Search results for "Sleep"
Alcohol use, misuse recently on the rise
With routine use of a short screening tool, primary care physicians could more frequently flag emerging alcohol issues.
https://immattersacp.org/archives/2023/03/alcohol-use-misuse-recently-on-the-rise.htm
1 Mar 2023
Daylight saving time may be linked to medical errors
The economic benefits of changing the clocks twice a year are miniscule and need to be weighed against increased motor vehicle accidents and the increased rate of myocardial infarction following the time change.
https://immattersacp.org/archives/2020/11/daylight-saving-time-may-be-linked-to-medical-errors.htm
1 Nov 2020
Why and how to monitor hypertension at home
Home measurement of high blood pressure overcomes variability inherent in office measurements, delivers better assessment of systolic pressure (and hence, of possible cardiovascular events) and offers a better chance of discontinuing drug therapy.
https://immattersacp.org/archives/2011/03/home.htm
1 Mar 2011
Prescription, OTC drugs compared for insomnia
A systematic review and meta-analysis found that eszopiclone and lemborexant were effective, but eszopiclone might cause substantial adverse events and safety data on lemborexant were inconclusive.
https://immattersacp.org/weekly/archives/2022/07/26/1.htm
26 Jul 2022
Treatments recommended for chronic insomnia resistant to nonmedical interventions
The recommendations are intended to help clinicians choose a specific pharmacological agent for the treatment of chronic insomnia in adults when such treatment is indicated.
https://immattersacp.org/weekly/archives/2017/02/28/4.htm
28 Feb 2017
Lung screening's benefits, challenges
In March 2021, the U.S. Preventive Services Task Force (USPSTF) expanded eligibility for lung cancer screening by setting the benchmark at a 20 pack-year smoking history for those ages 50 to 80 years who are current smokers or former smokers who have quit within the past 15 years.
https://immattersacp.org/archives/2022/03/lung-screenings-benefits-challenges.htm
1 Mar 2022
Calling attention to adult ADHD
Missing an adult diagnosis of attention deficit hyperactivity disorder (ADHD) means patients also miss out on effective, often life-changing treatment.
https://immattersacp.org/archives/2023/04/calling-attention-to-adult-adhd.htm
1 Apr 2023
Watch out for NAFLD, treat ASAP
While nonalcoholic fatty liver disease and nonalcoholic steatohepatitis are dynamic processes that can progress and regress, lifestyle modification, including diet, is a must for all patients, wherever they are in their disease.
https://immattersacp.org/archives/2021/04/watch-out-for-nafld-treat-asap.htm
1 Apr 2021
MKSAP Quiz: 6-month history of worsening exertional dyspnea
A 67-year-old man is evaluated for a 6-month history of worsening exertional dyspnea. He has severe COPD, previously with minimal exertional symptoms, but now notes activity-limiting shortness of breath when walking short distances. He does not have chest pain, gastrointestinal symptoms, or sleep-related symptoms. Medical history is otherwise unremarkable. Medications are a twice-daily fluticasone/salmeterol inhaler and an as-needed albuterol/ipratropium metered-dose inhaler. He has a 55-pack-year smoking history but quit when COPD was diagnosed. Following a physical exam, chest radiograph, and transthoracic echocardiogram, what is the most appropriate diagnostic test to perform next?
https://immattersacp.org/weekly/archives/2017/01/10/3.htm
10 Jan 2017
MKSAP Quiz: 1-year history of daily afternoon fatigue
A 51-year-old woman with a 5-year history of multiple sclerosis is evaluated for a 1-year history of daily afternoon fatigue that necessitates frequent naps and impairs her concentration at work. Following a physical exam and lab studies, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2019/05/21/3.htm
21 May 2019