Primary Care/Hospitalist
RSSArticles
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Managing Type 2 Diabetes Mellitus: Part 1
MONOGRAPH: Covering sodium glucose co-transporter-2 inhibitors, incretin-based therapies, amylin analog, and dopamine receptor agonists.
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Leading Causes of CAM Nondisclosure
More than 40% of patients report nondisclosure of complementary and alternative medicine (CAM; also known as integrative medicine treatments) to their primary care physicians. They cite failure of physicians to initiate conversation on CAM, coupled with a belief that physicians do not need to know about CAM usage, as key factors in nondisclosure, according to patient survey.
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Calcium Supplementation and Increased Dementia Risk
In this five-year observational study, women who were taking calcium supplementation and who had pre-existing cerebrovascular disease were at higher risk of dementia than women not taking extra calcium.
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Peer-led Mindfulness Meditation Program for Medical Students
This pilot study shows that a peer-led mindfulness program during medical school enhances self-compassion, altruism, and mental wellness and decreases levels of stress.
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Liver Enzymes, Triglycerides, and Cholesterol Improved in Individuals with Nonalcoholic Steatohepatitis with Artichoke Leaf Extract
In this randomized, double-blind study, patients with nonalcoholic steatohepatitis who received 2,700 mg of artichoke leaf extract (Cynara scolymus) or placebo daily for two months had a significant improvement in alanine aminotransferase and aspartate aminotransferase, as well as triglycerides and total cholesterol compared to the placebo group.
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Health Benefits of Turning ‘Bus Drivers’ into Conductors
A large meta-analysis including data from more than one million subjects and 16 studies revealed that specified levels of moderate-intensity physical activity can significantly lessen the health risks of sedentary lifestyles.
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Therapeutic Touch for Cancer Pain: An RCT
In a study of 90 men with cancer-related pain, the arm receiving seven sessions of therapeutic touch derived more benefit than a placebo group or a control arm of no intervention.
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Triage to a Certified Stroke Center Reduces Early Mortality
In a national attempt to improve stroke care, there has been widespread certification of primary stroke centers (PSCs) by The Joint Commission. It has been assumed that outcomes will be better in the PSCs, but there have always been questions regarding how much additional time is acceptable to travel to a PSC, compared to a local hospital, in terms of successful treatment and outcomes.
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Chocolate Counteracts the Effects of Sleep Deprivation
SYNOPSIS: An acute administration of a chocolate rich in flavanols (a subclass of flavonoids) was found to mitigate the cardiovascular and cognitive effects of sleep deprivation in a group of young and healthy individuals.
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The Use of Dexmedetomidine for Sedation May Lead to Earlier Extubation and Decreased Ventilator Adverse Events
SYNOPSIS: The choice of dexmedetomidine or propofol over midazolam may improve outcomes in patients mechanically ventilated for three or more days.