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Adult Medicine

Medical homes: A feasible concept?

The concept of the medical home was initially addressed more in pediatric than adult health literature. One reason for the emphasis in pediatrics was the advocacy efforts of the American Academy of Pediatrics (AAP) and the National Association of Pediatric Nurse Practitioners. Both groups have supported the idea that children—especially those with chronic conditions—should have…

Statins for premenopausal women?

A physically active 47-year-old woman who has no true risk factors for coronary artery disease (CAD) has a total cholesterol of 235 mg/dL, LDL 160 mg/dL, and HDL 53 mg/dL. She has done most of what she can with diet and exercise. While I would start a statin in a man, the literature is confusing…

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

Level 1: Likely reliable evidenceThe Justification for the Use of Statins in Primary Prevention: an Intervention Trial Evaluating Rosuvastatin (JUPITER) studied the use of rosuvastatin (Crestor) for prevention of cardiovascular events in patients with normal cholesterol levels but elevated C-reactive protein (CRP) levels (N Engl J Med. 2008;359:2195-2207). A total of 17,802 patients (11,001 men…

Weekly goal of 2.5 active hours recommended

Weekly goal of 2.5 active hours recommended

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.

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