Family medicine

Article Abstract:

Several nutrition studies support the role of the family physician in preventive medicine. The substitution of soy protein for animal protein can lower cholesterol levels and fruits and vegetables and certain vitamins can reduce the risk of cardiovascular disease. Free preventive services reduced mortality rates in a group of elderly patients. The cost of these services could be recovered in reduced costs for health care overall. Other studies support the use of ACE inhibitors, clot-dissolving drugs, aspirin and beta blockers in patients who have had a heart attack. Cholesterol-lowering drugs have lowered the rates of heart attack in men with documented coronary artery disease. Exercise also lowers mortality rates in men. Two new oral hypoglycemic drugs may help people with type 2 diabetes control their blood sugar. Studies show that family physicians can provide care equivalent to that of a specialist at less cost.

Cardiovascular diseases, Heart attack

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New developments in family medicine

Article Abstract:

Research has shown that ultrasound scanning of bones can be comparable to x-ray absorptiometry and much less expensive. However, widespread screening of women to detect low bone mass is probably not cost-effective. Testing for hepatitis C virus has revealed that many Americans are infected and some may develop liver cirrhosis and liver cancer. HCV-positive patients with liver damage should be treated. Alternative anti-asthma drugs are needed since corticosteroids have serious side effects. St. John's wort may be as effective for depression as some antidepressants but the composition and safety of most extracts is unknown.

Analysis, Bones, Asthma, Hepatitis C, Bone density, St. John's wort, Hypericum

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Family medicine

Article Abstract:

The US Preventive Services Task Force in 1996 produced the second edition of its Guide to Clinical Preventive Services. The Guide recommends routine screening for colorectal cancer but not for prostate cancer. There is little evidence that routine screening for prostate cancer reduces mortality rates. Research shows that stress and depression can increase the risk of hypertension. Estrogen replacement therapy can reduce a woman's risk of heart disease and Alzheimer's disease. The indiscriminate use of antibiotics has led to antibiotic resistance in many bacteria.

Care and treatment, Standards, Hypertension, Medical screening, Health screening

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