Primary Care Reports articles from April 2002

Primary Care Reports archives from April 2002

The health care delivery system in NCAA Division I intercollegiate athletics.
April 1, 2002... Editor's Note--The purpose of this paper is to describe the athletic health care system that is seen in NCAA Division I institutions. Specifically, this paper will focus on the important conceptual differences of the system itself as well as...

Physician CME questions.(Brief Article)
April 1, 2002... 33. The health care delivery system in athletics is best described as: a. an HMP/PPO type plan with the trainer as physician extender. b. a fee for service plan with multiple team members. c. much different...

GlaxoSmithKline withdrawals Lymerix: company `cuts losses' on controversial Lyme disease vaccine. (Pharmacology Watch).
April 1, 2002... Citing poor sales, GlaxoSmithKline has announced that it is withdrawing Lymerix, the Lyme disease vaccine, from the market. The vaccine was the first, and only, Lyme disease vaccine on the market. Lymerix generated $40 million in sales in 1999,...

Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin.(Brief Article)
April 1, 2002... Source: Knowler WC, et al. N Engl J Med. 2002;346:393-403. PERSONS WHO ARE AT HIGH RISK FOR developing type 2 diabetes (DM2) include persons with elevated fasting and 2-hour postprandial glucose levels (ie, above normal but not qualifying...

Eradication of Helicobacter pylori and risk of peptic ulcers in patients starting long-term treatment with NSAIDs.(Brief Article)
April 1, 2002... Source: Chan FK, et al. Lancet. 2002;359:9-13. THERE ARE A VARIETY OF PATIENT groups that require long-term therapy with NSAIDs, such as arthritis sufferers. That traditional NSAIDs can produce an increased risk of significant GI bleeding...

Physiotherapy for patients with mobility problems more than 1 year after stroke: a randomized controlled trial.(Brief Article)
April 1, 2002... Source: Green J, et al. Lancet. 2002;359:199-203. FOR STROKE VICTIMS WHO SUFFER A subsequent decrement in mobility (ie, falls, difficulty in walking, problems getting out of a chair), consequences of such disability are potentially...

EBV antibodies and risk of MS.(Epstein-Barr virus, multiple sclerosis)(Brief Article)
April 1, 2002... Source: Ascherio A, et al. JAMA. 2001;286:3083-3088. CURRENT THEORIES DOMINANTLY support an autoimmune etiologic basis for multiple sclerosis (MS). An epidemiologic phenomenon peculiar to Epstein-Barr virus (EBV) is its pattern of...

Coronary magnetic resonance angiography for the detection of coronary stenoses.(Brief Article)
April 1, 2002... Source: Kim WY, et al. N Engl J Med. 2001;345:1863-1869. CORONARY ANGIOGRAPHY (CANG) IS the current gold standard for diagnosis of clinically significant coronary artery disease (CAD), which is generally designated as greater than 50%...

Vitamin A intake and hip fractures among postmenopausal women.(Brief Article)
April 1, 2002... Source: Feskanich D, et al. JAMA. 2002;287:47-54. VITAMIN A AND ITS ANALOGUES (VitA) have been shown to produce changes in bone metabolism and structure that would logically increase risk of fracture. In animals, retinoic acid decreases...

Chronic noncancer pain basics for the primary care physician.
April 15, 2002... Editor's Note--With the formation of the American Pain Society (APS) Managed Care Task Force in 1997, the problem of pain management immediately identified was the lack of pain education received by primary care providers (PCPs) and medical...

Physician CME questions.(continuing medical education)(Brief Article)
April 15, 2002... 37. The investigation most likely to have been overlooked in attempting to discover perpetuating factors in a chronic pain problem is: a. the surgeon's operative report(s). b. positron emission tomography (PET) scan of the brain. ...

Bioterrorism: what all primary care physicians need to know.
April 29, 2002... Editor's Note--Few natural or intentional threats arouse the concern of emergency management planners in this country more acutely than the use of biological agents as an act of war or terrorism against citizens of the United States. While a...

Physician CME questions.(continuing medical education)(Brief Article)
April 29, 2002... 40. Smallpox is characterized by: a. lesions, which are all synchronous, ie, in the same phase of development. b. a mortality rate of about 3% in unvaccinated persons. c. lesions involving the chest more than the face. ...