Spring 2007 - Volume 11 Number 2
Adverse Childhood Experiences and Smoking Persistence in Adults with Smoking-Related Symptoms and Illness
Using data from the Adverse Childhood Experiences Study, researchers explore the reasons adults continue to smoke after diagnosis of diseases and conditions that contraindicate smoking.
MyChartA New Mode of Care Delivery: 2005 Personal Health Link Research Report
A secure member Web site where registered patients may view portions of their medical record and exchange secure messages with their primary care physicians was evaluated on the basis of a survey, content analysis, and physicians logs.
Implementing the Electronic Medical Record in the Exam Room: The Effect on Physician-Patient Communication and Patient Satisfaction
Introducing the computer into the exam room raises important questions about physician-patient communication and patient satisfaction. Patient satisfaction scores were compared to evaluate how scores changed as physicians started using computers in the exam room.
Obesity in the Kaiser Permanente Patient Population and Positive Outcomes of Online Weight-Management Programs
The effects of obesity in the Kaiser Permanente population are reviewed and two nationally available online self-care weight management programs are discussed with assessments of potential problems and recommendations.
Decreasing Medication Discrepancies Between Outpatient and Inpatient Care Through the Use of Computerized Pharmacy Data
This study provides an example of a positive impact of modern computer technology and upon the quality of medical care.
Perioperative Tight Glycemic Control: The Challenge of Bariatric Surgery Patients and the Fear of Hypoglycemic Events
Although tight glycemic control has resulted in improved outcomes, fear of hypoglycemia has been an important barrier to implementation. This triple arm prospective trial demonstrates improved hyperglycemic control in bariatric surgery patients with no increase in hypoglycemia.
Caring for the Adult with Congenital Heart Disease: Management of Common Defects
Congenital heart defects are common. Advances in pediatric medicine and surgery have made it possible for nearly 85% of infants born with congenital heart defects to survive into adulthood. This article reviews some of the challenges of adults with congenital heart disease and offers practice guidelines for clinicians.
Using the Assessing Care of the Vulnerable Elderly study (1 and 2), Reuben reviews the current state of health care to identify barriers and to explore individual and systems efforts to improve outpatient care.
An overview, with vignette, of the recently updated Care Management Institute's Heart Failure Management Guidelines which addresses this major public health challenge.
Hemorrhoids: Modern Remedies for an Ancient Disease
A case study explores the pathophysiology, presentation, evaluation and management of hemorrhoids with recommendations for conservative treatment and when aggressive treatment is indicated.
Is Abstinence from Red Wine Hazardous to Your Health?
Grounded in Richness
Frontiers in Hematology
At Home in the Clouds, Picos de Europa, Spain
Little Things Mean a Lot
The Walk-In Patient
On the Cover
David Clarke, MD