August 2017 Issue of Clinical Advisor

August 2017 Issue of Clinical Advisor


DASH diet associated with lower risk of gout

The DASH diet could offer a dietary strategy that may help prevent gout and its comorbidities in high-risk patients with hyperuricemia.

USPSTF recommends obesity screening in children aged 6 years and older

The USPSTF has released updated recommendations on obesity screening in children and adolescents to focus on intensive behavioral interventions.

High-dose vitamin D supplement use increasing, poses risk of adverse effects

Although research has emphasized the possible benefits of vitamin D, high dosages pose potential risks.

Proton pump inhibitor use associated with excess risk of death

Risk of death is increased among those without gastrointestinal conditions and with prolonged use.

Antibiotics improve short-term outcomes in small skin abscesses

Antibiotics in conjunction with incision and drainage improved short-term outcomes compared with incision and drainage alone.

CDC: Opioid prescription rate remains high, inconsistent in the United States

However, the number of opioids prescribed decreased between 2010 and 2015.

Coffee consumption associated with lower mortality risk

Coffee consumption is associated with a lower risk of all-cause mortality for men and women, specifically in African Americans, Japanese Americans, Latinos, and whites.

Advisor Forum

Fulfilling a dying patient's request: A trip to the Renaissance Festival

A dying man's wish to attend a Renaissance Festival taught a valuable lesson to a palliative care nurse practitioner.

Epilepsy and the ketogenic diet

The ketogenic diet increases the conversion of glutamate into glutamine into GABA, reducing neuronal excitability.

Cover Feature

Managing systolic heart failure

Primary care providers can help significantly reduce heart failure exacerbations and improve their patients' overall quality of life.

Clinical Challenge

A faster heart rate and numbness: Is the patient having a heart attack?

A 30-year-old woman presents with an increased heart rate, shortness of breath, and tingling in her right arm.

Alternative Meds Update

Boron: a water-soluble element found in the earth's surface

Boron is found in small amounts in the earth's surface and is thought to be produced by the collection of particulate matter of meteorites.

Legal Advisor

Birth control leads to a blood clot

A patient presents with chest pain 6 weeks after beginning use of a contraceptive device.

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