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Jan/Feb Annals of Family Medicine tip sheet

ANGRY MEN HAVE GREATER RISK OF INJURY
Anger greatly increases a person's chances of injury, especially among men, according to this study of more than 2,500 patients. Based on interviews of people who had been seriously injured and were seeking care at an emergency department, researchers found that 31.7 percent reported some degree of irritability just before the injury, 18.1 percent reported feeling angry and 13.2 percent reported feeling hostile. Moreover, the association between anger and injury was stronger in men than women. Researchers also found that risk of injury was notably higher for greater degrees of anger. For example, the risk was higher for those feeling "quite a bit" or "extremely" angry, compared with lesser degress of "angry." Surprisingly, the authors found that anger was significantly less common among patients with traffic injuries. In contrast, anger was strongly associated with intentional injuries inflicted by another person in both men and women. These findings provide insights into the complex associations between state anger and injury risk.
State Anger and the Risk of Injury: A Case-Control and Case-Crossover Study
Daniel C. Vinson, M.D., M.S.P.H.

DIABETES DIAGNOSIS AND MANAGEMENT
With 20.8 million people in the United States, or 7 percent of the population, struggling with diabetes, this issue of the Annals of Family Medicine features five studies that address diabetes quality of care from innovative viewpoints.

Primary care practices can improve detection of undiagnosed diabetes and improve one-year outcomes by being vigilant in detecting symptoms of diabetes, by evaluating those at high risk for this disorder and by instituting appropriate treatments at the time of diagnosis. The researchers found that for nearly half of the 504 patients studied, diagnosis of diabetes was accomplished not by screening asymptomatic patients, but by clinical recognition of classic sh
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Contact: Kristin Robinson
kristinr@aafp.org
913-906-6000 x5221
American Academy of Family Physicians
31-Jan-2006


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