A review published by the AMA reviews strategies for dealing with the sleep deprivation that is inevitable for many physicians. It gives counsel about strategic napping, light exposure, caffeine, and medication to manage the effects of shift work in health care.
RESULT: Managing the Effects of Shift Work in Medicine
Virtual Mentor | Nov 1, 2009
A trial from Harvard Medical School finds that, like modafinil, the medication armodafinil increases wakefulness for most shift workers, as well as reducing their likelihood of committing errors, having accidents, or falling asleep either intentionally or unintentionally. Side effects are minimal. The authors recommend including it particularly for health care workers in a comprehensive strategy to deal with shift work and sleepiness.
RESULT: Armodafinil for Treatment of Excessive Sleepiness Associated With Shift Work Disorder: A Randomized Controlled Study
Mayo Clinic Proceedings | Nov 1, 2009
Search: sleep deprivation
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SEARCH TIP: The SearchMedica toolbar
Notice that there’s a new black toolbar at the top of your results screen. This is part of the same redesign that has created the ability to save your searches.
The toolbar allows you to take two actions immediately, rather than clicking the “Back” button and returning to the previous list of results. You can save a result while you’re reading it, rather than going back to the list of results and clicking “Save” to the right of the publication date.
In addition, you can enter a different search term and try something else, using the search box on the left side of the black toolbar.
A click box at the upper right allows you to remove the toolbar.
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OTHER RECENT SEARCHES ON SEARCHMEDICA
Search: soccer
RESULT: Recreational soccer is an effective health-promoting activity for untrained men
British Journal of Sports Medicine | Oct 1, 2009
After 12 weeks of training, men organized into soccer teams showed greater increases in lean body mass and leg bone mass than similar men trained in running, as well as less fat, and greater decreases in low-density lipoprotein cholesterol. One of your colleagues wrote to us to point out this study done in Denmark.
Search: poems syndrome bone
RESULT: Cerebral infarction in POEMS syndrome: Incidence, risk factors, and imaging characteristics
Neurology | Oct 20, 2009
In patients with POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes), the risk of cerebral infarction is 13.4%, and is increased in the presence of plasma cell proliferation in bone marrow and elevated serum platelet count. The Mayo Clinic authors urge aggressive management of stroke risk factors in this scenario.
Search: high or elevated vitamin B12
RESULT: The Prevalence of Vitamin B12 Deficiency in Patients With Type 2 Diabetes: A Cross-Sectional Study
Journal of the American Board of Family Medicine | Oct 8, 2009
You should investigate whether your patients who have type 2 diabetes also have vitamin B12 deficiency. About 22% of type 2 diabetes patients in this study of primary care practices showed metabolically confirmed vitamin B12 deficiency, which was particularly common in those taking metformin.
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SEARCH TIP: Synonyms
There’s no need to type both “high” and “elevated.” SearchMedica’s lexicon automatically includes synonyms.
While we’re discussing this search, notice that one of the top results is about the opposite of the query (vitamin B12 deficiency rather than elevated levels). You can see from the terms in bold that some of the other results mention elevated levels of something else, such as thyroid stimulating hormone.
This is another case where use of quotation marks would confine the search to the intended topic. See what happens with the query “elevated vitamin B12.”
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