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Successful management of oral anticoagulation.
February 1, 2005... Appropriate use of anticoagulants offers both opportunity and challenge for the primary care clinician (PCC). Thrombosis, comprised of myocardial infarction (MI) and unstable angina, stroke, pulmonary embolus (PE), and deep venous thrombosis...
Physician CME questions.(continuing medical education)
February 1, 2005... A 59-year-old white male is admitted to the hospital complaining of pain, swelling, and discoloration in his lower right leg. He has no identifiable risk factors for venous thromboembolism (VTE) and no significant medical history. The area is...
Primary care reports.(Brief Article)
February 1, 2005... CME Objectives
To help physicians:
* summarize the most recent significant primary care medicine-related studies;
* discuss up-to-date information on all aspects of primary care, including new drugs, techniques, equipment, trials,...
Statins and the incidence of rhabdomyolysis.
February 1, 2005... The most commonly prescribed statins have a low incidence of rhabdomyolysis, according to the results a new study of more than 250,000 patients. Atorvastatin, pravastatin, and simvastatin were found have very low and virtually indistinguishable...
Antioxidant supplements for prevention of gastrointestinal cancers: a systematic review and meta-analysis.
February 1, 2005... CLINICIANS AND PATIENTS HAVE HOPED that antioxidants might prevent cancer. Since oxidant stress may be one of the culprits in gene mutation that leads to carcino-genesis, it was logical to entertain the therapeutic potential of antioxidant...
Imiquimod 5% cream for the treatment of actinic keratosis.
February 1, 2005... RECENT CHANGES IN DERMATOLOGIC nomenclature classify actinic kertosis (AK) as keratinocytic intraepidermal neoplasia, or carcinoma in situ. A variety of treatments provide destruction and resolution of AK. Most of the time, biopsy is not...
Two 8-month regimens of chemotherapy for treatment of newly diagnosed pulmonary tuberculosis.(Brief Article)
February 1, 2005... THE EPIDEMIOLOGIC PRESENCE OF tuberculosis has grown greater to some degree because of the sustained and evolving population of HIV-infected individuals worldwide. Standard therapy (as per the World Health Organization) for newly diagnosed...
Self-measured home blood pressure in predicting ambulatory hypertension.(Brief Article)
February 1, 2005... AMBULATORY BLOOD PRESSURE MONitoring (ABPM) provides the best metric of overall blood pressure burden. Several factors have compromised use of ABPM as a primary metric in managing hypertension (HTN): its cost, inconvenience, relative lesser...
Thyroid status, disability and cognitive function, and survival in old age.(Brief Article)
February 1, 2005... THERE IS LITTLE DISAGREEMENT about the merit of treating frank hypothyroidism. Because of conflicting data, much less consensus exists about whether subclinical hypothyroidism (ie, elevated TSH levels with normal T4) should be treated. Since...
Inflammatory markers and the risk of coronary heart disease in men and women.(Brief Article)
February 1, 2005... INFLAMMATORY MARKERS HAVE BEEN consistently associated with coronary artery disease (CAD), the most thoroughly studied of which has been C-reactive protein (CRP). Since interleukin-6 (IL6) and tumor necrosis factor alpha (TNFa) are cytokines...