Primary Care/Hospitalist
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Group Medical Visits to Treat Pain
A nine-session group medical visit for Spanish speakers with chronic pain led to statistically significant improvements in pain, fatigue, and depression.
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Buyer Beware: Unapproved Pharmaceutical Ingredients Found in Dietary Supplements
Investigators analyzed data collected from 2007 to 2016 regarding FDA warnings. Unapproved ingredients in dietary supplements continue to be found.
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Deciphering Medical Marijuana
The expansion of the sanctioned use of marijuana for recreational and medical purposes has exploded in recent years and warrants a critical appraisal of the primary care physician’s role in providing advice to and counseling patients.
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Brexanolone Injection (Zulresso)
Brexanolone is indicated for the treatment of postpartum depression.
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Update on Treatments for Vulvovaginal Atrophy
As with many clinical conditions, the spectrum of genitourinary syndrome of menopause requires the clinician to consider the effect on the patient’s quality of life. Although situational lubricants and regular moisturizers effectively pacify many symptoms, local estrogen is a safe, effective, and affordable way to treat the vulvovaginal changes of menopause.
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Imagine: Multidrug-Resistant Acute Gonococcal Infection
What would happen if clinicians lost ceftriaxone as an effective therapy for gonococcal infection?
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Probiotics Do Not Prevent C. difficile Infection in Hospitalized Patients
A retrospective cohort study from a single California hospital revealed the administration of probiotics to patients receiving antibiotics did not reduce the incidence of healthcare facility-onset Clostridioides difficile infection.
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Does Physical Activity Lower the Risk of Parkinson’s Disease?
A systematic review and meta-analysis incorporating more than 500,000 subjects revealed that moderate to vigorous physical activity is associated with a significant reduction in development of Parkinson’s disease; this relationship is most pronounced in men.
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Is There AV Block?
The long lead II rhythm strip in the figure was recorded at the standard 25 mm/second speed. This tracing was obtained from a middle-aged woman who presented to an outpatient clinic with noncardiac chest pain. How would one interpret this rhythm? Are there signs of AV block? Is it apparent if there is a cardiac problem?
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Esketamine Nasal Spray (Spravato) CIII
Esketamine, in conjunction with an oral antidepressant, is indicated for the amelioration of treatment-resistant depression in adults.