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This issue of Primary Care Reports concludes the series on headache disorders. Part I covered headache history, physical examination, diagnostic testing, and differential. Part II addresses common headache diagnoses and their management.
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Efficacy of once-daily insulin, aldo-sterone use in heart failure, erectile dysfunction Clinical Practice Guidelines, and FDA Actions.
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Statin and niacin increase HDL-C, omeprazole reduces effectiveness of clopidogrel, darbe-poetin increases risk of stroke, statins decrease risk of gallstone disease, FDA Actions.
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The U. S. Surgeon General has advised women not to drink if they become pregnant, plan to become pregnant, or are at risk of becoming pregnant. Innocent children suffer the consequences of physical, mental, and behavioral manifestations that can extend into adulthood. Since fetal alcohol syndrome is 100% preventable, the primary care physician needs to be vigilant and diligent in the education of female adolescents and women of childbearing age.
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In this randomized clinical trial, patients with newly diagnosed type 2 diabetes assigned to a Mediterranean-style diet had better glycemic control and were less likely to need oral antihyperglycemic drug therapy than patients assigned to a low-fat diet.
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Addressing the accumulating evidence for pomegranate's effects on various cardiovascular parameters, this study explored the impact of 240 mL of pomegranate juice daily for 18 months on carotid intima-media thickness (CIMT), a known risk factor for stroke and myocardial infarction. The results failed to show a difference in CIMT or antioxidant parameters (the proposed mechanism), except for subgroup analyses on people at particularly high risk for cardiovascular disease.
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Iyengar yoga training and practice was shown by the authors to significantly improve functional disability, pain, and depression in adults with chronic low back pain, compared to a control group receiving standard medical care. The yoga group also demonstrated a trend to reduce pain medicine use compared to the control group.
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Results of this randomized clinical trial strongly suggest that Medical Qigong (MQ) can help people with cancer improve their quality of life (QOL) and lessen specific cancer- or treatment-related symptoms. The authors propose that MQ works in part by attending to the emotional and psychological well-being of the patient in addition to their physical health. Lack of a placebo sham group and high dropout rates negatively influence confidence in the authors' conclusions.
