Clinical
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Diastolic Stress Testing Improves Diagnostic Accuracy in Evaluation of Heart Failure With Preserved Ejection Fraction
Adding echocardiographic assessment of diastolic function during exercise improves the accuracy of current algorithms for evaluating suspected heart failure with preserved ejection fraction.
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Left Ventricular Diastolic Function in the Elderly
Analysis of the ability of echo Doppler measures of diastolic function to predict heart failure and death in community subjects > 65 years of age was improved by applying age-adjusted normal values for e’, which are considerably lower than those recommended in the American Society of Echocardiography guidelines.
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Clinical Briefs
In this section: soothing dementia with music; the gastrointestinal tract and cardiology; NSAIDs might pose cardiovascular risks.
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Deflazacort Tablets and Suspension (Emflaza)
Deflazacort is indicated for the treatment of Duchenne muscular dystrophy in patients ≥ 5 years of age.
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Antibiotic Treatment in Community-acquired Pneumonia
In patients with newly diagnosed community-acquired pneumonia, basing the duration of antibiotic treatment on clinical stability criteria led to a significant reduction in duration of antibiotic treatment without an increased risk of adverse outcomes.
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Helping Disabled Patients Through Physical Activity
Recent trial demonstrated that a structured physical activity intervention reduces reported severe mobility disability and difficulty on mobility tasks, but not all disability in older adults who experience functional limitations.
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Benefit of Bariatric Surgery for Obesity and Diabetes Maintained After Five Years
It seems that for an individual patient, clinicians now can discuss the pros and cons of bariatric surgery compared with aggressive medical management with a fair bit of certainty about expected outcomes.
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2017 Update on Adult Vaccinations
Vaccinations to directly prevent disease in adults likewise have reduced morbidity and mortality from a wide variety of viral and bacterial infections. This article will review the vaccines recommended for all adults as well as those vaccines recommended for special populations, such as immunosuppressed patients and pregnant women. In addition, the article will examine strategies that can be employed to increase vaccination rates in adults.
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Group Prenatal Care
Group prenatal care is a different model for the delivery of prenatal care that typically consists of groups of eight to 12 women of similar gestational age who have each visit together. This contrasts with the one-on-one patient/provider prenatal care visits that are the traditional model. Women are enrolled in group prenatal care after they have had an individual initial prenatal visit and health risk assessment, and have completed the first trimester.
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More Confusion Over Whether HRT Prevents Dementia
A 20-year prospective cohort study from Finland did not provide strong evidence that hormone replacement therapy prevents dementia except among women who self-reported long-term use.