More articles from Review
- Pneumococcal vaccination in adults: Recommendations, trends, and prospects
Current vaccines against Streptococcus pneumoniae may not be ideal, but they are worth giving to elderly patients and others at risk.
- Heart failure in women is different than in men; should treatment be different?
Studies of heart failure treatment have included mostly men, and the results have been generalized to women even though there are pharmacologic and pathophysiologic differences between the sexes.
- A different approach to resistant hypertension
More patients with resistant hypertension could control their blood pressure if physicians would perform a physical examination to determine the hemodynamic mechanism driving the hypertension. More patients would receive diuretics and beta-blockers, and in higher doses.
In vitro fertilization updateThe science of in vitro fertilization has improved considerably in the last 25 years. We provide an overview of the current and experimental techniques of assisted reproductive technology.
- Parkinson disease: Managing a complex, progressive disease at all stages
Parkinson disease is complex to manage. Its presentation can vary, as can its response to treatment. Physicians tend to focus on its motor symptoms, but many patients find nonmotor symptoms equally troublesome.
- Anabolic steroid abuse: Psychiatric and physical costs
Anabolic-androgenic steroid abuse is no longer confined to professional athletes. Physicians should be aware of its signs and symptoms so that they can address its adverse effects and treat it.
- Advances in treating insomnia
Hypnotic drugs should not be the sole treatment for insomnia: the regimen should include sleep hygiene and behavioral therapies.
- Metabolic syndrome: Controversial but useful
The cluster of obesity, impaired fasting glucose, elevated triglycerides, low high-density lipoprotein cholesterol, and hypertension may not be a “real” syndrome in the strict sense, but it can still be a useful concept if it helps persuade patients to undertake healthy lifestyle changes.
- Celiac disease: More common than you think
The disease is underrecognized because about half of people who have it do not have the classic gastrointestinal symptoms. Instead, they may present with nonspecific manifestations of nutritional deficiency or have no symptoms at all.
- Differentiating bipolar disorder from depression in primary care
When physicians encounter a patient who obviously is depressed, they should not assume that the patient has unipolar depression until they have ruled out bipolar disorder, formerly called “manic-depressive illness.”
