Internal Medicine Alert – September 30, 2012
September 30, 2012
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Optimal Management for Obese Patients with Type 2 Diabetes: Surgery vs Medical Therapy
At 2 years, none of the patients maintained on medical therapy had entered into a state of diabetes remission, whereas 75% of the gastric bypass and 95% of the biliopancreatic diversion patients had become diabetes free. -
Risk of Falls and Major Bleeds when on Oral Anticoagulants
Patients on oral anticoagulants at high risk of falls did not have significantly increased risk of major bleeds. -
Improvement in Primary Prevention of Cardiovascular Disease Using Novel Risk Markers
Coronary artery calcium, ankle-brachial index, high-sensitivity CRP, and family history are all independent predictors of incident coronary heart disease/cardiovascular disease in intermediate-risk individuals. Coronary artery calcium scoring provided superior discrimination and risk reclassification compared with the other risk markers. -
Herpes Zoster Vaccine and the Incidence of Recurrent Herpes Zoster in the Elderly
In a matched cohort study involving immunocompetent individuals ¡Ý 60 years of age, the incidence of herpes zoster recurrence following a recent initial episode was low in both herpes zoster vaccine recipients and the unvaccinated. This low-risk questions the need for vaccinating immunocompetent adults with recent herpes zoster infections. -
Pharmacology Update
THE FIRST IN THE CLASS OF GUANYLATE CYCLASE C-RECEPTOR agonists has been approved by the FDA for constipation associated with irritable bowel syndrome and chronic idiopathic constipation. -
Clinical Briefs
Clinical Briefs: Could Thinner be Worse for Newly Diagnosed Diabetics?; The Impact of Exercise on Depression in Heart Failure; Reversible Dementia from Corticosteroid Therapy -
CME Objectives/CME Questions