A 72-year-old man was evaluated for worsening dysphagia and weight loss. The dysphagia had been intermittent for 20 years, but in the past year it had begun to occur daily. He regurgitated food after every meal, often many hours after ingestion.
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During a routine checkup, a middle-aged woman asks you whether she should stop wearing moisturizers and makeup that contain sunscreen. She has read that increased sunlight exposure enhances vitamin D production, which may prevent certain types of cancer. What would you tell her?

CHICAGO -- Partial breast irradiation using a percutaneous brachytherapy balloon may be a safe and effective alternative to whole breast radiation, according a small single-center series.

IRVINE, Calif. -- The chemical compound at the heart of the so-called abortion pill also appears to block breast cancer, at least in experimental mice.

ROCKVILLE, Md. -- An FDA advisory panel said Wednesday that the Cox-2 inhibitor Celebrex (celecoxib) should be approved for treatment of pain associated with juvenile rheumatoid arthritis.

DALLAS - Women who develop chorioamnionitis during a first pregnancy have twice the risk for the amniotic infection in the next, suggesting a genetic component, researchers reported.

SHREVEPORT, La. -- When shown the instructions on five common prescriptions, only a third of mostly low-income patients of mixed literacy understood how to carry them out.

CHICAGO -- Hypnosis during a breast biopsy significantly reduces post-procedure pain and anxiety compared with standard care, investigators reported here.

CHICAGO -- When sperm motility is only minimally impaired by varicoceles, spermatic vein embolization may improve fertility, German researchers reported here.

BOSTON -- More than a third of clinical trials watchdogs have financial relationships with industry, calling into question the overall objectivity of institutional review boards, reported researchers here.

CHICAGO -- Milk does a bowel good -- or at least as good as a pricey commercial contrast agent that produces only marginally better results for abdominal CT scans.

BOSTON -- The biologic agents used to treat rheumatoid arthritis are no better or worse for the heart than methotrexate, according to a case-control study.

ITHACA, N.Y. -- Poor nutrition may lead to increased disability among older community-dwelling women, researchers here said.

CHICAGO -- A way to use ultrasound to measure the elasticity of tissue surrounding suspicious breast lesions demonstrated 100% diagnostic sensitivity and 99% specificity in a small study.

CHICAGO -- Six weeks of intensive rote memorization exercises led to improved verbal and episodic memory skills for older patients, an improvement that corresponded with metabolic changes in brain, researchers here reported.

CHICAGO -- Neither slouching in a chair nor sitting up straight is good for the back, according to researchers from Scotland.

CHIBA, Japan -- Confusion and fuzzy thinking associated with cancer chemotherapy appear to be related to a temporary shrinkage of the brain, Japanese researchers proposed.

NEW YORK -- The thrombin-specific anticoagulant Angiomax (bivalirudin) as monotherapy in patients acute coronary syndromes reduced the risk of major bleeding by 47% compared with rates for heparin and glycoprotein IIb/IIIa inhibitors, researchers reported.

NEW ORLEANS -- These days a psychiatrist may see an email from a patient that says, "I'm feeling suicidal."

NEW ORLEANS -- The newer atypical antipsychotic drugs may not always outperform the old ones in managing schizophrenia, investigators said here.
