Internal Medicine Alert – May 30, 2009
May 30, 2009
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Office Visit Weight-loss Counseling
A survey of U.S. primary care physicians found that although most recommend weight loss to their obese patients, they do not utilize current evidence-based recommendations, and they underestimate the therapeutic effects of small weight losses. -
Brown Adipose Tissue: A Really Cool Idea
Brown adipose tissue is involved in temperature regulation, and relates to metabolic rate and body mass index. Its activity appears to be reduced in people who are obese. -
PPIs and Uncontrolled Asthma
Despite a clear-cut association between asthma and gastroesophageal reflux, aggressive PPI treatment had no clinical effect on poorly controlled asthma. -
Will I Ever Get a Good Night's Sleep?
Insomnia persists. -
Pharmacology Update: Golimumab Injection (Simponi™)
Golimumab is indicated for the treatment of adults with moderately to severely active rheumatoid arthritis in combination with methotrexate (MTX), active psoriatic arthritis, and active ankylosing spondylitis with or without methotrexate or other non-biologic disease-modifying antirheumatic drug (DMARD). -
Clinical Briefs By Louis Kuritzky, MD
Patients with chronic heart failure (CHF) report progressively worse dyspnea with exercise, ranging from Class I NYHA (symptoms only present with strenuous exercise) to Class IV NYHA (symptoms present with any activity, even at rest).