Here are what the editors at HealthDay consider to be the most important developments in Rheumatology for December 2011. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Near Normal Function Seen in Secondary Hip Osteonecrosis
THURSDAY, Dec. 29 (HealthDay News) -- Children with osteonecrosis of the hip, secondary to the treatment of developmental dysplasia of the hip, have no marked physical disability, according to a study published in the Dec. 21 issue of The Journal of Bone & Joint Surgery.
Study Assesses Fusion Failure After Anterior Screw Fixation
WEDNESDAY, Dec. 28 (HealthDay News) -- Risk of fusion failure following anterior odontoid screw fixation increases with both delays in surgery and fracture gaps larger than 2 mm, according to a study published in the Jan. 1 issue of Spine.
Perceptions of Inappropriate Care Prevalent Among ICU Staff
TUESDAY, Dec. 27 (HealthDay News) -- Perceptions of inappropriate care are prevalent among intensive care unit (ICU) clinicians in Europe and Israel, according to a study published in the Dec. 28 issue of the Journal of the American Medical Association.
Mindfulness Program Curbs Distress in Rheumatic Disease
THURSDAY, Dec. 22 (HealthDay News) -- In adults with inflammatory rheumatic joint diseases, a mindfulness-based group intervention reduces psychological distress, pain, and fatigue as compared to individual use of home exercises, according to research published online Dec. 20 in the Annals of the Rheumatic Diseases.
Majority of Practitioners in U.K. Advise Time Off for Back Pain
WEDNESDAY, Dec. 21 (HealthDay News) -- Despite guidelines for the clinical management of patients with low back pain (LBP) that encourage patients to stay active and return to work, the majority of practitioners advise patients to take a break from work to recover, according to a study published in the December issue of Pain.
Vitamin D, Calcium Found to Cut Fracture, Cancer Risk
TUESDAY, Dec. 20 (HealthDay News) -- Vitamin D supplementation can reduce the risk of fracture and cancer; and although there is a biological association between vitamin D deficiency and cardiovascular disease (CVD), there is no evidence that vitamin D supplementation prevents CVD, according to two reviews published in the Dec. 20 issue of the Annals of Internal Medicine.
Physician Opinions on Benefits of Open Visit Notes Vary
MONDAY, Dec. 19 (HealthDay News) -- Primary care physicians (PCPs) have varied opinions about open access to doctors' notes; and most users of a personal health record (PHR) system are interested in sharing access to their information, according to two studies published in the Dec. 20 issue of the Annals of Internal Medicine.
Concurrent-, Staged-Bilateral Knee Arthroplasty Compared
THURSDAY, Dec. 15 (HealthDay News) -- Simultaneous-bilateral arthroplasty is associated with reduced incidence of periprosthetic joint infection and malfunction, and with increased cardiovascular risk, compared with staged-bilateral arthroplasty, according to a study published in the Dec. 7 issue of The Journal of Bone & Joint Surgery.
Some RA Remission Criteria Underestimate Foot Synovitis
THURSDAY, Dec. 15 (HealthDay News) -- For patients with rheumatoid arthritis (RA), remission criteria based on 28 joint counts underestimate foot involvement, compared with criteria which assess full joint counts, according to a study published online Dec. 1 in Arthritis & Rheumatism.
School-Based Clinics Feasible for ID'ing Chronic Fatigue
THURSDAY, Dec. 15 (HealthDay News) -- School-based clinics can identify children with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME), and may be useful for diagnosing children with less severe symptoms, according to a study published online Dec. 12 in BMJ Open.
More Pain in Erosive OA Than OA/Inflammatory Arthritis
WEDNESDAY, Dec. 14 (HealthDay News) -- Patients with erosive osteoarthritis (EOA) have significantly more pain and more functional impairment than those with osteoarthritis (OA) or inflammatory arthritis, according to a study published online Dec. 2 in Arthritis & Rheumatism.
Infection Prevention Up in VA, Non-Federal Hospitals
TUESDAY, Dec. 13 (HealthDay News) -- From 2005 to 2009, there was a significant increase in the use of hospital-acquired infection (HAI) prevention practices in non-federal and Veterans Affairs (VA) hospitals, according to a study published online Dec. 6 in the Journal of General Internal Medicine.
Higher Level of Wear in Pseudotumor Hip Revisions
TUESDAY, Dec. 13 (HealthDay News) -- The hip resurfacing implants of patients who undergo revision for pseudotumors have significantly higher linear, volumetric, and edge wear rates than implants of patients who undergo revision for other reasons, according to a study published in the Dec. 7 issue of The Journal of Bone & Joint Surgery.
Electroacupunture Reduces Pain in Whiplash Patients
FRIDAY, Dec. 9 (HealthDay News) -- Use of electroacupuncture is associated with a significant reduction in pain intensity in whiplash patients, but the reduction is probably not clinically significant, according to a study published in the Dec. 15 issue of Spine.
Factors Affecting Micro-RNA Detection Accuracy Identified
FRIDAY, Dec. 9 (HealthDay News) -- Accurate detection and quantitation of circulating microRNAs (miRNAs) is affected by inherent differences in plasma samples, methods used for their collection and analysis, and the presence of specific inhibitors in plasma, according to a study published online Dec. 9 in the Journal of Molecular Diagnostics.
Leisure-Time Physical Activity Low in Adults With Arthritis
THURSDAY, Dec. 8 (HealthDay News) -- The prevalence of U.S. adults reporting no leisure-time physical activity (LTPA) fell between 1989 and 2002, but has held steady at 25 percent since then; it is possible that subgroups, such as adults with arthritis, have hindered further reduction, according to research published in the Dec. 9 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.
Knee Asymmetries Identified Early in Unilateral Hip OA
THURSDAY, Dec. 8 (HealthDay News) -- For patients with unilateral hip osteoarthritis (OA), loading and structural asymmetries appear in the contralateral knee early in the disease course, when the knees are asymptomatic, according to a study published in the December issue of Arthritis & Rheumatism.
Bisphosphonate Use Ups Knee, Hip Implant Survival
WEDNESDAY, Dec. 7 (HealthDay News) -- Bisphosphonate use in patients undergoing total knee or hip arthroplasty is associated with significantly longer implant survival and time to revision, according to a study published online Dec. 6 in BMJ.
HLA-B27 Prevalence in United States Calculated
TUESDAY, Dec. 6 (HealthDay News) -- In the first large-scale study on the prevalence of HLA-B27 reactivity in the general population, roughly 6 percent of the population was found to be positive for HLA-B27, and it was more common in non-Hispanic whites and appears to decrease in prevalence with age, according to recent research published online Dec. 2 in Arthritis & Rheumatism.
Medical Students Fail to ID Hand Hygiene Indications
MONDAY, Dec. 5 (HealthDay News) -- Medical students who are about to start the clinical phase of their education have a lack of knowledge regarding the correct indications for hand disinfection, according to a study published in the December issue of the American Journal of Infection Control.
Belimumab + Standard Therapy Efficacious for Lupus
MONDAY, Dec. 5 (HealthDay News) -- For patients with systemic lupus erythematosus (SLE) receiving standard therapy, belimumab is well tolerated and significantly improves the SLE Responder Index (SRI) response rate, according to a study published in the December issue of Arthritis & Rheumatism.
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