Blog | Monday, March 16, 2009

Grand Rounds at ACP Internist


Welcome to Grand Rounds at ACP Internist, a newspaper serving internal medicine. We're paying tribute to the daily newspaper. Read on for the latest headlines, opinions, features and even the funnies.

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Headline News

Juvenile Diabetes Research Foundation addresses end of ban on stem cell research
By Diabetes Mine
JDRF Executive Vice President of Government Relations Larry Soler was at the White House for the signing ceremony and describes the experience.

Business News

Wal-Mart, eClinicalWorks join forces for electronic health records
By the Health Business Blog
Business reporter David E. Williams is skeptical if this joint venture will address all the problems of EHR implementation.

The Perspectives Pages

Editorial
Survey shows broad support for MDs and reform
By ACP Advocate
Voters, even Republican ones, want health care reform, including comparative effectiveness research. Surveyed patients say they trust doctors to help fix the system.

Op-eds
Error reporting should be painless, not just transparent
By Supporting Safer Healthcare
Although error-reporting is supposed to be encouraged in health care, negative consequences often fall on those who committed and/or reported the errors.

Budget-conscious patients attack doc
By Musings of a Distractible Mind
In three anecdotes, patients blame the physician for the outrageous cost of health care. Will health care reform fix the problem?

Government intervention was bad for mammography
By Kennedy's Tumor
Federal regulation reduced the financial incentives to provide mammography. The process has been standardized but not improved.

Better access should cancel out 'conscience clause'
By Colorado Health Insurance Insider
Instead of forcing doctors to provide abortions despite their moral beliefs, let's focus on making sure all communities have access to reproductive services, writes Louise.

Enough talk: psychiatry's drug addiction
By Behaviorism and Mental Health
The psychiatric and pharmaceutical industries have moved in lockstep over the past half century, matching up an ever-expanding list of mental disorders with a pipeline of new drugs, opines Philip Hickey. Instead of talking to patients, psychiatrists' days now consist of "a succession of fifteen-minute med checks."

Columnist

Old diary entries recall teen's life with diabetes
By Six Until Me
Kerri Morrone Sparling, who blogs about life with type 1 diabetes, shares snippets from her teenage diary and recalls longing for a diabetes community long before one existed.

Sports Section

Myth Debunked: Heat loss doesn't happen from the head
By The Fitness Fixer
Sports correspondent Dr. Jolie Bookspan debunks the idea that the body loses heat from the head.

Exercise reduces cravings for chocolate
By Dr. Shock
Exercise can reduce the craving for cigarettes in smoking cessation. Can it also reduce chocolate cravings?


International News

EU rules on doctors' work hours may cause delays, increase costs
By InsureBlog
Henry Stern reports on new EU work hour rules in Great Britain.

Selective decontamination is effective in the ICU
By Laika's MedLibLog
A recent Dutch study found that selective digestive tract and oropharyngeal decontamination each decreased mortality rates in the ICU.


Technology News

Telemedicine expands beyond radiology
By Hospital Impact
Telemedicine systems are moving from concept to reality in rural hospitals.

Health News

Sticking it to cancer: Acupuncture in the exam room
By Own Your Health
Since 2004, a Harvard Medical School oncologist has been offering acupuncture to patients to alleviate the symptoms and side effects of cancer treatment, transforming the sterile exam room into a more peaceful environment.

How to prevent, and treat, ingrown toenails
By Doc Gurley
In part two of her "Well Worth It" series of practical medical tips, Doc Gurley tackles the prevention and care of ingrown toenails from a patient's perspective.

Best care for a bloody nose
By Medicine for the Outdoors (via Healthline)
Wilderness Medicine expert Paul Auerbach, MD, gives a primer on treating patients with nosebleeds--and includes a bonus photo of a bloodied Brad Pitt.

The Science Section

Splendor in the grass: Researchers find new allergen in dog urine
By Allergy Notes
Everyone knows dog dander can bring misery to those with canine allergies. Now researchers have found that a protein in dog urine, called prostatic kallikrein, may bring on the sniffles as well.

New drug shows promise in treating type 2 diabetes
By Clinical Cases and Images
Liraglutide, a new drug, was better at lowering A1C, weight, hypoglycemia and blood pressure than glimepiride, and is safe and effective as initial therapy for type 2 diabetes, researchers found. (If approved, it will be branded as the less tongue-twisting "Victoza.")

Neurofeedback: The next big thing in ADHD treatment?
By SharpBrains
Treating ADHD with neurofeedback, in which a person is taught to alter his or her own brainwave patterns, has showed promise in previous studies--but they were flawed in design. A new study addresses many of the previous flaws, and suggests the treatment really may work, writes Duke psychologist Dr. David Rabiner.

Lifestyle

6 Steps to Breaking that Habit
By How to Cope with Pain
Whether you have chronic pain or not, following the stages of change can help you to either break or start a new habit.

Marriage: If it doesn't kill you, it makes you stronger
By In Sickness and In Health
Some studies show that marriage improves survival and health, while others find that it increases health problems.

Expectant moms should focus on their babies, not their weight
By The Blog that Ate Manhattan
Women miss out on some of the joy of pregnancy when they worry too much about weight gain.

Entertainment News
Former Monkee battles mouth cancer
By Suture for a Living
Peter Tork's recent diagnosis spurs a discussion of mouth cancer symptoms, risk factors and treatment.

Book Review

Memoir illuminates four facets of addiction
By Neuroanthropology
Using descriptions and insights from Caroline Knapp's book "Drinking: A Love Story," medical anthropologist Daniel Lende outlines four factors that lead a person to substance abuse: vulnerability, training, intentional use and meaning.


Weather

Have a migraine? Blame the weather
By Canadian Medicine
A new Web site offers personalized health alerts based on weather conditions, but is the science behind it sound?

Restaurant review

Illness strikes hundreds, forcing restaurant to close
By The Cockroach Catcher
Four hundred diners fall ill at world-renown Fat Duck. Am Ang Zhang investigates possible causes behind the outbreak.

The Funny Pages

Make them laugh
By Other Things Amanzi
A general surgeon working in the 'notorious' province of Mpumalanga, South Africa, relates "the only time I remember when the profs laughed at my often injudicious comments."


Cartoon Caption Contest
Each month, ACP Internist lets readers create their own cartoon captions and vote for the winner. Submit all entries by March 19. Pen the winning caption and win a $50 gift certificate good toward any American College of Physicians product, program or service. (We have a gift shop and non-clinical books for the lay reader.)

Medical News of the Obvious
Every Monday, ACP Internist skewers studies that shouldn't have needed to be done. Read more every Monday at Medical News of the Obvious.

The Final Page


We hope you enjoyed our newspaper. Now that you're finished, don't forget to recycle.