November 2015 Issue of Clinical Advisor

November 2015 Issue of Clinical Advisor

Beyond Rx: OTC Corner

Omega-3 fatty acids: From fins and fish oil 
to flax

Omega-3 fatty acids have structural and anti-inflammatory roles in the human body.

Newsline

Low doses of beta-blockers effective for survival after heart attack

In a clinical trial, researchers found that patients who received a lower dose of beta-blockers demonstrated decreases in mortality as high as 25%.

Drug-resistant E. coli infection rates 
increase at community hospitals

A study has found that the rate of ESBL-E. coli infections increased from 5.28 to 10.5 per 100,000 patients between 2009 and 2014.

New treatment guidelines for menopause emphasize individualized care

New guidelines issued by the Endocrine Society and published in the Journal of Clinical Endocrinology and Metabolism suggest that clinicians should provide patients with individualized ...

Vitamin D
 for colorectal 
adenomas?

Vitamin D and calcium supplements do not reduce the risk for the development of colorectal adenomas, according to a study published in the New England ...

More Medicaid plans are now 
covering post-delivery IUDs

Expanding Medicaid coverage will allow more low-income women the choice to get an IUD implant immediately after birth.

Higher stroke risk in children with infections

According to research published in the journal Neurology, children who have had infections or who have not received their vaccinations are at a higher risk ...

Mammography without CAD

Digital screening mammography is as accurate without computer-aided detection (CAD) as it is with the technology.

Enterovirus D68 does not increase mortality in children

Enterovirus D68 (EV-D68) does nto increase the risk of death or need for critical care in children, says a study published in the Candian Medical ...

Smoking is associated with
 high risk of type 2 diabetes

A meta-analysis of 88 studies show a concrete link between current smokers and an elevated risk of type 2 diabetes.

High stress jobs are linked to increased stroke risk

High stress jobs are associated with a 22% higher risk of stroke, and were 58% more likely to have an ischemic stroke.

Advisor Forum

Stopping prescription drug abuse

Emergency providers need to make every effort to be responsible prescribers.

Vaccination, parents, and children

Vaccinations cannot be equated to antibiotics.

How to distinguish bradykinesia from psychomotor retardation

If a patient is truly bradykinetic, their blink rate will be decreased.

Metformin XR for diabetes care

Patients who forget to take Metformin SR twice daily can be switched to Metformin XR with once daily dosing.

The anti-inflammatory effects of statins

Is the real benefit of statins their anti-inflammatory benefits?

Clinical Feature

Current and emerging medications for psoriasis

A number of therapeutic options exist for patients with psoriasis, including phototherapy and systemic and biologic agents.

Clinical Challenge

Painful red spot 
and fever in an infant

The child and her twin tested positive 
for influenza B infection one week earlier. The child's pulse, respirations, and blood pressure were within normal limits.

Commentary

Basal insulin for surgical diabetic patients

Basal insulin, with or without nutritional correction, is the best approach to manage blood glucose in noncritically ill surgical patients.

Alternative Meds Update

Taurine: a supplement for cellular physiology

A derivative of cysteine, taurine plays multiple roles in the body, including stabilizing membranes, signaling calcium, and regulating cardiac and skeletal muscle function.

Legal Advisor

Complaints not taken 
seriously

A clinician misdiagnoses thyroid cancer as acid reflux in a patient who often comes to the clinic.

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