/528/1
Cell phones and brain cancer
http://www.nytimes.com/2008/06/03/health/03well.html?ref=health
The post Podcast 2: Interview with Dr. Joseph Ross of Mt. Sinai School of Medicine first appeared on Clinical Conversations.