May/June 2004 Annals of Family Medicine tip sheet
...to change that can be used to tailor screening and intervention by clinicians. Stage-matched interventions might make office visits more efficient and increase physician and patient satisfaction. Click here to view a pdf of the complete article. Accuracy of Screening for Diabetic Retinopathy by Family Physic...Study examines effects of prenatal cocaine exposure and influence of home environment on IQ scores
...underscore the beneficial effects of environmental intervention in the prevention of mental retardation for cocain...population of pregnant women, along with intensive intervention for their offspring, are essential to help maximize the future well-being of these families," the au...Antioxidant component of green tea blocks new but not established arterial plaque in mice
...ves, tea also has been seen as a potential dietary intervention for cardiovascular diseases. Oxidation, which dama...ure plaques in the aorta reinforce the theory that intervention is effective in early but not late stages of atherosclerotic development. It appears that antioxidan...New research on reduced bone mass and risk of fracture in postmenopausal women
...ctures would have been treatment candidates if the intervention threshold had been set at -2.5 or less," the researchers write. "This would result in no intervention in 82 percent of the women who actually experienced a new fracture during the first year after BMD w......gests that, patients are moved to higher levels of intervention within a hospital-oriented referral system, perhaps to their own detriment. Davis recommends re-examination of this practice, particularly for older patients who suffer the greatest proportion of adverse events....A better death: Hospitals need systematic process to heed patient' concerns
...firmed in a larger study with a control group, the intervention is so straightforward and simple we hope the publication will spur hospitals around the world to try this cheap, easy initiative to improve the care of dying patients." Says JCB researcher Jeff Powis: "While three quarters of the terminal patients re...Big rise in hospital admissions for angina and chest pain
..., and services. For example, expansion of coronary intervention for increasing angina and development of observation units for chest pain to avoid admission of non-coronary chest pain, they conclude....Half the population at increased risk of neural tube defects
... study underscores the importance of public health intervention programmes of folic acid supplementation and food ...ldbearing age to prevent neural tube defects. Such intervention may also turn out to have other public health benefits, such as the prevention of heart disease, the...Specialized care from hospital to home improves the health of elderly with heart failure
...first multi-site assessment of a transitional care intervention targeting the serious health problems and risk factors common among elders throughout an acute episode of heart failure on a spectrum of clinical and economic outcomes. Advanced practice nurses (APNs, nurses with Master's degrees) coordinated the car...Smokers welcome help in quitting when offered at clinic visits
...arch that suggested that smokers are not eager for intervention by their physicians. When offered a choice of treatment, 75 percent of the participants in the study selected counseling in conjunction with nicotine patch medication. This study, conducted in primary care clinics in Madison and Milwaukee, Wis., by r...New asthma program in Detroit public schools may improve student grades and decrease absences
... and at 12 and 24 months after intervention. "Our intervention techniques included age-appropriate lessons related to physiology and lung function, which may have helped to improve science grades for treatment children," said Dr. Clark. "It also is possible that the deductive nature of the program activities ma...Elevated rates of trauma may put urban American Indian women at increased risk for contracting HIV
... past decade. "We need to see that any future HIV intervention and prevention messages and programs directed at Indians include assessments of physical and sexual trauma, as well as drug use and sexual risk taking," said Walters. Historical traumas experienced by Indians also have left many individuals suspicio...Weight loss and exercise effective arthritis treatment
...s often limit the use of drug therapy and surgical intervention is often ineffective for mild or moderate knee osteoarthritis, our results give strong support to the combination of exercise and weight loss as a cornerstone for the treatment of overweight osteoarthritis patients," said Stephen Messier, professor o...Training carers reduces stroke burden and saves money
...ugh the practical importance of the effects of any intervention on quality of life can be difficult to interpret, the significant improvements associated with caregiver training are likely to indicate an important effect that has implications for clinical practice, conclude the authors....Carotid artery surgery could substantially reduce stroke among high-risk patients
...iven CEA was around half that of patients given no intervention (6% [including the 3% surgical hazard] compared with 12%). Half this 5-year benefit involved disabling or fatal strokes. However, the investigators caution that 'outside trials, inappropriate selection of patients or poor surgery could obviate such b...Adult marijuana abuse, dependence increased during 1990s
... dependence and strengthen existing prevention and intervention efforts, particularly developing and implementing new programs that specifically target African-American and Hispanic young adults." Dr. Wilson Compton, Director of the Division of Epidemiology, Services and Prevention Research at NIDA, Dr. Bridget G...Increase in prevalence of marijuana abuse and dependence
...ght the need to strengthen existing prevention and intervention efforts and to develop and implement widely new programs with the sex, racial/ethnic, and age differentials observed in this study in mind. Specifically, programs targeting young adults, especially black and Hispanic young adults, need to be designed...Kids' year-round asthma symptoms triggered by parent's second-hand smoke
...ughout the year," Cabana says. "Even a very brief intervention with physicians encouraging patients to quit smoking has been shown to be successful," adds Clark. Part of the PACE project is teaching physicians how to counsel asthmatic patients and their parents on avoiding asthma "triggers" -- substances in the ...Medical residents report sleep loss and fatigue take toll on learning, work and personal lives
...nts studied fall into a range calling for clinical intervention for sleep problems, based on a self-reporting scal...core in the range of sleepiness for which clinical intervention is usually required (125 participants, or 84 percent). Only two participants (one percent) score in...Special incubators allow high-quality imaging of critically ill newborns
...in earlier and improved diagnoses and enable early intervention and treatment. He believes that the incubator's safe environment will enable more neonatal clinical research....