Primary Care Reports articles from April 2003

Primary Care Reports archives from April 2003

It's in the bag: a practical guide to the team physician's medical supplies while on the road.
April 1, 2003... Editor's Note--The role of the team physician involves a myriad of responsibilities and opportunities in the care of the athlete. One very interesting area involves traveling with various athletic teams for the road game, tournament, or bowl...

Physician CME questions.
April 1, 2003... Effective with this testing period, Primary Care Reports is changing its testing procedure. You will no longer need to return a Scantron answer sheet to earn credit for the activity. Please review the text, answer the following questions, check...

Ice cream-evoked headaches study: a randomized trial of accelerated vs cautious eating.(Brief Article)
April 1, 2003... Source: Kaczorowski M, Kaczorowski J. BMJ. 2002;325:1445-1446. ICE CREAM HEADACHE (ICH) IS A COMMONPLACE phenomenon induced by ingestion of cold substances, of which ice cream is but one of many potential precipitants. The limited...

Treatment of antidepressant-associated sexual dysfunction with sildenafil.(Brief Article)
April 1, 2003... Source: Nurnberg HG, et al. JAMA. 2003;289:56-64. SEXUAL DYSFUNCTION (SXD), WEIGHT gain, and sleep disturbance comprise as much as 75% of the adverse events that ultimately lead to antidepressant medication discontinuation. Of course,...

Prophylactic treatment of migraine with an angiotensin II receptor blocker.(Brief Article)
April 1, 2003... Source: Tronvik E, et al. JAMA. 2003;289:65-69. DESPITE THE VERY FAVORABLE effect of triptans upon migraine morbidity, a substantial population of persons either does not respond to, or chooses not to use, these agents. Expert advice has...

Syncope, driving recommendations, and clinical reality: survey of patients.(Brief Article)
April 1, 2003... Source: Maas R, et al. BMJ. 2003; 326:21. PATIENTS WHO SUFFER SYNCOPE DISORDERS, similarly to those who have seizures, are at increased risk for themselves and others when driving. Detailed guidance has been devised for clinicians to assist...

ACE + ARB for diabetic and hypersensitive neuropathy.(Brief Article)
April 1, 2003... Source: Nakao N, et al. Lancet. 2003;361:117-124. ANGIOTENSIN-CONVERTING-ENZYME inhibitors (ACE) and angiotensin-II receptor blockers (ARB) have been demonstrated to provide significant benefits for persons with both diabetic and...

Action and efficacy of a combination of calcipotriene and betamethasone dipropionate in the treatment of psoriasis.(Brief Article)
April 1, 2003... Source: Papp K, et al. J Am Acad Dermatol. 2003;48:48-54. BOTH CALCIPOTRIENE (DOVONEX[R]) and topical steroids (STR) have been proven effective in management of psoriasis. Calcipotriene (CPT) has been demonstrated to be more effective than...

Warfarin effectively prevents venous thromboembolism. (Pharmacology Watch).(Brief Article)
April 1, 2003... Low intensity warfarin therapy effectively prevents recurrent venous thromboembolism, according to a recent study in the New England Journal of Medicine. After a median of 6.5 months of full-dose anticoagulation therapy, 508 patients with...

Vitamin D reduces osteoporotic fractures. (Pharmacology Watch).(Brief Article)
April 1, 2003... British researchers have reduced the rate of osteoporotic fractures in older adults by mailing low-cost vitamin D3 supplements to study subjects every 4 months. Researchers from Cambridge and Oxford universities randomized 2686 adults age 65-85...

Adefovir effective for hepatitis B treatment. (Pharmacology Watch).
April 1, 2003... Adefovir is an effective treatment for chronic hepatitis B, according to 2 studies published in February. The first study from Greece randomly assigned 185 patients (in a 2:1 fashion) with e antigen-negative chronic hepatitis B, to 10 mg of...

Ibuprofen/aspirin study revisited. (Pharmacology Watch).(Brief Article)
April 1, 2003... Another study suggests that ibuprofen blocks the cardioprotective effects of aspirin. In 2001, researchers showed that ibuprofen may block the COX-1 receptor on platelets, keeping aspirin from binding to the receptor (N Engl J Med....

ACE inhibitors favored in cardiovascular care. (Pharmacology Watch).(Brief Article)
April 1, 2003... A head-to-head study of ACE inhibitors vs diuretics for the treatment of hypertension suggests that ACE inhibitors are better at reducing cardiovascular events. The Second Australian National Blood Pressure Study (ANBP2) compared ACE inhibitors...

Digoxin dosing and heart failure. (Pharmacology Watch).(Brief Article)
April 1, 2003... If digoxin is to be used in men with heart failure, serum digoxin concentrations (SDC) are optimal between 0.5 to 0.8 ng/dL, according to further analysis of the Digitalis Investigation Group (DIG) trial. The initial reports of DIG reported...

2002 subject index: covering volume 8.
April 1, 2003... 1. Management of Common Knee Complaints and Injuries: Part II By: Jon K. Sekiya, MD Hussein A. Elkousy, MD Christopher D. Harner, MD 2. Management of Acute Exacerbations of COPD By: Vincenza Snow, MD...