Clinical Advisor back issues from June 2009:
Heart failure strikes young blacks hardest.(Newsline)
Jun 01, 2009 ... YOUNG African Americans are developing heart failure (HF) before age 50 years at a rate 20 times higher than whites, according to the National Heart, Lung, and Blood Institute. A 20-year observational study found one in 100 blacks developed HF at an average age of 39 years. HF ...
PCPs on the front line for atrial fibrillation.(Newsline)
Jun 01, 2009 ... DIAGNOSING atrial fibrillation (AF) could sharply reduce strokes in the United States, and primary-care providers (PCPs) have a key role to play, according to experts affiliated with the American College of Cardiology (ACC). "Patients may often be asymptomatic," Michael ...
Sleepiness linked to CVD mortality.(Newsline)(Clinical report)
Jun 01, 2009 ... DAYTIME drowsiness may warn of impending death in elderly people, particularly from cardiovascular causes, new research suggests. [ILLUSTRATION OMITTED] The findings arise from the Three City Study, a population-based prospective study conducted in France. It is the ...
Bedbugs do not cause illness.(Newsline)(Report)(Brief article)
Jun 01, 2009 ... THE HUMAN parasites collectively known as Cimex lectularius--bedbugs--may deliver bites that make the skin itch and may prove difficult to eradicate from the home, but at least patients who are victims of infestations can rest assured that these pests do not appear to carry disease. ...
Anxiety relief for seniors via primary care.(Newsline)
Jun 01, 2009 ... Cognitive behavior therapy (CBT) delivered in a primary-care setting can help older patients manage worry and associated symptoms, according to a recent study. In the trial, 134 primary-care patients aged 60 years and older who had been diagnosed with generalized anxiety ...
Accidental epinephrine injections a growing problem.(Newsline)
Jun 01, 2009 ... CLINICIANS should check at least once a year that patients with allergies know how to safely use their epinephrine auto-injectors to prevent anaphylaxis, the most severe form of allergic reaction. This advice comes from investigators who have uncovered an increase in the number of ...
Multifaceted approach helps smokers quit.(Newsline)
Jun 01, 2009 ... BY TREATING smoking aggressively as a chronic, relapsing disease, clinicians can raise the odds for success, a pair of studies suggests. One gave patients a variety of cessation medications at the same time. The other investigated the effect of supplementary counseling. ...
Earlier start for HIV treatment indicated.(Newsline)
Jun 01, 2009 ... Starting antiretroviral therapy for HIV when CD4 counts are as high as 500 cells/[mu]L reduces mortality risks by as much as 94%, according to several recent studies. Current guidelines recommend treatment for asymptomatic patients who have a CD4 count <350. "This was formulated ...
Osteoporosis: no gender gap for therapy: commonly considered a disease of women, men can be affected too. New guidelines recommend risk assessment for men and treatment for both sexes.(FEATURE)
Jun 01, 2009; ... The American College of Physicians (ACP) has issued two sets of clinical guidelines on osteoporosis--the organization's first to address the condition. One set focuses on osteoporosis screening in men and the other addresses pharmacologic therapy for both sexes. "Osteoporosis is an ...
Today, class, I'm proud to announce my tenure.(Cartoon)
Jun 01, 2009 ... "Today, class, I'm proud to announce my ...
Managing care with handheld technology: your PDA provides quick access to prescribing guidelines, clinical updates, practice standards, and more. Our expert helps navigate the terrain.(FEATURE)(personal digital assistants)
Jun 01, 2009; ... Primary-care nurse practitioners and physician assistants are aware that managing patient care successfully requires both breadth and depth of clinical knowledge. The challenge of meeting patient expectations while implementing evidenced-based practice guidelines in a timely manner is ...
We're still the same great company we've always been, only we've ceased to exist.(Cartoon)
Jun 01, 2009 ... "We're still the same great company we've always been, ...
Well, that was a birthday party the kids won't soon forget.(Cartoon)
Jun 01, 2009 ... "Well, that was a birthday party the kids won't ...
Once this commercial is over, I'll have a number of questions on erectile dysfunction.(Cartoon)
Jun 01, 2009 ... "Once this commercial is over, I'll have a number of ...
Advisor Forum.
Jun 01, 2009 ... <Pre> Inside the Forum JUNE 2009 Consultations Hair loss as a side effect of statins?44 Nonsexual trichomoniasis transmission 44 Steroid-related joint pain44 Repeat chest x-ray after positive PPD 44 Help for a lichen planus patient 47 ...
Stop! Wait! Government's no longer the problem--it's the solution.(Cartoon)
Jun 01, 2009 ... [ILLUSTRATION OMITTED] "Stop! Wait! ...
Look. They say sit, you sit. They say roll over, you roll over. Where's the prob?(Cartoon)
Jun 01, 2009 ... "Look. They say sit, you sit. They say roll over, you roll ...
Discrete yellow lesions on the eyelid: test your clinical acumen with our monthly quiz.(Dermatology Clinic)
Jun 01, 2009; ... CASH #1 A 57-year-old Caucasian woman has had discrete yellow areas on her eyelids for several years. During that time, the lesions had been slowly expanding, and her daughter found them "disgusting." According to the patient, the precipitating factor was an episode of poison ...
Peculiar violaceous, atraumatic rash.(Dermatology Clinic)
Jun 01, 2009; ... CASE #2 A 79-year-old Caucasian man with a history of chest pain, light-headedness, and diaphoresis was admitted to rule out acute coronary syndrome. He incidentally noted a bruise that had appeared spontaneously on his chest without trauma four days prior to admission. The ...
I'd be upset, too, if they replaced my golden parachute with a dirty rolled-up carpet.(Cartoon)
Jun 01, 2009 ... "I'd be upset, too, if they replaced my golden parachute ...
I don't know how the gods feel, but sacrificing financial advisors makes me feel happy.(Cartoon)
Jun 01, 2009 ... "I don't know how the gods feel, but sacrificing financial ...
It's free, but they sell your information.(Cartoon)
Jun 01, 2009 ... "It's free, but they sell your ...
Influenza a (H1N1): a quick review of common conditions, using the best global evidence.(Stat Consult)(Report)
Jun 01, 2009; ... Dr. Alper is medical director of clinical reference products for EBSCO Publishing Inc., in Ipswich, Mass., and editor-in-chief of DynaMed (www.ebscohostcom/dynamed), a database that contains a more comprehensive and continually updated summary of this and more than 3,000 other clinical ...
Tight times create urge to diversify: as a medical clinic expands into cosmetic services, a PA believes his career may be in jeopardy.(CASE)
Jun 01, 2009; ... Mr. D was worried. At age 32, he had been working as a physician assistant in a midsized medical practice for three years, but the worsening economic climate had him worried about his job. [ILLUSTRATION OMITTED] The practice was located in a high-rent area, and the ...
Increasingly red and painful lesion coupled with joint pain and fever: over the course of 10 days in September, a sore on the patient's ankle grew in size, and he developed a petechial rash.(CASE)
Jun 01, 2009; ... Mr. M was 53 years old and lived in rural South Carolina. He complained of a skin lesion that had first appeared on his left ankle 10 days earlier (around the middle of September). Since then the center of the sore had become dark, and Mr. M noted generalized joint pain. Over the past four ...
Alternative meds update: what you should know about the herbs and supplements patients use.
Jun 01, 2009; ... Noni Morinda citrifolia, commonly known as noni, is a small, evergreen tree native to the Pacific islands, southeast Asia, Australia, and India. (1) Reaching 10-20 feet in height, the tree often grows along old lava flows and is identified by its straight trunk; large, green, ...
Painful pedal erythema.(Dermatolosic Look-Alikes)
Jun 01, 2009; ... CASE# 1 An 82-year-old, mildly obese man presented with painful red swollen toes (particularly his second toe) and some pedal redness and pain. His temperature and his WBC count were normal. Thirty years earlier, he had been diagnosed with gout. Over the years he had experienced ...
Look closely, Ms. Fleere--do you see the man who managed your hedge fund?(Cartoon)
Jun 01, 2009 ... "Look closely, Ms. Fleere--do you see the man who ...
Evidence-based medicine.
Jun 01, 2009; ... This department uses the best available scientific findings to offer practice guidance on a wide range of conditions seen in primary care. The author, Alan Ehrlich, MD, is a deputy editor for DynaMed, Ipswich, Mass., and assistant clinical professor in Family Medicine, University of ...
Help, don't hurt, obese patients.(COMMENTARY)
Jun 01, 2009; ... "Your health problems are caused by your obesity. There's nothing I can do. You need to lose weight." "Losing weight is easy: Eat less, exercise more. If I can do it, anyone can do it; and if they don't, it's because they're lazy or lack willpower." "Don't come to me ...