Internal Medicine
RSSArticles
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Influenza Vaccination Reduces the Risk of Major Cardiovascular Events
A meta-analysis of six randomized, controlled trials revealed receipt of influenza vaccination reduced the risk of major cardiovascular events compared to the unvaccinated, with 56 patients needing vaccination to prevent one event. Higher-risk patients had 45% reduced risk.
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Travelers Need Pre-Trip Hepatitis A Vaccination
Hepatitis A continues to be a problem for international travelers in much of the world. More widespread use of hepatitis A vaccine could be warranted.
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Monkeypox in the United States
The first 17 patients in the United States affected by the current monkeypox outbreak are described. Of note is the absence of reported fever in 10, and the frequent presence of lymphadenopathy, as well as of genital and perianal lesions.
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Monkeypox in Europe and North America: What to Expect, What to Do
Data on outcomes of monkeypox cases managed in Europe and North America are limited but provide some clues on epidemiology, clinical manifestations, treatment, and outcome.
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A Collaborative Three-Step Physician and Nurse Support Strategy for Families of Patients Dying in the ICU
When physicians and nurses offer collaborative and repeated support to families of patients dying in the intensive care unit, it may decrease prolonged grief, depression, and anxiety symptoms.
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Frailty Is Associated with Longer Duration of Mechanical Ventilation and Higher Mortality
In this retrospective, population-based cohort study, patients with frailty spent more time on mechanical ventilation, had longer intensive care unit and hospital stays, and had higher mortality than patients without frailty.
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Ethics of Lung Transplantation in COVID-19
This article will explore the history and epidemiology of lung transplantation and discuss its application and ethics in the COVID-19 pandemic.
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Echo vs. Cardiac MRI for Grading Mitral Regurgitation Severity
A comparison of echocardiographic-measured severity of mitral regurgitation with that of cardiac MRI-determined severity demonstrated poor agreement in the diagnosis of severe mitral regurgitation. Only cardiac MRI was predictive of left ventricular reverse remodeling after mitral valve surgery.
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Bifurcation Disease Predicts Worse Outcomes for PCI at 10 Years
In this analysis of the SYNTAX Extended Survival study, the presence of one or more bifurcation lesions resulted in a higher risk for all-cause death among patients who were treated with percutaneous coronary intervention.
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Low-Fat vs. Mediterranean Diet for Secondary Prevention
A study of stable coronary heart disease patients comparing the Mediterranean diet to a low-fat diet over a seven-year follow-up showed the Mediterranean diet was superior at preventing major cardiovascular events.