Primary Care Reports articles from July 2003

Primary Care Reports archives from July 2003

Sudden Acute Respiratory Syndrome (SARS).
July 1, 2003... Editor's Note--An outbreak of an atypical pneumonia in Guangdong Province, Peoples Republic of China beginning in November 2002 and its initial spread to Hong Kong and Vietnam caused the World Health Organization (WHO) to take the unprecedented...

CME questions.
July 1, 2003... CME Questions 1. SARS is an acute severe respiratory syndrome with: a. an incubation period of 3 weeks or more making seasonal global spread a likely consequence. b. prominent flu-like prodrome including cough, sore throat and...

Influenza vaccination and reduction in hospitalizations.(Brief Article)
July 1, 2003... Source: Nichol KL, et al. N Engl J Med. 2003;348:1322-1332. DESPITE THE FACT THAT INFLUENZA and its consequences are well recognized, the number of at-risk individuals for serious sequelae to an influenza infection who receive vaccination...

Screening men for prostate and colorectal cancer.(Brief Article)
July 1, 2003... Source: Sirovich BE, et al. JAMA. 2003;289:1414-1420. PROSTATE CANCER (P-CA) AND COLORECTAL cancer (C-CA) do not share the same evidence base for potential efficacy in reducing mortality. For P-CA, there remain no data to confirm whether...

Weight loss in CHF and treatment with ACE-I.(coronary heart failure)(Brief Article)
July 1, 2003... Source: Anker S, et al. Lancet. 2003;361:1077-1083. WEIGHT LOSS TO THE DEGREE OF cachexia complicates cancer, some infectious diseases (eg, HIV, thyrotoxicosis), and less obviously, perhaps, heart failure (CHF). It has been previously noted...

Impaired fasting glucose vs impaired glucose tolerance.(Brief Article)
July 1, 2003... Source: Schianca GPC, et al. Diabetes Care. 2003;26:1333-1337. IN THE ABSENCE OF POSTGLUCOSE load measurements, most clinicians diagnose diabetes mellitus (DM) on the basis of an elevated fasting blood glucose (FBG), most recently defined...

Risk stratification in long-QT syndrome.(Brief Article)
July 1, 2003... Source: Priori SG, et al. N Eng J Med. 2003;348:1866-1874. ON EKG, PROLONGATION OF THE QT interval (QTI) may be a marker for increased susceptibility to life-threatening arrhythmias. With normal heart rates (60-100), the QTI (from the...

EBCT, motivation, behavioral change, and cardiovascular risk profile.(Electron Beam Coronary Tomography)(Brief Article)
July 1, 2003... Source: O' Malley PG, et al. JAMA. 2003;289:2215-2223. IT HAS BEEN SUGGESTED THAT AS MUCH AS 75% of clinical CHD can be predicted on the basis of traditionally recognized risk factors (eg, lipids, BP, smoking). Because of the ponderous...

HRT, estrogen, and postmenopausal women: year-old WHI study continues to raise questions.(Women's Health Initiatives)
July 1, 2003... The Women's Health Initiatives (WHI) was halted 1 year ago, but fallout from this landmark study continues. The study was designed to identify the risks or benefits of estrogen plus progesterone vs placebo in healthy postmenopausal women. More...