The overall goals for treatment of tuberculosis are 1) to cure the individual patient, and 2) to minimize the transmission of Mycobacterium tuberculosis to other persons. Thus, successful treatment of tuberculosis has benefits both for the individual patient and the community in which the patient resides. For this reason the prescribing physician, be he/she in [...]

TB is an ancient disease that is common in many developing countries but no longer widespread in the United States. With the advent of managed care and movement of care of patients with TB from specialty public health clinics to primary care providers, more persons with TB are likely to be seen by physicians and [...]

Pulmonary tuberculosis is disease that involves the lung parenchyma, and is often infectious (i.e., contagious [determined by sputum smear examination for acid-fast bacilli and mycobacterial culture]). Laryngeal tuberculosis is rare but highly infectious. Because the emphasis for pre-immigration medical evaluation is on infectiousness, for the purpose of this document, pulmonary tuberculosis refers to both disease [...]

Tuberculosis is a bacterial disease usually affecting the lungs (pulmonary TB). Other parts of the body can also be affected, for example lymph nodes, kidneys, bones, joints, etc. (extrapulmonary TB). Approximately 1,300 cases are reported each year in New York State. Tuberculosis can affect anyone of any age. People with weakened immune systems are at [...]

Family physicians will frequently encounter patients with osteoporosis, a condition that is often asymptomatic until a fracture occurs. Treatment of the fracture can be initiated without further diagnostic testing. Thereafter, treatment of osteoporosis includes (1) prevention of further bone loss through weight-bearing exercise, tobacco and alcohol avoidance, hormone replacement therapy in women, and raloxifene and [...]

A critical need exists for efficient, measurable systems of disease management that reconcile conflicts between socioeconomic responsibility and patient welfare. Clinical guidelines have become an important component of these systems because they address elements of care that are effective and that reduce the variability in our approach to patient management.
The American Association of Clinical Endocrinologists [...]

Low-trauma fractures, especially in women over
40 and men over 50 years of age, can be devastating. They often result in deformity, chronic pain, and loss of mobility and independence that sometimes require admission into nursing homes or long-term care facilities. Their profound impact on quality of life has not yet been fully calculated. One-year mortality [...]

Breast cancer treatment and osteoporosis risk
Although tamoxifen may have some protective effect against cardiovascular disease, there is a significant rise in the risk of deep vein thrombosis and pulmonary embolus with this agent. Aromatase inhibitors (AIs) are not known to increase this risk. In a study comparing tamoxifen with the AI anastrozole, the relative risk [...]

The Decision Manual is a worksheet we offer you, to help you gain control and take a more active role in the decisionmaking process. It requires you to begin asking questions–hard questions–that ask what you are looking for in a hospital and a physician, the goals and expectations you bring to the treatment process and [...]

This two-day symposium will provide an update to thoracic surgeons and allied specialists with regard to current diagnostic and staging criteria, and to the various surgery based multimodality management options that may be available to their patients. Surgeons, pathologists and other physicians who may have a limited experience with mesothelioma due to its low incidence [...]

The annual number of new mesothelioma cases in Canadian men continues to rise Mesothelioma[1] is a rare, highly fatal cancer. Exposure to asbestos is the most common cause: 80% or more of men diagnosed with mesothelioma were likely exposed to asbestos in the workplace [1]. Workplace exposure to asbestos continues in Canada, primarily in the [...]

Members of the team include:
Medical Director of the Rehab Unit: This physician will supervise your rehabilitation treatment plan and direct the interdisciplinary team to assure the highest level of care to maximize your functional abilities and enhance your quality of life. The physiatrist will work closely with your primary care physician regarding your condition, progress, [...]