Primary Care Reports articles from February 2002

Primary Care Reports archives from February 2002

Management of depression.
February 4, 2002... Editor's Note--A substantial proportion of primary care patients have a mental illness. At any given time, approximately 7% of a primary care practice will have a depressive disorder. A much larger number (36%) will have symptoms of depression...

Cost implications of using an alternative treatment for patients with OA of the knee in managed care.(osteoarthritis)
February 4, 2002... Source: Waddell D, et al. Am J Manag Care. 2001;7:981-991. MANAGEMENT OF OSTEOARTHRITIS (OA) occupies an important position in day-to-day practices of clinicians. Commonly used tools for appropriate pharmacologic management include NSAIDs,...

First-line vs. second-line antibiotics for the treatment of acute uncomplicated sinusitis.
February 4, 2002... Source: Piccirillo JF, et al. JAMA. 2001;286:1849-1856. RECENT DATA SUGGEST THAT SINUSITIS is the fifth most common diagosis for which clinicians prescribe antibiotics in the ambulatory setting. At a time when bacterial resistance, which...

Treatment of acute hepatitis C with interferon alfa-2b.
February 4, 2002... Source: Jaeckel E, et al. N Engl J Med. 2001;345:1452-1457. THE DISEASE MANAGEMENT MODEL OF the HIV virus suggests that early intervention may allow host defenses to subsequently control viral replication. Delay in clearing viral load may...

Long or highly irregular menstrual cycles as a marker for risk of type 2 diabetes mellitus.
February 4, 2002... Source: Solomon CG, et al. JAMA. 2001;286:2421-2426. ONE OF THE BEST-STUDIED AT-RISK groups for type 2 diabetes mellitus (DM-2) is the PIMA Indian women. In this population, as well as women suffering polycystic ovary syndrome, menstrual...

Relation between depression after coronary artery bypass surgery and 12-month outcome.
February 4, 2002... Source: Connerney I, et al. Lancet. 2001;358:1766-1771. DESPITE THE FACT THAT THE MECHANISMS by which depression evokes its detrimental effect are obscure, the ponderous negative effects of depression on outcomes in patients suffering acute...

A randomized trial of valsartan in CHF.(chronic heart failure)
February 4, 2002... Source: Cohn JN, et al. N Engl J Med. 2001;345:1667-1775. MODULATION OF THE RENIN-angiotensin-aldosterone (RAA) system for patients with chronic heart failure (CHF) has become an established method for initial management, primarily by means...

Evaluation and management of abnormal Pap smear.
February 18, 2002... Editor's Note--For more than 60 years, the Papanicolaou (Pap) smear has been a simple and effective method for reducing the incidence of invasive cervical cancer. As an indicator of its success, in countries that offer regular screening,...