Latest Articles
- Disturbing asthma statistics reflect suboptimal management
Beta agonists are used too often and inhaled steroids too little. Leukotrine receptor antagonists will be an important new asthma therapy, but allergy shots remain controversial.
- Beyond statistics: What is really important in medicine?
Clinicians should apply clinical reasoning when interpreting trial results, and researchers should find better ways of measuring “soft” outcomes, such as quality of life.
- Evaluation and medical management of female urinary incontinence
Urinary incontinence should not be accepted as inevitable. Primary care clinicians should take an active role in treatment.
- Clinical implications of the interaction between hypothyroidism and the cardiovascular system
Hypothyroidism frequently causes cardiovascular manifestations that can complicate treatment of both the hypothyroidism and any underlying cardiovascular disease.
- Managing latex allergy in patients and health care workers
Latex products we use every day may cause serious problems for patients and coworkers. Health care providers must develop a plan for protecting allergic patients and staff from latex exposure.
- The role of azole antifungal agents for systemic antifungal therapy
The azoles have not supplanted amphotericin B for managing most serious fungal infections, hut they offer alternatives in a variety of unique situations.
- Chronic disease management and managed care: specialists have an important role
In its current incarnation, managed care has a major flaw: it fails to address the health care needs of people with chronic disease.
- Chronic diarrhea in a 57-year-old woman with diabetes
A woman with a 20-yeer history of diabetes presents with episodic diarrhea. What is the diagnosis and treatment?
- The dilemma of evaluating and treating cancer of unknown primary site
In 5% to 10% of cancer cases, the initial presentation reflects metastases and not the primary lesion. How aggressively should one search for the tumor site?