Clinical Briefs in Primary Care – September 1, 2015
September 1, 2015
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Extending the Window of Anticoagulation After Pulmonary Embolus
After the initial 6-month treatment of pulmonary embolus, extended anticoagulation of up to 18 months dramatically reduces risk of recurrence at the expense of more episodes of major bleeding.
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Stroke Accelerates Long-term Process of Cognitive Decline
Following an acute stroke, executive function declined significantly — more steeply than in controls; encouragingly, the capacity for new learning post-stroke did not decline.
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How Long Should We Treat with Warfarin for Symptomatic Venous Thromboembolism?
Long-term anticoagulation was associated with about an 80% reduction in recurrent venous thromboembolic events compared to short-term anticoagulation.
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Preventing Recurrence of Depression: Cognitive Therapy or Medication?
Over a 24-month interval, slightly fewer than half of the subjects experienced relapse, with no significant difference demonstrable between mindfulness-based cognitive therapy and pharmacotherapy.
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Predicting Which Patients with Non-alcoholic Fatty Liver Disease Will Progress
Certain non-alcoholic fatty liver disease patients have a progressive type called non-alcoholic steatohepatitis, which itself may progress to cirrhosis and hepatocellular carcinoma.
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Tramadol for Premature Ejaculation
On-demand doses of 25-50 mg tramadol administered 2-4 hours prior to intercourse is effective in prolonging vaginal ejaculatory latency time.