Educational interventions improve outcomes for children with asthma

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Asthma education interventions for children may result in modest improvement in a wide range of clinical outcomes. Interventions should target children with more severe asthma and teach them to use objective measures of lung function, such as peak flow for self-monitoring instead of symptombased self-monitoring.

 
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Guevara JP, Wolf FM, Grum CM, Clark NM. Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis. BMJ 2003; 326:1308–1312.

Caroline R. Richardson, MD
Department of Family Medicine, University of Michigan Health System, Ann Arbor. [email protected]

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Guevara JP, Wolf FM, Grum CM, Clark NM. Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis. BMJ 2003; 326:1308–1312.

Caroline R. Richardson, MD
Department of Family Medicine, University of Michigan Health System, Ann Arbor. [email protected]

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Guevara JP, Wolf FM, Grum CM, Clark NM. Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis. BMJ 2003; 326:1308–1312.

Caroline R. Richardson, MD
Department of Family Medicine, University of Michigan Health System, Ann Arbor. [email protected]

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PRACTICE RECOMMENDATIONS

Asthma education interventions for children may result in modest improvement in a wide range of clinical outcomes. Interventions should target children with more severe asthma and teach them to use objective measures of lung function, such as peak flow for self-monitoring instead of symptombased self-monitoring.

 
PRACTICE RECOMMENDATIONS

Asthma education interventions for children may result in modest improvement in a wide range of clinical outcomes. Interventions should target children with more severe asthma and teach them to use objective measures of lung function, such as peak flow for self-monitoring instead of symptombased self-monitoring.

 
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Estrogen plus progestin may increase incidence of dementia

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Estrogen plus progestin does not decrease— and may actually increase—the incidence of dementia, mild cognitive impairment, and cognitive dysfunction in elderly postmenopausal women. The effect of unopposed estrogen on these outcomes is still unknown. With these new findings and the recently reported results of the Women’s Health Initiative, for most women the benefits of estrogen plus progestin do not outweigh the risks.

 
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Shumaker SA, Legault C, Rapp SR, et al. Estrogen plus progestin and the incidence of dementia and mild cognitive impairment in postmenopausal women. The Women’s Health Initiative Memory Study: a randomized controlled trial. JAMA 2003; 289:2651–2662.

Nicole S. Culhane, PharmD, BCPS
Wilkes University, Nesbitt School of Pharmacy, Wyoming Valley Family Practice Residency, Wilkes-Barre, Pa. [email protected].

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Nicole S. Culhane, PharmD, BCPS
Wilkes University, Nesbitt School of Pharmacy, Wyoming Valley Family Practice Residency, Wilkes-Barre, Pa. [email protected].

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Nicole S. Culhane, PharmD, BCPS
Wilkes University, Nesbitt School of Pharmacy, Wyoming Valley Family Practice Residency, Wilkes-Barre, Pa. [email protected].

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PRACTICE RECOMMENDATIONS

Estrogen plus progestin does not decrease— and may actually increase—the incidence of dementia, mild cognitive impairment, and cognitive dysfunction in elderly postmenopausal women. The effect of unopposed estrogen on these outcomes is still unknown. With these new findings and the recently reported results of the Women’s Health Initiative, for most women the benefits of estrogen plus progestin do not outweigh the risks.

 
PRACTICE RECOMMENDATIONS

Estrogen plus progestin does not decrease— and may actually increase—the incidence of dementia, mild cognitive impairment, and cognitive dysfunction in elderly postmenopausal women. The effect of unopposed estrogen on these outcomes is still unknown. With these new findings and the recently reported results of the Women’s Health Initiative, for most women the benefits of estrogen plus progestin do not outweigh the risks.

 
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Cervical spondylotic myelopathy: Make the difficult diagnosis, then refer for surgery

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Hair Care Practices in African American Women

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Chemene R. Quinn, MD; Timothy M. Quinn, MD; A. Paul Kelly, MD

Accepted for publication January 17, 2003. Drs. C.R. Quinn and Kelly are from the Division of Dermatology, Department of Internal Medicine, and Dr. T.M. Quinn is from the Department of Family Medicine, Martin Luther King Jr/Drew Medical Center and Charles R. Drew University of Medicine and Science, Los Angeles, California.
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Prevention of Cross-Contamination When Using Microdermabrasion Equipment

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Ron M. Shelton, MD

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Navigating the Management of Hepatitis C

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Supplement Editor:
William Carey, MD

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The epidemiology and natural history of hepatitis C virus infection
Nizar N. Zein, MD

Tests and screening strategies for the diagnosis of hepatitis C
William Carey, MD

Management of newly diagnosed hepatitis C virus infection
Mark W. Russo, MD, MPH; Steven L. Zacks, MD, MPH; and Michael W. Fried, MD

Treatment options for nonresponders and relapsers to initial therapy for hepatitis C
Marten Duncan, DO, and Zobair Younossi, MD, MPH

Special management challenges in hepatitis C
Jose Martagon, MD, and Steven M. Gordon, MD

 

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William Carey, MD

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The epidemiology and natural history of hepatitis C virus infection
Nizar N. Zein, MD

Tests and screening strategies for the diagnosis of hepatitis C
William Carey, MD

Management of newly diagnosed hepatitis C virus infection
Mark W. Russo, MD, MPH; Steven L. Zacks, MD, MPH; and Michael W. Fried, MD

Treatment options for nonresponders and relapsers to initial therapy for hepatitis C
Marten Duncan, DO, and Zobair Younossi, MD, MPH

Special management challenges in hepatitis C
Jose Martagon, MD, and Steven M. Gordon, MD

 

Supplement Editor:
William Carey, MD

Contents

The epidemiology and natural history of hepatitis C virus infection
Nizar N. Zein, MD

Tests and screening strategies for the diagnosis of hepatitis C
William Carey, MD

Management of newly diagnosed hepatitis C virus infection
Mark W. Russo, MD, MPH; Steven L. Zacks, MD, MPH; and Michael W. Fried, MD

Treatment options for nonresponders and relapsers to initial therapy for hepatitis C
Marten Duncan, DO, and Zobair Younossi, MD, MPH

Special management challenges in hepatitis C
Jose Martagon, MD, and Steven M. Gordon, MD

 

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Anticholinergics reduce symptoms of overactive bladder

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PRACTICE RECOMMENDATIONS

Anticholinergic drugs such as tolterodine and oxybutynin produce a small effect on the symptoms of overactive bladder, decreasing slightly the number of episodes of leakage and the frequency of urination. The standard conservative intervention of bladder retraining has not been compared with anticholinergic drugs and their effect in combination has not been studied.

 
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Herbison P, Hay-Smith J, Ellis G, Moore K. Effectiveness of anticholinergic drugs compared to placebo in the treatment of overactive bladder: systematic review. BMJ 2003; 326:841–847.

Sharon See, , PharmD
Kamini Geer, MD
Beth Israel Program in Urban Family Health, Phillips Family Practice, New York, NY. E-mail: [email protected] .

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Herbison P, Hay-Smith J, Ellis G, Moore K. Effectiveness of anticholinergic drugs compared to placebo in the treatment of overactive bladder: systematic review. BMJ 2003; 326:841–847.

Sharon See, , PharmD
Kamini Geer, MD
Beth Israel Program in Urban Family Health, Phillips Family Practice, New York, NY. E-mail: [email protected] .

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Herbison P, Hay-Smith J, Ellis G, Moore K. Effectiveness of anticholinergic drugs compared to placebo in the treatment of overactive bladder: systematic review. BMJ 2003; 326:841–847.

Sharon See, , PharmD
Kamini Geer, MD
Beth Israel Program in Urban Family Health, Phillips Family Practice, New York, NY. E-mail: [email protected] .

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PRACTICE RECOMMENDATIONS

Anticholinergic drugs such as tolterodine and oxybutynin produce a small effect on the symptoms of overactive bladder, decreasing slightly the number of episodes of leakage and the frequency of urination. The standard conservative intervention of bladder retraining has not been compared with anticholinergic drugs and their effect in combination has not been studied.

 
PRACTICE RECOMMENDATIONS

Anticholinergic drugs such as tolterodine and oxybutynin produce a small effect on the symptoms of overactive bladder, decreasing slightly the number of episodes of leakage and the frequency of urination. The standard conservative intervention of bladder retraining has not been compared with anticholinergic drugs and their effect in combination has not been studied.

 
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Flu shot or FluMist?

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Lipid-lowering: Can ezetimibe help close the treatment gap?

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Ryan C. Neal, MD
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Trichotillomania: A Review and Case Report

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Nuss MA, Carlisle D, Hall M, Yerneni SC, Kovach R

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