Comprehensive therapy
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The diagnosis and management of latent tuberculosis infection (LTBI) has evolved over the last several years. New guidelines have been issued as our knowledge base continues to improve. We summarize the current understanding of this important topic and review the pathophysiology of the purified protein derivative test, its use and interpretation, the concept of targeted tuberculin testing, the management of latent tuberculosis infection (LTBI), and the role of the newer testing modalities.
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Comprehensive therapy · Jan 2009
ReviewBariatric surgery: important considerations for the primary care provider.
Bariatric surgery has become an acceptable therapy for the management of the patient with medically complicated obesity. This paper will review important considerations for the primary care provider as they identify, counsel and care for patients interested in these interventions.
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Vasomotor symptoms affect the majority of postmenopausal women. Given the risks of hormone replacement therapy, alternative treatments for hot flashes have emerged over recent years. This article will review currently available treatments for hot flashes, including hormonal and non-hormonal therapies.
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Women of childbearing age with depression present with a unique set of risks. This article will discuss the following topics: these specific risks, current literature on treating depression in the peripartum, and roles of physician and patient in peripartum treatment.
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Randomized, double-blind, placebo-controlled studies and observational studies have demonstrated that statins reduce mortality and major cardiovascular events in high-risk persons with hypercholesterolemia. The Heart Protection Study showed that statins reduced mortality and major cardiovascular events in high-risk persons, regardless of the initial level of serum lipids, age, or gender. Lipid-lowering therapy reduces cardiovascular morbidity and mortality in high-risk persons, forming the basis for the updated National Cholesterol Education Program (NCEP) III guidelines.