Table of Contents

VOL 119 / NO 2 / July-August 2006 / POSTGRADUATE MEDICINE

• TREATMENT OF TYPE 2 DIABETES

  SYMPOSIUM ON DIABETES

  Use of fixed-dose oral combinations
  Advantages of early initiation of combination oral therapy include improved efficacy, fewer side effects, lower cost, and better compliance.
  David S. H. Bell, MB, FRCPC, FRCP(Edin), Kathleen L. Wyne, MD, PhD




• The addition of injection therapy
  Incretin mimetics and insulin are options for patients in whom oral therapy is failing.
  David S. H. Bell, MB, FRCPC, FRCP(Edin), Kathleen L. Wyne, MD, PhD



• INFORMATION TECHNOLOGY ISSUES IN HEALTHCARE

  FROM HEALTHCARE INFORMATICS

  E-communication becoming key: Hill Physicians is working with RelayHealth to enhance online patient interaction
  


• Time to move: As various market and policy forces change, providers are gravitating to EMR environments
  


• Digital conquistador: Michael Spain, MD, has leveraged a mix of experience and vision to create an all-digital specialty hospital
  



• HARRISON'S ONLINE UPDATES

  FROM HARRISON'S ONLINE

  Eosinophilic esophagitis
  


• Mucosal cell destruction in inflammatory bowel disease
  


• Persistent post-stroke pain is common
  



• CLINICAL UPDATES

  PERIPHERAL ARTERIAL DISEASE
  A marker of morbidity and mortality
  A heightened awareness of symptomatic and asymptomatic disease, as well as screening of at-risk patients, is essential to reduce adverse effects.
  Daniel G. Federman, MD, Jeffrey D. Kravetz, MD, Dawn M. Bravata, MD, Robert S. Kirsner, MD, PhD




• DIAGNOSIS AND MANAGEMENT OF CHRONIC HEPATITIS B IN THE PRIMARY CARE SETTING
  A better understanding of virology and an increasing number of approved drugs are helping physicians meet the challenge of managing patients with this serious infection.
  Naoky Tsai, MD




• THE CLINICAL IMPLICATIONS AND MANAGEMENT OF CONCOMITANT HYPERTENSION AND DYSLIPIDEMIA
  An integrated approach to treating hypertension and dyslipidemia may have better results and improve management of cardiovascular disease.
  David T. Nash, MD




• IDENTIFICATION AND TREATMENT OF ALCOHOL USE DISORDERS IN THE PERIOPERATIVE PERIOD
  Preoperative screening tests and treatment, perioperative management, and postoperative assessment for patients with AUDs.
  Adam J. Gordon, MD, MPH, Josh Olstein MD, Joseph Conigliaro, MD, MPH




• GENOMIC PROFILING IN CLINICAL ONCOLOGY
  The predictive value of genomic information in cancer management
  How new technology is providing detailed information about the particular genes expressed in malignant tissues.
  Hamid R. Mirshahidi, MD, Jame Abraham, MD




• WHEN BACK PAIN IS NOT BENIGN
  A concise guide to differential diagnosis
  The characteristic signs and symptoms of the most common serious causes of unremitting back pain.
  Krzysztof Siemionow, MD, Robert F. McLain, MD




• RADIOIODINE IMAGING IN THE PRIMARY CARE OF THYROID DISEASE
  When is radioiodine imaging indicated in a primary care setting?
  Sharon Y. Wu, MD, Roy E. Weiss, MD, PhD



• EDITOR'S NOTE

  CONTINUING FEATURES

  Introducing Healthcare Informatics
  



• PUZZLES IN PRACTICE

  CONTINUING FEATURES

  Vitreous opacities in one eye of an asymptomatic patient
  Jaheed Khan, BSc, MBBS, MRCOphth




• Large abdominal mass in an elderly man
  Fadi I. Jabr, MD



• CURBSIDE CONSULTS

  CONTINUING FEATURES

  Is glucosamine MSM effective for osteoarthritis?
  Kenneth E. Sack, MD




• How to work up terminal orgasmic hematospermia?
  Neil Baum, MD



• PATIENT NOTES

  CONTINUING FEATURES

  Putting together a home first-aid kit
  Items to keep in the medicine cabinet.
  Peter A. Setness, MD, with Mary Van Beusekom

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