Falling, Serious Injury in Elderly Tied to Changes in BP-Lowering Meds
Veronica Hackethal, MD
May 13, 2016
DALLAS, TX — The risk of falls that cause serious injuries goes up over 2 weeks after changes in antihypertensive therapy in the elderly, whether starting or adding an agent or intensifying the current medication, suggests an analysis of Medicare beneficiaries published May 10, 2016 inCirculation: Cardiovascular Quality and Outcomes.
"If I'm initiating or intensifying meds, I may want to be careful in the short term, but after patients have been on the medications for a while, the risk has probably disappeared," lead author Dr Daichi Shimbo (Columbia University Medical Center, New York, NY) told
Predictions for the
Field of Infectious Diseases for 2015
John G. Bartlett, MD January
Predictions in this field are particularly dangerous, on the
basis of a history that is dense with surprises in nearly all facets of the
discipline. For example, Ebola was most everyone's choice for medical story of
the year for 2014, but this infection was barely on the radar screen 1 year
The influenza vaccine recommended for the current epidemic
was created for the anticipated H1N1 strain, but the influenza now causing
widespread disease is largely the H3N2 strain.
Surgery Cheaper Than Antibiotics for Appendicitis
"Laparoscopic appendectomy carries lower costs per quality of life-year in unselected patient populations," said Vincent Chong, MD, from the University of California, San Francisco.
Dr Chong presented the finding here at the American College of Surgeons 2014 Clinical Congress.
Although appendectomy remains the gold standard for treating acute appendicitis, antibiotics have been used since 1945, Dr Chong said. Antibiotics can be used successfully when surgery is not possible, such as in remote locations or when the patient is frail.
From: Ian Bushfield
Subject: 100,000 avoidable deaths
To: Rebecca Ward Consulting
Date: Fri, 29 Aug 2014 01:52:06 +0000
Watch and share our 3 short new videos that show why we urgently need all clinical trials registered and results reported.Withholding results costs lives - The results of a 1980s clinical trial on heart drug Lorcainide were never published. Doctors didn’t know that more people died in the trial who were given Lorcainide than who were taking the placebo. It has been estimated that over 100,000 people died avoidably because they were prescribed drugs in the same class.
Top 20 Most Prescribed, Top-Selling US Drugs
NB: Data from IMS Health. Figures reported are in $US and collected fromJuly 2013 - June 2014.
Left: The Top 20 US Drugs listed by Monthly Prescription (units) and Right: The Top 20 US drugs listed by total sales ($). Please take a look at the column totals and remember that this is only the top 20, only for 12 months and only for the USA ($82,293,753,189).
Once again we have included some cheat sheets to view the indications and the drug groupings at a glance:
Did you know that nearly 200 million doses of antibiotics are administered in hospitals to patients and among non-hospitalized patients, more than 130 million courses of antibiotics are prescribed by doctors each year? It is estimated that half of these latter prescriptions are unnecessary since they are being prescribed for colds, coughs and other viral infections*.
In cough and cold season please think CAREFULLY about your antibiotic use!
*NB: taken from the American College of Physicians website, Ref:
The Top 20 Selling Drugs in the USA
NB: Data from IMS Health. Figures reported are in $US and collected from 01 October 2012 to 30 September 2013.
Fig 1:Left: The Top 20 US Drugs listed by Total Sales ($) and Right: The Top 20 US Drugs listed by Prescription Volume (units)... I have included the totals, FYI.