Internal Medicine
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The Growing Threat of Pyelonephritis Caused by Antibiotic-resistant Escherichia Coli
In patients with acute pyelonephritis due to Escherichia coli presenting to one of 10 emergency departments, fluoroquinolone resistance ranged from 6.3% to 19.9%.
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Zika Virus Infection and Guillain-Barré Syndrome
Guillain-Barré syndrome is a defined complication of Zika virus infection and presents in a typical manner, similar to other post-viral GBS syndromes.
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Headaches in the Elderly: A Non-specific Marker for Stroke Risk
Non-migrainous headaches, for which there are many causes, appear to be a risk factor for stroke in an elderly population, but the mechanism is uncertain.
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Disease Rebound After Stopping Fingolimod in Patients with Relapsing-Remitting Multiple Sclerosis
A review of patients with relapsing-remitting multiple sclerosis who discontinued fingolimod therapy showed that five out of 46 (10.9 %) of these patients developed a rebound phenomenon between 4 to 16 weeks, where disease activity returns and often exceeds pre-treatment levels.
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Functional Outcomes in Acute Ischemic Stroke Patients Receiving Prehospital Thrombolysis in Mobile Stroke Units
Deployment of a mobile stroke treatment unit in the field results in a higher percentage of patients treated with intravenous tPA, at a shorter interval from onset of symptoms, and results in better outcomes.
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Cancer in Autoimmune Necrotizing Myositis
Immune-mediated necrotizing myopathy is a distinct syndrome that can be differentiated from polymyositis and dermatomyositis, and is commonly associated with underlying malignancy.
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Leading Causes of CAM Nondisclosure
More than 40% of patients report nondisclosure of complementary and alternative medicine (CAM; also known as integrative medicine treatments) to their primary care physicians. They cite failure of physicians to initiate conversation on CAM, coupled with a belief that physicians do not need to know about CAM usage, as key factors in nondisclosure, according to patient survey.
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Calcium Supplementation and Increased Dementia Risk
In this five-year observational study, women who were taking calcium supplementation and who had pre-existing cerebrovascular disease were at higher risk of dementia than women not taking extra calcium.
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Peer-led Mindfulness Meditation Program for Medical Students
This pilot study shows that a peer-led mindfulness program during medical school enhances self-compassion, altruism, and mental wellness and decreases levels of stress.
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Liver Enzymes, Triglycerides, and Cholesterol Improved in Individuals with Nonalcoholic Steatohepatitis with Artichoke Leaf Extract
In this randomized, double-blind study, patients with nonalcoholic steatohepatitis who received 2,700 mg of artichoke leaf extract (Cynara scolymus) or placebo daily for two months had a significant improvement in alanine aminotransferase and aspartate aminotransferase, as well as triglycerides and total cholesterol compared to the placebo group.