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A survey of U.S. primary care physicians found that although most recommend weight loss to their obese patients, they do not utilize current evidence-based recommendations, and they underestimate the therapeutic effects of small weight losses.
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Most clinicians maintain a fairly glucose-centric view of diabetes. That is, we have made the assumption that the most visible derangement in diabetes, hyperglycemia, is the culprit producing vascular disease.
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Lack of sleep impairs the immune system and lowers resistance to viral illness. The quality of sleep is important. Those volunteers who spent less than 92% of their time in bed asleep were five-and-a-half times more likely to become ill than those who were asleep for at least 98% of their time in bed.
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In a multicenter, prospective, randomized study of Japanese Type 2 diabetic patients, low-dose aspirin as primary prevention did not reduce the risk of cardiovascular events.
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Erythromycin, 250 mg bid, reduced the number of exacerbations in patients with moderate COPD over a 1-year period.
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The ECG shown above was obtained from a patient with acute shortness of breath. The QRS complex was recognized to be wide, and the clinical question raised was whether the patient should be immediately shocked. How would you respond?
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The hope trial convinced many experts that midlife adults (age ≥ 55 years) with existing vasculopathy (history of CAD, CVD, diabetes and CV risk factors) will have improved outcomes on an ACE inhibitor (ramipril, to be specific).
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A second human papillomavirus (HPV) recombi-nant vaccine has been approved by the FDA.
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It has been known for decades that influenza viruses have a propensity to affect muscle. Muscle aches from mild to severe occur regularly with the acute attack of the virus.
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Patients who adhered to prescribed anti-hypertensive medication experienced a significantly decreased risk of acute cardiovascular events, yet only 6 months after diagnosis, only 8.1% of patients were classified as having high adherence, 40.5% demonstrated intermediate adherence, and 51.4% demonstrated low adherence to prescribed medication regimens.