November 2013

Exercise Produces Cardiovascular Outcomes Similar to Drug Interventions

November 01, 2013

FPR Journal Club

New evidence suggests that physical activity and drug interventions are similar in terms of mortality benefits in the secondary prevention of congestive heart failure (CHF), rehabilitation after stroke, treatment of heart failure, and prevention of diabetes.

Shortening Glucocorticoid Therapy in COPD Patients

November 01, 2013

FPR Journal Club

The REDUCE randomized clinical trial determined that 40 mg prednisone administered daily for 5 days wasn't inferior to 14 days of treatment in a placebo-controlled, double-blind setting.

Aggressive Cardiac Rehabilitation Improves Outcomes in Chronic Heart Failure Patients

November 01, 2013

FPR Journal Club

Results of a randomized controlled trial demonstrate that a long-term, supervised, moderate-intensity exercise training program for chronic heart failure patients can produce improvements in hospital readmission and survival rates.

Concerns with Current EHR Are Driving Physician Dissatisfaction

November 01, 2013

The HIT List

Though physicians understand the advantages of electronic health records (EHR), their experience with cumbersome health information technology (HIT) systems is increasingly contributing to their professional dissatisfaction.

Shedding Light on the Sunshine Act

November 01, 2013

Editor's Letter

A commonly used adage is "there's no such thing as a free lunch." Suffice it to say that in the wake of the Sunshine Act, there may be no such thing as an industry-provided "free lunch."

Red Rash in a Young Boy with Difficulty Walking

November 01, 2013

Dermatology Quiz

This 6-year-old boy presents to the ER with a 2-day history of increasing pain and swelling in his right ankle. On the day of his arrival, he also developed the rash pictured here. The patient denies any other symptoms aside from his ankle and knee pain. His chest X-ray, vital signs, complete blood count (CBC), and basic chemistry panel were normal, though urinalysis showed a trace of blood.

Discussing Healthful Eating and Weight with Obese Adolescents

November 01, 2013

FPR Journal Club

Conversations about healthful eating between parents and students are associated with a lower prevalence of disordered eating behaviors in adolescents, while conversations about weight result in a higher prevalence of those behaviors.

How to Approach Parents Who Decline Vaccines for Their Infants

November 01, 2013

Consultant's Corner

A 2-month-old baby is healthy and growing well, but when you begin to discuss immunizations, the parents stop you and state that they've decided not to immunize the child. How should you respond?