RSS | Login | Register

November 2008 11 11 Issue of Clinical Advisor

Newsline

Weight gains boost odds for arthritic knees

A CDC study predicts that more than four out of 10 Americans will develop osteoarthritis (OA) in their knees before age 85. Those odds rise ...

Vitamin C may discourage bone loss in men

There's more to nutrition and bone health than just calcium and vitamin D. Vitamin C is an additional important nutrient that may help prevent bone ...

More hep B testing called for

The CDC has expanded its testing recommendations for chronic hepatitis B virus (HBV) infection and, for the first time, has provided health professionals with guidance ...

Long-acting exenatide effective

An experimental, once-a-week version of exenatide (Byetta) provided better glycemic control and less nausea in type 2 diabetics than the current twice-daily regimen in a ...

COPD drugs linked to risk of CV events

Inhaled anticholinergic agents, the most common treatment for chronic obstructive pulmonary disease (COPD), may increase the risk of cardiovascular (CV) events by 58%.

Pelvic floor disorders strike one in four women

Just under one quarter of women in the United States have at least one of the three primary pelvic floor disorders—urinary incontinence, fecal incontinence, and ...

Fruit drinks raise diabetes risk

African American women who consume sugar-sweetened fruit drinks may be increasing their risk for diabetes more than those who choose sweetened soft drinks...

Combined BP regimen cuts death rates 40%

Supplementing diuretic hypertension therapy with a drug that conserves potassium sharply reduces fatal heart attacks and sudden cardiac death...

Mediterranean diet lowers risk of death

Adherence to the eating pattern known as the Mediterranean diet significantly reduces mortality as well as the rates of various illnesses...

Drug Updates from MPR

BP-lowering calcium channel blocker

Cleviprex

Advisor Forum

Changing thyroid medication dosage

Lowering MI risk in patients with a high CRP

Timely therapy for oral ulcers

Scotoma relief following MI therapy

Dietary causes of high triglycerides?

Stroke prevention with aspirin

Do patients comply with medications?

Salmonella symptoms with negative stool culture?

Fibromyalgia management without antidepressants

Optimal vitamin D for good bone health

Dyslipidemia in a diabetic patient

Cover Feature

Four nail disorders every clinician should know

While most nail disorders involve bacterial or fungal infection, there are other causes you should be aware of. Find out what to do about them.

Clinical Feature

Hyperuricemia and gout are on the rise

This common, painful form of arthritis is caused by a buildup of excess uric acid in the blood. Our expert takes you from diagnosis to ...

When to suspect bacterial meningitis

Bacterial infection of the meninges is potentially treatable if diagnosed early. Rapid diagnostics are essential, putting extra pressure on the clinician.

Recognizing illicit drug use in your patients

Primary-care clinicians are being asked to diagnose substance use disorder with increasing frequency. Find out what tools are available to assist you.

Assessing pulmonary arterial hypertension

You will want your patients to consult a specialist to slow progression of this debilitating disease. Here's what you should know before you refer.

Dermatologic Look-Alikes

Clinical Challenge

An interesting and all-too-common bacterial infection

The patient's job made him particularly susceptible. Fortunately, he received treatment before his condition worsened.

Commentary

A new model for CVD prevention

A multidisciplinary, nurse-coordinated, family-based program improved lifestyles and reduced cardiovascular disease (CVD) risk among patients and their families in hospital and general-practice settings

Alternative Meds Update

Guarana

Just when you thought you had found the biggest jolt you could get from a beverage in espresso, along comes guarana.

Dermatology Clinic

Recurrent deep ulceration exposes the nasal septum

A 72-year-old woman sought treatment for a deep nasal ulceration that had perforated the skin and cartilage and exposed her nasal septum

An irregular white patch on the back

After presenting to the dermatologist for a full-body skin examination, a 48-year-old man was found to have a pale white patch on the right side ...

Evidence-Based Medicine

Rosuvastatin does not reduce morbidity/mortality in chronic heart failure

The Gruppo Italiano per lo Studio della Sopravvivenza nell'Insufficienza Cardiaca (GISSI-HF) randomized placebo-controlled trial evaluated rosuvastatin (Crestor) in 357 cardiology or internal medicine centers in ...

n-3 Polyunsaturated fatty acids reduce all-cause mortality in patients with chronic heart failure

The GISSI-HF randomized placebo-controlled trial also evaluated n-3 polyunsaturated fatty acids (PUFAs) in 357 cardiology or internal medicine centers in Italy...

Noninvasive ventilation may improve respiratory distress in acute heart failure

The Three Interventions in Cardiogenic Pulmonary Oedema (3CPO) trial evaluated ventilation strategies for patients with respiratory distress due to acute heart failure...