7390. Optimal Timing of Antiretroviral Therapy Initiation for HIV-Infected Adults With Newly Diagnosed Pulmonary Tuberculosis: A Systematic Review and Meta-analysis.
作者: Olalekan A Uthman.;Charles Okwundu.;Kayode Gbenga.;Jimmy Volmink.;David Dowdy.;Alimuddin Zumla.;Jean B Nachega.
来源: Ann Intern Med. 2015年163卷1期32-9页
Initiation of antiretroviral therapy (ART) during tuberculosis (TB) treatment remains challenging.
7391. Small Brain Lesions and Incident Stroke and Mortality: A Cohort Study.
作者: B Gwen Windham.;Bradley Deere.;Michael E Griswold.;Wanmei Wang.;Daniel C Bezerra.;Dean Shibata.;Kenneth Butler.;David Knopman.;Rebecca F Gottesman.;Gerardo Heiss.;Thomas H Mosley.
来源: Ann Intern Med. 2015年163卷1期22-31页
Although cerebral lesions 3 mm or larger on imaging are associated with incident stroke, lesions smaller than 3 mm are typically ignored.
7392. Long-Term Prognosis After Coronary Artery Calcification Testing in Asymptomatic Patients: A Cohort Study.
作者: Leslee J Shaw.;Ashley E Giambrone.;Michael J Blaha.;Joseph T Knapper.;Daniel S Berman.;Naveen Bellam.;Arshed Quyyumi.;Matthew J Budoff.;Tracy Q Callister.;James K Min.
来源: Ann Intern Med. 2015年163卷1期14-21页
The extent of coronary artery calcification (CAC) and near-term adverse clinical outcomes are strongly related through 5 years of follow-up.
7397. How to Monitor Patients Receiving Direct Oral Anticoagulants for Stroke Prevention in Atrial Fibrillation: A Practice Tool Endorsed by Thrombosis Canada, the Canadian Stroke Consortium, the Canadian Cardiovascular Pharmacists Network, and the Canadian Cardiovascular Society.
作者: David J Gladstone.;William H Geerts.;James Douketis.;Noah Ivers.;Jeff S Healey.;Kori Leblanc.
来源: Ann Intern Med. 2015年163卷5期382-5页 7398. The integration of care for mental health, substance abuse, and other behavioral health conditions into primary care: executive summary of an American College of Physicians position paper.
Behavioral health care includes care for patients around mental health and substance abuse conditions, health behavior change, life stresses and crises, and stress-related physical symptoms. Mental and substance use disorders alone are estimated to surpass all physical diseases as a major cause of worldwide disability by 2020. The literature recognizes the importance of the health care system effectively addressing behavioral health conditions. Recently, there has been a call for the use of the primary care delivery platform and the related patient-centered medical home model to effectively address these conditions. This position paper focuses on the issue of better integration of behavioral health into the primary care setting. It provides an environmental scan of the current state of conditions included in the concept of behavioral health and examines the arguments for and barriers to increased integration into primary care. It also examines various approaches of integrated care delivery and offers a series of policy recommendations that are based on the reviewed information and evidence to inform the actions of the American College of Physicians and its members regarding advocacy, research, and practice.
7399. Underascertainment of acute hepatitis C virus infections in the U.S. surveillance system: a case series and chart review.
作者: Shauna Onofrey.;Jasneet Aneja.;Gillian A Haney.;Ellen H Nagami.;Alfred DeMaria.;Georg M Lauer.;Kelsey Hills-Evans.;Kerri Barton.;Stephanie Kulaga.;Melinda J Bowen.;Noelle Cocoros.;Barbara H McGovern.;Daniel R Church.;Arthur Y Kim.
来源: Ann Intern Med. 2015年163卷4期254-61页
In 2010, the incidence of hepatitis C virus (HCV) infection in the United States was estimated to be 17 000 cases annually, based on 850 acute HCV cases reported to the Centers for Disease Control and Prevention by local public health authorities. Absence of symptomatic disease and lack of a specific laboratory test for acute infection complicates diagnosis and surveillance.
7400. Cardiovascular mortality associated with 5 leading risk factors: national and state preventable fractions estimated from survey data.
作者: Shivani A Patel.;Munir Winkel.;Mohammed K Ali.;K M Venkat Narayan.;Neil K Mehta.
来源: Ann Intern Med. 2015年163卷4期245-53页
Impressive decreases in cardiovascular mortality have been achieved through risk factor reduction and clinical intervention, yet cardiovascular disease remains a leading cause of death nationally.
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