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Evidence-based updates in primary care medicine By Louis Kuritzky, MD
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Rehabilitation is a critical component of stroke treatment, as most stroke survivors are left with significant neurological impairments and other sequelae, such as spasticity and pain.
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Cannabis sativa and indica are fragrant flowering plants native to South Central Asia. Their psychoactive properties have been known and used in some form or another for thousands of years in cultures as diverse as ancient Romania and China.
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CAM use by children with cancer being treated at a hospital in Turkey was common and led to several perceived benefits — such as increased blood values, morale, and general condition — but did not affect overall survival.
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Mouse studies have found that dietary choline is associated with increasing levels of plasma trimethylamine-N-oxide (TMAO) and increasing risk of atherosclerosis — a process that is likely mediated by gut microbiota. Two human clinical trials support these findings. The first demonstrates that phosphatidylcholine (PC) increases plasma levels of TMAO. Following broad-spectrum antibiotic use (and subsequent reduction in gut flora), production of TMAO was reduced after a PC challenge. A large population study demonstrates the connection between TMAO and cardiovascular disease.
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This is the second issue in the series on minor trauma. This issue deals with neck and chest injuries. Emergency providers must differentiate between minor injuries and the rarer serious injuries, all while being cost effective and avoiding unnecessary radiation.
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