Primary Care/Hospitalist
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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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Migalastat (Galafold) Capsules
Migalastat is indicated for the treatment of adults with confirmed diagnosis of Fabry disease and an amenable galactosidase alpha gene variant based on in vitro assay data.
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Poor Sleep Can Lead to Accelerated Atherosclerosis
New data provide further support for the importance of sleep in the optimization of medical outcomes.
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Coffee Consumption and Mortality
After rigorous evaluation using multiple statistics, an inverse relationship between coffee intake and all-cause mortality was demonstrated consistently across the racial/ethnic groups examined.
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Can Hormone Therapy Prevent the Development of a ‘Dowager’s Hump’?
Postmenopausal hormone therapy may reduce the risk of developing age-related hyperkyphosis, commonly known as a “Dowager’s hump.” Such therapy may provide long-term benefits.
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Carbohydrates, Insulin, and Obesity
Carbohydrate intake stimulates insulin secretion, which is the primary driver of weight gain. Besides driving glucose into cells, insulin causes fat storage, increases hunger, and lowers energy expenditure. High insulin blood levels lead to obesity with some genetic variation.
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Biventricular Hypertrophy in an Asymptomatic Patient?