Primary Care/Hospitalist
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Hormone Therapy and Mortality: No Overall Effect?
An evaluation of outcomes of users and nonusers of postmenopausal hormonal therapy followed longitudinally in the Danish database showed no overall difference in mortality.
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Cinnamon for Dysmenorrhea: A Clinical Trial
Cinnamon, three grams daily, for the first few days of menstruation may help attenuate menstrual pain in women suffering from dysmenorrhea, although an improved follow-up clinical trial is necessary to corroborate this.
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Can Quality of Diet Lower the Risk of Depressive Symptoms?
In a meta-analysis of 42 studies, researchers found that subjects who reported following the Mediterranean diet closely had a 0.67 reduced risk of developing depressive symptoms compared with low adherence to this diet.
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An Herbal Mixture for Enhanced Memory
SYNOPSIS: These researchers showed that a tincture of sage, rosemary, and lemon balm improved one aspect of cognition after two weeks in healthy people.
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Do Omega-3 Polyunsaturated Fatty Acids Play a Role in the Treatment of Anxiety?
In a review and meta-analysis of 19 studies regarding use of omega-3 fatty acids for treating anxiety, researchers showed improvement in anxiety symptoms with these nutrients. The effect appears most significant in a clinically diagnosed subpopulation.
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Lifestyle Modification for the Prevention and Reversal of Cardiovascular Disease
Lifestyle is a critical determinant of the common risk factors for cardiovascular disease (hypertension, diabetes, hyperlipidemia, and smoking) that have been well-known to predict disease outcomes. Lifestyle medicine can be used in conjunction with traditional medications to provide the best care to patients. Clinicians need to act now to prevent being overwhelmed with the eventual increase in coronary artery disease following the obesity/diabetes epidemic.
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Is There RBBB, Acute Ischemia, or Both?
The ECG in the figure was obtained from a 35-year-old man with a 20-year history of smoking. He presented to the ED with new-onset chest discomfort. He was hemodynamically stable at the time this tracing was obtained. How would one interpret his ECG? Is there right bundle branch block (RBBB)? Is there evidence of acute posterior ischemia or infarction?
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Sarecycline Tablets (Seysara)
Sarecycline is indicated for the treatment of inflammatory lesions of non-nodular moderate to severe acne in patients 9 years of age and older.
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Is Sanitizer Better Than Soap?
In day care settings, the implementation of hand hygiene programs reduced respiratory illness, absenteeism, and antibiotic use in children 0-3 years of age. Using hand sanitizer was more effective than washing with soap and water.
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Trends in Supplemental Vitamin D Intake
Researchers investigated the trends in daily supplemental vitamin D intake of ≥ 1,000 IU and ≥ 4,000 IU and found increasing use of vitamin D supplementation.