Internal Medicine
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Did We Catch Vfib Onset?
Did this patient develop ventricular fibrillation (Vfib) while the ECG in the figure was recorded?
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Efavirenz, Lamivudine, and Tenofovir Disoproxil Fumarate Tablets (Symfi)
Symfi is indicated as a complete regimen for the treatment of HIV-1 infection in adult and pediatric patients weighing at least 40 kg.
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Searching for a Connection Between Silent Myocardial Infarction and Heart Failure
In a large community-based cohort, the development of silent myocardial infarction on ECG was associated with increased risk of future heart failure.
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Lower Blood Pressure Targets May Increase Mortality in Type 2 Diabetes Patients
Type 2 diabetic patients with systolic blood pressure < 120 mmHg experienced more cardiovascular events than patients with systolic blood pressure up to 140 mmHg.
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Identifying Common Traits Regarding Inappropriate Antibiotic Prescribing
In a retrospective cohort study of outpatient visits for upper respiratory infections that should not require antibiotics, researchers found several patient, practice, and provider characteristics associated with inappropriate antimicrobial prescribing. Notably, adult patients seen by an advanced practice provider were 15% more likely to receive an antimicrobial than those seen by a physician provider.
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Non-opioid vs. Opioid Medications for Chronic Back, Knee, or Hip Pain
In this small study, non-opioid therapy (primarily acetaminophen and nonsteroidal anti-inflammatory drugs) was as effective as opioid therapy for chronic musculoskeletal pain with fewer medication-related side effects.
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Nonalcoholic Fatty Liver Disease
Nonalcoholic fatty liver disease (NAFLD) is the most common liver pathology worldwide and is the third leading cause of liver transplantation in the United States.This article reviews the pathogenesis, diagnosis, and natural history of NAFLD as well as known treatments and future therapies.
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Meditation for Reducing CVD Risk
A recent American Heart Association statement found meditation to be an inexpensive intervention that may be adjunctively useful for reducing risk of heart disease.
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Running and Health
In a review and meta-analysis of the effects of running and longevity, researchers concluded that running provides specific and significant health benefits and proposed a threshold above which more running provides diminishing returns.
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Osteopathic Manipulative Treatment for Low Back Pain
Authors of a recent literature review found compelling evidence that osteopathic manipulative treatment is effective for treating low back pain, but not for other conditions.