Internal Medicine
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Loneliness and Type 2 Diabetes Incidence
Loneliness appears to be an independent risk factor for type 2 diabetes, although further research to identify the causal relationship between loneliness and type 2 diabetes development is needed.
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2021 Update on Adult Vaccinations with a Focus on SARS-CoV-2/COVID-19
Vaccination in adults remains one of the most important means of preventing disease in vulnerable populations. Certain vaccines, such as influenza, tetanus/diphtheria/pertussis, and the new COVID-19 vaccine are recommended for all adults, while others are recommended in subsets of adults depending on age, comorbidities, and certain risk factors.
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Infectious Disease Alert Updates
Aussie Flesh-Eating Disease; Misleading Imaging in COVID; Abstruse 2021 CLABSI Case Definition
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Ebola — Sometimes it Does Not Go Away
A patient without apparent immunodeficiency experienced a late relapse of Ebola virus disease with subsequent transmission causing 91 secondary cases. Such late relapse raises concerns regarding control of this disease.
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Candida Endocarditis
A review of a national administrative database examined 703 patients with Candida endocarditis and found the greatest risk factor for mortality was underlying liver failure, while a history of opiate abuse was associated with a reduced risk of death.
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Antibiotic Therapy: How Long Is Long Enough (or too Long)?
The Centers for Disease Control and Prevention and the American College of Physicians have provided advice on the best practice regarding the duration of antibiotic therapy for a number of common infections.
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Reduced Incidence of Kawasaki Disease During the Time of COVID-19
Mitigation in response to COVID-19 has been associated with decreases in common childhood respiratory infections. The incidence of Kawasaki disease from April to December 2020 was significantly decreased from the same period during the previous eight years.
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Response to COVID-19 Vaccination in Solid Organ Transplant Recipients
The apparent immunogenicity of available SARS-CoV-2 messenger ribonucleic acid vaccines is markedly reduced in solid organ transplant recipients, providing concern that they may not provide protection from symptomatic COVID-19 in many.
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Children Are Not Major Spreaders of COVID-19 in Schools
A surveillance study from Singapore found a very low risk of COVID-19 transmission for children in schools, especially preschools.
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Vitamin D and COVID-19?
Low levels of vitamin D are associated with in-hospital mortality in patients with COVID-19, but causality is not yet known.