Internal Medicine
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Integrative Approaches to Caring for Children with Autism
Selected treatments for autism spectrum disorder are reviewed and placed into one of four categories (ranging from recommend to avoid) with a goal of creating a practical blueprint for the medical practitioner.
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Improving Blood Pressure Through Enhanced Sleep
The use of a benzodiazepine hypnotic among hypertensive patients was associated with improvements in both sleep scores and blood pressure.
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Combination of Simvastatin Plus Vitamin D Offers New Hope for Migraine Prevention
A well-conducted, randomized, placebo-controlled trial has shown that the combination of simvastatin (20 mg twice daily) plus vitamin D3 (1,000 international units twice daily) is effective in the prevention of headaches in adults with episodic migraine.
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FDA Nutrition Facts Label Changes
The FDA recently announced changes to the nutrition facts panel required as a label on all foods.
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The Risks of a Low-salt Diet: A Meta-analysis
It indicates that people with or without hypertension are at increased risk of death or cardiovascular events when consuming low amounts of sodium.
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Searching for Heyde’s Syndrome in Prosthetic Valve Patients
In a recent analysis, abnormalities of von Willebrand factor were much more common in dysfunctional prostheses and were associated with gastrointestinal bleeding and angiodysplasia.
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TAVR Without On-site Cardiac Surgical Backup: Fringe Procedure, or Wave of the Future?
Data from transcatheter aortic valve replacement procedures performed at German hospitals without on-site cardiac surgery shows relatively low rates of major complications and mortality similar to hospitals with full surgical programs.
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Management of Mixed Aortic Valve Disease
Asymptomatic patients suffering from moderate aortic stenosis and regurgitation with preserved left ventricular function have the same prognosis as asymptomatic patients with severe aortic stenosis and normal left ventricular function and should be followed closely for the development of symptoms.
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Predictive Accuracy of the New Risk Equation
An evaluation of the predictive accuracy of the new pooled Cohort Risk Equation in > 300,000 subjects without heart disease or diabetes and a low-density lipoprotein cholesterol level between 70-189 mg/dL followed for five years showed that the new equation markedly overestimated the observed risk of cardiovascular events.
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Arterial Ischemic Stroke Prevention and Risk Factor Management
MONOGRAPH: Here is the best evidence-based practice for stroke diagnosis, prevention, and risk factor management.