General Medicine: Archives

SUMMARY AND COMMENT

Another Flawed HIV Vaccine Disappoints

• November 12, 2009
• Abigail Zuger, MD

But this time, experts salvage a hopeful message.

• Reviewing:
• Rerks-Ngarm S et al., N Engl J Med 2009 Oct 20 Dolin R., N Engl J Med 2009 Oct 20

SUMMARY AND COMMENT

Price of Nonadherence to Antihypertensive Medications

• November 10, 2009
• Kirsten E. Fleischmann, MD, MPH

High adherers had a significantly lower risk for cardiovascular disease.

• Reviewing:
• Mazzaglia G et al., Circulation 2009 Oct 20; 120:1598 Chobanian AV., Circulation 2009 Oct 20; 120:1558

SUMMARY AND COMMENT

Case Management for Depression in Primary Care

• November 10, 2009
• Richard Saitz, MD, MPH, FACP, FASAM

Specially trained healthcare assistants effectively managed depressed patients in a German study.

• Reviewing:
• Gensichen J et al., Ann Intern Med 2009 Sep 15; 151:369 Dietrich AJ., Ann Intern Med 2009 Sep 15; 151:425

SUMMARY AND COMMENT

Cervical Collar, Physical Therapy, or "Wait and See" for Recent-Onset Cervical Radiculopathy?

• November 10, 2009
• Paul S. Mueller, MD, MPH, FACP

Pain scores were significantly lower in the collar and physical therapy groups.

• Reviewing:
• Kuijper B et al., BMJ 2009 Oct 7; 339:b3883

SUMMARY AND COMMENT

Anticholinergic Drugs and Acute Urinary Retention

• November 10, 2009
• Allan S. Brett, MD

Risk is highest during the first several weeks of treatment.

• Reviewing:
• Martín-Merino E et al., J Urol 2009 Oct; 182:1442

SUMMARY AND COMMENT

Glucose Control in Type 2 Diabetes: Review of Cardiovascular Outcomes

• November 5, 2009
• Richard Saitz, MD, MPH, FACP, FASAM

Intensive control led to fewer nonfatal MIs but no change in 5-year all-cause mortality.

• Reviewing:
• Kelly TN et al., Ann Intern Med 2009 Sep 15; 151:394

SUMMARY AND COMMENT

Long-Acting Bronchodilators With or Without Inhaled Steroids in COPD

• November 5, 2009
• Allan S. Brett, MD

Risk for moderate COPD exacerbations, but not severe exacerbations, was lower with combined therapy.

• Reviewing:
• Rodrigo GJ et al., Chest 2009 Oct; 136:1029

SUMMARY AND COMMENT

Cruise Ship Restrooms: An Exposé

• November 5, 2009
• Abigail Zuger, MD

Some are very clean, but most are not . . . until an outbreak of gastroenteritis occurs. CME

• Reviewing:
• Carling PC et al., Clin Infect Dis 2009 Nov 1; 49:1312

SUMMARY AND COMMENT

Multifocal Glasses and Risk for Falling

• November 5, 2009
• Allan S. Brett, MD

Ground-level obstacles can be precarious with these glasses.

• Reviewing:
• Menant JC et al., J Am Geriatr Soc 2009 Oct; 57:1833

SUMMARY AND COMMENT

Comparison of Three Insulin RegimensFree

• November 5, 2009
• Allan S. Brett, MD

Adding once-daily basal insulin to oral therapy conferred some advantages over alternate regimens. CME

• Reviewing:
• Holman RR et al., N Engl J Med 2009 Oct 29; 361:1736 Roden M., N Engl J Med 2009 Oct 29; 361:1801