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Menopausal women anecdotally report that their hot flashes are worse with stress;1 for instance, if a woman has an unpleasant confrontation, she notices that it will trigger a hot flash. Research supports these anecdotal experiences. Lab stressors such as arithmetic tasks can also increase hot flashes. When women are randomized to a lab stressor condition vs a non-stress condition, those in the stress condition have 47-57% more hot flashes.2 Women are not just reporting more hot flashes during periods of stress; objective measurements of hot flashes confirm the increase during stress conditions. Stress appears to lower the threshold for hot flashes to occur.
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As of 2010, about 14 million cancer survivors were living in the United States, with the number projected to increase to 18 million by 2020.
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Results of this well-done trial strongly suggest that CoQ10 administration over 24 weeks' time does not help relieve the treatment-related fatigue experienced by a significant proportion of women with newly diagnosed breast cancer.
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A large observational study conducted in Germany has found little evidence that higher levels of dietary calcium are associated with a reduced risk of cardiovascular disease events. The additional finding of an elevation in risk with the use of calcium supplements suggests that caution is warranted when recommending them.
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Results from this small open-label trial out of Turkey suggest that vitamins C and E decrease Helicobacter pylori (H. pylori) intensity and possibly local inflammation in patients with H. pylori-positive non-ulcer dyspepsia. The results provide added support to results from an earlier clinical trial by the investigators that found adjunctive use of vitamins C and E improved eradication rates of conventional triple therapy for H. pylori infection.
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In this study in which all patients with clinically suspected ventilator-associated pneumonia were given prompt empiric antibiotic therapy, whether that therapy turned out to be appropriate for the organisms recovered turned out to be an important determinant of patient outcomes.
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This article provides many excellent suggestions and strategies for improving communication among the members of the critical care team to reduce medical errors.
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The increasing prevalence of antibiotic resistance in urinary pathogens has led Hooton and colleagues to examine the efficacy of a relatively broad spectrum orally administered cephalosporin in the treatment of uncomplicated cystitis.