no difference in the proportion of surgical or nephrology centres that provided skin cancer surveillance , full skin examination, or specific training for clini-cians performing surveillance (table), regardless of the size of the unit (data not shown). Comment Skin cancer surveillance is available only to a minority of UK renal transplant recipients. We found no difference between surveillance ...

I N DERMATOLOGY, MOST randomized clinical trials or randomized controlled trials (RCTs) are for the purpose of obtaining US Food and Drug Administration marketing approval and are placebo controlled. While such studies serve to prove that the agents can work, they do not inform the clinical choice of which agent is best in a specific clinical circumstance. Although the cost to obtain marketing ...

IAS is a nonpro f i t organization founded in 1988, with more than 10,000 members representing more than 130 countries. This article addresses three main concepts discussed at the meeting that appear to play a role in the way clini-cians and laboratorians are currently approaching HIV patient management. Viral load blips are temporary spikes in viral load above 50 copies/mL that go back to unde...

the corona. The traditional circumciser (mohel) was summoned to examine the infant, but despite efforts to achieve pressure dressing tamponade was unsuccessful at completely controlling the bleeding and he escorted the mother and infant to the nearest medical center. examination upon admission revealed ongoing oozing; the plastic surgeon therefore proceeded and took the baby into the operating ...

The success rate after treatment by in-vitro fertilization (IVF) depends on the characteristics of the couples being treated, and the performance of the clinic. The former cannot be changed, and embryology laboratories have worked hard to optimize procedures. Numerous studies have been reported on how to improve insemination and culture procedures. The clinicians' role is confined to stimulatio...

intermittent solid food dysphagia and blockage was admitted because of chest pain, pyrosis, and fever (38.3 8C). The only medication she was on at the time of our evaluation was the inhaler Salbuta− mol−sulfate, which she used as needed. Symptoms started a few hours after a food blockage episode. Physical examina− tion was normal, except for tachycardia (135 bpm). Laboratory results showed: leu...

It is increasingly important for clinicians to know whether prostate-specific antigen (PSA) is detectable or undetectable in serum of a patient being treated for prostate cancer.' The lower the PSA falls after treatment, the more sensitive the cancer is to that therapy and the longer the patient is likely to live. However, clinicians are faced with a bewildering series of reports from different...

It is now well established that people with mental illness die prematurely and have significantly higher medical co-morbidity compared with the general population (1), and that there are a number of possible reasons for this as discussed by Leucht et al. in the November issue 2007 of the Acta Psychiatrica Scandinavica (2). One of these may be Ôdiagnostic overshadowingÕ, a process by which physi...

T he advantages of using a rubber dam are well-known when performing operative and endodontic procedures. These benefits include the following: disolation of the operating field to keep it dry and clean; dimproved access and visibility; dpotentially improved properties of dental materials; dprotection of the patient and dentist; dimproved operating efficiency. 1 Preparing teeth for indirect res...

the hippocampus that are particu-trials for the treatment of Alzhei-mer's and MCI. larly vulnerable to AD. Interestingly, Cortex's lead AMPAKINE com-AMPAKINE compounds can differ-Diseases such as Alzheimer's and schizophrenia can result in such a devastating loss of a person's purpose and ability to reason that reme-pound, CX516, was successful in entially affect various types of brain dies for...