Internal Medicine
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Does Outdoor Play ‘Keep the Doctor Away?’
A survey of more than 29,000 Canadian youth 11 to 15 years of age revealed a correlation between physical activity and lower rates of psychosomatic complaints in girls, and a correlation between valuing connection to nature and lower rates of psychosomatic symptoms in boys and girls.
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Acupuncture for Aromatase Inhibitor-associated Pain in Breast Cancer Patients
The authors of this randomized, controlled trial found that six weeks of acupuncture significantly reduced aromatase inhibitor-related joint pain in early stage breast cancer.
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Gingko biloba and Cognitive Function After Acute Ischemic Stroke
Supplementation with Ginkgo biloba extract may improve cognitive functioning after an acute ischemic stroke.
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Evaluation of Hair Loss in a Primary Care Setting
Hair loss is a common complaint for both male and female patients, who often first present to their family physician for evaluation. However, the vast array of underlying etiologies can present a diagnostic challenge for physicians. Reviewing the main principles of hair biology will help provide a better understanding of the basic science behind hair loss. One of the most important steps in patient evaluation is conducting a thorough history and physical exam. This article will discuss key questions to ask, as well as how to interpret exam findings. In general, hair loss is categorized into scarring alopecia, non-scarring alopecia, and structural hair disorders. This article will focus on the most common causes of scarring and non-scarring alopecia that will be encountered in a primary care setting, as well as first-line treatments for each.
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Should Aspirin Be Used for Primary Prevention of Cardiovascular Events?
Primary prevention of cardiovascular disease and death by using daily low-dose aspirin is not recommended and should be reserved for those instances in which secondary prevention has been demonstrated to be effective in randomized clinical trials.
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Ultraearly Intravenous Thrombolysis for Acute Ischemic Stroke
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Thrombolysis for ‘Wake-up’ Stroke
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Costs and Consequences of Chronic Pain Among U.S. Adults
Chronic and disabling pain is a common and serious cause of morbidity among U.S. adults.
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Quality of Life After Focused Ultrasound Thalamotomy in Parkinson’s Disease
Mood, cognitive, and behavioral changes in tremor-predominant Parkinson’s disease patients, three and 12 months after receiving MRI-guided focused ultrasound thalamotomy, were correlated with quality of life more than the severity of tremor reduction.
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Effect of Diet on Hippocampal Volume in a Population at Risk for Alzheimer’s Disease
Magnetic resonance imaging of the brain in community-dwelling people (average age of 60 years) found that a long-term, high-quality diet was associated with larger hippocampal volumes after an average interval of 11 years.