Archive for June, 2009

Tuberculosis: Non-Adherence to Treatment is a Major Obstacle to Therapy Success

Simon Lewin
Simon Lewin

REFERENCE: PLoS Med 4(7):e238. doi:10.1371/journal.pmed.0040238
SIMON LEWIN, London School of Hygiene and Tropical Medicine
Non-adherence is a big factor reducing the efficacy of tuberculosis treatment according to a review of research released by the Public Library of Science’s online medical journal, PLoS Medicine. The article suggests that more needs to be done to resolve barriers to therapy compliance in order to help reduce the global burden of tuberculosis. Nicola Solomon interviewed Simon Lewin.

Etravirine for HIV-1-infected Patients Failing Antiretroviral Therapy

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Margaret Johnson
Margaret Johnson

;em>REFERENCE: Lancet 2007; 370:39-48
MARGARET JOHNSON, Royal Free Hospital, London
A new non-nucleoside reverse-transcriptase inhibitor has demonstrated its activity in patients infected with HIV-1. TMC125, or etravirine, was compared with placebo in over 500 treatment-experienced patients in the DUET-2 trial, and Derek Thorne heard more from Margaret Johnson of the Royal Free Hospital in London.

Visual Cervix Cancer Screening Test: Cheap and Effective in the Developing World

Rengaswamy Sankaranarayanan
Rengaswamy
Sankaranarayanan

REFERENCE: Lancet 2007;370:398-406
RENGASWAMY SANKARANARAYANAN, International Agency for Research on Cancer, Lyon
An inexpensive visual cervix cancer-screening test has proved its worth in India according to a publication in the Lancet. Inspecting the cervix visually after applying 4% acetic acid can reduce the incidence and mortality from cervical cancer in developing countries. Nicola Solomon interviewed Rengaswamy Sankaranarayanan.

GnRH Antagonist Protects Ovarian Function During Chemotherapy

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Kate Stern

REFERENCE: O-144
KATE STERN, Royal Women’s Hospital, Melbourne
A potential new way of preserving ovarian function during chemotherapy for cancer could be treatment with an antagonist of gonadotropin-releasing hormone: GnRH. A pilot study from Melbourne looked at 18 young women with cancer or auto immune disease due to receive cyclophosphamide therapy. Sarah Maxwell spoke with Kate Stern and heard more about the study.

Ovarian Stimulation Does Not Affect Fetal Birth Weight – reporting from 23rd Annual Conference of the European Society of Human Reproduction and Embryology, 1-4 July 2007, Lyon, France

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Georg Griesinger

REFERENCE: O-103
GEORG GRIESINGER, University Clinic of Schleswig-Holstein, Luebeck, Germany
Although low fetal birth weight is associated with singleton babies born after in-vitro fertilisation, a new prospective study has demonstrated that this is not a result of ovarian stimulation. Correspondent Sarah Maxwell interviewed Georg Griesinger at the ESHRE meeting in Lyon to get more details.

Shorter Anti-Viral Treatment for Hepatitis C: Less Effective Than Standard Regimen

Mitchell Shiffman
Mitchell Shiffman

REFERENCE: N Engl J Med 2007;357:124-34
MITCHELL SHIFFMAN, Virginia Commonwealth University, Richmond
Standard anti-viral therapy for Hepatitis C needs to be used to the full duration according to a publication in the New England Journal of Medicine. Following provocative evidence from previous smaller studies, suggesting that anti viral therapy can be shortened, the ACCELERATE trial (the largest international study with genotypes 2 and 3) was set up to resolve whether shortening the duration of therapy for patients would give the same virologic response rates as with the standard regimen. It found that full-dose, full-duration therapy with interferon and ribavirin needs to be adhered to. Nicola Solomon interviewed Mitchell Shiffman to find out more.

Best Evidence Yet that Folic Acid Fortification Reduces Neural-Tube Defects

Philippe De Wals
Philippe De Wals

REFERENCE: N Engl J Med 2007;357:135-42
PHILIPPE DE WALS, Laval University, Quebec
Compulsory food fortification with folic acid has been given new impetus following findings from a Canadian study published in The New England Journal of Medicine. Fifty per cent fewer neural–tube defects were detected in the Canadian population after compulsory fortification of cereals as compared with before. Nicola Solomon spoke to Philippe De Wals to get details about his group’s study.

Bivalent Vaccine for HPV: Interim Phases III Data Show High Efficacy

Jorma Paavonen
Jorma Paavonen

REFERENCE: Lancet 369:2161-2170, 2007
JORMA PAAVONEN, University of Helsinki
High efficacy of the bivalent vaccine for human papillomavirus is reported in the Lancet by an international group headed by Jorma Paavonen from Helsinki. Nicola Solomon asked him about the interim findings of the 20,000-patient Phase III study, which look very promising.

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