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Circumcision and AIDS: Boon or boondoggle?

July 14, 2010

FEATURED SEARCH: circumcision

This search term picks up a debate that is raging in the HIV-AIDS community about which is the most important aspect of transmission: multiple partnerships or sexually transmitted infections. The latter is where circumcision enters the dispute. One correspondent contends that there are actually 5 possible important factors, one of which is circumcision—or the lack thereof—and its role in preventing infections. Critics say it's a distraction from more effective measures. (See all 3 top results in the search below.)

RESULT: Two-component generalised HIV epidemics
Lancet | Jul 2, 2010

Setting aside the matter of HIV-AIDS, concern has been emerging about the possible adverse effects of ritual circumcision of infants or boys. The first two studies below probe the causes and hazards of bleeding after child circumcision. The third finds that one of the most common forms of regional anesthesia among children hospitalized for circumcision requires postoperative opiates and a longer hospital stay than other anesthetic options.

RESULT: Bleeding complications after ritual circumcision: about six children
European Journal of Pediatrics (PubMed) | Mar 1, 2010

RESULT: Bleeding at Circumcision: Patient or Operator Issue?
Clinical Pediatrics (Phila) | Jun 3, 2010

RESULT: A retrospective audit of three different regional anaesthetic techniques for circumcision in children
Anaesthesia and Intensive Care (PubMed) | May 1, 2010

______________________________________________________________

OTHER RECENT SEARCHES ON SEARCHMEDICA

Search: phlegmon

This search term delivers several new reports about the diagnosis and treatment of cellulitis. The third result below reveals continuing confusion about the best course of action for children with cellulitis who turn up in the emergency department.

RESULT: 70-Year-Old-Man with Left-Sided Facial Swelling
Mayo Clinic Proceedings | May 1, 2010

RESULT: 3 Cases of Dissecting Cellulitis of the Scalp Treated With Adalimumab(Drug information on adalimumab): Control of Inflammation Within Residual Structural Disease
Archives of Dermatology | May 1, 2010

RESULT: Pediatric cellulitis: success of emergency department short-course intravenous antibiotics
Pediatric Emergency Care (PubMed) | Mar 1, 2010

_______________________________________________________________

SEARCH TIP: Clues to the best results in your search list

A search on edible mushrooms produced a comical result and a useful one.

Among the top results was this  totally irrelevant result about what can be done to enhance the development of new vaccines.

RESULT: Stoking the antibiotic pipeline
BMJ | Jun 2, 2010

The clue to its appearance is in the bold-faced words in the blurb beneath the article title. One of the authors is a research fellow named Chantal M. Morel.

Political Science London WC2A 2AE 2 European Observatory on Health Systems and Policies London Correspondence to: CM Morel … Mossialos E Morel CM Edwards S Berenson J Bemmill-Toyama M Brogan D. Policies and incentives for promoting innovation in antibiotic research.

As we've pointed out before, you can often discover why an irrelevant result has turned up by clicking the option "Cached" in the bottom line of the result listing, which will provide your article text with the search terms highlighted in color.

A little farther down the results list (after a few healthy recipes from Mayo Clinic's patient-directed website) is a much more relevant article, containing an interesting clinical revelation.

RESULT: Can morels (Morchella sp.) induce a toxic neurological syndrome?
Clinical Toxicology (Phila) (PubMed) | May 1, 2010

INTRODUCTION: Several cases of morel poisoning associated with neurological symptoms ... MATERIAL AND METHODS: Retrospective study of morel poisonings collected in the French. . . . Cases were classified as neurological syndrome (NS; . . .

 

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