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After caring for patients with Clostridium difficile infection, nearly 25% of health care workers were found to have hand contamination with C. difficile spores.
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A meta-analysis and a clinical trial, both published recently, found that the evidence of cardiovascular benefit with increased consumption of omega-3 fatty acids is weak at best. Large study samples make these results compelling, but caution is warranted in interpreting and applying them in practice.
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Probiotic therapies appear to be safe and may be helpful for various health problems.
The strongest evidence is for use as an adjunctive supportive therapy forgastrointestinal-related disorders.
Although direct colonic probiotic delivery therapies appear promising, further research is needed.
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Spinal manipulative therapy provides benefits in one aspect of pain sensitivity for people suffering from low back pain.
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One dose of Rhodiola rosea minimally, but statistically, improves endurance exercise.
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Twelve weeks of aerobic exercise in previously sedentary women did not improve menopausal symptoms, but did modestly improve perceived sleep quality.
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The advent of highly sensitive troponin assays has shown detectable levels in apparently healthy subjects. Persistently elevated levels (> 99% percentile) can be observed in patients with a variety of chronic diseases, including coronary artery disease (CAD), making the accurate diagnosis of myocardial infarction (MI) challenging.
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During my final year of interventional cardiology training, a woman in her 60s was brought emergently to the cath lab in cardiogenic shock, with diffuse ST-segment elevations. She had undergone PCI of the LAD and RCA just over a week earlier at an outside hospital.
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Asymptomatic episodes of atrial fibrillation (AF) are often detected when interrogating implanted pacemakers or defibrillators.
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Implantable pacemakers have existed for decades. Although numerous bells and whistles have been added, the essential components of pacemakers have remained unchanged.