Primary Care Reports articles from June 2004

Primary Care Reports archives from June 2004

Child abuse: an overview for the primary care physician.
June 1, 2004... Child abuse and neglect are common occurrences and result in significant morbidity and mortality. In the United States during 2001, an estimated 903,000 children were victims of child maltreatment, resulting in 1300 deaths. The most common risk...

Physician CME questions.(continuing medical education)(Brief Article)
June 1, 2004... Physician CME Questions 24. Which one of the following is a risk factor for child neglect? a. Apgar scores less than 5 b. Day care c. Maternal grandparents living in the home d. Maternal substance abuse e. Prenatal...

Missing link between vaccines and diabetes.(Brief Article)
June 1, 2004... A large cohort study from Denmark suggests no link between childhood vaccines and type I diabetes. The potential for such a link has been of concern for years because of the association between certain infections and the development of type I...

Breast cancer and the use of statins.(Brief Article)
June 1, 2004... Adding to the considerable evidence regarding the safety and efficacy of statins, it now appears that statins may slightly reduce the risk of breast cancer. Published in the "Early View" online journal Cancer, this case-control study was...

Warnings issued for IBS drugs.(irritable bowel syndrome )
June 1, 2004... Tegaserod (Zelnorm-Novartis), the heavily promoted serotonin 5-HT4 partial agonist for the treatment of irritable bowel syndrome (IBS), is the subject of new warnings by the FDA. The drug is indicated for women with IBS whose primary symptom is...

FDA actions.
June 1, 2004... The FDA has removed the warning for lactic acidosis from metformin (Glucophage) and met formin extended release (Glucophage XR). Once considered the most serious side effect associated with metformin, a recent meta-analysis showed that there...

Antihypertensive treatment and measurement at home or in the physician's office.(Brief Article)
June 1, 2004... A NOT-INSUBSTANTIAL MINORITY OF persons carrying a diagnosis of hypertension (HTN) actually have stress-induced transient episodes of HTN in clinicians' offices, which we call "white coat hypertension" (w-HTN). Because w-HTN does not appear to...

Inactivated intranasal influenza vaccine and the risk of Bell's palsy.(Brief Article)
June 1, 2004... LATE IN 2000, THE SWISS DRUG Monitoring Center and other noted numerous reports of Bell's palsy in persons who had received NFLU. To better study the relationship between NFLU and Bell's palsy, a case-control study of 773 persons with Bell's...

Topiramate for migraine prevention.(Brief Article)
June 1, 2004... SOME PATIENTS REMAIN DISSATISFIED migraine treatments. Early studies have found that topiramate (TOP), an antiepileptic agent, is efficacious for migraine prevention. Although there are numerous potential pathways that might explain the...

Computed tomographic colonography (virtual colonoscopy).
June 1, 2004... SCREENING FOR COLON CANCER (CCa) has not reached the same level of popular adherence as seen with, for instance, prostate cancer screening by PSA. Although colonoscopy (COL) is highly effective for the detection and elimination of malignant...

Ejaculation frequency and subsequent risk of prostate cancer.(Brief Article)
June 1, 2004... PROSTATE CANCER (FCA) HYPOTHETIcally could be related to sexual activity. For instance, if men who seek sexual activity more often have higher testosterone levels, and such levels were associated with greater risk ofpCA, a sexual acitivity-pCA...

Different combinations of bupropion SR dose and behavioral treatment for smoking cessation.(sustained release)(Brief Article)
June 1, 2004... THE SINGLE MOST EFFECTIVE PHARMAceutical intervention which results in sustained smoking cessation is bupropion (BUP). The most often-used treatment regimen requires BLIP 150 mg/d for 3 days, followed by 300 mg/d (usually divided b.i.d.) for up...