October 2015 Issue of Clinical Advisor

October 2015 Issue of Clinical Advisor

Beyond Rx: OTC Corner

Probiotics in clinical practice

Probiotics may be beneficial for antibiotic-associated diarrhea, digestive symptoms, necrotizing enterocolitis, respiratory tract infections, and other health conditions.

Newsline

Active surveillance 
encouraged for prostate cancer screening

Men should regularly be screened for prostate cancer, the leading cause of cancer death for men in the United States.

Americans' hearts are older than their chronological age

Three out of four U.S. adults have a "heart age" that is older than their chronological age, according to a Vital Signs report issued by ...

Higher influenza vaccination rate 
leads to lower risk for seniors

Higher influenza vaccination rates among healthy adults may lower the risk for influenza among older adults, according to a study published online ahead of print ...

Modifiable risk factors for Alzheimer's disease

Research reveals that focus on diet, mental health, and lifestyle may help lower the number of new cases of Alzheimer's disease.

Early treatment for flu beneficial for seniors

Seniors with the flu should be treated as soon as possible in order to reduce hospital stay length and the need for extended care after ...

Surgery benefits patients with chronic sinus infection, sleep dysfunction

Patients suffering chronic rhinosinusitis and obstructive sleep apnea may benefit from endoscopic sinus surgery, wrote Timothy L. Smith, MD, MPH, and colleages in a recent ...

Benefits of
 quitting smoking after an MI

Smokers who quit within a year after acute myocardial infarction had intermediate levels of chest pain and mental health that were similar to those who ...

50 million U.S. adults have chronic, severe pain

According to a study in the Journal of Pain, nearly 50 million adults in the United States live with chronic significant or severe pain.

Childhood cancer, stroke survivors at risk for second stroke

According to a study published in Neurology, people who survived cancer and stroke in childhood have a doubled risk of a second stroke.

Prevalence of diabetes 
continues to increase

Diabetes remains prevalent in the United States, with an estimated rate of 12% to 14% among adults.

Advisor Forum

The celebrity effect on healthcare

While having a celebrity spokesperson can benefit a cause, they may also end up spreading misinformation about a particular cause.

More tips for poison ivy, oak, and sumac

Providers from across the country share clinical wisdom for the treatment of poison ivy, oak, or sumac rashes and abrasions.

Monitoring for pulmonary hypertension

Doctors must assess for the presence of pulmonary hypertension in patients with lung disease, COPD, or emphysema, among other conditions.

Antibiotics, urinary tract infections, and circumcision

Find a foreskin-friendly urologist before agreeing to a child's circumcision.

Clinical Feature

Achieving sustained remission in major depressive disorder

Residual MDD symptoms are associated with poor overall outcomes. Several strategies can be used to enhance treatment effectiveness.

Glycemic control in type 2 
diabetes—how low should you go?

Treatment of the whole patient is key and should include management
of dyslipidemia, weight, and hypertension, as well as blood sugar.

Diagnosing anxiety 
disorders in primary care

The challenge associated with assessing for anxiety disorders is that the clinical features of one disorder can closely resemble those of another.

Commentary

Staying well while caregiving

Caregivers experience serious chronic health conditions at nearly twice the rate of those who are not caregivers.

Alternative Meds Update

Managing benign prostatic hypertrophy with pumpkin seeds

The most common medical use for pumpkin seeds is managing benign prostatic hypertrophy.

Evidence-Based Medicine

Nivolumab versus docetaxel in patients with advanced squamous cell non-small cell lung cancer

Recent studies show that nivolumab was associated with increased overall survival rate when compared to docetaxel in patients with advanced squamous cell non-small cell lung ...

Fetal macrosomia and shoulder dystocia


Fetal macrosomia is associated with an increased risk of neonatal and maternal complications.

Monitoring pregnant women with nonsevere hypertensive disorders 


Hypertensive disorders are the most common medical complications of pregnancy, affecting 5-8% of all pregnancies in the U.S.

Herpes zoster subunit vaccine efficacy in immunocompetent adults ≥50 years old


Herpes zoster, more commonly known as shingles, may occur in anyone previously infected with chicken pox, but is most common in adults 60 years and ...

Human papillomavirus vaccination not linked to increase in sexually transmitted infections in adolescent females 


The HPV vaccination is not associated with an increase in sexually transmitted infections in adolescent females, study results suggest. The vaccine is recommended for all ...

Thrombolysis 3 to 4.5 hours after stroke may increase mortality without clear benefit


Clinicians should be aware of the uncertainty regarding benefit of administering t-PA more than 3 hours after stroke onset.

Legal Advisor

A costly HIPAA 
violation

After a major car accident, two providers disclose a patient's health information to his employer.

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