Is the accumulation of work stress associated with higher risks of CHD? Does work stress affect CHD directly through neuroendocrine mechanisms and/or indirectly through behavioral CHD risk factors? European Heart Journal
Color Doppler ultrasound should be the first imaging examination in adult patients with suspected acute appendicitis, according to a study in Israel. The authors recommend that computed tomography be reserved for patients with inconclusive findings on ultrasound and for those with classical signs and symptoms for whom clinical suspicion remains high. Reuters Health Information
Pain is the most frequent reason patients come to the ED. The practice of acute pain management in the ED is becoming increasingly important. Medscape Neurology & Neurosurgery
A Web-based, computerized adaptive test is feasible, reliable, valid, and efficient in patients with back pain, and it can be recommended for use in back pain research. Medscape Medical News
Describe the clinical signs and symptoms of acute cyanide poisoning and review the methods, limitations, and possible adverse effects of current treatments.
A new clinical decision rule with nearly 100% accuracy in ruling out intracranial injury in minor pediatric head trauma may help reduce unnecessary cranial CTs, a multicenter team of physicians reports. Reuters Health Information
Early-onset type 2 diabetes may be a more aggressive disease phenotype to develop cardiovascular complications than later-onset cohort, reflected by more adverse cardiovascular risk profile and higher relative risk for myocardial infarction. The British Journal of Diabetes and Vascular Disease
Hypothermia therapy in children with severe traumatic brain injury does not improve neurological outcome and may increase mortality, a new study suggests. Medscape Medical News