These antagonistic selection pressures may have influenced the evolution of many aspects of placental regulation and function, including genomic imprinting and placental hormone production. However, the mother and embryo are not expected to disagree over aspects of placental function that benefit both parties; for example, regulation of haemostasis or resistance to infections etc. Therefore, an understanding of the complex regulation of placental function must consider the multiple selection
pressures acting on this organ. (C) 2012 Published by IFPA and Elsevier Ltd.”
“Background: On May 21, 2007, a safety alert was widely disseminated through the media and Adriamycin inhibitor US Food and Drug Administration (FDA) MedWatch concerning a possible increased risk of ischemic myocardial infarction and cardiovascular death in people receiving the antidiabetic drug rosiglitazone.\n\nObjective: To determine whether notification of patients and providers about an FDA safety warning influenced the decision to discontinue rosiglitazone therapy and the resulting Selleckchem CA4P effect on glycemic control.\n\nStudy Design: Retrospective
electronic medical record (EMR) review.\n\nMethods: EMR documentation review of 552 primary care patients with a prescription for rosiglitazone current on May 21, 2007, was conducted to determine the percentage that had rosiglitazone discontinued as a result of written notification about buy MDV3100 the FDA alert. We ascertained whether discontinuation was initiated by the physician or patient. We compared the change in glycosylated hemoglobin (A1C) values from baseline to follow-up between the group continuing on rosiglitazone and the group
discontinuing therapy.\n\nResults: Of 552 patients, 344 (62%) had rosiglitazone discontinued as a result of the warning. Discontinuation was initiated by the physician in 150 cases (43.6%), by the patient in 155 cases (45.1%), and was undetermined in 39 cases (11.3%). No significant difference was found in the mean change in A1C values from baseline to follow-up between the 2 groups.\n\nConclusions: Notifying patients and providers about FDA safety alerts does influence clinical decision making. The lay media should partner with the FDA to responsibly communicate drug safety information in evidence-based, understandable terms that quantify real risk. (Am J Manag Care. 2010; 16(5): e111-e116)”
“Background: Screening tools to identify persons with high cardiovascular risk exist, but less is known about their validity in different population groups. The aim of this article is to compare the sensitivity and specificity of three different cardiovascular disease risk scores and their ability to detect high-risk individuals in daily practice.