Table of Contents
Medical Grand Rounds
- Role of metformin in type II diabetes
When diet and exercise fail to control type II diabetes, metformin promotes control of blood sugar levels.
- The endoscope and infection transmission: the problems and how to avoid them
Effective protocols for cleaning and disinfecting endoscopes.
Internal Medicine Board Review
Clinical Reviews
- Coronary heart disease in African Americans: primary and secondary prevention
How physicians can help improve the cardiovascular health of their black patients, who have a high level of CHD risk factors.
- Asthma: current controversies and emerging therapies
Anti-inflammatory drugs for maintenance therapy, use of beta agonists, emergency management, immunotherapy, and newer therapies.
- Evaluating unexplained syncope with upright tilt testing
A review of this problematic technique for diagnos ing vasovagal syncope and recommendations for its use.
- Accuracy and predictive values in clinical decision-making
The accuracy and predictive value of a diagnostic test may differ substantially between research and clinical populations, owing to differences in disease prevalence. The article suggests ways researchers could end the confusion.
Current Drug Therapy
- Use of old and new oral 5-aminosalicylic acid formulations in inflammatory bowel disease
Sulfasalazine, a 5-ASA agent, is the anti-inflammatory agent of choice for ulcerative colitis and Crohn's disease. Newer delayed-release formulations can also be appropriate first-line agents.
Cancer Diagnosis and Management
- An update on prostate cancer
The diagnosis and treatment of prostate cancer, including the role of screening and treatment strategies for localized and advanced tumors.