Primary Care/Hospitalist
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Intracerebral Hemorrhages Associated with Non-vitamin K Oral Anticoagulants Appear to Be Smaller than Those Associated with Warfarin
Intracerebral hemorrhage is the most dangerous complication of treatment with oral anticoagulants, and this complication carries a high mortality. Because of the increasing prevalence of atrial fibrillation in the elderly population, and the increasing use of oral anticoagulants, the overall prevalence of intracerebral hemorrhage is increasing.
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Optimal Antiplatelet Therapy for Secondary Prevention of Ischemic Stroke
Patients presenting with acute ischemic stroke are often taking aspirin on a regular basis for prevention of cardiovascular disease. The optimal antiplatelet therapy for secondary prevention has been uncertain in this setting.
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Use of CNMs and Hospitalists
SYNOPSIS: A study assessing the effects of instituting a model of certified nurse midwife with MD laborist backup on a private patient population showed a decrease in cesarean section rate and an increase in vaginal birth after cesarean delivery rate without any change in combined neonatal outcome.
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Prognostic Value of Coronary Calcium on Standard Chest CT Scans
SYNOPSIS: Coronary calcium scan on standard CT scans performed for other indications is of equivalent prognostic value to that seen on ECG-gated coronary studies and should be included in radiology test reports.
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The Current Outlook for Cardiac Tamponade
SYNOPSIS: In the modern era, cardiac tamponade is most commonly caused by malignancies with poor prognosis. As compared to older literature, iatrogenic causes have increased, most resulting from complications of percutaneous coronary intervention.
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The Best Rate Control Agent for Sepsis and Atrial Fibrillation
Sepsis and atrial fibrillation are common in the ICU, and the presence of both together is not a rare occurrence. Here's how to handle them.
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Alexander Technique, Acupuncture, or Routine Care for Chronic Neck Pain
Alexander Technique lessons or acupuncture sessions for people with chronic neck pain led to greater decreases in neck pain and disability and a more significant increase in self-efficacy than normal care at 12 months.
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Individualized Homeopathy for Moderate to Severe Depression in Menopausal Women
A higher risk of depressive symptoms has been observed in the menopausal transition period. Antidepressant medications are often recommended; however, many meta-analyses have only shown modest benefit of such medications over placebo. This study compares individual homeopathic treatment vs. placebo and the antidepressant medication fluoxetine vs. placebo for the treatment of moderate to severe depression in peri- and postmenopausal women.
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Fitness and Cognition in the Elderly
ABSTRACT & COMMENTARY: Peak levels of cardiorespiratory fitness are positively correlated with enhanced cognitive function among older adults.
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Low Back Pain Best Prevented with Exercise and Education
In a meta-analysis of studies on preventing low back pain, researchers found a combination of exercise and education were the most likely interventions to prevent recurrence of this potentially debilitating condition.