Primary Care Reports articles from August 2003

Primary Care Reports archives from August 2003

Hospital medicine: past, present, and future.
August 1, 2003... Editor's Note--Over the past decade, American medicine has witnessed a revolution in health care delivery that arguably rivals any preceding it in our society. Adopting a model of care popular for decades in other countries such as Great...

CME questions.
August 1, 2003... 6. Which of the following is an essential element defining the practice of hospital medicine? a. 25% minimum total time commitment to hospital related care b. The "hand-off" of care responsibilities from primary care provider to...

Nasally administered flu vaccine comes to United States.
August 1, 2003... The FDA has approved the first nasally administered flu vaccine to be marketed in this country. Medimmune's "FluMist" is also the first influenza vaccine to use live virus. This year's version of the vaccine contains 3 attenuated viruses...

Increase in blood glucose concentration during antihypertensive treatment as a predictor of myocardial infarction.(Brief Article)
August 1, 2003... Source: Dunder K, et al. BMJ. 2003; 326:681-684. RELEASE OF THE ALLHAT TRIAL, THE largest antihypertensive trial ever performed, has suggested that chlorthalidone, amlodipine, and lisinopril all provide favorable cardiovascular risk...

Adverse drug events in ambulatory care.(Brief Article)
August 1, 2003... Source: Gandhi TK, et al. N Engl J Med. 2003;348:1556-1564. ADVERSE EVENTS (AE) FROM MEDICATIONS have been well studied among hospital inpatients. It has been reported that as many as 6.5% of hospitalized patients have one or more AE, of...

Prevention of hip fracture by external hip protectors.(Brief Article)
August 1, 2003... Source: Van Schoor NM, et al. JAMA. 2003;289:1957-1962. IN THE YEAR FOLLOWING A HIP FRACTURE (HIP), as many as one-third of persons die, and an equal number suffer inability to walk, or severe disability. One of the interventions intended...

Rapid MRI vs radiographs for patients with low back pain.(Brief Article)
August 1, 2003... Source: Jarvik JG, et al. JAMA. 2003;289:2810-2818. THE ROLE OF RADIOLOGIC EVALUATION for acute low back pain (LBP) has been plagued with uncertainty, since as many as one-third of asymptomatic persons examined by MRI have signs consistent...

Effectiveness of anticholinergic drugs compared with placebo in the treatment of overactive bladder.(Brief Article)
August 1, 2003... Source: Herbison P, et al. BMJ. 2003;326:841-844. OVERACTIVE BLADDER (OAB) COMPRISES a syndrome that may include urgency, urge incontinence, frequency and/or nocturia. Incontinence troubles as many as one-third of all overactive bladder...

A randomized trial of a low carbohydrate diet for obesity.(Brief Article)
August 1, 2003... Source: Foster GD, et al. N Engl J Med. 2003;348:2082-2090. AT THE CURRENT TIME IN AMERICA, almost half of women and a substantial minority of men (30%) are dieting to lose weight. Unfortunately, diet interventions have had surprisingly...