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Adult Medicine

Multifaceted approach helps smokers quit

June 05, 2009

Treating smoking aggressively as a chronic, relapsing disease, can raise the odds for success.

Heart failure strikes young blacks hardest

June 03, 2009

Young African Americans are developing heart failure (HF) before age 50 years at a rate 20 times higher than whites.

What to do for fatty liver

May 15, 2009

Once-daily hyperuricemia management

May 13, 2009

Uloric helps prevent uric acid production in patients with gout.

Kidney function affects warfarin action in patients with CKD

May 13, 2009

Patients with kidney impairment seem to require lower doses of warfarin and may need closer monitoring to avoid serious bleeding complications.

More vitamin C may mean less gout

May 11, 2009

A large, long-term study links higher vitamin C intake with a lower risk of gout

Aspirin guidelines push stroke prevention

May 08, 2009

New recommendations call for at-risk men aged 45-79 years to take aspirin daily to prevent a primary heart attack. Similarly, at-risk women aged 55-79 years should take aspirin to prevent a primary ischemic stroke.

What are the 14 "must know" procedures for new clinicians?

May 07, 2009

Teaching physicians and new doctors have different ideas of which procedures are necessary to learn before graduation from medical school—particularly when it comes to the minimally invasive activities.

Medical homes: A feasible concept?

Mary Beth Zeni, ScD, RN May 05, 2009

Chronic dysfunction of the eustachian tube

By Rose Lisano Valentino, MSN, FNP, BC April 29, 2009

Presenting complaints include hearing loss, persistent pain, or "clicking" in the ear. Patients must allow time for treatment (if required) to take effect.

Statins for premenopausal women?

April 17, 2009

Trio of findings challenge Framingham tool

April 08, 2009

Three recent studies indicate that the Framingham risk score goes only so far as a predictor of cardiovascular problems.

Early recognition of atypical celiac disease

Carl Sherman April 01, 2009

Celiac disease doesn't look the way you might expect. A new position statement and technical review from the American Gastroenterological Association provide updated guidelines.

Waist size beats BMI in predicting stroke and TIA

February 25, 2009

Waist-to-hip ratio and other measures of abdominal obesity are better indicators of cerebrovascular risk than BMI.

Disinfecting fungus-contaminated shoes

February 20, 2009

Is spraying with diluted bleach solution or placing the shoes in moth balls effective?

Rosuvastatin lowers mortality and cardiovascular events in patients with high CRP, normal cholesterol

Brian S. Alper, MD, MSPH February 18, 2009

Weekly goal of 2.5 active hours recommended

February 09, 2009

Adults gain substantial health benefits from at least 150 minutes per week of moderate-intensity physical activity and can accrue additional benefits as the intensity, frequency, and duration increase.

Colorectal cancer: Prevention vs. detection

Carl Sherman February 02, 2009

When it comes to screening, primary-care clinicians are in a position to play a crucial role in helping patients choose the right test for them.

Elevated liver enzymes and fatty liver

January 23, 2009

Fatty liver treatment

January 23, 2009

Popular drugs lower PSA levels

January 20, 2009

Two of the most commonly used classes of medication—statins and nonsteroidal anti-inflammatory drugs (NSAIDs)—may compromise already controversial cancer screenings by lowering serum levels of prostate-specific antigen (PSA).

Assessing excessive menstrual bleeding

Lisa Stern, APRN January 13, 2009

Menorrhagia is not a diagnosis but a symptom. Because of the number of treatment options available, patient preference is a primary consideration.

In-office diagnosis of common type of vertigo

January 09, 2009

Two simple head-movement techniques can be used to identify patients with benign paroxysmal positional vertigo.

PCPs show gender bias in CHD diagnoses

January 06, 2009

Women are less likely than men to be diagnosed with coronary heart disease if they mention a stressful event

More on antibiotics and oral contraceptives

December 23, 2008

Arthroscopic surgery may not be beneficial for moderate-to-severe knee osteoarthritis

Brian S. Alper, MD, MSPH December 22, 2008

For moderate-to-severe secondary or idiopathic knee osteoarthritis, the addition of arthroscopic surgery appears no more effective than optimized physical and medical therapy alone.

Snoring deemed risk factor for atherosclerosis

December 22, 2008

Researchers have isolated heavy snoring as an independent risk factor for carotid atherosclerosis

Smoking propels aneurysm risk in women

December 22, 2008

Smoking raises the risk of abdominal aortic aneurysm events nearly ninefold in postmenopausal women and negatively affects cognition in middle-aged adults

Low-protein diets questioned

December 16, 2008

Low-protein diets do not appear to significantly improve renal function in people with type 1 or type 2 diabetic nephropathy.

Aspirin and first heart attacks in diabetics

December 16, 2008

A large study has shown that aspirin and antioxidant supplements are ineffective in the primary prevention of heart attacks in people with diabetes and asymptomatic arterial disease