Internal Medicine
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Cinnamon for Dysmenorrhea: A Clinical Trial
Cinnamon, three grams daily, for the first few days of menstruation may help attenuate menstrual pain in women suffering from dysmenorrhea, although an improved follow-up clinical trial is necessary to corroborate this.
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Can Quality of Diet Lower the Risk of Depressive Symptoms?
In a meta-analysis of 42 studies, researchers found that subjects who reported following the Mediterranean diet closely had a 0.67 reduced risk of developing depressive symptoms compared with low adherence to this diet.
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An Herbal Mixture for Enhanced Memory
SYNOPSIS: These researchers showed that a tincture of sage, rosemary, and lemon balm improved one aspect of cognition after two weeks in healthy people.
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Do Omega-3 Polyunsaturated Fatty Acids Play a Role in the Treatment of Anxiety?
In a review and meta-analysis of 19 studies regarding use of omega-3 fatty acids for treating anxiety, researchers showed improvement in anxiety symptoms with these nutrients. The effect appears most significant in a clinically diagnosed subpopulation.
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Precise Localization of Focused Ultrasound Thalamotomy Determines Clinical Benefit
Lesioning of the posterior portion of the VIM thalamus is most efficacious. Lesions extending beyond this portion can lead to adverse side effects in those with essential tremor treated with MRI-guided focused ultrasound.
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Miller Fisher Syndrome: Atypical Features
Other than the classic triad of neurological signs that define Miller Fisher syndrome, it also is common to see delayed facial palsy, loss of taste, and weakness of pharyngeal and cervical muscles.
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Treatment of Acute Migraine With Ginger
Ginger extract has a long anecdotal history as a treatment for migraine headaches in traditional Chinese medicine. This well-designed study provides evidence that adding ginger to a standard nonsteroidal anti-inflammatory medication improves outcomes of migraine treatment by all measured parameters.
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Proceedings From the International Stroke Conference, Honolulu, February 2019
The following reviews of studies presented at the 2019 International Stroke Conference were written after my personal attendance at the presentations, followed by review of the simultaneous publications in The New England Journal of Medicine and The Lancet. All comments and opinions are solely those of this editor. — Matthew E. Fink, MD
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Lifestyle Modification for the Prevention and Reversal of Cardiovascular Disease
Lifestyle is a critical determinant of the common risk factors for cardiovascular disease (hypertension, diabetes, hyperlipidemia, and smoking) that have been well-known to predict disease outcomes. Lifestyle medicine can be used in conjunction with traditional medications to provide the best care to patients. Clinicians need to act now to prevent being overwhelmed with the eventual increase in coronary artery disease following the obesity/diabetes epidemic.
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Infectious Disease Alert Updates
Jump in Cocci Cases, Winter 2017; Who Knew the Ink Was Not Sterile? Homeless Population Requires Hepatitis A Vaccination