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Pertussis and its comeback—in persons of all ages
Despite widespread use of a childhood vaccine, pertussis remains a significant public health problem, with reported rates higher than they have been in decades. Its often mild manifestations in older persons make recognition challenging, but with new vaccines licensed for use in adolescents and adults, the time is right for heightened awareness.
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Solitary pulmonary nodule
The patient is a 59-year-old male smoker who presents to the office with fever and cough. The chest x-ray film reveals no infiltrates, but the radiologist notes a 9-mm nodule in the right lower lobe.
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Evidence-based smoking cessation programs for use in primary care settings
Tobacco dependency is a growing problem among older adults. Given the addictive nature of tobacco use, smokers need a multifactorial treatment program to help stop smoking. Health care professionals can play a pivotal role in the promotion of a smoking cessation treatment program to people of all ages, including the elderly. This paper presents important evidence that smoking cessation services for the elderly are effective, and describes how primary care physicians can support elderly people quit smoking.
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Evaluating a chronic cough: History often solves the mystery
A child's long-lasting cough is vexing for parents. One route to finding the cause is to, first, rule out serial viral illness and, then, piece together characteristics of the cough with findings from the history.
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