Cardiology
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Loneliness and Type 2 Diabetes Incidence
Loneliness appears to be an independent risk factor for type 2 diabetes, although further research to identify the causal relationship between loneliness and type 2 diabetes development is needed. -
The Cost-Effectiveness of HPV Vaccination for Adults Age 30 to 45 Years
Researchers found extending the upper limit of HPV vaccination to age 30 to 45 years is not cost-effective. -
Antibiotic Therapy: How Long Is Long Enough?
The CDC and the American College of Physicians have provided advice on the best practice regarding the duration of antibiotic therapy for several common infections. -
Does Combined Obesity and Depression Treatment Result in Better Quality of Life and Psychosocial Functioning?
This study tracked measures of quality of life and psychosocial functioning in patients participating in a randomized clinical trial with the goal of reducing symptoms of obesity and depression. The authors found that both quality of life and psychosocial functioning significantly increased at six months compared to patients with “care as usual,” but not at 12 months.
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The Safety and Efficacy of Common Herbal and Dietary Supplements in Patients with Type 2 Diabetes Mellitus: Part 1
With an increasing number of diabetes cases, clinicians also are encountering more patients who are turning to complementary and alternative medicine to help control their glucose levels. In a 2015 National Consumer Survey on the Medication Experience and Pharmacist Roles, 35% of 26,157 respondents in the study reported the use of at least one herbal medicine. In all, 3,050 respondents had diabetes, and 41.2% of the respondents reported the use of a dietary supplement.3 The data revealed that respondents with diabetes were associated with higher herbal medicine use when compared to respondents without chronic diseases (41% vs. 34%, P < 0.001). The results also showed that herbal medicine use increased as age increased among the respondents.
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The Effect of Antiviral Drugs on COVID-19 Outcomes and Mortality
The WHO Solidarity Trial Consortium found that remdesivir, hydroxychloroquine, lopinavir, and interferon regimens had “little or no effect” on relevant outcomes. -
Prone Positioning May Improve Outcomes for Patients on ECMO for Severe ARDS
In patients on venovenous extracorporeal membrane oxygenation for acute respiratory distress syndrome, prone positioning is safe and feasible. Prone positioning appears to improve survival but increases length of stay. -
Ethics in the ICU: Negotiating Requests for Inappropriate Treatments
When requests for potentially inappropriate treatments occur, the initial steps include increasing communication and improving mutual understanding to find a path that is appropriate while honoring the goals and concerns expressed by patients and their families. -
Drospirenone and Estetrol Tablets (Nextstellis)
Nextstellis can be prescribed to women of reproductive potential to prevent pregnancy.
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Vitamin D and COVID-19
Low levels of vitamin D are associated with in-hospital mortality in patients with COVID-19, but causality is unknown.