Latest Articles
- Peptic ulcer bleeding: perspectives on some common dilemmas
Not all patients with peptic ulcer bleeding need endoscopic therapy, intensive care, or even hospital admission; clinical signs and endoscopic findings determine the need for various levels of care.
- Smoking and the complications of diabetes mellitus
Even though persons with diabetes have more to gain from quitting smoking than those without diabetes, the prevalence of smoking in the diabetic population is surprisingly high.
- Eating disorders in adolescents and young adults: What’s a primary care clinician to do?
Eating disorders can be readily detected by recognizing certain "red flags" and by asking appropriate questions. Primary care clinicians play a key role in detecting and managing eating disorders.
- The use of intravenous immunoglobulin in rheumatic diseases
The postulated immunomodulating effects of high-dose IVIg therapy make it an attractive alternative to corticosteroids or cytotoxic agents, but cost is an important issue, especially when efficacy is uncertain.
- Preoperative evaluation before noncardiac vascular surgery
How to assess a patient’s perioperative risk, deciding when clinical factors are sufficient to gauge risk and when pharmacologic stress testing is needed.
- Medicine and the Internet: why physicians should pay attention
The question for physicians is no longer whether to bother to be connected to the Internet, but whether they can afford not to.
- The dark side of evidence-based medicine
Clinical judgement – utilizing personal experience, analogy and extrapolation – is still necessary in a system of evidence-based medicine.
- Current issues in menopausal hormone replacement therapy
For most menopausal women, the benefits of hormone replacement therapy out-weigh the risks, despite the fears aroused by an unproven link to breast cancer.
- Diabetic nephropathy: strategies for preventing renal failure
Early detection, coupled with rigorous glycemic control and aggressive hypertensive management may slow the progression of diabetic nephropathy. Dietary protein restriction may also have a role.
- Understanding obesity: The interaction of diet, genetics, and hormones
The widely held belief that gluttony and sloth underlie obesity is fading, as research sheds light on the interactions between diet, genetics, hormones, and neurotransmitters.