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Primary Care Reports articles from November 2003

652 total articles

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Primary Care Reports archives from November 2003

Infertility.
November 1, 2003... Editors Note--Infertility is a common condition and usually presents to the primary care physician initially. Infertility is defined as 1 year of unprotected intercourse in which a pregnancy has not been achieved. Fifteen to twenty percent of...

CME questions.
November 1, 2003... 24. Which of the following is considered gonadotoxic in men? a. Nitrofurantoin b. Cimetidine c. Anabolic steroids d. All of the above c. None of the above 25. All of the following are normal values for semen except: a. a total...

Generic Paxil scheduled to hit market this fall.(Pharmacology Watch)
November 1, 2003... A generic form of paroxetine (Paxil--GlaxoSmithKline) will soon be on the market. The drug marks the second SSRI antidepressant to go generic after fluoxetine (Prozac) last year. US sales of Paxil reached $2.23 billion last year, and the...

Insulin plus metformin vs triple oral therapy in type 2 diabetes.
November 1, 2003... Source: Schwartz S, et al. Diabetes Care. 2003;26:2238-2243. PATIENT REFERENCES OFTEN DIRECT the use of multipleoral agents in an attempt to control DM2, in an effort to avoid using insulin. Trial data to date have not provided specific...

ARB and ACE-I in diabetic nephropathy.
November 1, 2003... Source: Rossing K, et al. Diabetes Care. 2003;26:2268-2274. IT HAS BEEN CONSISTENTLY DEMONstrated that treatment of albuminuria in diabetics with either an ACE inhibitor (ACEI) or angiotensin II receptor blocker (ARB) produces reductions in...

Low-glycemic index diets and diabetes.
November 1, 2003... Source: Brand-Miller J, et al. Diabetes Care. 2003;26;2261-2267. THE EFFECT OF LIFESTYLE MODULATION in diabetes is sometimes overshadowed by the favorable effect of pharmacotherapy, despite the data indicating for instance that diet and...

Ultralow-dose estrogen and bone in older women.
November 1, 2003... Source: Prestwood KM, et al. JAMA. 2003;290:1042-1048. HORMONE REPLACEMENT THERAPY (HRT), has been found to have favorable effects upon osteoporosis and fracture risk in postmenopausal women. Unfortunately, this bone benefit is at the...

Effect of intensity of oral anticoagulation in atrial fibrillation.
November 1, 2003... Source: Hylek EM, et al. N Engl J Med. 2003;349:1019-1026. THE VALUE OF WARFARIN ANTICOagulation (WAC) in atrial fibrillation (AF) to prevent ischemic stroke is well established. Despite therapeutic levels of WAC, however, some AF patients...

Patient knowledge and awareness of hypertension.
November 1, 2003... Source: Alexander M, et al. J Clin Hypertens. 2003;5:254-260. DESPITE A DIVERSITY OF EXCELLENT pharmacotherapentic tools for treating hypertension (HTN), national population surveys continue to indicate that there is much room for...

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