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June 2005 (Vol. 54, No. 6)

Editorial

The Future of Family Medicine: A call for careful consideration
Jeff Susman, MD

 

InfoPOEMsŪ

Melatonin effective for some sleep disorders

 Antibiotic choice makes little difference in CAP

Anemia does not predict iron deficiency among toddlers

 Once-daily topical steroid dosing effective for atopic eczema

Early intrathecal analgesia does not increase cesarean sections

 

Applied Evidence

The less familiar side of heart failure: Symptomatic diastolic dysfunction
Spencer A. Morris, PharmD, BCPS; Mark Van Swol, MD; Bela Udani, MD

 Complex regional pain syndrome underdiagnosed
Anna Quisel, MD; James M Gill, MD, MPH; Peter Witherell, MD

Photo Rounds

Palpable purpura and a visible sock line
Emi Ponce de Souza, MS3; Richard P. Usatine, MD

 

Practice Alert

Us Preventive Services Task Force: The gold standard of Evidence-based prevention
Doug Campos-Outcalt, MD, MPA

 

Clinical Inquiries

Which imaging modality is best for suspected stroke?
Holly Biola, MD; Karen Crowell, MLIS, AHIP
Commentary
• CT without contrast still the best choice for assessing suspected acute stroke
Fred Grover Jr , MD

 What is the best strategy for impaired glucose tolerance in nonpregnant adults?
Shobha Rao, MD; Sonia Kakkar, DO; Laura Wilder, MLS
Commentary
• Lifestyle modification clearly works; medication may have a role as well
James Meza , MD, MSA; Saeed Tarokh , MD

Can we prevent splenic rupture for patients with infectious mononucleosis?
Brett H. Foreman, MD; Leslie Mackler, MSLS
Commentary
• Mononucleosis patients should restrict strenuous activity for 4 weeks from onset
E. Drew Malloy , MD

 What is the best way to identify patients with white-coat hypertension?
Michael Fisher, MD, MPH; Jean Blackwell, MLS
Commentary
• Ambulatory BP monitoring better than home monitoring for ruling out white-coat hypertension
Joseph Saseen , PharmD, FCCP, BCPS

What is the evaluation and treatment strategy for Raynaud’s phenomenon?
Heather Tagliarino, MD; Michael Purdon, MD; Barbara Jamieson, MLS
Commentary
• Reserve pharmacotherapy for cases that are resistant to conservative measures
Grant Hoekzema , MD

 Does digoxin decrease morbidity for those in sinus rhythm with heart failure?
Charissa Fotinos, MD; Joan Nashelsky, MLS
Commentary
• Digoxin unlikely to benefit most patients with mild heart failure
Grant Hoekzema , MD

Observations from Practice

Topical honey for diabetic foot ulcers
Jennifer J. Eddy, MD; Mark D. Gideonsen, MD

 

Language of Evidence

Using systematic literature surveillance
Brian S. Alper, MD, MSPH

 

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