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Needle Exchange Programs Needed To Prevent Spread Of HIV, Letter To The Editor Says
"Despite making strides in addressing HIV/AIDS, we have not reached all individuals and communities with the full range of prevention tools needed to reverse the epidemic," Jirair Ratevosian, chair of the American Public Health Association International Health Section"s Advocacy and Policy Committee, writes in a Washington Post letter to the editor. Ratevosian continues, "Congress has a chance to help by lifting the ban on federal funding for syringe exchange programs," adding, "Such programs do more than just distribute clean syringes; they link people into the health care system and drug treatment programs." Ratevosian also discussed support of needle exchange programs by several national health organizations and concludes, "It is imperative that effective approaches to preventing HIV be accessible without delay" (Ratevosian, 7/24).
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Study Offers New Insights Into Morphine-Induced Tolerance And Increased Pain Sensitivity
A study published in the June issue of Anesthesiology has shown that a drug metabolite of the opioid morphine may be a key factor in the paradoxical increased sensitivity to pain caused by chronic morphine use. For the first time, this metabolite (called morphine-6 glucuronide, or M6G) was shown to act independently of the pain receptors typically targeted during morphine administration.
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ASMANEX(R) (Mometasone Furoate Dry Powder Inhaler) Now Approved In Japan For The Treatment Of Bronchial Asthma In Adult Patients
Schering-Plough Corporation (NYSE: SGP) announced that Schering-Plough K.K., the company"s country operation in Japan, has received marketing approval for ASMANEX TWISTHALER (mometasone furoate dry powder inhaler) for the treatment of bronchial asthma in adults.(1)
Medical Devices

Does Preoperative Biliary Drainage Influence The Outcome Of Resectional Surgery For Ampullary Carcinoma?

A research article published in the World Journal of Gastroenterology addresses this question. This is believed to be the first study to investigate the effect of PBD in ampullary cancer. A team of gastroenterologists led by Dr Steven Joseph Mesenas and hepatobiliary surgeons at Singapore General Hospital divided 82 patients with ampullary cancer planned for surgical resection into those with PBD (n = 35) and those without (n = 47). The authors looked into various outcomes after surgery, such as pancreatic leakage, wound infection, bile leakage, infectious morbidity, intra-abdominal or gastrointestinal bleeding, intra-abdominal abscess, delayed gastric emptying and mortality. They found that the PBD group had a significantly reduced wound infection rate compared to the non-PBD group. More studies should be conducted to assess this benefit, especially in ampullary cancer patients. Reference: Abdullah SA, Gupta T, Jaafar KA, Chung YFA, Ooi LLPJ, Mesenas SJ. Ampullary carcinoma: Effect of preoperative biliary drainage on surgical outcome. World J Gastroenterol 2009; 15(23): 2908-2912 http://www.wjgnet.com/1007-9327/15/2908.asp Correspondence to: Dr. Steven Joseph Mesenas, Department of Gastroenterology and Hepatology, Singapore General Hospital, Outram Road 169608, Singapore. Lin Tian World Journal of Gastroenterology


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