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A systematic review of 29 studies using vitamin C to help lower blood pressure showed a slightly positive effect, though of debatable clinical value. The study highlights the variable nature of existing data in this realm with regards to quality and methodology.
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Two large, well-known, U.S. prospective cohort studies, the Nurses' Health Study and the Health Professionals Follow-up Study, evaluated both sugar-sweetened and diet (low-calorie, also called artificially sweetened) soda consumption over 20 years and found one or more daily servings to be associated with a significantly higher risk of stroke.
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Scenario: The 12-lead ECG shown above was obtained from a previously healthy 30-year-old man who presented to the emergency department with new-onset palpitations. No prior ECG was available for comparison. The patient was alert and hemodynamically stable at the time this tracing was recorded. What is the rhythm? Is this rhythm likely to respond to adenosine?
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Lorcaserin for weight loss; statins and fatigue; treatment-resistant gonorrhea; hydrocodone classification changes; USPSTF recommendations; and FDA actions.
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In this paper, the authors performed a pharmacoepidemiologic study on the relationship between azithromycin, a frequently used broad-spectrum macrolide antibiotic, and cardiovascular death. The authors analyzed data from the Tennessee Medicaid program.
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Limited data on the use of high-flow nasal cannula oxygen therapy suggests it is associated with improvement in physiologic parameters.
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This study of potentially life-threatening changes in patient condition during trips to the radiology department of a large academic medical center found that such events occurred about once a week, involved both ward and ICU patients who had comorbidities and high overall mortality, and were often unanticipated by vital sign changes or other recognized warnings.
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Hand hygiene was more likely to be performed when the first person entering the room or the attending physician (regardless of order) performed hand hygiene.
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