Internal Medicine
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The Effects of Diet, Nutrition, and Weight on Fibromyalgia
This review of evidence for the use of dietary interventions to treat fibromyalgia shows symptom reduction associated with a variety of healthy diets. Weight loss may be key to understanding this connection, but more research is needed.
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The Association Between Cancer Mortality and Physical Activity for Middle-Aged and Older Patients
In a prospective cohort study of 8,002 middle-age and older Black and white adults in the United States, replacing sedentary behavior with physical activity was associated with a lower cancer mortality risk.
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The Effects of Diet, Nutrition, and Weight on Fibromyalgia
A review of evidence for the use of dietary interventions in the treatment of fibromyalgia shows symptom reduction associated with a variety of healthy diets. Weight loss may be key to understanding this connection, but more research is needed.
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ED Providers Are Frequent Defendants in Aortic Pathology Malpractice Claims
Making the diagnosis is everything — to avoid patient injury and, ultimately, to avoid litigation.
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Does Chart State Why Syncope Patient Was Deemed Low Risk?
Prolonged ECG monitoring in the ED, in an observation unit followed by ambulatory monitoring, can mitigate risks for intermediate- and higher-risk patients.
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Why Some Children Develop Severe COVID-19 Disease
Severe outcomes included cardiovascular complications, neurologic complications, respiratory problems, and infectious-related issues. Those with pre-existing chronic disease, older age, and longer symptom duration put them at serious risk for severe outcomes.
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It Is Uncertain if Men and Women Present with Different Symptoms at the Onset of Ischemic Stroke
There have been anecdotal reports and small case series that have suggested women may present with symptoms that are different from men at the onset of ischemic stroke or transient ischemic attacks. These investigators conducted a systematic review to determine if there was a difference in presenting symptoms between men and women.
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Women Have a Higher Risk for Rupture of Intracranial Aneurysms than Men, Not Explained by Aneurysm Characteristics
It has been noted by clinicians that women have a higher risk of rupture of intracranial aneurysms than men, but in epidemiological studies this was not found to be an independent risk factor. These investigators undertook a review of several large, prospective studies and performed a meta-analysis to assess the characteristics that might be different between men and women to explain these observations.
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Men Are More Likely to Have High-Risk and Dangerous Carotid Artery Plaques than Women
Investigators in the Netherlands investigated the differences between atherosclerotic plaque burden and plaque morphology between men and women who had recent ischemic stroke symptoms and less than 70% ipsilateral carotid artery stenosis.
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Hypertensive Disorders of Pregnancy Are Associated with an Increased Risk of Ischemic and Hemorrhagic Stroke
It has been established that women who have hypertension during pregnancy from any cause, compared to those without a history of hypertension, have an increased risk for subsequent stroke. Investigators in this study from Taiwan looked at the differences between the four major types of hypertensive disorders and the relative risks of subsequent stroke in women.