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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.
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Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide (Genvoya)
A complete regimen for the treatment of HIV-1 infections in adults and pediatric patients ≥ 12 years of age.
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Fecal Microbiota Transplantation: Patients Need No Convincing
Fecal microbiota transplantation appears effective in approximately 55-90% of patients with relapsing and refractory Clostridium difficile infection, and will prove a blessing to those who have been in a miserable cycle of recurrent disease.
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Optimal Beta-blocker Dose Post-MI
Investigators from the Outcome of Beta-blocker Therapy After Myocardial Infarction (OBTAIN) study hypothesized that the higher the dose of beta-blocker the lower the mortality.
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Metformin and Colorectal Cancer Risk
In a retrospective cohort study of patients with type 2 diabetes who had ≥ 1 adenoma detected at baseline colonoscopy and a repeat colonoscopy 1-10 years later, metformin use lowered the risk of subsequent adenomas after polypectomy.
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Cardiovascular Events Associated with Masked Hypertension and White-coat Hypertension
Analysis from the Dallas Heart Study consisting of 3027 adults revealed that both white-coat hypertension and masked hypertension were independently associated with increased cardiovascular events, and, therefore, home blood pressure monitoring is recommended for U.S. adults, whether symptomatic or asymptomatic.
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Is There a Link Between Miscarriage and Future Cardiovascular Disease?
In this Scottish retrospective cohort study of 60,000 women, two or more miscarriages were found to increase the risk of future ischemic heart disease by two- to three-fold.
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Does a History of D&C Increase the Risk of Premature Delivery?
In a meta-analysis, a history of dilation and curettage for management of miscarriage or termination of pregnancy was associated with an increased risk of preterm birth in a subsequent pregnancy but the association is weak and most likely explained by confounding.