Primary Care/Hospitalist
RSSArticles
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Patent Foramen Ovale Does Not Confer a Higher Risk of Recurrent Events in Cryptogenic Stroke
Patent foramen ovale (PFO) is common in both the general population, as well as in patients with cryptogenic stroke, with an estimated prevalence somewhere between 15-35%. Recurrent neurovascular events, both recurrent ischemic stroke as well as transient ischemic attacks, are frequent in these patients, but it is not clear whether patients with PFOs have an increased rate of recurrent events compared to those patients who do not have PFOs. -
The Choosing Wisely ® Top 5 List in Critical Care Medicine
he Choosing Wisely Campaign was introduced in 2011 by the American Board of Internal Medicine to identify practices and procedures physicians and patients should question. The critical care top 5 list was developed through a collaborative effort of several critical care societies. -
Hospital Medicine Alert - Full January 2015 Issue in PDF
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Thienopyridine Pretreatment in Patients with Non-ST Elevation Acute Coronary Syndromes: Where’s the Evidence?
Each year when I lecture the incoming cardiology fellows on the management of non-ST elevation acute coronary syndromes (NSTE-ACS), we embark on a discussion of optimal guideline-driven treatment vs. real-world practicalities. -
If Less is More, How Can We Get There?
This study, done at a tertiary care university hospital here in the U.S., was initiated in an attempt to improve patient safety, conserve a vital resource, and reduce costs a laudable tripartite goal. -
Primary Care Reports - Full January 2015 Issue in PDF
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Side Effects of Opioids
More than 40% of ED visits are related to pain.1 The Joint Commission has made the assessment and treatment of pain in the ED one of its standards.2 The use of opioid medications has been increasing in both adults and children.3-5 In 2009 there were more than 200 million prescriptions for opioid medications, with enough medication dispensed to supply every adult in the United States with the equivalent of 5 mg of hydrocodone every four hours for one month.
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Pay Attention! Tai Chi Can Help
Synopsis: A 15-week course in tai chi improved attention scores in healthy university students.
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Massage for Neck Pain: How Much Is Optimal?
This study was performed to assess the optimal amount of time massage should be used to improve neck pain in individuals suffering from chronic (> 3 months), non-specific neck pain. A total of 228 participants were randomized to one of six study groups (approximately 38 participants in each). -
Dietary Flavanols from Cocoa Improve Dentate Gyrus Function and Cognitive Performance in Aging Population
Decline in functional integrity of the dentate gyrus, a hippocampal region, has been observationally seen with aging.1 However, beyond these correlations, direct association between cognitive decline, dentate gyrus function, and the effects of non-pharmacological interventions has not been demonstrated.