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March/April 2011 Annals of Family Medicine tip sheet
Date:3/14/2011

monitoring, allowing physicians to overcome problems such as observer bias and the white-coat effect, while saving patients from the hassle of 24-hour monitoring.

Novel Approach to Office Blood Pressure Measurement: 30-Minute Office Blood Pressure vs Daytime Ambulatory Blood Pressure
By Mark C. van der Wel, M.D., M.Sc., et al
Radboud University Nijmegen Medical Centre, The Netherlands


Predictors of Depression Among Diabetic Patients

Examining risk factors associated with the development of major depressive disorder among 338 adult patients with type 2 diabetes, researchers found prior MDD and negative affect were the primary predictors of subsequent MDD. When stratified by negative affect, negative life events, elevated body mass index and poor control of glycated hemoglobin also predicted MDD. The authors assert that negative life events and patients' disease-related concerns are important when understanding what predicts subsequent MDD, and they conclude these variables combine to yield the negative emotional symptoms that predict MDD over time. They suggest that when patients have moderate levels of increased depressive symptoms, it may be helpful to inquire about other life stressors and chronic disease management. Devoting attention to the contextual stressors that occur in patients' lives and providing appropriate interventions that might help reduce the negative impact of these stressors may have a positive impact on both their emotional status and their disease management.

Patients With Type 2 Diabetes at Risk for Major Depressive Disorder Over Time
By Diana M. Naranjo, Ph.D., et al
University of California, San Francisco


Self-Removal of Earwax a Cost-Effective Alternative to Removal by Health Care Professionals

Given the significant health cost associated with the irrigation of ears to remove earwax in primary care and the relative ease of self-treatment at home wit
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Contact: Angela Sharma
asharma@aafp.org
913-269-2269
American Academy of Family Physicians
Source:Eurekalert

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