(MedPage Today) -- Virtual colonoscopy is cost-effective only when priced lower than conventional colonoscopy or if it attracts a large unscreened population, according to computer models of colon cancer screening strategies. (Source: MedPage Today Gastroenterology)

(MedPage Today) -- CPR with chest compression alone led to outcomes comparable to those achieved with chest compression plus rescue breathing, with a slight edge for compression alone, data from two large clinical trials showed. (Source: MedPage Today Cardiovascular)

The American Journal of Medicine now provides its readers with access to peer-reviewed Official Journal CME (and non-CME) Multimedia Activities. These activities are designed to deliver quality education through an interactive experience that takes full advantage of online capabilities. All Multimedia Activities are peer reviewed and approved by the editorial leadership, which has identified the content as educational and of interest to our readership. (Source: The American Journal of Medicine)

Abstract: The US prevalence of gout, a rapidly progressive inflammatory arthritic condition linked to serum uric acid levels, has grown in recent years, in part due to the increasing prevalence and incidence of predisposing factors in the population, such as metabolic syndrome, obesity, and the use of diuretics. Left untreated, gout can be debilitating and cause deformity. Although a definitive diagnosis requires joint aspiration, only ∼11% of patients with suspected gout undergo this procedure, and a presumptive diagnosis based on patient medical history and presentation with characteristic symptoms and comorbidities is a reasonable guidelines-based approach that has utility in the primary care setting, where approximately 70% of all cases and nearly 3,000,000 visits occur. The therapeu...

Facial plast Surg 2010; 26: 281-282DOI: 10.1055/s-0030-1262317© Thieme Medical PublishersGet connected:Table of contents (Source: Facial Plastic Surgery)

Women in their 40s with breast cancer have tumors that are more difficult to detect with mammography, not faster growing tumors that manifest between screenings, a computer simulation of breast cancer suggests. (Source: MedPage Today Hematology/Oncology)

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Sending heart attack patients directly to hospitals that can do primary percutaneous coronary interventions (PCI) may be better than trying to expand PCI capabilities to more hospitals, according to an analysis of computer simulations. (Source: MedPage Today Cardiovascular)

Maintaining strong social relationships may help slow the approach of death, a meta-analysis showed. (Source: MedPage Today State Required CME)

Older patients who show delirium are at increased risk for a range of negative outcomes, independent of other major risk factors, said researchers conducting a meta-analysis. (Source: MedPage Today State Required CME)

Bariatric surgery has a low complication rate that correlates inversely with the procedural volume of a surgeon and hospital, records for more than 15,000 patients showed. (Source: MedPage Today Primary Care)

Overweight patients had significantly better long-term weight control when they regularly used an interactive website designed to promote weight-loss maintenance, according to data from a randomized trial. (Source: MedPage Today Pediatrics)

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The treatment of blocked carotid arteries varies across the country, with patients in some areas of the U.S. more likely to undergo endarterectomy while others were more likely to receive stents, researchers said. (Source: MedPage Today State Required CME)

Older African Americans living in "socially disadvantaged" areas were less likely than whites to receive coronary artery bypass grafts (CABG) in top-ranked hospitals, and often received treatment in lower-ranked facilities further from their homes, researchers said. (Source: MedPage Today State Required CME)

An up-to-date vaccination record should be a prerequisite for cochlear implants in children with profound hearing loss (MedPage Today) -- given their heightened risk for otitis media and meningitis, according to a policy statement from the American Academy of Pediatrics. (Source: MedPage Today Pediatrics)

(Source: Journal of the American Society of Echocardiography)

Children should not be kept home from school because they have head lice, the American Academy of Pediatrics (AAP) reaffirmed. (Source: MedPage Today Infectious Disease)

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Many men being treated aggressively for low-grade prostate cancer (MedPage Today) -- particularly if it was detected during prostate-specific antigen screening -- are unlikely to benefit from the intervention, a new study suggests. (Source: MedPage Today Hematology/Oncology)

An expansion of the window for stroke treatment with tissue plasminogen activator (tPA) to 4.5 hours after onset was quickly implemented into clinical practice following the release of positive study results, researchers found. (Source: MedPage Today Cardiovascular)

Steering clear of low-volume hospitals and physicians may be one way to lower the costs of coronary artery bypass grafting (CABG) surgery, researchers found. (Source: MedPage Today Cardiovascular)

Many men being treated aggressively for low-grade prostate cancer (MedPage Today) -- particularly if it was detected during prostate-specific antigen screening -- are unlikely to benefit from the intervention, a new study suggests. (Source: MedPage Today Hematology/Oncology)