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In this placebo-controlled trial, ciprofloxacin and tamsulosin (an α-adrenergic blocker) did not substantially reduce symptoms in men with moderate to severe symptoms from long-standing chronic prostatitis/chronic pelvic pain syndrome.
Survivors of childhood sarcomas and those who received chest radiation therapy are at increased risk for secondary breast cancer. Factors influencing a survivor's risk include the specific type of cancer experienced during childhood, previous radiation therapy, family cancer history, and history of thyroid disease.
In this randomized trial, vestibular rehabilitation exercises, taught by nurses in general practice and performed at home, improved symptoms, postural stability, and dizziness-related disability in patients with chronic dizziness.
In this clinical trial, nurse care management for patients with heart failure at low risk for rehospitalization did not reduce rehospitalizations for heart failure or for any cause. Most care management programs have targeted patients at high risk for rehospitalization. These programs may be less effective for patients at low risk.
This Update covers risk factors for heart disease, new treatment approaches for coronary artery disease, treatment for reducing cardiovascular risk, and treatment of chronic heart failure.
Although some antihypertensive drugs affect blood pressure differently in black patients and white patients, efficacy for reducing morbidity and mortality is the same once patients achieve a blood pressure goal.
Studies often document racial differences in health care use, but most lack a framework for interpreting these variations. Ambiguity impedes understanding of whether differences reflect innocuous variations or significant shortfalls in care. To address this issue, we propose terminology and criteria for assessing reports of racial differences in health care use.
In Alexander and colleagues' large, well-performed randomized trial, neither a broad-spectrum antibiotic nor an α-adrenergic blocker affected chronic prostatitis–related symptoms. By confirming smaller trials of antibiotics, this study clinches the case against antibiotics for chronic prostatitis. Since α-adrenergic blockers have been effective in previous trials, their role is not clear.
The convincing study by Yardley and colleagues in this issue broadens our knowledge of treating dizziness and provides strong arguments to get our patients up and exercising.
The nurses in the heart failure disease management intervention tested in DeBusk and colleagues' study contacted the patients only by telephone. The failure of this program to alter congestive heart failure outcomes should cause policymakers to question the rush to telephone-only disease management programs.
Try as he might, he just couldn't figure things out. Everything seemed backward or upside down or something. In a way this felt like home, but this wasn't home. He wasn't old like these other people, and he had a wife and kids and a job to go to.
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