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Chicken or Egg: Does Improving Sleep Improve Mental Health?
Authors of this large, randomized, controlled study strongly suggest that better sleep leads to improvement in several areas of mental health, and that a digital form of cognitive behavior therapy can significantly help in treatment of insomnia.
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Aerobic Exercise and Heart Health: Is It Ever Too Late to Start?
In this prospective, randomized, controlled trial, researchers demonstrated improvements in exercise tolerance and diastolic cardiac function in middle-aged, healthy, sedentary men and women performing intensive aerobic exercise over a two-year period.
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Tickborne Illnesses
Blood-feeding ticks can transmit a wide variety of pathogens to people, which can result in significant infection and morbidity. During the past 10 years, the incidence of these diseases has increased rapidly, and the geographical regions where they occur has expanded. Recognizing symptoms that often are nonspecific and initiating appropriate treatment are critical to patient outcomes.
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Dual Antiplatelet Therapy for Acute Ischemic Stroke and TIA
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Treatment of Chronic Subdural Hematoma With Atorvastatin
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Atrial Flutter, Atrial Fibrillation, and Ischemic Stroke
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Recanalization Treatment in Pediatric Arterial Ischemic Stroke
In a population-based study from Switzerland, the authors found that recanalization treatment (intravenous thrombolysis or endovascular treatment) overall was safe without significant side effects or increased mortality compared to standard care.
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Hypercapnic Acidosis and Clinical Outcomes in Patients With Acute Brain Injury
In this multicenter retrospective study, hypercapnic acidosis was associated with worse clinical outcomes in mechanically ventilated patients with acute brain injury.
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Unilateral Scapular Winging
Scapular winging is an occasional finding on a neurological examination, rarely a chief complaint, and usually is caused by long thoracic nerve or spinal accessory nerve lesions.
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Initial Management of Patients With Medication-overuse Headache
As part of a randomized treatment trial for medication-overuse headache, a simple protocol that provided early advice on stopping excessive medications was effective in one-third of patients, even before any prophylactic medications were started.