Primary Care/Hospitalist
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Optimal Beta-blocker Dose Post-MI
Beta-blocker therapy after acute myocardial infarction was retired as a hospital performance measure because its almost universal acceptance removed its discriminating value. However, it is well known that clinically used doses are significantly lower than those achieved in the randomized trials, establishing their mortality-reducing benefits.
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Can We Safely Discharge Patients on the Weekend?
ABSTRACT & COMMENTARY: The link between weekend discharge and 30- and 90-day readmission rates.
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Evaluation of Syncope
MONOGRAPH: Here's how to determine the appropriate treatment and disposition outcomes in the most time- and cost-effective manner.
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Kirtan Kriya Meditation on Stress and Alzheimer’s Disease
This review article shows that meditation, particularly Kirtan Kriya, can mitigate the negative biochemical effects of stress.
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Emergency Department Visits Related to Dietary Supplements
A 10-year chart review of 63 nationally representative emergency departments reveals 3667 cases of adverse events related to dietary supplement use; these are estimated to represent 23,005 emergency department visits yearly. Characteristics of the visits are described and categorized.
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Echinacea-based Infusion Noninferior to Oseltamivir in Early Influenza Treatment
Echinacea Hotdrink was found to be as effective as oseltamivir as early treatment intervention of clinically diagnosed and lab-confirmed influenza virus infections and had fewer adverse effects.
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Imagery for Improving Quality of Life Among Breast Cancer Survivors
This randomized study demonstrated that an imagery program delivered either live or via telemedicine could improve quality of life in breast cancer survivors compared to a wait list group.
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Clinical Briefs
In this section: no payoff to physical therapy after healed ankle fracture; bisphosphonates and bone recurrence; and manipulating the microbiome.
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No More Bacon? Carcinogenicity of Meat
A review of published research by the World Health Organization concludes that processed meats are probably carcinogenic.
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Naloxone Nasal Spray (Narcan)
The FDA has approved naloxone in the form of a nasal spray as a life-saving medication to reverse the effects of an opioid overdose.