Primary Care/Hospitalist
RSSArticles
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Varenicline Nasal Spray (Tyrvaya)
Varenicline nasal spray is indicated to treat the signs and symptoms of dry eye disease.
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Intensive Blood Pressure Lowering Does Not Affect Small Vessel Disease Progression
Intensive blood pressure lowering was not associated with worsening but did not demonstrate any benefit in this population over standard blood pressure management.
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Environmental Shedding of MRSA Far Greater Than From Multidrug-Resistant Gram-Negative Bacilli
An observational cohort study showed shedding of methicillin-resistant Staphylococcus aureus by colonized patients outside hospital rooms or during outpatient clinic visits occurred more often than in those colonized by multidrug-resistant gram-negative bacilli.
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COVID-19 Vaccination, Pregnancy, Lactation, and Fertility
Vaccination rates are notably low among pregnant women. Clinicians should underscore the safety of vaccination and the risks of natural infection, particularly in pregnancy and in patients with underlying comorbidities.
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Meat Consumption Associated with Less Anxiety and Depression
A meta-analysis of 20 studies showed meat consumption resulted in better mental health, with less anxiety and depression vs. meat abstinence.
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Recognizing Stroke Mimics: A Guide for Primary Care
Acute ischemic stroke is a common and significant cause of mortality and morbidity in the United States, ranking fifth among all causes of death. However, timely recognition and treatment is complicated by the fact that there are multiple conditions that mimic acute ischemic stroke. A comprehensive review suggested that approximately 74% of patients presenting with apparent acute stroke symptoms ultimately were diagnosed with stroke, thus indicating that 26% of patients had their symptoms produced by “stroke mimics.” Therefore, prompt diagnosis is complicated by a multitude of stroke mimic etiologies, including structural intracranial abnormalities, infection, syncope, vertigo, seizure, and migraine patterns, as well as underlying psychiatric causes and demyelinating diseases.
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Plant-Based Diets and Menopausal Hot Flashes
In this clinical trial, women randomized to a low-fat, vegan diet including one-half cup of cooked whole soybeans daily experienced a reduction in total hot flashes of 79% compared to 49% in the control group over 12 weeks of observation.
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Children and Electronics: A Longitudinal Study
This Finnish investigation of electronic media (e-media) use in young children revealed 95% of 5-year-olds studied exceeded guidelines for time spent with e-media. The authors noted an association between more screen time and additional psychosocial symptoms at 5 years old and found these associations were less prominent when measuring use of electronic games alone.
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Fish Consumption, Omega-3 Fatty Acids, and Cardiovascular Disease
Is there enough scientific evidence to suggest there are associations between fish consumption and risk of cardiovascular disease, or of mortality, among people who consume fish compared to those who do not consume fish?
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Celecoxib and Tramadol Hydrochloride Tablets (Seglentis) C-IV
Seglentis can be prescribed to adults to help them manage acute pain that is severe enough to require an opioid analgesic.