http://patientcare.modernmedicine.com/patcare Patient Care Magazine Online 2008-08-30T14:47:41Z http://www.modernmedicine.com/modernmedicine/Community+Pharmacy/Test-Community-Pharmacy-Features-Articles/ArticleStandard/Article/detail/522740?ref=25 test 2008-06-10T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/242008/522740null HTML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Q+%26+A/Test-Pharmacy-Q-amp-A/ArticleStandard/Article/detail/522743?ref=25 test 2008-06-10T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/242008/522743null HTML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Feature+Articles/Test-Pharmacy-Features-Articles/ArticleStandard/Article/detail/522739?ref=25 test 2008-06-10T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/242008/522739null HTML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+News/Test-Pharmacy-News/ArticleStandard/Article/detail/522734?ref=25 test 2008-06-10T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/242008/522734null HTML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Briefings/Test-Pharmacy-Briefings/ArticleStandard/Article/detail/522731?ref=25 test 2008-06-10T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/242008/522731null HTML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Q+%26+A/Test-Community-Pharmacy-Q-amp-A/ArticleStandard/Article/detail/522745?ref=25 test 2008-06-10T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/242008/522745null HTML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Conference+News/Test-Pharmacy-Conference-News/ArticleStandard/Article/detail/522738?ref=25 test 2008-06-10T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/242008/522738null HTML http://www.modernmedicine.com/modernmedicine/Community+Pharmacy/Test-Community-Pharmacy-Briefings/ArticleStandard/Article/detail/522733?ref=25 test 2008-06-10T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/242008/522733null HTML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Cases/Test-Community-Pharmacy-Cases/ArticleStandard/Article/detail/522741?ref=25 test 2008-06-10T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/242008/522741null HTML http://www.modernmedicine.com/modernmedicine/Community+Pharmacy/Test-Community-Pharmacy-News/ArticleStandard/Article/detail/522735?ref=25 test 2008-06-10T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/242008/522735null HTML http://www.modernmedicine.com/modernmedicine/Community+Pharmacy/Test-Community-Pharmacy-Conference-News/ArticleStandard/Article/detail/522737?ref=25 test 2008-06-10T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/242008/522737null HTML http://www.modernmedicine.com/modernmedicine/Modern+Medicine+Cases/Test-Pharmacy-Cases/ArticleStandard/Article/detail/522742?ref=25 test 2008-06-10T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/242008/522742null HTML http://www.modernmedicine.com/modernmedicine/Diabetes/Options-for-managing-diabetes-Three-types-of-basal/ArticleStandard/Article/detail/479073?ref=25 Ideally, basal insulin therapy should provide adequate and reproducible steady-state plasma insulin levels without causing hypoglycemia. Our expert reviews the current basal insulin options when patients fail oral antidiabetic drugs. 2007-12-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/502007/479073null XML http://www.modernmedicine.com/modernmedicine/Cardiovascular+disease/RESEARCH-DIGEST/ArticleStandard/Article/detail/479071?ref=25 Job strain after first MI linked to future heart problems; Adding single insulin to oral drugs fails most diabetics; Screening not equally useful in all chest-pain patients; HDL predicts risk of major cardiovascular events 2007-12-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/502007/479071null XML http://www.modernmedicine.com/modernmedicine/Cardiovascular+disease/MEDICINE-IN-THE-NEWS/ArticleStandard/Article/detail/479072?ref=25 CABG or PCI? It's a dead heat; Diabetes regimens: For some, the treatment is worse than the disease; News from the FDA 2007-12-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/502007/479072null XML http://www.modernmedicine.com/modernmedicine/Case+and+Comment/CASE-amp-COMMENT/ArticleStandard/Article/detail/479076?ref=25 A 97-year-old woman with mental changes and polyuria 2007-12-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/502007/479076null XML http://www.modernmedicine.com/modernmedicine/Cardiovascular+disease/Cardiovascular-and-metabolic-implications-of-polyc/ArticleStandard/Article/detail/479075?ref=25 Are women with polycystic ovary syndrome at increased risk of cardiovascular disease and, if so, what preventive measures need to be addressed? 2007-12-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/502007/479075null XML http://patientcare.modernmedicine.com/patcare/Primary-Care-Topics-in-Endocrinology-amp-Cardiolog/ArticleStandard/Article/detail/484852?ref=25 Diabetes: 3 types of basal insulin; New AHA guidelines for coronary heart disease in women; Polycystic ovary syndrome 2007-12-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/032008/484852null REMOTE http://www.modernmedicine.com/modernmedicine/Clinical+Clips/CLINICAL-CLIPS/ArticleStandard/Article/detail/479077?ref=25 Benefit of sleep apnea treatment on serum cardiovascular markers; Does aspirin help prevent embolism? 2007-12-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/502007/479077null XML http://www.modernmedicine.com/modernmedicine/Cardiovascular+disease/Using-the-new-AHA-guidelines-for-preventing-corona/ArticleStandard/Article/detail/479074?ref=25 Now that the American Heart Association has issued its new guidelines, we need to carefully consider each woman's risk for coronary heart disease (CHD). Educating women today about their lifetime risk for CHD and working with every patient to implement the guidelines for CHD risk prevention may have a significant impact on women's health for the future. 2007-12-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/502007/479074null XML http://www.modernmedicine.com/modernmedicine/Online+Exclusive/CLINICAL-CLIPS/ArticleStandard/Article/detail/479070?ref=25 Hope for alcoholics: Short-term topiramate treatment; Lower BP in patients with diabetes: A combo drug; Oral contraceptives and subsequent cancer incidence; Over time, statins continue to provide benefit for coronary events 2007-12-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/502007/479070null XML http://patientcare.modernmedicine.com/patcare/New-study-sheds-light-on-community-associated-MRSA/ArticleStandard/Article/detail/477238?ref=25 Skyrocketing numbers of invasive, methicillin-resistant Staphylococcus aureus (MRSA) disease originating not only in health care facilities but in the community as well are cause for enormous concern. A new study from the CDC estimates the 2005 incidence of invasive MRSA in the United States at an astounding 31.8 per 100,000, a rate higher than the combined rate for invasive disease caused by pneumococcus (14.1/100,000), Group A streptococcus (3.6/100,000), meningococcus (0.35/100,000), and Haemophilus influenzae (1.4/100,000). Most of these infections were associated with health care facilities, whether the actual onset of the infection occurred in a hospital or nursing home or after discharge. But about 14% were classified as community-associated, occurring in previously healthy individuals with no history of hospitalization. For many, the infection was lethal: The 18,650 deaths projected country-wide in 2005 exceeds the number of deaths attributed to HIV/AIDS in the United States for that year. 2007-12-01T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/492007/477238null HTML http://patientcare.modernmedicine.com/patcare/What-a-few-extra-pounds-can151and-cant151do-for-yo/ArticleStandard/Article/detail/477240?ref=25 An analysis of mortality and body mass index (BMI) data from 1971 through 2000 revealed that while being either underweight (BMI 18.5 or less) or obese (BMI 30 to 35 or greater) could endanger your life, just being overweight (BMI 25 to less than 30) did not. On the contrary, it turned out that overweight people had lower mortality rates from any cause than people who managed to maintain a so-called normal weight (BMI 18.5 to less than 25). 2007-12-01T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/492007/477240null HTML http://www.modernmedicine.com/modernmedicine/Psychiatric+disorders/Help-for-your-patients-who-suffer-from-specific-ph/ArticleStandard/Article/detail/471325?ref=25 Unlike other anxiety disorders, specific phobias generally do not respond well to medication. Here is how primary care physicians can help their phobic patients find relief from their paralyzing fears. 2007-11-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471325null XML http://www.modernmedicine.com/modernmedicine/Case+and+Comment/CASE-amp-COMMENT/ArticleStandard/Article/detail/471144?ref=25 Eosinophilia and persistent myalgias 2007-11-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471144null XML http://www.modernmedicine.com/modernmedicine/Complementary+And+Alternative+Medicine/MEDICINE-IN-THE-NEWS/ArticleStandard/Article/detail/471140?ref=25 Managing psychotic symptoms in dementia patients; When anxious patients turn to CAM remedies; News from the FDA 2007-11-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471140null XML http://www.modernmedicine.com/modernmedicine/Alzheimer%27s+Disease/Dementia-workup-and-treatment-Do-the-drugs-really-/ArticleStandard/Article/detail/471142?ref=25 Early diagnosis is the first best possible step in the long-term management of Alzheimer's disease. It allows for early initiation of cholinesterase inhibitor treatment, which will likely stabilize and may possibly reduce the rate of symptomatic cognitive and functional decline. 2007-11-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471142null XML http://www.modernmedicine.com/modernmedicine/Online+Exclusive/RESEARCH-DIGEST/ArticleStandard/Article/detail/471138?ref=25 Immune system genes linked to multiple sclerosis; Continued statin therapy advised immediately after acute ischemic stroke; Smoking linked to dementia, but varies with apolipoprotein; Childhood abuse history common in depressed women with migraine 2007-11-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471138null XML http://patientcare.modernmedicine.com/patcare/Primary-Care-Topics-in-Neurology-amp-Psychiatry/ArticleStandard/Article/detail/484850?ref=25 Dementia: Do drugs really work? Specific phobias 2007-11-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/032008/484850null REMOTE http://www.modernmedicine.com/modernmedicine/Perspectives/Mind-over-BPmdashor-lessons-from-a-yogi/ArticleStandard/Article/detail/471145?ref=25 The Science of Healing 2007-11-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471145null XML http://www.modernmedicine.com/modernmedicine/Clinical+Solutions/THE-15-MINUTE-VISIT/ArticleStandard/Article/detail/471141?ref=25 Somatization disorder 2007-11-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471141null XML http://www.modernmedicine.com/modernmedicine/Clinical+Clips/CLINICAL-CLIPS/ArticleStandard/Article/detail/471143?ref=25 Stroke prevention: Warfarin or aspirin? Antidiabetic drugs for patients with diabetes and heart failure 2007-11-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471143null XML http://www.modernmedicine.com/modernmedicine/Alzheimer%27s+Disease/RESEARCH-DIGEST/ArticleStandard/Article/detail/471139?ref=25 Women with dementia lose weight long before diagnosis; Epilepsy patients with aura may benefit from surgery; Zolmitriptan nasal spray relieves cluster headaches 2007-11-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471139null XML http://www.modernmedicine.com/modernmedicine/Online+Exclusive/CLINICAL-CLIPS/ArticleStandard/Article/detail/471137?ref=25 New oral hypoglycemics better than old? Standard therapy for thromboembolic disease still key; Lowering homocysteine in kidney disease; Does bariatric surgery prevent death? Mothers who smoke keep their babies awake 2007-11-15T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471137null XML http://patientcare.modernmedicine.com/patcare/AHA+2007+Conference+Update/Dark-chocolate-can-boost-coronary-blood-flow-reser/ArticleStandard/Article/detail/470888?ref=25 Researchers in Japan have found that dark chocolate can have a positive impact on coronary circulation. 2007-11-07T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/470888null HTML http://patientcare.modernmedicine.com/patcare/AHA+2007+Conference+Update/Anti-ischemic-agent-reduces-HbA1c-levels-in-patien/ArticleStandard/Article/detail/471079?ref=25 Ranolazine extended-release significantly reduced the level of hemoglobin (Hb) A1c in patients with diabetes, allowing more of them to achieve the clinical HbA1c treatment target of less than 7.0%. 2007-11-07T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471079null HTML http://patientcare.modernmedicine.com/patcare/AHA+2007+Conference+Update/Bystanders-and-AEDs-make-for-life-saving-duo/ArticleStandard/Article/detail/471083?ref=25 Bystanders and automated external defibrillators (AEDs) are a life-saving combination. 2007-11-07T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471083null HTML http://patientcare.modernmedicine.com/patcare/AHA+2007+Conference+Update/AHA-challenged-to-work-to-end-global-inequalities-/ArticleStandard/Article/detail/471089?ref=25 A leading expert on global inequalities in cardiovascular healthcare challenged the American Heart Association to take the lead in reducing the burden of cardiovascular disease worldwide. 2007-11-07T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471089null HTML http://patientcare.modernmedicine.com/patcare/AHA+2007+Conference+Update/Asymptomatic-PAD-prevalence-on-rise-obese-women-at/ArticleStandard/Article/detail/471076?ref=25 Asymptomatic peripheral artery disease (PAD) is becoming more prevalent, and at least among women, is associated with a significantly higher prevalence of obesity, Andrew D. Sumner, MD, said. 2007-11-07T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471076null HTML http://patientcare.modernmedicine.com/patcare/AHA+2007+Conference+Update/Childhood-BMI-key-to-later-CVD-risk/ArticleStandard/Article/detail/471085?ref=25 Primary care physicians and pediatricians who do not measure childhood body mass index (BMI) are missing a prime opportunity to prevent cardiovascular disease later in life. 2007-11-07T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471085null HTML http://patientcare.modernmedicine.com/patcare/AHA+2007+Conference+Update/Antiplatelet-reduces-cardiac-events-in-PCI/ArticleStandard/Article/detail/471096?ref=25 Prasugrel, a new antiplatelet agent in Phase 3 clinical trials, is superior to clopidogrel in preventing major adverse cardiac events in patients undergoing percutaneous coronary intervention (pCI), but is associated with an increase in the risk of major bleeding. 2007-11-07T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471096null HTML http://patientcare.modernmedicine.com/patcare/AHA+2007+Conference+Update/Statin-has-no-effect-on-cardiovascular-outcomes-in/ArticleStandard/Article/detail/471092?ref=25 In older patients with advanced systolic heart failure, rosuvastatin added to standard heart failure medications failed to significantly reduce incidence of a composite of cardiovascular death, nonfatal myocardial infarction (MI), and nonfatal stroke compared with placebo, although it did reduce the incidence of all-cause and cardiovascular-related hospitalizations. 2007-11-07T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471092null HTML http://patientcare.modernmedicine.com/patcare/AHA+2007+Conference+Update/Interventional-indications-can-present-confusion/ArticleStandard/Article/detail/471077?ref=25 Therapeutic choices in interventional cardiology are often complicated by factors, such as gastrointestinal (GI) bleeding, left anterior descending coronary artery stenosis, thrombocytopenia, and uncontrollable angina. 2007-11-07T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471077null HTML http://patientcare.modernmedicine.com/patcare/AHA+2007+Conference+Update/Eptifibatide-use-to-increase/ArticleStandard/Article/detail/471078?ref=25 Two new studies presented during the American Hospital Association Scientific Sessions, Nov. 3-7, 2007, in Orlando, could speed the replacement of abciximab by eptifibatide in cardiac patients. EVA-AMI showed similar outcomes between the two drugs when used in percutaneous coronary intervention (PCI) and BRIEF-PCI showed that a two-hour infusion of eptifibatide can be as effective as the standard 18-hour course following uncomplicated PCI procedures. 2007-11-07T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471078null HTML http://patientcare.modernmedicine.com/patcare/AHA+2007+Conference+Update/Blood-pressure-levels-can-change-by-season/ArticleStandard/Article/detail/471087?ref=25 Antihypertensive treatment that works in the summer may not be sufficient for wintertime blood pressure (BP) control. 2007-11-07T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471087null HTML http://patientcare.modernmedicine.com/patcare/AHA+2007+Conference+Update/Study-Side-effects-not-major-reason-for-statin-dis/ArticleStandard/Article/detail/471084?ref=25 Persistence with statins is only approximately 50% by 12 months after therapy is started, with Spanish-speaking patients at highest risk of discontinuing therapy, said Michael H. Davidson, MD, during the American Heart Association Scientific Sessions, Nov. 3-7, 2007, in Orlando. 2007-11-07T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471084null HTML http://patientcare.modernmedicine.com/patcare/AHA+2007+Conference+Update/Real-time-genotype-based-warfarin-dosing-feasible-/ArticleStandard/Article/detail/471094?ref=25 Real-time pharmacogenetic-guided dosing of warfarin does not lead to a reduction in prothrombin time international normalized ratios (INRs) out of the therapeutic range compared with standard warfarin dosing, although it did lead to smaller and less frequent warfarin dosing changes, reported Jeffrey L. Anderson, MD. 2007-11-07T05:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/452007/471094null HTML http://patientcare.modernmedicine.com/patcare/The-good-news-Sharp-decline-in-cancer-deaths-incid/ArticleStandard/Article/detail/469737?ref=25 According to the American Cancer Society, cancer death rates decreased an average 2.1% a year from 2002 to 2004, nearly twice the annual 1.1% decrease of previous years.1 The extent of the decline varied by gender (2.6% a year among men and 1.8% among women), type of cancer, and American Indian/Alaska Native (AI/AN) ethnicity. For the population as a whole, cancer death rates have fallen for the majority of the 15 most commonly diagnosed cancers in both men and women. For men, that decline includes a drop in lung, prostate, and colorectal cancers, the 3 leading causes of cancer deaths in men. Women have experienced a decline in 2 of the 3 leading causes of cancer deaths in women-breast and colorectal cancer. Death rates from lung cancer, the number 1 cause of cancer death for both sexes, are still increasing in women but at a much slower rate than in years past. 2007-11-01T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/442007/469737null HTML http://patientcare.modernmedicine.com/patcare/Medical-schools-Enrollment-ties-to-industry-increa/ArticleStandard/Article/detail/469738?ref=25 The 2007 entering class at US medical schools is the largest ever, according to just-released data from the Association of American Medical Colleges (AAMC). There are close to 17,800 entering students for 2007, a 2.3% increase over 2006. The applicant pool was up 8.2% from the previous year and included greater numbers of black and Hispanic men. Actual enrollment of black male students rose by 5.3%, while Hispanic enrollment remained at 2006 levels.1 Proportions of men and women in the entering class are close to equal: 48.3% women, 51.7% men. 2007-11-01T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/442007/469738null HTML http://www.modernmedicine.com/modernmedicine/Cardiovascular+disease/Strategies-for-bridge-anticoagulation-therapy/ArticleStandard/Article/detail/463558?ref=25 The use of bridge therapy in patients on chronic oral anticoagulation who are undergoing surgery or other invasive procedures needs to be evaluated case by case. Though full-dose unfractionated heparin is the current standard, low-molecular-weight heparin appears to be as safe and effective—and much simpler and less expensive to use. 2007-10-17T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463558null XML http://www.modernmedicine.com/modernmedicine/Cancer/How-to-integrate-the-new-cervical-cancer-guideline/ArticleStandard/Article/detail/463559?ref=25 An expert helps clinicians make sense of the screening intervals in the new guidelines for cervical cancer. 2007-10-17T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463559null XML http://www.modernmedicine.com/modernmedicine/Clinical+Solutions/DERMATOLOGY-CASE-CHALLENGE/ArticleStandard/Article/detail/463560?ref=25 Brown thickened skin on the neck and axillae 2007-10-17T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463560null XML http://www.modernmedicine.com/modernmedicine/Hematology%2FOncology/RESEARCH-DIGEST/ArticleStandard/Article/detail/463556?ref=25 High-fat diet associated with colon cancer recurrence; Rofecoxib increases cardiovascular events in cancer patients; Chemotherapy, stem cells beneficial in testicular cancer; Prophylactic therapy reduces joint damage in hemophilia 2007-10-17T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463556null XML http://www.modernmedicine.com/modernmedicine/Hematology%2FOncology/MEDICINE-IN-THE-NEWS/ArticleStandard/Article/detail/463557?ref=25 Incidence of stomach cancer on the decline; "A vector of disease and death"; News from the FDA 2007-10-17T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463557null XML http://patientcare.modernmedicine.com/patcare/Primary-Care-Topics-in-Hematology-amp-Oncology/ArticleStandard/Article/detail/484848?ref=25 Bridge anticoagulation therapy; New cervical cancer guidelines 2007-10-17T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/032008/484848null REMOTE http://www.modernmedicine.com/modernmedicine/Clinical+Clips/CLINICAL-CLIPS/ArticleStandard/Article/detail/463561?ref=25 Lifetime attributable cancer risk with use of CT coronary angiography; When is it time to place an ICD for hypertrophic cardiomyopathy? A common respiratory pathogen implicated in encephalitis in children; Smoking marijuana increases risk of psychotic symptoms 2007-10-17T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463561null XML http://www.modernmedicine.com/modernmedicine/Clinical+Solutions/THE-15-MINUTE-VISIT/ArticleStandard/Article/detail/463554?ref=25 Dyspnea at the end of life 2007-10-16T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463554null XML http://www.modernmedicine.com/modernmedicine/Cardiovascular+disease/MEDICINE-IN-THE-NEWS/ArticleStandard/Article/detail/463550?ref=25 At the ADA: Glitazones on the mat and other concerns 2007-10-16T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463550null XML http://www.modernmedicine.com/modernmedicine/News/RESEARCH-DIGEST/ArticleStandard/Article/detail/463549?ref=25 Frequent awakenings during hypoglycemia in late sleep;Benefits of drug-eluting stents may outweigh risks; Elevated cystatin C levels predict prediabetes; Researchers fault recent meta-analysis on rosiglitazone; Increasing waist-to-hip ratio linked to atherosclerosis; Apolipoprotein levels predict coronary heart disease risk; Patients who have lived with type 1 diabetes for 50 years or more do well 2007-10-16T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463549null XML http://www.modernmedicine.com/modernmedicine/Clinical+Clips/CLINICAL-CLIPS/ArticleStandard/Article/detail/463555?ref=25 Does self-monitoring of blood glucose improve control? Antiplatelets versus combination therapy for peripheral vascular disease 2007-10-16T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463555null XML http://www.modernmedicine.com/modernmedicine/Cardiovascular+disease/Using-troponins-to-evaluate-cardiac-injury/ArticleStandard/Article/detail/463552?ref=25 Cardiac troponin levels can have important prognostic implications and often guide the course of treatment in patients with acute coronary syndromes, MI, and other illnesses. Learn how to best use these important tests in clinical practice. 2007-10-16T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463552null XML http://www.modernmedicine.com/modernmedicine/Cardiovascular+disease/Recognizing-and-managing-patients-with-the-metabol/ArticleStandard/Article/detail/463551?ref=25 Associated with an increased risk for type 2 diabetes mellitus and cardiovascular disease, the metabolic syndrome is mainly a result of the epidemic of overweight and obesity that is plaguing this and many other countries. Here is the information you need to better identify this condition and intervene effectively. 2007-10-16T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463551null XML http://patientcare.modernmedicine.com/patcare/Primary-Care-Topics-in-Endocrinology-amp-Cardiolog/ArticleStandard/Article/detail/484846?ref=25 Metabolic syndrome and prediabetes; Troponins 2007-10-16T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/032008/484846null REMOTE http://patientcare.modernmedicine.com/patcare/Primary-Care-topics-in-Allergy-amp-Immunology/ArticleStandard/Article/detail/484843?ref=25 Celiac disease; Angiodedema's potentially dire consequences; Leukotriene receptor antagonists in allergic rhinitis 2007-10-15T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/032008/484843null REMOTE http://www.modernmedicine.com/modernmedicine/Allergy+%26+Immunology/When-to-suspect-celiac-diseasemdashand-how-to-proc/ArticleStandard/Article/detail/463563?ref=25 As many as 80% of patients found to have celiac disease are either have either no symptoms or non-GI symptoms, making the diagnosis of this devastating disorder elusive. A high degree of suspicion can lead to proper testing and implementation of a life-saving diet. 2007-10-15T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463563null XML http://www.modernmedicine.com/modernmedicine/Allergy+%26+Immunology/DERMATOLOGY-CASE-CHALLENGE/ArticleStandard/Article/detail/463568?ref=25 Expanding brown patch on the chest and arm 2007-10-15T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463568null XML http://www.modernmedicine.com/modernmedicine/Allergy+%26+Immunology/CLINICAL-CLIPS/ArticleStandard/Article/detail/463566?ref=25 More on the asthma-obesity link; Discriminating between moderate and severe allergic rhinitis 2007-10-15T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463566null XML http://www.modernmedicine.com/modernmedicine/Allergy+%26+Immunology/Is-there-a-role-for-leukotriene-receptor-antagonis/ArticleStandard/Article/detail/463565?ref=25 This article weighs the evidence as to whether leukotriene receptor antagonists could play a role in alleviating the symptoms of the allergic cascade. 2007-10-15T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463565null XML http://www.modernmedicine.com/modernmedicine/Allergy+%26+Immunology+Top+Story/Averting-angioedemas-potentially-dire-consequences/ArticleStandard/Article/detail/463564?ref=25 Angioedema is an uncommon but potentially life-threatening spectrum of conditions. Early diagnosis and timely treatment are the cornerstones of successful management. 2007-10-15T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463564null XML http://www.modernmedicine.com/modernmedicine/News/RESEARCH-DIGEST/ArticleStandard/Article/detail/463710?ref=25 Nonpharmaceutical measures may help with flu pandemic; Permanent makeup can cause serious adverse reactions; Underinsured children missing out on immunizations; Rituximab effective for treating severe pemphigus; Hemochromatosis fades as threat in liver transplants 2007-10-15T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463710null XML http://www.modernmedicine.com/modernmedicine/Allergy+%26+Immunology/MEDICINE-IN-THE-NEWS/ArticleStandard/Article/detail/463562?ref=25 Managing anaphylaxis in the ED: A SAFE approach 2007-10-15T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463562null XML http://patientcare.modernmedicine.com/patcare/aafp07/Colitis-requires-aggressive-treatment-often-with-s/ArticleStandard/Article/detail/463472?ref=25 Colitis, an umbrella term encompassing ulcerative colitis (UC), Crohn's disease (CD) and inflammatory bowel disease (IBD), can be one of the more difficult conditions for family physicians to treat. More aggressive treatment tends to be more effective, said Thomas Kintanar, MD, family physician (FP) in Fort Wayne, Indiana. 2007-10-06T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463472null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Refine-your-coding-for-better-reimbursement/ArticleStandard/Article/detail/463475?ref=25 The surest way to improve reimbursement is to improve claims coding. 2007-10-06T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463475null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Retail-clinics-are-coming/ArticleStandard/Article/detail/463476?ref=25 Forget "doc in a box" and start thinking "nurse practitioner in a box." That is the latest trend in retail health clinics popping up nationwide. 2007-10-06T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463476null HTML http://patientcare.modernmedicine.com/patcare/aafp07/How-to-treat-periodic-childhood-fevers/ArticleStandard/Article/detail/463473?ref=25 "We all see childhood fever, an awful lot of fever," said Cormac O'Connor, MD, family physician at Naval Hospital Yokosuka, Japan. "And most of them are benign viral syndromes that we don't have to worry about once they leave the office." 2007-10-06T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463473null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Antibiotics-Not-much-new-under-the-sun/ArticleStandard/Article/detail/463474?ref=25 Little has changed in the world of antibiotics in the past five to 10 years. Meanwhile drug resistance continues to grow in all settings, including family practice. 2007-10-06T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/463474null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Bring-workflow-into-the-21st-century/ArticleStandard/Article/detail/463446?ref=25 Practices that move to an electronic medical record (EMR) have a problem. Office practices and systems that work on paper will not work well on computer. 2007-10-05T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/463446null HTML http://patientcare.modernmedicine.com/patcare/aafp07/How-to-Fight-USA300/ArticleStandard/Article/detail/463449?ref=25 A super strain of methicillin-resistant staphylococcus aureus (MRSA) is sweeping America and the rest of the world. Dubbed USA300, it is responsible for rising rates of MRSA infections among sports teams, clubs, families, and other groups. If not handled properly the super bug can result in necrotizing fasciitis, severe scarring, physical disability, even death. 2007-10-05T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/463449null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Be-prepared-for-malpractice-suits/ArticleStandard/Article/detail/463425?ref=25 Expect to be sued for malpractice. That was the stark warning yesterday from Richard Roberts, MD, JD, professor of family medicine at the University of Wisconsin School of Medicine and Public Health in Madison. One malpractice suit is filed for every 40,000 patient encounters nationally, he told the American Academy of Family Physicians 2007 Scientific Assembly, which works out to a claim every seven to eight years for most family physicians. 2007-10-05T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/463425null HTML http://patientcare.modernmedicine.com/patcare/aafp07/How-to-deal-with-acute-coronary-syndromes/ArticleStandard/Article/detail/463424?ref=25 Acute coronary syndromes (ACS) are one of the most frequent conditions a family physician is likely to encounter. More than 2.3 million patients are admitted to U.S. hospitals every year for ACS symptoms. The problem is that what looks and feels like a myocardial infarction could be something as simple as GERD or anxiety. 2007-10-05T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/463424null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Take-home-more-practice-revenue/ArticleStandard/Article/detail/463448?ref=25 Taking home more practice revenue is about to become a life-saving skill. The Centers for Medicare and Medicaid Services (CMS) is set to cut physician Medicare reimbursement by 10% on January 1, 2008. The second shoe will drop in March and April as insurers that base their own reimbursement on Medicare rates make similar changes. 2007-10-05T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/463448null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Consumer-driven-healthcare-a-reason-to-redesign-pr/ArticleStandard/Article/detail/462977?ref=25 "Consumer-driven healthcare, to the extent that it happens, is one more reason to redesign your practice," warns Bruce Bagley, MD, American Academy of Family Physicians (AAFP) medical director for Quality Improvement, during the AAFP 2007 Scientific Assembly in Chicago on Thursday. He also noted that only approximately 5% of the insured population nationwide has actually signed up for one of the low premium, high deductible plans. 2007-10-04T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462977null HTML http://patientcare.modernmedicine.com/patcare/aafp07/EMR-can-equal-profit-and-quality/ArticleStandard/Article/detail/462998?ref=25 Why invest in an electronic medical record (EMR) system? That depends on who you ask, said Stephen Waldren, MD, director of American Academy of Family Physicians' (AAFP) Center of Health Information Technology. Family physicians invest in EMRs because they expect to streamline documentation and enhance revenue streams. Outsiders, including the federal government and private payors, want physicians to invest in EMRs because it will produce higher quality care and lower costs. 2007-10-04T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462998null HTML http://patientcare.modernmedicine.com/patcare/aafp07/What-looks-like-asthma-may-not-be----asthma/ArticleStandard/Article/detail/462989?ref=25 Just because a patient presents with the classic signs and symptoms of asthma is no reason to rule out inhaled corticosteroids, albuterol and the rest of the asthma armamentarium. The first step is to be sure that what looks like asthma really is asthma. 2007-10-04T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462989null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Migraine-treatment-update-guides-clinicians-throug/ArticleStandard/Article/detail/462958?ref=25 A migraine headache, while one of the more common conditions that physicians encounter in patients, remains one that they usually miss. One in four U.S. households in America has an individual who has migraines, said David Bazzo, MD, clinician at the University of California, San Diego, who is also part of a faculty headache practice. Migraines are as common as diabetes and asthma combined, yet physicians miss the opportunity to diagnose nearly one-half of the migraine patients they see. 2007-10-04T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462958null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Contraception-trends-feature-rings-patches-and-ski/ArticleStandard/Article/detail/462990?ref=25 The contraception arena has seen some significant activity in recent years. New products, such as vaginal rings and transdermal patches, have joined refined and reformulated versions of oral contraceptives, intrauterine devices, and subdermal implants, as well as familiar methods, such as diaphragms and condoms. 2007-10-04T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462990null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Pay-for-performance-is-well-on-its-way/ArticleStandard/Article/detail/462959?ref=25 The move to pay for performance is an opportunity to rebuild medical care in the United States, according to Michelle Eads, MD, of Pinnacle Family Medicine near Colorado Springs, Colorado. However, many payers are paying for performance that may have little to do with patient outcomes. 2007-10-04T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462959null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Hemoglobin-A1c-only-part-of-diabetes-risk-profile/ArticleStandard/Article/detail/462419?ref=25 Physicians and patients who focus on controlling hemoglobin A1C levels are missing an important risk factor for the complications of diabetes. Oxidative stress and variations in glycemic levels are more important predictors of problems, such as blindness, kidney disease, cardiovascular disease, foot problems, and other familiar comorbidities associated with diabetes. 2007-10-03T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462419null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Communications-critical-to-developing-clinical-tea/ArticleStandard/Article/detail/462425?ref=25 "Team" is the latest buzzword in redesigning medical practice to provide more effective and more satisfying care. But what is a team? 2007-10-03T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462425null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Welcome-to-AAFP-Conference-Update/ArticleStandard/Article/detail/462374?ref=25 Highlights from the American Academy of Family Physicians Scientific Assembly being held in Chicago, October 3-6, 2007. 2007-10-03T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462374null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Osteoporosis-treatment-advances-timely/ArticleStandard/Article/detail/462421?ref=25 Osteoporosis treatment is becoming more aggressive, and just in time. Loss of bone mineral density (BMD) is already more prevalent than heart attack, stroke and breast cancer combined, said Irene Hamrick, MD, professor at the Brody School of Medicine at East Carolina University, Greenville, North Carolina. Costs associated with osteoporosis have already hit $17 billion annually and continue to climb as baby boomers age and enter higher risk categories. 2007-10-03T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462421null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Open-access-works/ArticleStandard/Article/detail/462422?ref=25 Want to boost compliance rates for mammograms, colorectal cancer screening, pap smears, and other procedures? Would you like to improve patient satisfaction with your practice? How about enhancing your own satisfaction with providing health care? All of this may be possible by making it easier for patients to get an appointment — the same day. 2007-10-03T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462422null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Make-your-practice-more-efficient/ArticleStandard/Article/detail/462426?ref=25 Is your medical practice everything it can be? Probably not, according to L. Michael Fleischman, FAAHC, consultant with Gates, Moore & Co. in Atlanta. However, when armed with a few simple financial tools, almost any practice can become more efficient and profitable. 2007-10-03T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462426null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Dont-skip-CRC-screening/ArticleStandard/Article/detail/462375?ref=25 Family physicians should be encouraged to advise colorectal cancer (CRC) screening for all appropriate patients. CRC is not only the No. 2 cause of cancer death in the United States, it is also responsible for more than one-half of the malpractice litigation filed against primary care physicians for gastrointestinal complaints. 2007-10-03T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462375null HTML http://patientcare.modernmedicine.com/patcare/How-well-does-Medicaid-pay-That-depends-on-where-y/ArticleStandard/Article/detail/464979?ref=25 A new report analyzing Medicaid payments reveals that primary care practitioners in some states get paid 2 or 3 times as much for the same CPT code as their colleagues in other parts of the country. Overall, payments from Medicare are higher than those from Medicaid, but the size of the differential also varies from one state to another. 2007-10-01T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/464979null HTML http://patientcare.modernmedicine.com/patcare/Serious-adverse-drug-events-More-frequent-than-eve/ArticleStandard/Article/detail/464982?ref=25 The FDA defines a serious adverse drug event (ADE) as one that results in death, a birth defect, disability, hospitalization, or is life-threatening, or requires intervention to prevent harm. Voluntary reporting these events is done via the Adverse Event Reporting System, which the FDA has operated since 1998. Despite public and professional awareness of the incidence of medical errors and their effect on health safety, ADEs have increased. 2007-10-01T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/412007/464982null HTML http://patientcare.modernmedicine.com/patcare/aafp07/Chicago-welcomes-the-AAFP/ArticleStandard/Article/detail/462373?ref=25 The city of Chicago offers a host of activities, museums, shopping and cultural activities for attendees of the American Academy of Family Physicians. 2007-09-24T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/402007/462373null XML http://www.modernmedicine.com/modernmedicine/Neurologic+Disorders/Newer-anticonvulsants-for-managing-epilepsy/ArticleStandard/Article/detail/456683?ref=25 Primary care clinicians play a vital role in the treatment of patients with epilepsy with ongoing seizures. Advances in anticonvulsant drugs help in the management. 2007-09-16T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/372007/456683null XML http://www.modernmedicine.com/modernmedicine/News/RESEARCH-DIGEST/ArticleStandard/Article/detail/456681?ref=25 SSRIs are not major teratogens when taken in first trimester; MS risk not determined by parent's gender; Low household income linked to migraine risk in teens 2007-09-16T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/372007/456681null XML http://www.modernmedicine.com/modernmedicine/Neurologic+Disorders/A-primary-care-guide-to-transverse-myelitis/ArticleStandard/Article/detail/456684?ref=25 Patients are being sent home from physician offices and emergency departments in the early stages of transverse myelitis, only to return later completely paralyzed. Here's what you need to know about it. 2007-09-16T04:00:00Z http://patientcare.modernmedicine.com/patcare/data/articlestandard/patcare/372007/456684null XML