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What is the Best Treatment for Acute Bronchitis?Efficacy of anti-inflammatory or antibiotic treatment in patients with non-complicated acute bronchitis and discoloured sputum: randomised placebo controlled trial
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Developing Long-Term and Effective Collaborations with Patient Advocacy GroupsWhen successful, these relationships provide valuable insights to support strategies in many areas, including planning for clinical research, patient recruitment and education, reimbursement, access, compliance, and other areas.
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Clinical Decision Support: Information overload can be a prescription for bad medicineThe push for clinical decision support technology in medicine is a logical consequence of our experiences.
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Statins and cancer in the elderlyRecent observational studies have suggested that statins have a protective effect against cancer. However, long-term statin users were shown to be healthier, less frail, and more adherent to therapy and screenings. We conducted a cohort study to evaluate the effect of statins on several common cancers in a large elderly population.
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Alcohol consumption in men with hypertensionWe assessed the association between the incidence of coronary heart disease and alcohol consumption among hypertensive men enrolled in the Health "Professionals" Follow-Up Study. Moderate alcohol consumption (1 to 2 drinks per day) was associated with a lower risk of myocardial infarction, as in the general population, but was not associated with the risks of stroke, total mortality, or mortality from cardiovascular causes. These results show that men with hypertension who drink moderately may not need to change their drinking habits.
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Breakthroughs in Understanding PSVT Lead to New TreatmentsDr. Pullen discusses the clinical characteristics of PSVT, the tests used to diagnose this condition, and new treatment methods.
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Community cardiology clinics for secondary prevention of coronary heart disease and heart failure in primary careCoronary heart disease (CHD) and chronic heart failure (CHF) are common chronic conditions encountered in primary care. Studies have shown that despite a strong evidence base, these conditions are often poorly diagnosed and inadequately managed in primary care.
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Epigenetics Will Someday Transform the Science of Brain and BehaviorMark F. Mehler, MD, discussed how brain and behavior are becoming better understood through the emerging discipline of epigenetics.
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Team-Based Care Requires Collaboration, Communication, and Respect for the Contributions of all Team MembersThe bias toward traditional care models is slowly eroding, with greater numbers of primary care providers (especially physicians) becoming aware of the advantages to a more collaborative approach to care that invites greater contributions from NPs, PAs, and other providers.
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Facebook Launches Suicide Prevention InitiativeThe social networking behemoth today announced the launch of a program initiative that aims to instantly aid users who are expressing suicidal thoughts.
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Multislice CT angiography for the diagnosis of coronary artery disease: Are we there yet?Despite advances in cardiac testing, noninvasive methodologies remain limited in their accuracy to (1) determine the etiology of chest pain; (2) detect preclinical coronary artery disease; and (3) track the progression of atherosclerotic lesions in native and revascularized coronary vessels.
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Alcohol consumption and cardiovascular riskWe generally assume that having a good time must be bad for you,and no one would deny that irresponsible alcohol consumption takes a tremendous economic, social, and health-related toll on diverse populations all around the globe.
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Anemia Prevalence Greater in Mexican Patients on HemodialyisPrevalence of anemia in patients with chronic kidney disease on hemodialysis found higher in Mexico than studied populations, with similar contributing factors.
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Is There a Relationship between Early Statin Compliance and a Reduction in Healthcare Utilization?Compliance with statin therapy in the first two years of use may reduce hospitalization rates and direct medical costs in the subsequent year.
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Management of multivessel CAD in ACS patients: Do not leave for later what you can finish todayAlthough multivessel coronary artery disease (CAD) is commonly encountered in patients with acute coronary syndrome (ACS), no randomized controlled trials have evaluated the effi cacy of singlevessel percutaneous coronary intervention (PCI) versus multivessel PCI.
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Valproic Acid and Carbapenem Antibiotics InteractionThe effect of a carbapenem on VPA is significant and may result in reduced efficacy and increased seizure activity. Because of the mechanism of this interaction, increasing the dose of the VPA will unlikely achieve therapeutic plasma concentrations.
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Video Capsule Endoscopy: Recent Advances in DiagnosisInvestigation of the small intestine or the esophagus with conventional diagnostic and imaging modalities can be challenging. Video capsule endoscopy is a relatively new and noninvasive technique that allows direct visualization of the small bowel or the esophagus and can obviate the need for or guide the use of more invasive procedures. The capsule contains a miniature camera that takes pictures of the lining of the small intestine or the esophagus. Unlike conventional diagnostic procedures, video capsule endoscopy can often successfully identify the source of the problem quickly and painlessly. It is also useful in assessing patients with a variety of other conditions affecting the small intestine or the esophagus, including Crohn's disease, celiac disease, tumors, reflux disease, esophagitis, and Barrett's esophagus.
