September/October Annals of Family Medicine...( ghts sweats very common and associated ...),Health

ghts sweats very common and associated with a number of other sleep disturbances finds this study of patients in 10 primary care physicians' offices. Of the 363 patients interviewed, 34 percent reported night sweats, half of whom reported saturating their bed clothes. Night sweats were associated with daytime tiredness, waking up with a bitter taste in the mouth, legs jerking during sleep and waking with pain in the night. These findings, the authors assert, may begin to identify a syndrome of coexisting sleep problems and physicians should consider asking about sleep quality and sleep-related symptoms when patients report night sweats. Associations Between Night Sweats and Other Sleep Disturbances: An OKPRN Study By James W. Mold, M.D., M.P.H., et al

PSYCHOLOGICAL DISTRESS IS MORE SEVERE IN PATIENTS WITH MULTIPLE AND SEVERE CHRONIC ILLNESS
Psychological distress increases with multimorbidity when severity of the disease is accounted for finds this study of 238 patients from 21 family physician practices. The estimated risk of psychological distress increased almost five times for those patients with the highest burden of disease. The authors recommend that clinicians should be aware of the possible presence of psychological distress in patients with multiple and severe chronic illness, and mental health professionals should consider the effects of physical illness in patients with psychiatric symptoms. Psychological Distress and Multimorbidity in Primary Care By Martin Fortin, M.D., M.Sc., et al

PARADOXES AFFECT PHYSICIANS DECISIONS IN REPORTING ELDER ABUSE
Despite mandatory reporting laws for elder abuse, physicians have low rates of reporting the abuse. This qualitative study of 20 primary care physicians revealed three paradoxes expressed by physicians about the mandatory reporting of elder abuse. Of the physicians surveyed, 50 percent were concerned about the contradictory effects of reporting elder
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Contact: Kristin Robinson
kristinr@aafp.org
American Academy of Family Physicians
26-Sep-2006

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