D Armstrong

....

..This editorial presents the summary of the CERAG report and recommendations...

..Some of the failure of evidence-based medicine to be implemented may be more explicable if both dimensions were attended to...

....

..II Amongst smokers who fail to quit at six months, motivation to make another quit attempt is lower when informed that their oral dose of NRT was tailored to genotype rather than phenotype...

....

..We aimed to determine the relationship between the quality of primary care, as judged by the total QOF score, social deprivation and practice characteristics...

..This observation raises the question of whether this use of scarce time resource in the consultation is appropriate...

..This study examined the success of a local initiative to provide free installation of central heating for a group of elderly people...

..In particular, 'successful' papers have provided important theoretical constructs for the field while exploration of aspects of identity has been a recurrent focus...

..The study identified two mechanisms, clinical etiquette and clinical experimentation, however, that enabled change to occur within the constraints imposed by the commitment to clinical autonomy...

..Further, in a parallel thread I describe contemporary developments in public health and explore the similarities and connections between the two...

..Other contemporary examples of these free-floating symptoms reinforce the argument that the nature and meaning of symptoms has been transformed over recent decades...

....

..Finally, in the 21st century it has become stabilized as a core dimension of health and illness...

....

..Setting: General practice covering a geographical locality within inner-city south London. Subjects: All 72 general practitioners who had joined a GP Commissioning Group. Main outcome measures: questionnaire responses...

..CONCLUSION: Resentment about perceived inequalities in workload places a further burden on general practices. The issue of working together warrants further support...

..Longitudinal data from the 1970 British Cohort Study were used to examine the long-term adult outcomes of those who, as children, were placed in public care...

..The mismatch between general practice and psychiatric diagnosis of psychological problems has been frequently reported...

..A number of different therapies are prescribed to control the disease. This survey-based study was carried out to assess patients' and physicians' perceptions of GERD and its treatment...

..One reason for the model's persistence may be that it is employed as a diagnostic device, used to differentiate between those unexplained symptoms that could, in principle, have a medical explanation and those that could not...

..This study reports how neurologists in the UK described dealing with this dilemma in their practice...

..Treatment costs at six-month follow-up were also significantly higher. Implications are discussed...

..The ICC statistic is a useful tool for exploring homogeneity and heterogeneity within general practice partnerships...

..This may result in screening policies that overweight timing in the selection of a test to the relative neglect of tests associated with lower miscarriage rates and higher detection rates but conducted later in pregnancy...

..If this same information was presented to patients--so enabling them to give proper informed consent--would this affect their decision to be treated?..

..The opportunity to study potential prescribing change arose with the formation of a limited number of Primary Care Commissioning Groups (PCCGs), a precursor of Primary Care Groups (PCGs) and Primary Care Trusts (PCTs)...

....

..Although a 'patient-centred' approach to general practice consultation is widely advocated, there is mixed evidence of its benefits...

..Investigators should consider using the table presentation for describing health states to subjects who are not familiar with these states of health...

..Patients controlled on long-term proton pump inhibitor therapy for chronic gastroesophageal reflux disease are excellent surgical candidates and should experience improved symptom control after surgery at 1 year...

..Gastro-esophageal reflux disease (GERD) is a common disease. It impairs health related quality of life (HRQL). However, the impact on utility scores and work productivity in patients with moderate to severe GERD is not well known...

....

..To gain insight about Department of Defense providers' and health care beneficiaries' opinions regarding provider-patient communication of health care for post-deployment health concerns...

..We evaluated whether the administration of marker states improves measurement properties of the FT and SG...

..The objective of this study was to assess correlates of treatment satisfaction in patients with GERD receiving a proton pump inhibitor, esomeprazole...

..Well-finished orthodontic treatment begins with accurate positioning of the brackets on the teeth...

..The present article presents the validation of the short, self-administered GERD Symptom Frequency Questionnaire (GSFQ)...

..The existence of health inequalities between least and most socially deprived areas is now well established...

..To date, few studies have assessed the prevalence of H pylori in Canadian children, with studies limited to Aboriginal communities and single tertiary care centres from Ontario and Quebec...

..The published evidence suggests that the application of clear guidelines would not overwhelm health care resources, and that fewer than 20% of patients with Barrett's esophagus would eventually undergo endoscopic surveillance...

..The authors compared the thresholds for antithrombotic treatment from studies that determined or modeled the treatment preferences of patients with atrial fibrillation with recommendations from clinical practice guidelines...

..CFA may be an alternative to the use of nonsteroidal antiinflammatory drugs for the treatment of OA...

..Aim: To assess the range of upper gastrointestinal acid-related symptoms in clinical practice and the rapidity of their response to pantoprazole (40 mg daily), after seven days of therapy...

..On-demand therapy may offer an effective approach to the long-term management of gastro-oesophageal reflux disease (GORD) without oesophagitis...

..We measured the percentage of cases completed by a resident as the operating surgeon as the primary end point to determine the most effective approach for teaching laparoscopic colectomy...

....

..The methodology, results and recommendations of the consensus are described in detail...

..A validated productivity questionnaire, the Work Productivity and Activity Impairment questionnaire for Gastroesophageal Reflux Disease (WPAI-GERD), exists for Swedish patients with GERD...

..Exploring the changing use of official and unofficial labels over time in this way provides a novel historical perspective on the concept of depression in the late twentieth-century...

..CONCLUSION: Treatment with omeprazole provides superior symptom relief compared to ranitidine, cisapride, and placebo in the treatment of H. pylori negative primary care dyspepsia patients...

..We undertook a retrospective cohort study of patients transferred from hospital to home while receiving home parenteral nutrition (PN) to assess their costs of care...

..When starting nonsteroidal anti-inflammatory drugs for a prolonged course, testing and treatment with H2RAs are advised if patients have a history of previous ulcers or ulcer bleeding...

....

..CONCLUSION: Topical 10 percent metronidazole significantly reduces posthemorrhoidectomy discomfort at days 7 and 14 postoperatively. Postoperative edema is reduced and overall healing is improved, compared with that of carrier controls...

..Since the last Canadian Consensus Conference in 1996, GERD management has evolved substantially...

....

..This fell to 6/37 (16.2%) with bone age correction (NS). In conclusion, no significant reduction in bone metabolism or bone age-corrected bone mineral density was observed in children with asthma on prolonged high doses of inhaled FP...

..We propose that accurate symptom delineation complemented with endoscopy performed in selected groups of patients will become the mainstay in diagnosis of GERD and the assessment of therapy efficacy...

..The aims of this study were to predict whether the modified BRS (mBRS) can predict (1) endoscopic high-risk stigmata (HRS) and (2) rebleeding and mortality...

..Intestinal metaplasia in the lower esophagus is probably very common. Whether and how to, first, screen for, and then, perform surveillance in Barrett's esophagus remains highly problematic and contentious...

..In the absence of an objective marker such as erosions, assessment of treatment efficacy can be based on symptoms and HRQoL...

..0001) and induration (P < 0.001). CONCLUSION: For patients with perianal Crohn's disease, topical 10 percent metronidazole decreases the Perianal Crohn's Disease Activity Index and anorectal pain...

..However, at 4 wk, esomeprazole was significantly more effective than placebo for symptom relief. The difference in therapeutic gain between 4 and 8 wk was largely due to a higher placebo response rate at 8 wk...

..This qualitative study assessed the use of personal digital assistants to facilitate data collection and review...

..IV PPIs, preoperatively and in the intensive care setting, effectively reduce gastric acidity, but there are no convincing data that this confers any significant clinical benefit compared with other therapeutic strategies...

....