Primary Care Reports articles from March 2002

Primary Care Reports archives from March 2002

Psychological distress in the medically Ill.
March 4, 2002... Contributory Factors To Psychological Distress Factors that Precede Medical Illness Prior to the onset of medical illness, an individual may have pre-existing psychological factors that manifest or under-go exacerbation during illness....

Physician CME questions.
March 4, 2002... 22. New-onset psychiatric disorders in the medically ill are most frequently: a. eating disorders. b. depressive and anxiety disorders. c. schizophrenia. d. obsessive-compulsive disorders. e. impulse disorders, not...

Oral triptans in acute migraine treatment.(Brief Article)
March 4, 2002... MIGRAINE IS A COMMONPLACE DISorder that typically results in recurrent attacks of disabling headache. Triptans have become the foundation of abortive therapy for most migraneurs, yet little guidance is available to choose the most appropriate...

Simvastatin, niacin, and antioxidant vitamins for the prevention of CAD.(coronary artery disease)(Brief Article)
March 4, 2002... IT HAS BEEN SUGGESTED THAT CARDIOVAScular risk is separately and independently related to both changes in LDL and HDL. The oft-quoted relationship between lipid subfractions suggests that for each 1% reduction in LDL, one might achieve a 1-1.5%...

Decreased rate of coronary restenosis after lowering of plasma homocysteine levels.(Brief Article)
March 4, 2002... THE POTENTIAL ETIOLOGIC RELATIONship of homocysteine (HCST) to cardiovascular disease end points has generated much recent scrutiny. There has not been a major clinical trial indicating that homocysteine modification effects cardiovascular...

Identification and fracture outcomes of undiagnosed low BMD in postmenopausal women.(bone mineral density)(Brief Article)
March 4, 2002... BONE MINERAL DENSITY (BMD) MEAsurement by dual-energy x-ray absorptiometry (DEXA) is currently the gold standard for identification of osteoporosis (OSPS) and osteopenia (OSPN). Measuring BMD at the hip and spine is expensive, and often not...

Comparison of cefuroxime with or without intranasal fluticasone for the treatment of rhinosinusitis.(Brief Article)
March 4, 2002... THE USE OF INTRANASAL STEROIDS (INS) is appropriate foundation therapy for many patients with allergic rhinitis. Since INS produce reduction in inflammation and edema of the nasal mucosa and turbinates, it is plausible that they might enhance...

Lack of clinical significance of early ischemic changes on CT in acute stroke.(Brief Article)
March 4, 2002... IT HAS BEEN RECOMMENDED, LARGELY based upon the National Institute of Neurological Disorders and Stroke (NINDS) study, that patients presenting within 3 hours of stroke onset be considered for thrombolytic therapy with recombinant tissue...

Evidence-based medicine for the busy primary care physician: using computers to integrate new knowledge into practice.
March 18, 2002... Editor's Note--Although busy physicians want to practice "up-to-date" medicine, it is not easy to accomplish. The volume of available new clinical information is overwhelming. A significant time commitment is necessary to review new evidence...

Physician CME questions.(continuing medical education)(Brief Article)
March 18, 2002... Physician CME Questions 26. Which of the following is necessary for evidence-based practice? a. Review of multiple journals per month b. Experience with literature searches c. Access to new, relevant clinical information...