Internal Medicine
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Treatment for Spinal Muscular Atrophy
In a randomized, double-blind, sham-controlled study of infants with spinal muscular atrophy (SMA) type 1, nusinersen treatment led to significant improvement in motor milestones and survival without significant adverse reactions. A safety trial of gene therapy for SMA type 1 demonstrated prolonged ventilator-free survival and improved motor milestones with minimal side effects.
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What Do You Know About Wound Care?
This article will summarize the salient features of wound care, including demographics of a changing population, fundamental phases of wound healing, advances in therapeutic modalities, and steps family physicians can take to become recognized as certified wound care physicians.
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Topical Cannabis for Wound Pain: A Case Series
For three people with continued pain despite conventional treatment for pyoderma gangrenosum, topical cannabis led to statistically significant pain relief for two of them.
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Low Serum 25-hydroxyvitamin D and Risk of Frequent Headache
Low vitamin D levels are associated with a range of neurovascular diseases, but little data are available on the association between vitamin D levels and headaches. This retrospective, cross-sectional study showed that low serum vitamin D levels were associated with a higher risk of frequent headaches in middle-aged/elderly Finnish men.
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Black seed (Nigella sativa) for Asthma: Minimal Effects
SYNOPSIS: Black seed, crushed, in capsule form, administered to 76 people with asthma in a single-blind, randomized study, showed some minimal improvements in some, but not all, components of spirometry and one serum cytokine after 12 weeks.
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Use of Essential Oils as an Alternative Treatment for Depression
The antidepressant effects of essential oils are promising, but more studies in humans beyond preliminary stages are needed.
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Tai Chi and Fall Risk
Tai chi practice in the older and at-risk population reduces the risk of falls (with the most robust results in the short-term) and may reduce the risk of injury from falls; no effect is seen when measuring time to the first fall.
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Secnidazole Oral Granules (Solosec)
The FDA has approved the first oral single-dose treatment for bacterial vaginosis in adult women.
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Etiology of Acute Liver Failure and Next-generation Sequencing
Metagenomic next-generation sequencing was applied to examine serum from 204 adult patients with acute liver failure (ALF). Researchers identified a potential viral etiology in eight of the 187 patients with ALF of indeterminate etiology. Potential pathogens identified in these included HSV-1, HBV, parvovirus B19, CMV, and HHV-7.
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Do Antibiotics Reduce Hormonal Contraceptive Effectiveness?
This is a systematic review of studies evaluating the effect of concomitant non-rifamycin antibiotics use on hormonal contraceptive effectiveness. Although data are limited, there is no evidence to support the existence of drug interactions.