Clinical
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Should Acute Appendicitis Be Managed Without Appendectomy?
A retrospective cohort study that used national insurance claims data found patients with acute appendicitis who were treated nonsurgically had higher rates of complications and higher overall cost of care.
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Is Sanitizer Better Than Soap?
In day care settings, the implementation of hand hygiene programs reduced respiratory illness, absenteeism, and antibiotic use in children 0 to 3 years of age. Using hand sanitizer was more effective than washing with soap and water.
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Nocturia: Does Salt Intake Play a Role?
Researchers suggest that excessive salt intake can contribute to urinary frequency and nocturia.
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Exercise Improves Physical Function in Patients With Knee Osteoarthritis
Tailored exercise therapy can improve physical functioning in patients with knee osteoarthritis and comorbid conditions.
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Limited English Proficiency Associated With Significant Differences in End-of-Life Care
In a retrospective cohort study, patients with limited English proficiency had lower rates of do not resuscitate orders, comfort measures orders, and advance directives; higher rates of receiving certain types of life support; and longer hospital stays compared to their English-speaking counterparts.
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The Mediterranean Diet Keeps the Mind Sharp
Italian seniors who ate a high-quality Mediterranean diet exhibited better cognitive function than those who did not.
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Acupuncture as Adjunct Therapy for Infertility in Polycystic Ovary Syndrome
Acupuncture as an adjunctive therapy for treating infertility in Chinese women with polycystic ovary syndrome receiving clomiphene citrate or placebo offered no benefit over sham acupuncture.
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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.
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Hormone Therapy and Mortality: No Overall Effect?
An evaluation of outcomes of users and nonusers of postmenopausal hormonal therapy followed longitudinally in the Danish database showed no overall difference in mortality.
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Should the Copper IUD Be Offered to Women With Heavy Menstrual Bleeding?
In this secondary analysis of the Contraceptive CHOICE Project, there was no difference in copper intrauterine device continuation rates at one year between 165 women who reported heavy menstrual bleeding at baseline and 753 women who did not.