BACKGROUND The proposal of a 4-year plan to integrate treatment of people with long term medical conditions (LTCs) into the IAPT service (Department of Health, 2011) seeks for research to understand the effectiveness of IAPT interventions for this patient group. AIM The aim of this service development pilot work was to develop an intervention that is effective for people with Type 2 Diabetes ...

To the Editor: Early epidemio-logic reports suggested that infection with pandemic (H1N1) 2009 virus most commonly occurred in teenagers and young adults (1). Although this infection appears to have a mild clinical course and the mortality rate has been relatively low in Japan (1.6 deaths/1 million population) (2), the reported number of patients with severe (requiring intubation or admission t...

Management of infectious diseases in athletes encompasses a wide range of pathogens, clinical presentations, and treatment options. Certain athletic activities and training regimens may predispose athletes to increased risk of contracting infectious diseases, some of which may limit athletic participation and pose the threat of significant morbidity. The sports medicine physician plays an impor...

Question 1: In daily clinical usage the terms maldigestion, malabsorption, and malassimilation are not always clearly separated. What are the exact definitions as a basis for understanding as well as regarding reasonable differential diagnostics? Dietrich: Malassimilation is the umbrella term for a deficit of nutrients and includes maldigestion (failure of enzymatic intraluminal extraction of c...

When considering chronic opioid therapy (COT) for chronic noncancer pain, it has been proposed that it is prudent to contemplate 4 questions which may be useful and influence medical decision making (1): 1. What is the conventional practice? 2. Are there reasonable alternatives to COT? 3. What is the risk of adverse events? 4. Is the patient likely to be a responsible drug-taker? Question 4 – (...

BACKGROUND Although it is widely accepted that adults with immunocompromising conditions are at greatly increased risk of pneumococcal infection, the extent of risk among immunocompetent adults with chronic medical conditions is less certain, particularly in the current era of universal vaccination of children with pneumococcal conjugate vaccines. METHODS We conducted a retrospective cohort s...

OBJECTIVE To replicate previously reported associations between major depressive episodes (MDEs) and long-term medical conditions in a Canadian community sample. METHODS A sample of 2542 household residents was selected using random digit dialing (RDD). Data were collected by telephone interview. The Composite International Diagnostic Interview (CIDI)-Short Form for major depression (CIDI-SFM...

OBJECTIVE To determine whether medical conditions that can impair sensory, cognitive, or motor function increase the risk of injury due to motor vehicle collision in older drivers. DESIGN Case-control study. SETTING Group Health Cooperative of Puget Sound, a large prepaid health plan. PARTICIPANTS Group Health members age 65 or older who were licensed drivers in 5 counties. Cases were inj...

The behaviors and medical problems in 27 persons with CHARGE syndrome were studied, because it was hypothesized that their behavior might be partly dependent on the heterogeneous medical status. With the exception of more tics, cardiac surgery was associated with positive behaviors: less withdrawn behavior, better mood, and a more easy temperament. Tube feeding was also related to positive beha...