By admin | Published:
May 28, 2007
LISA McNALLY, Institute of Child Health, London, and University of KwaZulu-Natal, Durban
REFERENCE: The Lancet 2007; 369:1440-1451
A new study suggests that current guidelines for the treatment of severe pneumonia in children under one year should change. The investigation, which took place in South Africa, found that HIV status and polymicrobial disease were among the predictors for treatment failure, and these findings have implications for the guidelines drawn up by the WHO. Derek Thorne heard more from Lisa McNally, who worked with the Institute of Child Health in London, and the University of KwaZulu-Natal in Durban.
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By admin | Published:
May 25, 2007
NICHOLAS GRASSLY, Imperial College London
REFERENCE: Lancet 2007; 369:1356-62
A case-control study performed in India has provided hope that polio could finally be eradicated. India is one of six countries in which polio transmission has not yet been interrupted and, specifically, it is the type 1 poliovirus that persists there. Nicholas Grassly of Imperial College London told Derek Thorne about his team’s study, published in the Lancet.
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By admin | Published:
May 25, 2007
ANTHONY FAUCI, National Institutes of Health, Bethesda
REFERENCE: N Engl J Med 2007;356:2073-81
Is there any hope for an HIV vaccine? According to Anthony Fauci, of the National Institutes of Health in Bethesda, there is – but it might not be a perfect vaccine. He believes that even a vaccine that does not confer total immunity could still be of use, because it may slow disease progression and also reduce the spread of the disease. He talked with Derek Thorne about his co-authored paper in the New England Journal of Medicine.
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By admin | Published:
May 14, 2007
HARVEY WHITE, Auckland City Hospital, New Zealand
REFERENCE: European Heart Journal Advanced On-Line Publication April 24th, 2007
Enoxaparin could be the new standard anti-thrombotic therapy for patients receiving fibrinolysis for ST elevation myocardial infarction. This finding is from the double-blind EXTRACT-TIMI 25 Trial which compared the low molecular weight heparin with unfractionated heparin and saw a consistent treatment superiority from enoxaparin with a reduction in repeat myocardial infarction and mortality. Sarah Maxwell spoke with the principal investigator Harvey White at the Auckland City Hospital in New Zealand.
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By admin | Published:
May 9, 2007
JAIME MIRANDA, London School of Hygiene and Tropical Medicine, Peru
An antifibrinolytic agent, tranexamic acid (commonly used to reduce bleeding during surgery) is being investigated as first-aid to cut mortality and the need for blood transfusion immediately after trauma or injury. The CRASH trial, still in its early phases in a worldwide adult population, aims to bring particular benefit to developing countries, many of which are blighted by trauma with few measures, if any, having been available up to now to reduce the death toll. In Lima, Peru, Jaime Miranda discussed his group’s ongoing investigation with Peter Goodwin.
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By admin | Published:
May 3, 2007
HARVEY WHITE, Auckland City Hospital, New Zealand
REFERENCE: ACUITY Trial, ACC.07 Scientific Session and i2 Innovations Summit. Presentation Number: 2414-5
Patients with acute coronary syndromes who take bivalirudin have fewer major bleeding events and a lower incidence of late stent thrombosis compared with those who receive standard heparin therapy. This is the finding of one year results from the ACUITY study announced by Gregg Stone of Columbia University, New York during the American College of Cardiology annual meeting that took place in New Orleans. Sarah Maxwell asked Harvey White at the Auckland City Hospital in New Zealand to comment about the ACUITY investigation.
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