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August 2006 (Vol. 55, No. 8)

Editorial

Breakthroughs in enhancing compliance
Jeff Susman, MD

 

InfoPOEMsŪ

Metronidazole gel prevents recurrences of bacterial vaginosis

 Clonidine, gabapentin, and some SSRIs effective for hot flashes

Early initiation of statins following ACS does not improve outcomes

 ACE inhibitors effective in CAD without CHF

Lifestyle changes of little benefit in GERD

 

Applied Evidence

Knee osteoarthritis: Should your patient opt for hyaluronic acid injection?
Jennifer M. Medina , Phd, MS, ATC, CSCS; Abbey Thomas , MEd, ATC; Craig R. Denegar , PhD, PT, ATC

 Dealing with school refusal behavior A primer for family physicians
Christopher A. Kearney, PhD

“Hot tub” lung: Is it on your list of respiratory ailments?
Kevin N. Waninger, MD; Jill F. Young, DO

 

Photo Rounds

Itching and rash in a boy and his grandmother
Gary N. Fox, MD; Richard P. Usatine, MD

 

Practice Alert

Malpractice crisis Causes of escalating insurance premiums, and implications for you
Eric Henley, MD, MPH

 

Clinical Inquiries

Which medications can be split without compromising efficacy and safety?
John Noviasky, PharmD; Vincent Lo, MD; Diane D. Luft, MSI
Commentary
• Splitting scored tablets is efficacious and safe, but cost savings are often limited
Joseph Saseen , PharmD, FCCP, BCPS

 Which vaccinations are indicated after splenectomy?
Charles W. Webb, DO; Karen Crowell, MLS
Commentary
• Don’t forget those on prednisone, immunosuppressants, or undergoing chemotherapy
David Cravens , MD

What is the most effective management of acute fractures of the base of the fifth metatarsal?
Davis Vu, MD; Todd McDiarmid, MD; Marcy Brown, MLS
Commentary
• For athletes, surgical correction of all Jones-type fractures usually preferred
Douglas F. Aukerman , MD

 How should we manage a patient with a positive PPD and prior BCG vaccination?
Kathleen Rowland, MD; Richard Guthmann, MD; Barbara Jamieson, MLS
Commentary
• Disregard history of BCG immunization when evaluating positive PPDs among immigrants
Drew Malloy , MD

When should we screen children for hyperlipidemia?
Nancy E. Misicko, MD, MPH; Leilani St Anna, MLIS
Commentary
• With no clear medical treatment for childhood dyslipidemia, screening provides little help
Walter Foliaco , MD

 What are contraindications to IUDs?
Heather L. Paladine, MD; Carol E. Blenning, MD; Dolores Zegar Judkins, MLS
Commentary
Shashi Mittal , MD

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