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Evidence-based smoking cessation programs for use in primary care settings
Tobacco dependency is a growing problem among older adults. Given the addictive nature of tobacco use, smokers need a multifactorial treatment program to help stop smoking. Health care professionals can play a pivotal role in the promotion of a smoking cessation treatment program to people of all ages, including the elderly. This paper presents important evidence that smoking cessation services for the elderly are effective, and describes how primary care physicians can support elderly people quit smoking.
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Partial remission: A common outcome in older adults treated for major depression
Major depression can affect up to 10% of older adults in clinical samples. Longitudinal studies of older adults with major depression report that a significant proportion of patients do not fully recover. Partial remission, or symptoms of major depression that do not meet criteria for major depression, is predicted by 1) clinical factors , such as higher number of symptoms at diagnosis, presence of comorbid dysthymia, and health problems; 2) social variables, such as high levels of perceived stress and low levels of perceived social support; and 3) perceived health/well-being variables, such as limitations in mobility or instrumental activities of daily living, poorer self-perceived health, finding life not satisfying, and looking back over life and finding it unhappy.
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Ascending "doughnuts" on a boy's legs
What's causing the "doughnut-shaped bumps" on a boy's legs? You are asked to evaluate "doughnut-shaped bumps" on the legs of a 9-year-old boy that have been present since 2 months of age. The asymptomatic eruption has progressed over time from the ankles, up the legs, and onto the hips. The patient is healthy and active in after-school sports, and does not take any medications.
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Update on fever in the returning traveler
Returning travelers who are febrile require an urgent diagnostic workup and appropriate consultation even if signs on the physical exam are unremarkable. Here's how you should proceed.
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