Annals of Internal Medicine tip sheet for Aug. 7, 2007, issue
... ... Authors say an earlier study, which found the drug associated with increased risk for myocardial infarction and cardiovascular death, had several flaws. The authors re-analyzed the data from the earlier trial, using a variety of modeli...May/June Annals of Family Medicine tip sheet
... An easily identifiable dermatologic condition, acanthosis nigricans, is associated with having multiple risk factors for type 2 diabetes, in patients aged 7 to 39 years, finds this study of 1,113 patients. As the number of type 2 diabetes risk factors increased, so did the prevalence of acanthosis nigricans in both children and adults. Patients with this dermatologic condition were nearly...Tip sheet Annals of Internal Medicine, April 4, 2006
3 Annals of Internal Medicine Articles and an Editorial Look at How Well Americans and Their Doctors Are Controlling Chronic Diseases...... ...... According to a new study, diabetes care in the past 10 years has improved, but, still, two in five people with diabetes have poor control of cholesterol, one in three have poor blood pressure control and one in five has poor control of blood sugar leve...Tip sheet Annals of Internal Medicine, Feb. 21, 2006 issue
... ...In this study of more than 4,000 patients who were experiencing coronary heart disease for the first time, patients who were taking statin or b-blocker drugs were more likely to be diagnosed with angina than myocardial infarction or to die from sudden death (Article, p. 229). ... ...Angina is a more stable, more controllable and lower risk form of heart disease. Statins are drugs used to...Annals of Internal Medicine tip sheet for Oct. 18, 2005
...... The Oct. 18 issue of Annals of Internal Medicine describes two new diabetes treatments: exenatide, an injected drug; and inhaled insulin. Both treatments have pluses and minuses and were tested on people with type 2 diabetes who were already taking two oral blood-sugar-lowering drugs but whose levels were not under control.... ... A 26-week trial comparing benefits and harms of exenatide...Annals of Internal Medicine Tip Sheet for May 15, 2007
... ... ... Prescriber profiling was developed through interactions by the industry with active participation by practicing physicians and their organizations. For example, the American Medical...Tip sheet for Annals of Internal Medicine -- May 1, 2007, issue
... In one study, 44 patients being treated with steroids for newly diagnosed GCA were assigned to receive either infliximab or a placebo...Tip sheet Annals of Internal Medicine, April 17, 2007
... ... ... ... ... In an accompanying editori...Embargoed March/April Annals of Family Medicine tip sheet
... This essay offers lessons learned by a primary care health care network in Fort Worth, Texas, after caring for a surge of evacuees from Hurricane Katrina. The network, made up mostly of family physicians and administrators, took responsibility for 3,700 evacuees. They provided medical care for nearly half (1,664) of the evacuees in a two-week period. Notably, the network prevented its eme...Annals of Internal Medicine tip sheet for March 6, 2007
... ... ... ... Anxiety was associated with high levels of depression, functional impairment and high medical utilization. Researchers validated two simple tests that detected most patients with anxiety, regardle...Annals of Internal Medicine tip sheet for Feb. 20, 2007, issue
... ... ... The available evidence did not reveal harms asso...Embargoed Jan./Feb. Annals of Family Medicine tip sheet
...Nearly all the pharmaceutical ads consumers see on television are based on emotional appeals, and few provide necessary details about the causes of a medical condition, risk factors or lifestyle changes that may be appropriate alternatives to pharmaceutical interventions. In a content analysis of 38 unique pharmaceutical advertisements that ran during peak television viewing times, researche...November/December 2006 Annals of Family Medicine tip sheet
...With the cold and flu season upon us, the November/December issue of Annals of Family Medicine features several studies that cover the following topics:... ... Impact of the 2004 influenza vaccine shortage on continuity of care... Improving influenza vaccination of high-risk children... Proper use of antibiotics to treat upper respiratory infections, sinusitis and sore throat... ... ... ......Annals of Internal Medicine tip sheet for December 5, 2006
... ... ... An editorial writer says that the study actually shows tha...Tip sheet Annals of Internal Medicine, Nov. 21, 2006, issue
Caring for a family member with dementia can be extremely stressful, can contribute to psychiatric and physical illness and even increase risk for the caregiver's death. But two articles and an editorial in the Nov. 21, 2006, issue of Annals of Internal Medicine describe programs to improve the well-being of dementia patients and their caregivers.... ... Researchers assigned 642 Hispanic, white...Annals of Internal Medicine tip sheet for October 3, 2006, issue
... ... ... Most errors occurred at four main "breakdown" points in the diagnostic process: failure to order an approp...September/October Annals of Family Medicine tip sheet
During the recent economic downturn, Medicaid programs in all 50 states implemented cost-saving strategies including benefit reductions, cost-sharing and tightened administrative rules. ...These cost-saving strategies have significant adverse impact on health care access and utilization among Medicaid beneficiaries concludes this study of 2,783 adults in the Oregon Health Plan. Importantly, the...Annals of Internal Medicine tip sheet for Sept. 19, 2006
... ... An editorial writer says that as better therapies enable people with HIV to live longer, they develop diseases related to age, particularly cardiovascular disease and cancers (Editor...Annals of Internal Medicine tip sheet for Aug. 15, 2006, issue
Annals of Internal Medicine is published by the American College of Physicians. These highlights are not intended to substitute for articles as sources of information. ...... ... ... NOTE TO EDITORS: A sepa...Tip sheet Annals of Internal Medicine, August 1, 2006
... ... In the United States, kidneys for transplant operations come from people who are declared brain-dead in the hospital ("heart-beating donors") or from living donors. But in Spain, eligible kidney donors include "non-heart-beating donors," who are people who die of cardiac arrest in the community after...Annals of Internal Medicine Tip Sheet for July 4, 2006
... ... ... About 53 percent of the acupuncture group said they had less pain and better...Tip sheet, Annals of Internal Medicine, April 20, 2006
...... In a randomized trial involving 652 patients with active chronic rheumatoid arthritis (RA) despite treatment, the drug abatacept reduced disease activity, improved physical function and slowed joint damage when compared with placebo (Article, p. 865)....... Those receiving abatacept also had more serious infections (2.5 percent vs. 0.9 percent) and infusion reactions. ...... During the tr...Annals of Internal Medicine tip sheet for June 6, 2006
...... An meta-analysis of 19 published studies involving 33,826 asthma patients found that those receiving inhaled long-acting beta-agonists were 2.5 times more likely to be hospitalized and about two times more likely to have life-threatening asthma attacks than those receiving placebo....... Fifty-three of 3,083 patients receiving B-agonists were hospitalized for an asthma attack compared to...May/June 2006 Annals of Family Medicine Tip Sheet
EMBARGOED UNTIL TUESDAY, MAY 30, 2006, 12 NOON, EST...... MAY/JUNE 2006 ANNALS OF FAMILY MEDICINE TIP SHEET...... ... Significant reductions in malpractice payments could be realized if total or no economic damage caps were operating nationally and hard noneconomic damage and total damage caps could yield lower premiums according to an analysis of national medical liability payment data. Analyzi...Annals of Internal Medicine tip sheet for May 16, 2006
Tip Sheet for May 16, 2006, Annals of Internal Medicine... ... ...... Instead of the battery of complicated tests currently recommended for diagnosis of urinary incontinence in women, a new study shows that answers to three simple questions can reliably determine whether a woman has stress incontinence or urge incontinence (Article, p. 715). ...... This issue is important because many older women...Annals of Internal Medicine tip sheet for May 2, 2006
...... Eighty moderately obese patients were randomly assigned to laparoscopic gastric banding or to a nonsurgical program involving very low-calorie diets, weight loss drugs, and counseling (Article, p. 625). At six months, both groups lost 13.8 percent of initial weight; at 24 months, patients who had gastric banding lost an average of 21.6 percent of initial body weight compared to 5.5 percen...March/April 2006 Annals of Family Medicine Tip Sheet
...... ... A study in this issue finds that childbirth-related symptoms, particularly among women whose infants were delivered by cesarean section or who breastfeed, are present at five weeks postpartum. Telephone interviews were conducted five weeks postpartum with 716 women and found on average, women reported six postpartum symptoms, most frequently fatigue (64 percent), and never or rarely...Annals of Internal Medicine tip sheet for March 21, 2006
... --Quitting Strongly Decreases Risk of Death, Even at Older Ages...... A new study of 50,000 people followed for 25 years-- the largest and longest study of smoking habits and consequences that includes women as well as men -- found that 41 percent of the men who were heavy smokers died during middle age compared to 14 percent of non-smoking men, and 26 percent of women who were heavy smokers...Tip sheet Annals of Internal Medicine, March 7, 2006, issue
1. Medical Journal Editors Discuss Research Fraud and How to Cleanse the Medical Literature...... Two medical journal editors discuss the problem of scientific fraud and outline steps for correcting scientific literature polluted by fraudulent research....... They show how the key responsibilities -- investigating the misconduct, correcting the scientific literature, and preventing misconduct --...Annals of Internal Medicine tip sheet for Feb. 7, 2006
... ...This issue of Annals includes two articles and an editorial about the management of pulmonary embolism (PE). ... ...One article reports on decisions to confirm or rule out PE in 1,529 consecutive patients who went to 117 emergency departments with suspected PE (Article, p. 157). ... ...Researchers found that emergency departments failed to use the recommended evaluation procedures ...in 6...Jan/Feb Annals of Family Medicine tip sheet
... 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 rep...Early release article from Annals of Internal Medicine
PHILADELPHIA (Jan. 20, 2006) Three case reports of liver problems after taking the antibiotic telithromycin (Ketek) are reported in Annals of Internal Medicine today. ...... Researchers at Carolinas Medical Center in Charlotte, N. C., say that one of the patients died; one required and received a liver transplant; and the third recovered from drug-induced hepatitis after the antibiotic was stopp...Annals of Internal Medicine tip sheet for Jan. 17, 2006
... A large prospective study -- perhaps the most definitive yet of the relationship between exercise and dementia -- found that older adults who exercised at least three times per week were less likely to develop dementia than those who were less active (Article, p. 73). The study participants were 65 or older with normal mental function at the beginning of the study. They were followed for si...Annals of Internal Medicine tip sheet for Jan. 3, 2006
Please call for articles from Dec. 19-23, 2005, or on Jan. 2, 2006. ACP and Annals of Internal Medicine will close for the week of Dec. 26. Sorry for the inconvenience. ... ...1. ... ...A survey of internists--physicians practicing internal medicine--whose board certification was up for renewal in December 2002 found that the most common reasons for participating in recertification were to main...Annals of Internal Medicine tip sheet for Dec. 20, 2005
A new study finds that a yoga program was more effective in treating lower back pain than another exercise program or reading a book about low back pain (Article, p. 849). One hundred and one patients with lower back pain were assigned to one of three groups and were followed for 26 weeks.... ...Both the yoga group and the exercise group participated in 12 weekly, 75-minute classes. All patients...Nov/Dec 2005 Annals of Family Medicine tip sheet
... ...... In a compelling essay, Woolf and Johnson argue that as a society, we should spend less on technological advances and more on improving systems for delivering care. They make the case, supported by mathematical arguments, that technological advances must yield dramatic, often unrealistic increases in efficacy to do more good than improving fidelity - the systems that ensure the delive...Annals of Internal Medicine tip sheet for Dec. 6, 2005
Annals of Internal Medicine Tip Sheet...for Dec. 6, 2005, Issue...... ... A study of 2,160 people who had heart attacks found a high risk for stroke in the first month after the heart attacks (Article, p. 785). Approximately 22.6 per 1,000 people had a stroke within 30 days of a myocardial infarction....... Further, heart attack patients who had a stroke were almost three times more likely to die...Annals of Internal Medicine tip sheet for Nov. 15, 2005, issue
...... A study of 1,843 people at high risk for herpes infection found that those who used condoms more frequently had lower rates of herpes simplex virus-2 (HSV-2) (Article, p. 707). ...... An editorial writer says that while ongoing efforts seek to promote sexual abstinence, reduce risk-taking behaviors, and develop a vaccine and/or other preventive drug, "condoms remain the best proven curren...1. Adult Survivors of Childhood Cancer Often Have Performance Limitations ... ...A study of 11,481 childhood cancer survivors found that 20 percent had a physical performance limitation compared with 12 percent of their siblings who did not have cancer (Article, p. 639). ......Six times as many survivors, compared with siblings, were unable to attend school or work. Survivors of brain and bone......--But Study Shows Hospital Care Similar to Other Months ... ...A study of 127,959 Medicare patients hospitalized between January 1994 and 1996 with heart attacks found that 30-day death rates were higher in December than in other months, but delivery of proven therapies was similar in both time periods (Article, p. 481).... ...Approximately 22 percent of patients hospitalized in December died...