Primary Care/Hospitalist
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Bedside Ultrasound: Is It a Reliable Tool for Guiding Resuscitation in Patients with Undifferentiated Hypotension?
The use of bedside ultrasound has expanded tremendously over the last few decades. As it is readily available and relatively inexpensive, ultrasound provides the opportunity to examine hypotensive, critically ill patients, potentially leading to a faster, more accurate diagnosis.
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Sepsis Resuscitation and Mortality
The use of balanced salt solutions rather than isotonic saline or colloids may improve in-hospital mortality in patients admitted with septic shock.
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Acupuncture for Acute Low Back Pain in the Emergency Department
Acupuncture may reduce acute low back pain among patients treated in the emergency department.
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Yoga for Prenatal Depression
Yoga therapy reduces levels of prenatal depression compared to non-pharmacological treatment programs not involving yoga therapy. Yoga therapy integrating meditation and relaxation practice improve depression levels more than exercise-only yoga therapy.
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Eat Less Sugar: The New National Dietary Guidelines
The 2015-2020 Dietary Guidelines for Americans introduces a new recommendation that added sugar should be limited to no more than 10% of total calories.
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Antioxidant Therapies: A Contraindication for Melanoma?
A series of experiments utilizing human melanoma cells found that oxidative stress was higher in circulating melanoma cells and distant metastasis than the original subcutaneous tumors, suggesting a higher oxidative stress burden subsequent to leaving the original tumor environment. Treatment of animals or tumor cell lines with antioxidants led to increased metastasic burden.
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Exercise for Depression During Pregnancy
Exercise is associated with better mental outcomes during pregnancy.
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Non-seasonal Major Depressive Disorder: Bright Light Therapy and/or Fluoxetine
In this four-pronged study comparing the effect of bright light treatment, fluoxetine, a combination of these two interventions, and placebo in patients with major depressive disorder, the combination treatment appears the most consistently effective.
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Electronic Cigarette and Nicotine Toxicity
MONOGRAPH: Their health effects, potential toxicity with inappropriate consumption, role as a portal to other drugs, and the lack of adequate regulation.
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Clinical Briefs
In this section: revisiting cancer screening recommendations; weighing the benefits of a COPD treatment; and expanding the safe prescribing of metformin.