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Medical Expulsive Therapy As An Adjunct To Improve Shockwave Lithotripsy Outcomes: A Systematic Review And Meta-Analysis
UroToday.com - Over the past decade, the most significant advance, in my mind, with regard to the treatment of the distal ureteral stone, has been the advent of medical expulsive therapy as described by Porpiglia and colleagues in 2000, and corroborated by many subsequent studies. Savings with this approach, according to work by Lotan and colleagues, is around $1100/patient in addition to the benefits of decreased renal colic. Stone passage rates increase anywhere from 40-100% of controls within 10 days of starting medical expulsive therapy. While a variety of medications have been used (e.g. alpha blockers, steroids, calcium channel blockers), the alpha blockers (i.e. tamsulosin and alfuzosin) appear to be effective and well tolerated.
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$29.4 Million Grant Establishes CTSI At NYU In Partnership With Health And Hospitals Corporation
NYU and NYU School of Medicine received a $29.4 million, five-year Clinical and Translational Science Award from the National Institutes of Health (NIH) to establish a University-wide Clinical & Translational Science Institute (CTSI) in partnership with the New York City Health and Hospitals Corporation (HHC). The funding is designed to train medical researchers, more rapidly advance science from the lab to the patient to the community and to allow researchers to explore mechanisms of health disparities and develop evidence-based approaches targeted at their reduction. With this grant, NYU, the NYU School of Medicine and HHC will become part of a network of 46 existing Clinical and Translational Science centers based at academic medical centers around the country.
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Physical Therapists Say Appropriate Exercises Can Help Keep Weekend Warriors On The Ice
The excitement of the 2009 Stanley Cup Playoffs will inspire young players and weekend warriors to hit the ice. But, traveling up to 30 miles an hour on a quarter inch blade of steel and stopping instantly will put anyone at risk for injury. According to American Physical Therapy Association (APTA) spokesperson Mark Mortland, PT, ATC, team physical therapist of the Pittsburgh Penguins, there are special precautions one can take to help avoid the multiple injuries that can occur in this high-speed, high-impact sport.
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More Loneliness, Anxiety Experienced By Overweight Kids, MU Study Finds

As childhood obesity rates continue to increase, experts agree that more information is needed about the implications of being overweight as a step toward reversing current trends. Now, a new University of Missouri study has found that overweight children, especially girls, show signs of the negative consequences of being overweight as early as kindergarten. "We found that both boys and girls who were overweight from kindergarten through third grade displayed more depression, anxiety and loneliness than kids who were never overweight, and those negative feelings worsened over time," said Sara Gable, associate professor of human development and family studies in the MU College of Human Environmental Sciences. "Overweight is widely considered a stigmatizing condition and overweight individuals are typically blamed for their situation. The experience of being stigmatized often leads to negative feelings, even in children." MU researchers used the Early Childhood Longitudinal Study-Kindergarten Cohort (ECLS-K) to examine the social and behavioral development of 8,000 school-age children from kindergarten entry through third grade. The researchers evaluated factors that have not been studied previously: age at becoming overweight and length of time being overweight. "Girls who were consistently overweight, from kindergarten through third grade, and girls who were approaching being overweight were viewed less favorably than girls who were never overweight," said Gable, an MU State Extension Specialist. "Teachers reported that these girls had less positive social relations and displayed less self-control and more acting out than never-overweight girls." The results indicate that larger than average children, especially girls, experience social and behavioral challenges before they reach the 95th percentile of the Body Mass Index and are classified as being overweight. More research is needed to develop alternative approaches for categorizing children"s weight and creating effective intervention programs, Gable said. "Most appearance-based social pressure likely originates in the eye of the beholder," Gable said. "Therefore, intervention and prevention efforts should be designed for everyone. All kids should learn what constitutes a healthy weight and healthy lifestyle." MU researchers will continue to use the ECLS-K to study the implications of being overweight for children"s development. The study, "Implications of Overweight Onset and Persistence for Social and Behavioral Development between Kindergarten Entry and Third Grade," was published in Applied Developmental Science, and was funded by the United States Department of Agriculture, Food Assistance and Nutrition Research Programs. Emily Smith University of Missouri-Columbia


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