Infectious Disease
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Vitamin D Levels and Cognitive Function: Does It Make a Difference?
Similar to previous studies, vitamin D deficiency and insufficiency rates were not significantly different between those with normal cognitive status, mild cognitive impairment, or dementia. However, cognitive decline occurred at a significantly greater rate in individuals with low 25-hydroxyvitamin D levels in the areas of episodic memory and executive function.
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Is it Normal Aging or Chronic Kidney Disease?
Current clinical guidelines for the diagnosis of chronic kidney disease resulted in more than half of adults > 70 years of age having chronic kidney disease. Should these guidelines change to require age calibration for diagnosis and classification of chronic kidney disease?
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ECG Review: Why are aVR Waveforms Positive?
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Clinical Briefs
In this section: Are annual physicals worth it?; breakfast might be the most important meal of the day; and evaluating the total knee replacement. -
Insulin Degludec Injection (Tresiba)
Insulin degludec provides an alternative to insulin glargine and insulin detemir as long-acting human insulin analogs.
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Beta-blocker Dose More Important Than Heart Rate in Systolic Heart Failure
In chronic heart failure with reduced ejection fraction, titrating beta-blocker doses may confer a greater benefit than reducing heart rate.
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Using Procalcitonin to Differentiate Bacterial from Viral Meningitis
A meta-analysis based on nine studies found an elevated serum procalcitonin to be an accurate test for differentiating bacterial from viral meningitis in adults.
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Risk of New Onset Diabetes When Blood Pressure Becomes Elevated Over the Usual Measurement
An increase of 20 mmHg in systolic blood pressure was associated with a 58% higher risk of new-onset diabetes mellitus, whereas an increase of 10 mmHg in diastolic blood pressure was associated with a 52% higher risk of developing new-onset diabetes mellitus.
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Physicians work when ill, even with confirmed flu
Driven by a traditional work culture that underscores their responsibility to patients and commitment to coworkers, physicians will show up for work symptomatic and sick, even if they have laboratory-confirmed influenza, researchers reported recently in San Diego at the 2015 IDWeek conference.1
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More than half of IPs given no additional resources
More than a year out from the emergence of Ebola, many infection preventionists report they received no additional resources to deal with the crisis, still lack adequate supplies of personal protective equipment, and remain uncertain about how frequently healthcare workers need to be trained to ensure they are donning and doffing personal protective equipmentcorrectly.