05/03/12 at 12:08 pm

Lisa Grimm Web Editor, MD Consult

What’s New on MD Consult

Rakel: Integrative MedicineMD Consult added a new book edition this week – the third edition of Integrative Medicine by Dr. David Rakel. Like the previous edition, the text offers an evidence-based guide for the inclusion of complementary and conventional therapies within a modern medical practice. Some of the conditions not covered in the last edition that are now addressed are multiple sclerosis, Parkinson’s disease, insomnia, Lyme disease, polycystic ovarian syndrome, and a number of other hormonal disorders. Rakel notes that while the book’s coverage has expanded, it has actually reduced in page count, resulting in a more targeted approach. Maintained in this edition are the useful Evidence-Versus-Harm Grading Icons that offer the clinician a quick overview to the subjects at hand.

May journals are arriving in good numbers, and among them is the American Journal of Obstetrics and Gynecology. One paper looks at the growing trend of elective early term deliveries. The authors emphasize that they are only addressing truly elective deliveries in this article, but they do point out the need for solid policies to frame the issue. Also of interest is a look at how labor patterns have changed over the past 50 years; another change in the field is the huge rise in the number of superobese women requiring obstetrical care. A study on the subject found a significant increase in risk for perinatal complications for such patients and their infants, even when compared to other overweight women. Also new for May is General Hospital Psychiatry. One study examines how frequently general practitioners recognize anxiety disorders, while another looks at the prevalence of depression in diabetic patients. A case report looks at a man with severe, frequent yawning that was treated with propranolol, while another covers the use of pregabalin for Tourette’s syndrome patients who have not responded well to other therapies.

Some recent additions in the Clinics can be found in the Articles in Press section of Infectious Disease Clinics of North America. An overview of tropical diseases is offered, and there is also an article on venomous bites and stings, covering snakes, lizards, spiders, jellyfish, insects and other animals. A clinical review of visceral leishmaniasis will also be appearing in an upcoming issue. Endocrinology and Metabolism Clinics is another title with recent Articles in Press; one paper looks at milestones in insulin discovery and future developments, while another looks specifically at intensive insulin therapy for patients with type 1 diabetes. A slightly earlier article proposes new goals and tactics for optimizing insulin therapy in type 2 diabetes, and all should soon be finding ‘permanent’ homes in an upcoming issue.

Check back next week for more of what’s new on MD Consult.

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