Internal Medicine Alert
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Is Sanitizer Better Than Soap?
In day care settings, the implementation of hand hygiene programs reduced respiratory illness, absenteeism, and antibiotic use in children 0-3 years of age. Using hand sanitizer was more effective than washing with soap and water.
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Trends in Supplemental Vitamin D Intake
Researchers investigated the trends in daily supplemental vitamin D intake of ≥ 1,000 IU and ≥ 4,000 IU and found increasing use of vitamin D supplementation.
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Prucalopride Tablets (Motegrity)
Prucalopride is indicated for the treatment of chronic idiopathic constipation in adults.
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Should Acute Appendicitis Be Managed Without Appendectomy?
A retrospective cohort study that used national insurance claims data revealed patients with acute appendicitis who were treated nonsurgically experienced higher rates of complications and higher overall care costs.
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Alcohol Use: No Safe Level
A systematic analysis of data from the Global Burden of Disease Study 2016 on alcohol-linked disorders and patterns of alcohol use over 25 years worldwide found there is no safe level of alcohol consumption.
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Helicobacter pylori: A Mini Primer
Although the prevalence of Helicobacter pylori seems to be decreasing in the United States, at least in higher socioeconomic strata, it remains a problem for lower-income groups, travelers to developing countries, and the rest of the world.
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Low-Carbohydrate Diet Increases Energy Expenditure
Consistent with the role of insulin and carbohydrate intake, a low-carbohydrate diet increases energy expenditure and facilitates the maintenance of weight loss.
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Prostatectomy Beats Watchful Waiting in Men Diagnosed With Prostate Cancer in the 1990s
In men with prostate cancer diagnosed in the 1990s (primarily by digital rectal exam), researchers found that radical prostatectomy offered an average survival benefit of 2.9 years over watchful waiting.
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A ‘Detective’ Diagnosis
The ECG in the figure was obtained from a 40-year-old man. Without the benefit of any history, how might one interpret this tracing? Is there evidence of an acute coronary syndrome? Is there a common diagnosis that potentially explains all the findings?
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Rifamycin Delayed-Release Tablets (Aemcolo)
Rifamycin is indicated for the treatment of traveler's diarrhea caused by noninvasive strains of Escherichia coli in adults.