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Highlights from ACP Internist and
ACP Hospitalist

ACP Internist (formerly ACP Observer) April 2009

  • Do placebos have a place in clinical practice?
    Placebos, and the placebo effect, have been discussed in the medical research community for decades, thanks to a number of studies that suggest they may have real and measurable effects on certain conditions. Yet it was a different sort of study, one that found placebo use among physicians is fairly common, that recently brought the issue from the lab to the physician's office.
  • Internist searches for answers when test results go missing
    Mishandling of an abnormal test result is a common health care-related error that results in diagnosis and treatment delays. The commentator considers a case study illustrating that while admitting to mistakes is difficult, doing so may relieve stress, foster patient forgiveness, promote trust, improve practice (such as by adopting systems that prevent errors) and reduce litigation.
  • Unraveling autism's many causes, spread across the genome
    Despite the 90% heritability of autism, suggesting a very strong genetic component to its etiology, zeroing in on the genetic underpinnings of this disorder has been very challenging.
  • Stroke 2009: The timing is right, and possibly expandable, for giving tPA
    Tissue plasminogen activator (tPA) was the star of the show at this year's International Stroke Conference 2009, with much discussion of expanding its treatment window, and several studies presented on gender differences in tPA treatment.

ACP Hospitalist March 2009

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