In vaccinating adults, clinicians face 2 types of challenges: (1) staying current on recommendations for influenza, pneumococcal, hepatitis A and B, zoster, and other vaccines and (2) addressing systemic barriers to implementing practices that increase vaccination rates. Although adult...
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Screening for Colon Cancer in Older Adults: Risks, Benefits, and When to Stop
Colorectal cancer (CRC) is the fourth leading cause of cancer and second leading cause of mortality from cancer in the United States. As the population ages, decisions regarding the initiation and cessation of screening and surveillance for CRC are of increasing importance. In elderly patients,...
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Craniosacral therapy for chronic pain: a systematic review and meta-analysis of randomized controlled trials
OBJECTIVES:
To systematically assess the evidence of Craniosacral Therapy (CST) for the treatment of chronic pain.
METHODS:
PubMed, Central, Scopus, PsycInfo and Cinahl were searched up to August 2018. Randomized controlled trials (RCTs) assessing the effects of CST in ...
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Twenty Common Mistakes Made in Daily Clinical Practice
The authors review twenty common mistakes in clinical practice and offer alternative treatment options for each case.
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Routine Childhood Vaccines Given in the First 11 Months After Birth
The US Advisory Committee on Immunization Practices recommends that infants beginning at birth receive several vaccines directed against a variety of infectious diseases that currently pose threats of morbidity and mortality to infants and those around them, including the 3-dose hepatitis B (...
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Final Update Summary: Abdominal Aortic Aneurysm: Screening
IMPORTANCE:
An abdominal aortic aneurysm (AAA) is typically defined as aortic enlargement with a diameter of 3.0 cm or larger. The prevalence of AAA has declined over the past 2 decades among screened men 65 years or older in various European countries. The current prevalence of AAA in...
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Drug Facts - Kratom
Kratom is a tropical tree native to Southeast Asia, with leaves that can have psychotropic effects. Kratom is not currently illegal and has been easy to order on the internet. Most people take kratom as a pill or capsule. Some people chew kratom leaves or brew the dried or powdered leaves as a...
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Cannabidiol Products Are Everywhere, but Should People Be Using Them?
Even with pharmaceutical-grade CBD, potentially dangerous adverse events can occur. With unregulated CBD products, the adverse events are unpredictable, in part because their ingredients might not be the same as those listed on the package.
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Preoperative Evaluation Before Noncardiac Surgery
The medical complexity of surgical patients is increasing and medical specialties are frequently asked to assist with perioperative management surgical patients. Effective pre-anesthetic medical evaluations are a valuable tool in providing high-value, patient-centered surgical care and should...
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The Underappreciated Problem of Cardiac Disease in Women
Barbra Streisand and Noel Bairey Merz, MD, director of the Streisand Women’s Heart Center at Cedars-Sinai in Los Angeles, California, discuss the problem of cardiovascular disease in women and especially coronary microvascular disease, which causes an unusual presentation of cardiac ischemic...
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