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It comes as no surprise that when patients do not take their blood pressure (BP) medication, a lapse in BP control is anticipated. On the other hand, when a patient presents with an elevated BP and acknowledges omitted doses, it is difficult to be sure whether the observed elevation in BP is solely due to recent omissions, an underlying worsening of BP (requiring an augmentation rather than just simple restoration of treatment), rebound BP elevation, or some combination of these elements.
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Clinical depression is highly prevalent in the general population and in primary care settings. Although clinicians presently have a broad array of pharmacological agents for the treatment of depression, including selective serotonin reuptake inhibitors and serotonin norepinephrine reuptake inhibitors, overall response rates and remission rates with these pharmacological agents remain relatively modest.
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The increasingly close and almost intimate relationships with our pets can lead to increased numbers of cases and the emergence of zoonotic diseases, including human plague (Yersinia pestis).
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The National Health Service in Britain in 2007 elected to ban traditional white coats and other long-sleeved garments for physicians in the workplace (including long-sleeved blouses and shirts). Subsequently, Scotland adopted similar policies. This decision was based on limited data suggesting that the cuffs and lower pockets of long-sleeved garments are more heavily colonized with bacteria than shorter garments.
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Chronic fatigue syndrome, as defined by clinical symptoms, may improve with a combination of behavior therapy and graded exercise.
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Using an algorithm based on score and chest x-ray when appropriate, the overall sensitivity for the detection of aortic dissection was 96%.
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A new orally administered macrocylic antibiotic has been approved by the FDA for the treatment of Clostridium difficile infection. Fidaxomicin is a fermentation product of Dactylosporangium aurantiacum and is marketed by Optimer Pharmaceuticals, Inc., as Dificid.
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It has recently been recognized that type 2 diabetes (DM2) increases risk for osteoporotic fracture, even though it has been demonstrated that DM2 is associated with a paradoxical increase in bone mineral density (BMD) compared to age-matched control populations. With a burgeoning prevalence of DM2 in the United States, almost 20% of the at-risk population for osteoporotic fracture has DM2, hence, clarification of risk stratification for this group is highly relevant.
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Scenario: Interpret the rhythm strip shown above. Does it represent 2nd degree AV Block, Mobitz Type II? Clinically â why is it important to distinguish between Mobitz I and Mobitz II 2nd degree AV block?
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Osteoporosis is a highly prevalent metabolic bone disease that affects both men and woman at risk of bone demineralization.