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Biomedical subjects

C P Kerr

Publications and source records attributed to C P Kerr.

15 recordsLinked to original sources
PubMed1995

Improving outcomes in diabetes: a review of the outpatient care of NIDDM patients.

This article is a critical review of the recent medical literature on the outpatient care of patients with non-insulin-dependent diabetes mellitus (type II). The 1989 consensus statement of the American Diabetes Association, "Standards of Medical Care for Patients with Diabetes Mellitus," has been selected as an initial point of departure. The author's goal is to present an evidence-based approach to the outpatient care of patients with type II diabetes in a way that is practical, strategically focused, and consistent with the basic philosophy of family practice. This article sets forth a detailed flow sheet for the implementation of this approach by the nurse and physician working as a team.

Diabetes Mellitus, Type 2↗
PubMed1994

Eight underused prescriptions.

Eight currently underused therapeutic regimens are reviewed on the basis of their potential to have a major impact on morbidity and mortality in adults. The criteria for the selection of these regimens included their safety, effectiveness and cost-effectiveness, the availability of substantial data to support their efficacy, and the existence of evidence that the regimens are underused in clinical practice. The eight regimens that meet these criteria are prophylactic aspirin therapy, estrogen replacement therapy, nicotine substitutes as adjunctive therapy in smoking cessation, beta-blocker therapy following myocardial infarction, anti-inflammatory agents in the treatment of asthma, antidepressant drugs as therapy for mild depression, increased fiber intake and regular exercise.

Adrenergic beta-Antagonists↗
PubMed1992

Pulmonary embolism. Clinical decision making to increase diagnostic accuracy.

In this article, Drs Kerr and Yan describe four cases--two handled the wrong way and two the right way--to help you frame a set of criteria that will work for you in suspecting, testing for, diagnosing, and treating pulmonary embolism in ambulatory patients. In addition, Dr Kerr uses his legal expertise to provide suggestions on avoiding liability resulting from inadequate documentation.

Adult↗
PubMed1989

Building an ambulatory clinical information system in a family practice residency.

A programmable database may be implemented on a personal computer to manage the educational and clinical information needs of a family practice residency. Such a system can usefully and efficiently be based on the existing clinical encounter form. Data entry for a practice of 7500 patients with 20,000 visits per year requires little computer expertise and only 1 hour per day of clerical data entry time. The cost of such a system can be reduced to as low as $2500. A flexible, programmable database, rather than a commercial practice management system, is recommended as more efficient in accommodating continued development of strategies to meet the educational and clinical data needs in the family practice residency setting.

Ambulatory Care Information Systems↗
PubMed1989

Herpes simplex of the nipple: infant-to-mother transmission.

Intrafamilial spread of herpes simplex is a recognized problem. A case is presented in which a 15-month-old child was infected by a five-year-old sibling with presumed gingivostomatitis. The young child then transmitted symptomatic herpes infection to both maternal nipples during breast feeding. Although mouth-to-breast transmission of herpes simplex virus may be rare, it is appropriate to advise breast-feeding mothers of children with herpes gingivostomatitis of this possibility.

Adult↗
PubMedDate not supplied

Hypertension in the 1990s: a new disease.

BACKGROUND: Recent analyses of the cumulative results of the major treatment trials of mild-to-moderate hypertension have shown only a small benefit in the prevention of stroke and no benefit in the prevention of coronary heart disease. METHODS: A MEDLINE search for articles published from 1966 to 1991 was made using the key words "left ventricular hypertrophy," "hypertension," "insulin resistance," and "cholesterol." The bibliographies of these articles and articles previously abstracted in The Family Practice Newsletter (InforMed) and the author's personal files were also sources of information. RESULTS AND CONCLUSIONS: Newer pharmacologic agents for hypertension, the peripheral alpha-blockers, the calcium channel blockers, and angiotensin converting enzyme inhibitors, exert positive effects on left ventricular hypertrophy, serum lipids, and serum insulin and could be cardioprotective. These drugs offer the promise of being able to show cardiovascular benefits from the treatment of mild-to-moderate hypertension that were not realized in the earlier clinical trials.

Antihypertensive Agents↗