Browse Primary Care/Hospitalist Articles by Topic

B Vitamins and Hip Fracture Risk: To B or Not to B?

Researchers conducted a secondary analysis and extended follow-up of two large, randomized, controlled trials to show the relationship between supplementing with B vitamins and the incidence of hip fractures.

Chicken or Egg: Does Improving Sleep Improve Mental Health?

Authors of this large, randomized, controlled study strongly suggest that better sleep leads to improvement in several areas of mental health, and that a digital form of cognitive behavior therapy can significantly help in treatment of insomnia.

Aerobic Exercise and Heart Health: Is It Ever Too Late to Start?

In this prospective, randomized, controlled trial, researchers demonstrated improvements in exercise tolerance and diastolic cardiac function in middle-aged, healthy, sedentary men and women performing intensive aerobic exercise over a two-year period.

Therapeutic Strategies for Hypertension

This article on hypertension will cover treatments (pharmacological and nonpharmacological), initial therapy, relationship to various disease conditions (diabetes, ischemic heart disease, heart failure, chronic kidney disease, cerebrovascular disease, ischemic stroke, stroke prevention, atrial fibrillation, valvular heart disease, aortic regurgitation, sexual dysfunction), resistant hypertension, hypertensive crises and emergencies, preoperative management, and adherence strategies.

Cannabidiol Oral Solution (Epidiolex)

Epidiolex is indicated for the treatment of seizures associated with Lennox-Gastaut syndrome or Dravet syndrome in patients ≥ 2 years of age.

A Negative Nares Screen for MRSA Helps Exclude MRSA Pneumonia

The authors of a meta-analysis determined that nares screening for methicillin-resistant Staphylococcus aureus (MRSA) has a high specificity and negative predictive value for MRSA pneumonia.

Vitamin D and Glycemic Control in Patients With Type 2 Diabetes

Findings from a meta-analysis show vitamin D supplementation was associated with improved glycemic control in vitamin D-deficient or non-obese patients with type 2 diabetes.

Tailored Anticoagulation for Paroxysmal Atrial Fibrillation

Intermittent anticoagulation guided by continuous assessment of arrhythmia status in patients with low-to-moderate risk did not result in any strokes or thromboembolic events over a relatively short follow-up period.

Timing of Protein Intake Does Not Influence Muscle Mass or Strength

The timing of protein intake during or between meals does not play a role in anabolic response, muscle strength, or functional outcomes.

Runs of VT, or Aberrant Conduction?

A 47-year-old man presented with a history of intermittent dizziness over the previous two days. He was hemodynamically stable at the time the ECG in the figure was obtained. How would you interpret the rhythm? Is there any clue to a possible etiology for this patient’s arrhythmia?