-
-
This article summarizes the major findings of the United States Public Health Service guideline: Treating Tobacco Use and Dependence, a comprehensive, evidence-based strategy for treating tobacco dependence. It also provides recommendations for delivering effective clinical interventions to treat tobacco dependence in the primary care setting including behavioral therapies, first-line medications, and second-line medications. The article concludes with updated information about new medications under development.
-
-
Thyroid disease is commonly encountered in primary care practices because it occurs in a significant proportion of the general population. Routine thyroid disease usually is managed by the primary care provider. An understanding of the various diseases, appropriate diagnostic tests, therapeutic options, and complications of therapy is essential for proper management of the many patients with thyroid disorders.
-
-
-
Recombinant Erythropoietin Products May Stimulate Tumor Growth; Rosuvastatin: Markets Most Potent Statin; FDA Actions.
-
Oligoasthenospermia (male factor infertility) is associated with abnormal genomic imprinting of the sperm, a feature that may predispose to abnormal embryogenesis, including a risk of rare developmental abnormalities and cancer in adulthood, if fertilization occurs, as it may because of the availability of assisted reproductive techniques.
-
An enlightening article recently appeared in the British Journal of Obstetrics and Gynaecology by Akmal and colleagues. They performed sonograms in 601 women in active labor to assess the position of the fetal head as it entered the maternal pelvis. Using the simple end point of Cesarean section, they then folded in a variety of other variables, such as maternal age, parity, maternal height, ethnicity, fetal gender, gestational age, and whether labor was spontaneous or induced.
-
Patients in clinical remission are most likely to benefit from autologous transplantation, with the exception of patients with clear cell histology.