Internal Medicine Alert
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Is This a Typical Flutter?
Atrial flutter is characterized by a special pattern of regular atrial activity that in adults almost always occurs at a rate of 300/minute (250-350/minute range).
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Clinical Briefs
In this section: the evolution of prostate cancer screening; the limitations of online health information; and treating polycystic ovary syndrome patients.
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Valbenazine Capsules (Ingrezza)
Valbenazine is indicated for the treatment of tardive dyskinesia in adults.
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Insomnia Disorder: Evidence for Psychological and Behavioral Interventions
Cognitive behavioral therapy for insomnia is an effective intervention for moderate to severe insomnia disorder and should be considered as an initial treatment.
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Putting the Genie Back in the Prescription Bottle
Researchers recently developed an evidence-based algorithm for reducing the use of proton pump inhibitors.
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Clinical Briefs
In this section: Effects of weight gain on the cardiovascular system; comparing sleep apnea treatments; and rhabdomyolysis brought on by exercise.
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Edaravone Injection (Radicava)
The FDA has approved edaravone, the first new treatment for amyotrophic lateral sclerosis since the approval of riluzole more than 20 years ago.
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Guillain-Barré Syndrome and Hepatitis E
Hepatitis E is the most common form of viral hepatitis worldwide and often is asymptomatic, but it is commonly associated with Guillain-Barré syndrome and Guillain-Barré variants.
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Treatment of Chronic Fatigue/Myalgic Encephalitis Syndrome
Blockade of IL-1 activity with anakinra failed to reduce fatigue in patients with chronic fatigue syndrome.
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Very Low-carbohydrate Ketogenic Diet May Reverse Type 2 Diabetes
A very low-carbohydrate ketogenic diet demonstrated superiority to the plate method diet recommended by the American Diabetes Association for controlling and even reversing type 2 diabetes.