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One Doctor's View: Electronic Medical Records Work Well
Doctors increasingly use email and electronic medical records to improve health care. In an essay in the Los Angeles Times, Rahul Parikh writes about his own experience at a Kaiser Permanente facility in Northern California where they implemented an electronic medical record system in 2006: "...notes, orders and prescriptions are clear and contiguous. There"s no waiting for paperwork. And if a patient of mine shows up in another office across town (remember, Kaiser is an integrated system -- we all share the same computer network), a doctor whom I have never met can see what I"ve written, my patient"s list of problems and what I"ve done for the patient in the past before he or she even sets foot in the room to talk to the patient. Such record systems can alert us to possible medication errors or dangerous drug interactions. They can continuously be updated to identify best practices. And they talk to patients as well, allowing them to access past-visit information and immunization records and to make appointments and send e-mails to their doctor."
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Insight Into Early Schizophrenia May Aid Understanding Of Disease Development, Diagnosis And Treatment
Significant and widespread cognitive problems appear to exist in schizophrenia in its earliest phase, making it very hard for people with the disorder to work, study or be social, according to a new study published by the American Psychological Association.
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Nephrologists Indicate High Interest In AMAG Pharmaceuticals' Newly Approved Feraheme According To Latest BioTrends Report
BioTrends Research Group, Inc. released TreatmentTrends(R): US Nephrology, a syndicated report analyzing treatment practices, attitudes and perceptions based on online survey results from over 200 US Nephrologists. The survey was fielded in late May and focuses on trends in treatment patterns for renal anemia, secondary hyperparathyroidism and hyperphosphatemia.
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Certain Type Of Implanted Lenses May Be A Treatment Option For Some Patients With Nearsightedness

Implantable lenses made of a collagen-like substance appear to provide stable correction of moderate to high nearsightedness (myopia) over four years of follow-up, according to a report in the July issue of Archives of Ophthalmology, one of the JAMA/Archives journals. "Laser-assisted in-situ keratomileusis (LASIK) has gained widespread popularity as a safe and effective surgical method for the correction of myopia, but patients with high [severe] myopia or thin corneas face some restrictions in avoiding the risk of developing keratectasia [a weakening of the cornea]," the authors write as background information in the article. An implantable lens consisting of a biocompatible collagen copolymer was developed to overcome these disadvantages, and has been reportedly effective in correcting moderate to severe vision problems. The implantation procedure is largely reversible and the lens is interchangeable, unlike LASIK. However, complications such as the formation of cataracts, loss of cells lining the eye and glaucoma have been reported and are expected to increase with time. To assess the long-term clinical outcomes of the lens implantation, Kazutaka Kamiya, M.D., Ph.D., of the University of Kitasato School of Medicine, Kanagawa, Japan, and colleagues evaluated 56 eyes of 34 patients who underwent implantation of the collagen copolymer lens. Routine post-operative examinations were conducted one, three and six months and one, two and four years later. At four years after surgery, 44 of the eyes (79 percent) were within 0.5 diopter (unit of measuring lens power) of the targeted correction and 52 (93 percent) were within one diopter. The authors suggest that collagen polymer lens implantation "results were good in all measures of safety, efficacy, predictability and stability for the correction of high myopia throughout the four-year follow-up," they write. "To our knowledge, this is the longest study to assess the refractive outcomes and adverse events" of the collagen copolymer lens implantation for myopia. "In addition, no vision-threatening complications occurred throughout the follow-up period," they conclude. The authors note that their findings suggest that collagen copolymer lens implantation "may be a good alternative for the treatment of moderate to high myopia. More prolonged careful observation for longer than four years is necessary to assess late-onset complications of this surgical technique." Arch Ophthalmol. 2009;127[7]:845-850. Archives of Ophthalmology


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