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Dermatology

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  • Why All the P Waves?

    Scenario: Interpret the lead MCL-1 rhythm strip shown above. Can you explain the irregularity?
  • Advice Ignored on Acute Mountain Sickness

    A retrospective survey of 744 Dutch and Belgian travelers who had ventured to 2500 m (8200 feet) or higher revealed that 25% developed acute mountain sickness. Only half of this group had followed pre-travel advice regarding altitude sickness, and few took preventive acetazolamide.
  • Testing for Influenza

    Rapid influenza diagnostic tests have modest sensitivity and high specificity.
  • Sitagliptin and Metformin Extended-Release Tablets (Janumet® XR)

    The FDA has approved an extended-release, once-daily, dipeptidyl-4 (DPP-4) inhibitor in combination with metformin for adults with type 2 diabetes. Janumet XR combines sitagliptin and metformin. The new combination is the second such product joining Kombiglyze XR, which combines saxagliptin and metformin. Janumet XR is marketed by Merck & Co., Inc.
  • Clinical Briefs By Louis Kuritzky, MD

    The choice of if and when to employ pharmacotherapy in the management of Alzheimer's disease (AD) is not an easy one.
  • Soda and Stroke Risk: A Pop Connection?

    Two large, well-known, U.S. prospective cohort studies, the Nurses' Health Study and the Health Professionals Follow-up Study, evaluated both sugar-sweetened and diet (low-calorie, also called artificially sweetened) soda consumption over 20 years and found one or more daily servings to be associated with a significantly higher risk of stroke.
  • Looks Like the Ear Lobe Crease is Here to Stay

    In this study of patients imaged with CT angiography, finding of the presence of diagonal earlobe creases was independently and significantly associated with increased prevalence, extent, and severity of coronary artery disease.
  • Use With Caution — Dangers of Common Antibiotics

    Dangers of antibiotics are well known and recent research brings to light new dangers of commonly used medications. Five days of azithromycin results in 47 additional deaths from cardiovascular disease compared with amoxicillin and no antibiotic. One out of 2500 patients treated with a fluoroquinolone (ciprofloxacin, levofloxacin, and norfloxacin) suffer a retinal detachment. These antibiotics should be used only when there is a clear clinical need and with caution.
  • Clinical Briefs By Louis Kuritzky, MD

    Unless a dramatic demographic shift occurs, approximately one in four of us will reside in a long-term care facility (LTCF) during our lifetime. Among LTCF residents, 30-50% of antibiotic utilization is for urinary tract infections (UTIs), resulting in substantial expense, adverse drug reactions, and ever-growing populations of resistant bacteria.
  • Rehabilitation for Chronic Stroke: Better Balance Through Yoga?

    An 8-week yoga training program improved balance performance measures and reduced fear of falling in adult patients with a history of stroke.