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In a study published in Proceedings of the National Academy of Sciences, researchers enrolled over 3,500 U.S. drivers, aged 16 to 98 years, and followed them for a three-year period after rigging their vehicles with internal video cameras and devices to track speed and location.  (Citation source http://buff.ly/1VFuti2)
Our inner thoughts are usually negative, critical or pessimistic. Negative thinking is ubiquitous, and may be responsible for indecision or ill-choices.  How to identify it and deal with it in patient care is an unsavory challenge often left undone.
Highlights of Rheumatology news for the week ending 20 Feb 2016.
RheumNow Week in review 20 Feb 2016
An emergency department based study evaluated the efficacy and safety of oral prednisolone versus indomethacin in 416 patients with acute gout in a multicenter, double-blind, randomized trial. There were 376 patients who completed the 14-day study, and the primary outcome was pain by 100 mm visual analogue scale.
The following is a collection of cases presented to me by rheumatology colleagues. Each has a challenging therapeutic or safety issue. Answers are based on experience with references from literature and guidelines.
In the current issue of Lancet, Pierre Miossec discusses the challenges of studying and managing juvenile dermatomyositis and, specifically, the PRINTO trial (previously reported herein). This study demonstrated that combining prednisone with
Reuters reports that researchers at the University of Warwick have devised a new transdermal drug delivery patch that may change the future of pain management. 
Renal impairment is a risk factor for gout and a barrier to optimal gout management. Many of the drugs used to treat gout require adjustment in those with renal disease.
Pulmonary hypertension is an uncommon complication of systemic sclerosis (SSc) and historically thought to slowly evolve in those with limited scleroderma over many years. 
Optimal sleep duration for adults is suppose to be 7 or more hours of sleep each night. Shorter sleep duration (7 hours per night) is associated with greater likelihoods of obesity, high blood pressure, diabetes, coronary heart disease, stroke, frequent mental distress, and death.
The risk of a flare increased by more than three-fold over 1 year when patients with longstanding rheumatoid arthritis (RA) in remission, or with stable low disease activity, stopped their anti-tumor necrosis factor (TNF) treatment, Dutch researchers reported.
Video highlights from last week's reports, news and tweets on RheumNow.com
RheumNow week in review 13 Feb 2016
CBC Hidden Pearls
CBC…it’s easy as 123! The complete blood count (aka, CBC) is the most routine, but indispensable, of all medical assessments.  The CBC result can spark the diagnosis of infection, leukemia, ITP and Still’s disease. A measure of the vital cells that circulate, sustain and protect life, the CBC has become the (albeit mundane) pivotal gauge of wellness, drug safety or disease activity. 
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