Clinical Briefs in Primary Care
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What's Holding Case Managers Back?
Reimbursement and regulatory barriers are slowing down the transformative change that technology makes possible.
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Rosacea is Associated with Cardiovascular Disease
While the mechanism for the relationship between rosacea and cardiovascular disease is ill-defined at this point, one postulate is that systemic inflammation, which has been shown to alter the ability of lipoproteins to remove cholesterol from circulation, might be at least part of the explanation.
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Approaches to PTSD in Veterans
Mindfulness-based stress reduction shows promise as a valuable intervention for PTSD patients.
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Cardiovascular Autonomic Neuropathy Occurs Earlier in Type 2 Diabetes
Study results suggest cardiovascular autonomic neuropathy (CAN) may occur quite early, but whether treatment of diabetes might alter the course of CAN remains unknown.
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Early Identification, Intensive Intervention for Diabetes Might Improve Cardiovascular Outcomes
Multifactorial trials in which blood pressure, lipids, weight, exercise, and glucose are concomitantly addressed have produced favorable CV risk reduction, but it becomes difficult to ascertain which component(s) of the multipronged intervention is most responsible for the beneficial outcomes.
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Reversing Anticoagulant Effect of Dabigatran
A tool for reversal of novel oral anticoagulant effects may soon be available.
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Likelihood of Occult Cancer Causing Unprovoked Deep Venous Thrombosis
The likelihood of identifying occult cancer in patients with new unprovoked deep venous thrombosis is not meaningfully enhanced by performing extended screening.
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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.
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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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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.