Internal Medicine
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Early vs. Delayed Cardioversion: A Nonshocking Result
For patients presenting to an ED with recent-onset atrial fibrillation, using rate control and outpatient cardioversion only as needed was associated with a high rate of spontaneous conversion within 48 hours of arrhythmia onset and noninferior short-term outcomes compared to immediate cardioversion in the ED.
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Mind-Body Techniques May Enhance Cognitive Fitness in Older Adults
A meta-analysis regarding mind-body techniques and cognitive fitness in older adults points to enhanced cognitive performance associated with mind-body interventions in older patients, especially those without preexisting cognitive decline.
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Behavioral Interventions for Menopausal-Related Insomnia Improve Depression
In a randomized, controlled trial comparing the behavioral interventions cognitive behavioral therapy for insomnia (CBTI) and sleep reduction therapy (SRT) to a control intervention of sleep hygiene education, investigators found CBTI and SRT therapy improved insomnia and depressive symptoms in postmenopausal women with menopausal-related insomnia.
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Hot Beverages and Esophageal Cancer
In a cohort of more than 50,000 people, there was an increased risk of esophageal squamous cell carcinoma in those who consumed higher quantities of mostly black tea at higher temperatures.
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Digital Applications Used in Mental Health Treatment: Two Randomized Studies
Researchers found an improvement in socialization in children with autism and a decrease in acrophobic (fear of heights) symptoms in adults in two distinct studies using different forms of virtual reality and digital applications.
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Capsaicin for Muscle Energy
Ten men ran 1,500 meters six seconds faster and were slightly less fatigued after ingesting 12 mg of capsaicin than after ingesting a placebo capsule.
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Blood Pressure Control: Exercise vs. Meds
A random-effects network meta-analysis demonstrated comparable reductions in systolic blood pressure among normotensive and hypertensive participants using either antihypertensive medication or exercise interventions.
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Managing Complications of New-Age Cancer Therapy
Cancer patients undergoing treatment are immunocompromised and at high risk for developing early complications leading to critical illness. Compared to complications encountered with conventional chemotherapy, new-generation immunotherapies pose unique diagnostic challenges because their presentation can be vague and nonspecific or can mimic autoimmune diseases.