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MDLinx
This summary of a January 2023 JACC article highlights the study finding that rosuvastatin was “vastly superior to… any of the six supplements studied in the trial.” The study compared rosuvastatin to cinnamon, garlic, turmeric, red yeast rice, fish oil, and plant sterols. Rosuvastatin yielded a reduction in cholesterol of nearly 38 percent in just 28 days. The supplements had little to no effect but were significantly more costly than the statin.
Cardiology February 8th 2023
Annals of Internal Medicine
A 12-month controlled trial randomized 189 individuals to spend 70–90 minutes performing 11 exercises or 20–30 minutes performing 5 exercises for 3 months. Outcomes were measured biweekly for the intervention period and again at 6 and 12 months. The two approaches were similar, except for one outcome. In the Knee Injury and Osteoarthritis Outcome Score for function in sports and recreation, high-dose therapy was superior.
Family Medicine/General Practice February 8th 2023
The New England Journal of Medicine
In 60 medical centers, 1,500 patients were randomized to either a restrictive or liberal fluid strategy. The 90-day mortality rate was 14% in the fluid-restrictive group and 14.9% in the liberal group, equating to statistical equivalence between the two approaches.
Multiple Sclerosis News Today
In addition to the improvements in gait and balance, all individuals, including those who combined a Mediterranean diet with a placebo, improved their endurance after four months, according to the pilot study published in Food & Function.
Neurology February 7th 2023
Journal of Neurology, Neurosurgery & Psychiatry
Shift work has previously been linked to an increased risk of developing MS, presumably due to the resulting sleep deprivation and circadian desynchrony. The current study compared sleeping 7–9 hours/night during adolescence, with less than 7 hours/night and found a 40% increase in risk for developing MS in the short-sleep cohort. The authors conclude that “insufficient sleep and low sleep quality during adolescence seem to increase the risk of subsequently developing MS.”
Family Medicine/General Practice February 7th 2023
Psychiatrist.com
The number and quality of available studies on ketamine plus psychotherapy are limited because of the newness of the therapy. However, in the 4 studies deemed eligible for review, ketamine plus psychotherapy—regardless of protocol—was associated with significant symptom reduction.
Anesthesiology February 7th 2023