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Issue:  June 2013 •  Archive  •  Subscribe •  Unsubscribe
In This Edition Featured Article Featured CE
•  Editor's Notebook
•  Counseling Pearls
•  It's the Law
•  Clinical Corner
•  Consult Your Pharmacist
•  Educational Spotlight
•  Quick Poll
  – Rx Online Sales
  Photo Shedding Light on Female Alopecia
Several types of hair loss exist, each with a different etiology and treatment options.
  Photo Strategies for the Prevention and Management of Nevi (Moles)
The presence of multiple moles is associated with an increased risk of melanoma.
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Editor's Notebook
Now It's Your Turn

Our readers comment on the myriad issues facing pharmacists daily.
Counseling Pearls
Photo Impetigo in Children and Adolescents

This common, highly contagious infection is caused primarily by gram-positive bacteria. Most cases resolve without the need for antibiotics; however, topical agents are used to reduce disease duration and spread.
Photo Fungus of the Feet and Nails

The dermatophytes Epidermophyton, Microsporum, and Trichophyton cause the majority of fungal infections in these extremities. Common superficial infections include tinea pedis, tinea unguium, and tinea manuum.
It's the Law
Driving Under the Influence: The Prescription Defense

Can you be convicted of a DUI if taking a prescription drug as directed?
Clinical Corner
Photo Angioedema: An Overview

This disease, which involves self-limited, localized, nonpruritic swelling, occurs in approximately 15% of the population. The laryngeal presentation is serious because of its high rate of associated mortality.
Photo Advances in Wound Management

Developments include vacuum-assisted closure and dressings that facilitate wound healing. It is important not only to select the correct dressing, but also to use the chosen technique properly.
Consult Your Pharmacist
Is It Dandruff or Seborrheic Dermatitis?

These two closely related conditions can be successfully self-treated.
Educational Spotlight
Recognizing and Treating Tonsillitis

Penicillin is considered the gold standard of therapy for this common childhood condition.
The TB/HIV Syndemic: Prevention, Detection, and Treatment

The presence of untreated tuberculosis may hasten the course of HIV infection.
Postherpetic Neuralgia: Treatment and Prevention Strategies

Neuropathic pain due to shingles can be alleviated with a variety of options, including antidepressants and antiepileptics.
Estrogen May Ward Off UTIs in Postmenopausal Women
Solna, Sweden — Estrogen supplementation may help prevent urinary tract infections—which have been associated with low estrogen levels—in postmenopausal women. A study from Karolinska Institute has found that estrogen stimulates the body’s production of antimicrobial peptides and strengthens the cells lining the bladder (which become fragile postmenopausally, affecting the ability to resist infection). Subjects were treated with estrogen for 14 days, after which cells excreted in the urine were examined. Estrogen repaired the damaged epithelium, making it harder for bacteria to break through and reach the underlying cells. "By treating postmenopausal women locally with estrogen…the body’s own defense against infection is improved, making women better suited to fight infections," said lead researcher Dr. Annelie Brauner.
HIV-Derived Antibacterial Promising Against Drug-Resistant Bacteria
Pittsburgh, PA— University of Pittsburgh researchers have developed antibacterial compounds that could be potential treatments for drug-resistant bacterial infections. Derived from the outer coating of HIV, these new agents are quite small, making them simple and inexpensive to manufacture. The original HIV peptides were engineered for greater effectiveness and smaller size. The lead compound, which contains just 12 amino acid residues, demonstrates "powerful antibacterial activity against clinical isolates of diverse pathogenic activity that are resistant to most antibiotics," said senior author Ronald Montelaro. A likely initial application will be chronic bacterial infections of the lung in cystic fibrosis patients. Another possible application of the compound is biodefense, as an immediate treatment in individuals exposed to aerosolized pathogens.
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