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Aspirin in the Treatment and Prevention of Migraine Headaches: Possible Additional Clinical Options for Primary Healthcare Providers

Author/s: Biglione, B., Gitin, A., Gorelick, P., Hennekens, C.

Migraine headaches are among the most common and potentially debilitating disorders encountered by primary healthcare providers. In the treatment of acute migraine as well as prevention of recurrent attacks there are prescription drugs of proven benefit. For those without health insurance or...

Keywords/Tags:
migraine treatment headache

Screening for Colorectal Cancer in Asymptomatic Average-Risk Adults: A Guidance Statement From the American College of Physicians

Author/s: Qaseem, A., Crandall, C.J., Mustafa, R.A., Hicks, L.A., Wilt, T.J., Clinical Guidelines Committee of the American College of Physicians

DESCRIPTION:

The purpose of this guidance statement is to guide clinicians on colorectal cancer screening in average-risk adults.

METHODS:

This guidance statement is derived from a critical appraisal of guidelines on screening for colorectal cancer in average-risk adults and...

Keywords/Tags:
Colonoscopy Early Detection of Cancer

Chronic Constipation

Author/s: Bharucha, AE, Wald, A

Constipation is a common symptom that may be primary (idiopathic or functional) or associated with a number of disorders or medications. Although most constipation is self-managed by patients, 22% seek health care, mostly to primary care physicians (>50%) and gastroenterologists (14%),...

Keywords/Tags:
chronic constipation constipation laxatives opiod-induced consitpation

Vaccines for International Travel

Author/s: Freedman, DO, Chen, LH

The pretravel management of the international traveler should be based on risk management principles. Prevention strategies and medical interventions should be based on the itinerary, preexisting health factors, and behaviors that are unique to the traveler. A structured approach to the patient...

Keywords/Tags:
vaccines travel international travel travel vaccine immunizations

Is It Possible to Make a Correct Diagnosis of Lyme Disease on Symptoms Alone? Review of Key Issues and Public Health Implications

Author/s: Baker, PJ

There is much confusion and misinformation about the diagnosis of Lyme disease, as well as its treatment. This review explains why one cannot make a correct diagnosis of Lyme disease based on symptoms alone. It also provides evidence to support the validity of two-tier testing for the laboratory...

Keywords/Tags:
Diagnosis of Lyme disease Lyme disease public health implications symptoms of Lyme disease treatment of Lyme disease

Disorders of Arousal in adults: new diagnostic tools for clinical practice

Author/s: Loddo, G, Lopez, R, Cilea, R, Dauvillers, Y, Provini, F

Disorders of Arousal  (DOA) are mental and motor behaviors arising from NREM sleep. They comprise a spectrum of manifestations of increasing intensity from confusional arousals to sleep terrors to sleepwalking.

Although DOA in childhood are usually harmless, in adulthood they are often...

Keywords/Tags:
disorder of arousal sleepwalking sleep terrors confusional arousals EEG Video-polysomnography Diagnostic Criteria Motor Patterns Slow-wave sleep fragmentation index

Exercise for dysmenorrhoea

Author/s: Armour, M, Ee, CC, Naidoo, D, Ayati, Z, Chalmers, KJ, Steel, KA, de Manincor, MJ, Delshad, E

BACKGROUND:

Exercise has a number of health benefits and has been recommended as a treatment for primary dysmenorrhoea (period pain), but the evidence for its effectiveness on primary dysmenorrhoea is unclear. This review examined the available evidence supporting the use of exercise to...

Keywords/Tags:
exercise menstruation menstrual pain dysmenorrhea cochrane review alternative therapies pelvic pain

Diagnosis and Treatment of Adults with Community-acquired Pneumonia. An Official Clinical Practice Guideline of the American Thoracic Society and Infectious Diseases Society of America

Author/s: Metlay, JP, Waterer, GW, Long, AC, Anzueto, A, Brozek, J, Crothers, K, Cooley, LA, Dean, NC, Fine, MJ, Flanders, SA, Griffin, MR, Metersky, ML, Musher, DM, Restrepo, MI, Whitney, CG

Background: This document provides evidence-based clinical practice guidelines on the management of adult patients with community-acquired pneumonia.

Methods: A multidisciplinary panel conducted pragmatic systematic reviews of the relevant research and...

Keywords/Tags:
community-acquired pneumonia pneumonia patient management community acquired pneumonia

Attention Deficit Hyperactivity Disorder: Diagnosis and Treatment in Children and Adolescents Comparative Effectiveness Review No. 203

Author/s: Kemper, AR, Maslow, GR, Hill, S, Namdari, B, Allen LaPoint, NM, Goode, AP, Coeytaux, RR, Befus, D, Kosinski, AS, Bowen, SE, McBroom, AJ, Lallinger, KR, Sanders, GD

Objectives. Attention deficit hyperactivity disorder (ADHD) is a common pediatric neurobehavioral disorder often treated in the primary care setting. This systematic review updates and extends two previous Agency for Healthcare Research and Quality (AHRQ) systematic evidence...

Keywords/Tags:
ADHD attention deficit disorder with hyperactivity ADHD treatment children adolescent

Update: Characteristics of Patients in a National Outbreak of E-cigarette, or Vaping, Product Use–Associated Lung Injuries — United States, October 2019

Author/s: Moritz, E.D., Zapata, L.B., Lekiachvili, A, Glidden, E, Annor, F.B., Werner, A., Ussery, E, Hughes, M.M., Kimball, A, DeSisto, C.L., Kenemer, E.H., Shamout, M, Garcia, M.C., Reagan-Steiner, S, Petersen, E.E., Koumans, E.H., Ritchey, M.D., King, BA, Jones, CM, Briss, PA, Delaney, L, Patel, A, Polen, KD, Sives, K, Meaney-Delman, D, Chatham-Stephens, K, Lung Injury Response Epidemiology/Surveillance Group

What is already known about this topic?

CDC and partners are investigating the ongoing outbreak of e-cigarette, or vaping, product use–associated lung injury (EVALI) in the United States, the District of Columbia, and one U.S. territory.

What is added by...

Keywords/Tags:
vaping lung injury e-cigarettes EVALI e-cigarette or vaping product use-associated lung injury

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