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Johns Hopkins Medicine PodMed Archives - 2006

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PodMed is a weekly podcast looking at the top medical stories of the week for people who want to become informed participants in their own health care. With Elizabeth Tracey, director of electronic media for Johns Hopkins Medicine, and Rick Lange M.D., professor of medicine at Johns Hopkins and vice chairman of medicine at the University of Texas Health Science Center at San Antonio.

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Week of December 29, 2006

This week's topics include: lifetime risk of stroke continues, women at low risk for fractures can stop taking one type of osteoporosis medicine, gut bacteria and obesity, and proton pump inhibitors and hip fracture risk.

Week of December 22, 2006This week's topics include:  cancer following kidney transplantation, how black cohosh is not good for menopausal symptoms, mental games are good for preserving mental function, and the e. coli outbreak in lettuce.
Week of December 15, 2006This week's topics include: early intervention for prostate cancer, changes to CPR technique, folic acid doesn't help reduce cardiovascular disease risk, and New York bans some restaurants from cooking with trans fats and requires others to report the amount in foods they serve.
Week of December 8, 2006This week's topics include: pharmacy programs to improve medication compliance in older adults, comparison of three medications for type 2 diabetes, West Virginia compels medicare and medicaid recipients to help in their own health care management, and postpartum depression.
Week of December 1, 2006This week's topics include: reducing cigarette smoking doesn't work, you need to quit, don't take a break from HIV meds, exercise cuts risk of macular degeneration, and a glitazone for fatty liver may help.
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Week of November 22, 2006

This week's topics include: topics are FDA approval of silicone breast implants, five way kidney swap at Johns Hopkins, botulism in face from supposed botox injections, surgery for low back pain no better than conservative therapies two years later.

Week of November 17, 2006This week's topics include: when is it too late for angioplasty?, quicker treatment of heart attacks, what men can do, even in midlife, to live longer, and are older men being overdiagnosed with prostate cancer?
Week of November 13, 2006

This week's topics include: new type of vaccine through a skin patch, return of effectiveness of an antimalarial drug, reseveratrol and its benefits, diet and cardiovascular health in women.

Week of November 6, 2006

This week's topics include: LVADs and reversing heart failure, better survival with statins in patients with congestive heart failure, CDC recommends that all adults over 60 get shingles vaccine, off pump vs. on pump bypass surgery, and men get colon cancer earlier in life than women.

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Week of October 30, 2006This week's topics include:  spiral CT for lung cancer detection, vegetable consumption and reduced risk of dementia, influenza vaccine in young kids. ADHD meds in 3 to 5 year olds.
Week of October 23, 2006This week's topics include:  eating more fish, stenting vs. carotid endarterectomy, DHEA or DHEA and testosterone as anti-aging meds, new type II diabetes drug
Week of October 16, 2006

This week's topics include: benefits to nonsmokers of smoking ban (study in JAMA), risks of not immunizing children, relationship of psoriasis to cardiovascular risk, use of atypical antipsychotics in people with Alzheimer's.

Week of October 9, 2006This week's topics include: controversy over drugs for macular degeneration in this week's NEJM, assessing risk of sudden cardiac death in young athletes, use of fish oil in people who've had a heart attack, and the new allergy vaccine from our fine institution.
Week of October 2, 2006This week's topics include: entinal node biopsy for melanoma, viral load not useful in predicting AIDS progression, docs wash hands when screensavers used, IOM says FDA needs help.

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Week of September 25, 2006

This week's topics include:weight loss and Alzheimer's, drug coated stents, new drug for multiple sclerosis.

Week of September 18, 2006This week's topics include: watchful waiting and no antibiotic use in kids with middle ear infections, two early releases from JAMA regarding Cox-2 inhibitors and NSAIDs and their possible deleterious effects, this week's issue of Circulation showing that people who die of sudden cardiac death do have prodromal symptoms, green tea consumption and lower all cause mortality.
Week of September 11, 2006This week's topics include: genes in colon and breast cancer, older surgeons and mortality rate, older fathers and autism, total transplant heart approved by FDA
Week of September 4, 2006This week's topics include: FDA warning on common medications from Canada, change in heart procedures, Celebrex, colon cancer and heart disease, deep brain stimulator for advanced Parkinson's disease
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Week of August 28, 2006This week's topics include: MRSA, slight overweight and cardiovascular disease risk, side effects of breast cancer chemotherapy
Week of August 21, 2006This week's topics include: management of high blood pressure, diuretics use for elevated blood pressure, an Institute of Medicine report on the state of the nation's emergency departments, "doc in a box" healthcare/24 hour services, relationship of depression to cardiovascular disease
Week of August 14, 2006This week's topics include:  oncologists' choice of chemo drug, drug therapy to treat depression, use of antidepressants in elderly patients, the FDA mandate for the makers of Ritalin to disclose psychotic effects
Week of August 7, 2006This week's topics include:  FDA's possible approval of Plan B (morning after pill), post traumatic stress JAMA study, NEJM article on measles outbreak, emergency department overcrowding.
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Week of July 31, 2006This week's topics include: imaging in CHD, over-the-counter management of menopausal symptoms, stepped driving programs reduce teen fatalities, one hour a day exercise inadequate to reduce risk of heart disease in young
Week of July 24, 2006This week's topics include: once a day HIV med, diabetes and Alzheimer's disease, women, migraines and CVD, too many preemies.
Week of July 17, 2006This week's topics include: lung cancer and cigarette smoking in women, use of doxycycline in preventing tick relapsing fever, genetic variation and response to beta blocker therapy in patients with heart failure, and activity in older people and reduced mortality.
Week of July 10, 2006This week's topics include: high rate of influenza in kids, new antismoking med, choice of medical center for procedures, Tylenol toxicity
Week of July 3, 2006This week's topics include: Surgeon General's report on secondhand smoke, Zocor going generic, cognitive behavioral therapy better than meds for sleep problems, homocysteine reduction doesn’t affect dementia development
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Week of June 26, 2006This week's topics include:  the American Medical Association recommending delay in pharma advertising to consumers, American Heart Association diet recommendations especially less trans fat, HPV transmission reduced with condoms, JAMA statin and reduced cataract risks
Week of June 19, 2006This week's topics include: WHO and American Academy of Pediatrics recommendations on breast feeding, AMA trying to reduce salt in processed foods, fluoxetine not helpful in anorexia, fish oil doesn't help arrhythmias
Week of June 12, 2006This week's topics include:  fetal fibronectin for determining whether a woman can be safely induced, new treatment for advanced kidney cancer, characterizing lymphomas with microarrays, and Harvard's entry into the stem cell world.
Week of June 5, 2006This week's topics include:  ADHD medications and emergency department visits, caps on Medicare meds backfire, GERD and increasing BMI, WHO report that AIDS incidence is falling
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Week of May 29, 2006

This week's topics include:   tx of acute lung injury, increased obesity among lower socioeconomic groups (JAMA), new Parkinson's drug approved by FDA, and use of two aspirin plus another med helps reduce incidence of all types of vascular events, especially stroke, after a TIA.

Week of May 22, 2006This week's topics include:  HER2 receptor status and choice of chemotherapy (NEJM), patients show their own artery scans stick with statin therapy better than those not shown their scans, VIOXX and risk, and JAMA study on rheumatoid arthritis drugs and cancer and infection risk.
Week of May 15, 2006

This week's topics include: a study in the British Medical Journal on meta-analysis of whether fatty fish helps reduce cardiovascular disease risk, awareness of portion size study, Johns Hopkins study on prostate cancer management and whether surgery is needed immediately, and a look at the Canadian medical system and the flaws that are starting to show.

Week of May 8, 2006This week's topics include: study about moderately elevated bilirubin levels in infants, naltrexone for alcoholism, bugs on hospital computer keyboards, and study of people at risk for schizophrenia with antipsychotic meds for prevention.
Week of May 1, 2006This week's topics include: signing up for Medicare part D, no benefit seen to vitamins C and E in reducing preeclampsia in pregnant women, watch out for those implanted defibrillators (JAMA) and FDA still not doing a great job with post marketing surveillance and phase IV trials.
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Week of April 24, 2006This week's topics include: dental amalgams don't have any health problems associated with them in kids, vaccine for HPV and cervical cancer prevention, and only fifty percent of people receive regular screening for health problems, including such non-invasive and easy tests as blood pressure measurements, the need for people with diabetes to do both daily self-monitoring and hemoglobin a1c, ordered by their doctor.
Week of April 17, 2006This week's topics include: homocysteine levels and cardiovascular disease, recall of contact lens solution because of fungal infections, breast ca therapy, pneumococcal vaccine and herd immunity
Week of April 10, 2006

This week's topics include:impact of media on children, and a JAMA piece on caloric restriction improving surrogate markers for aging.

Week of April 4, 2006

This week's topics include: vaccine against bird flu, combination of antiretrovirals protects against HIV infection, limits on audio level of iPods, regular use of NSAIDS and cardiovascular disease risk

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Week of March 27, 2006This week's topics include:Clopidogrel or Plavix and aspirin mix may be harmful for some patients with cardiovascular disease, high dose statins helpful in reducing plaques inside blood vessels, genetic tendency in some to have very low LDL with a vastly reduced risk of cardiovascular disease, and dramatic increase in esophageal cancer and GERD seen, according to federal statistics.
Week of March 20, 2006

This week's topics include: disproportionate rate of death and disability due to asthma in African Americans, too much mercury in fish and health risks, need to be immunized for whooping cough in adults and teenagers, and rate of death from cancer fallen for the first time, according to federal statistics.

Week of March 13, 2006

This week's topics include:  New England Journal of Medicine studies on drugs used to treat MS, Journal of the American Medical Association on heart and respiratory problems and exposure to fine particulate matter in air (JH study), weight training in women stops middle aged spread, and Ambien, the most widely prescribed sleeping pill nationally, is implicated in traffic accidents.

Week of March 6, 2006This week's topics include: high rate of death when spouse is hospitalized, not just when spouse dies, declining use of stethoscope by physicians all over the country, application of clot busting drugs directly to blood clots in brain when a stroke occur.
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Week of February 27, 2006

This week's topics include: Medicare is now paying for four types of bariatric surgery, the AMA and congress will be working together on standards to assess quality of care and therefore payment to physicians, statins may cause the first sign of heart disease to be chest pain instead of a heart attack, and chondroitin sulfate and glucosamine supplements may not be helpful for people with early osteoarthritis but may benefit those with moderate to severe pain.

Week of February 20, 2006

This week's topics include: the WHO initiative to use low tech interventions to reduce disease transmission, esp the 'bump' where you touch elbows instead of shaking hands, new information showing that hormone replacement therapy may be beneficial after all, but that calcium supplements aren't, and finally, Genentech's plan to increase the price of Avastin now that it's been approved for two additional types of cancer.

Week of February 13, 2006

This week's topics include: diet of no benefit in reducing cancer or heart disease risk in women, saw palmetto doesn't help benign prostatic hypertrophy, antidepressants may harm health of newborn, and current flu strain becoming resistant to antiviral drugs.

Week of February 6, 2006

This week's topics include: home testing for HIV from a study published in the New England Journal of Medicine, from a study published in the Journal of the American Medical Association on continuation of antidepressant therapy during pregnancy, March of Dimes release showing that the majority of birth defects are preventable, and high incidence of cognitive impairment among older people taking very common medications.

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Week of January 30, 2006

This week's topics include: long term problems related to heart defect surgery in babies- what happens as they grow up? JAMA story calling on academic medical centers to stop taking benes from pharmaceutical companies, statins and their potential in preventing sepsis in hospitalized people in this week's Lancet, and FDA committee decision to recommend Orlistat, a fat absorption blocking drug previously prescription only to be sold OTC.

Week of January 23, 2006

This week's topics include: New England Journal of Medicine's article on anti-HIV drug regimens, use of aspirin in men and women and prevention of heart attack and stroke, and the Lancet review article on depression.

Week of January 16, 2006

This week's topics include: Baltimore being voted the fittest city in America, foreign travel and your likelihood of picking up a disease, new frontiers in cardio, esp reversing atherosclerosis using a new medication, and whether the FDA should step into the discussion on ethical and financial considerations when deciding to approve a new drug, therapy or technique.

Week of January 9, 2006

This week's topics include: Hopkins study on intraperitoneal chemo for ovarian ca (in NEJM), statins useless in ca prevention (JAMA), antidepressants okay in kids (American journal of Psychiatry) and FDA's decision to allow barley manufacturers to add health claims to their packaging, based on barley's ability to lower ldl.

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