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Children whose parents have asthma and who begin to wheeze are at high risk for asthma. In this NIH-sponsored study, children who were two or three years old at enrollment were given either placebo or an inhaled corticosteroid for two years. Although they had better asthma control while using the corticosteroid, asthma control was not improved after the treatment was discontinued.
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Hypophosphatemia, with associated changes in bone and mineral metabolism, developed in some patients with chronic myelogenous leukemia or gastrointestinal stromal tumors who were receiving imatinib, which inhibits several tyrosine kinases associated with these two diseases. The drug may thus inhibit bone remodeling in some patients.
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The third component of complement, C3, exists as two main allotypes, F (fast) and S (slow), which affect the incidence of inflammatory disease. This study examined the association between the C3 allotypes of renal donors and recipients and graft function after transplantation and suggests that donor C3F and C3S alleles may confer functional differences.
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Frivolous lawsuits have been cited as a major contributor to the high costs of the malpractice system in the United States. In this national study of 1452 closed claims, physician reviewers found no evidence of medical errors in 37 percent. Most claims, however, did not result in payment to the plaintiffs. Claims not associated with errors accounted for only 13 to 16 percent of the total costs.
Many experts believe that the threat of malpractice suits impedes the use of error-reporting systems to make hospitals safer. Annas argues that more lawsuits, not fewer, are needed. He believes that the courts should recognize a right to safety so that hospitals that fail to implement measures to improve safety could be sued when patients are injured owing to preventable errors.
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