Inhaled Corticosteroids and Asthma in Preschool Children
Children whose parents have asthma and who begin to wheeze are at high risk for asthma. In this NIH-sponsored study, children who were two or three years old at enrollment were given either placebo or an inhaled corticosteroid for two years. Although they had better asthma control while using the corticosteroid, asthma control was not improved after the treatment was discontinued.
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Inhaled Corticosteroids in Infants with Wheezing
Children at high risk for asthma were assigned to inhaled budesonide or placebo for two weeks after the first and subsequent episodes of wheezing illness after one month of age. At three years, there were no differences between groups in measures of asthma or lung function.
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Altered Bone and Mineral Metabolism in Patients Receiving Imatinib
Hypophosphatemia, with associated changes in bone and mineral metabolism, developed in some patients with chronic myelogenous leukemia or gastrointestinal stromal tumors who were receiving imatinib, which inhibits several tyrosine kinases associated with these two diseases. The drug may thus inhibit bone remodeling in some patients.
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Influence of Donor C3 Allotype on Late Renal-Transplantation Outcome
The third component of complement, C3, exists as two main allotypes, F (fast) and S (slow), which affect the incidence of inflammatory disease. This study examined the association between the C3 allotypes of renal donors and recipients and graft function after transplantation and suggests that donor C3F and C3S alleles may confer functional differences.
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Claims, Errors, and Compensation in Medical Malpractice Litigation
Frivolous lawsuits have been cited as a major contributor to the high costs of the malpractice system in the United States. In this national study of 1452 closed claims, physician reviewers found no evidence of medical errors in 37 percent. Most claims, however, did not result in payment to the plaintiffs. Claims not associated with errors accounted for only 13 to 16 percent of the total costs.
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Mechanisms of Disease: Lineage-Specific Hematopoietic Growth Factors
This review surveys the mechanisms and clinical applications of three hematopoietic growth factors: erythropoietin, granulocyte colony-stimulating factor, and thrombopoietin.
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A Woman with Anemia and Iron Overload
A young woman was seen because of anemia and evidence of increased iron stores. She was of Italian descent. Her father, a paternal aunt, and one sister had DiamondBlackfan anemia, and her mother had been told she had -thalassemia trait.
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The Patient's Right to Safety Improving the Quality of Care through Litigation against Hospitals
Many experts believe that the threat of malpractice suits impedes the use of error-reporting systems to make hospitals safer. Annas argues that more lawsuits, not fewer, are needed. He believes that the courts should recognize a right to safety so that hospitals that fail to implement measures to improve safety could be sued when patients are injured owing to preventable errors.
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A Mediator of Aortic Aneurysm?
A study implicates a transcription factor as a key mediator of aortic aneurysm in two mouse models.
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Arthrocentesis
Arthrocentesis is used to establish the cause of an acute monoarthritis or polyarthritis. It is also used to drain large effusions or hemarthroses and to instill steroids or local anesthetic. This procedure video demonstrates how to perform arthrocentesis.
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