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Insomnia persists.
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Golimumab is indicated for the treatment of adults with moderately to severely active rheumatoid arthritis in combination with methotrexate (MTX), active psoriatic arthritis, and active ankylosing spondylitis with or without methotrexate or other non-biologic disease-modifying antirheumatic drug (DMARD).
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We have all heard a story that starts with, "Remember that patient you saw and discharged yesterday? Well, ...." This next series of EM Reports tackles one of the most common subjects of such a story: missed heart attacks.
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Although osteoporosis and osteopenia occur in persons of all ages, they most commonly affect institutionalized long-term care and community-dwelling elderly patients, the same population segments with the highest risk of tooth loss and periodontal disease.
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Regular consumption of substantial amounts of cranberry juice or sauce by patients stabilized on warfarin (Coumadin, Jantoven) has been implicated in several cases of otherwise inexplicable increases of International Normalized Ratio (INR), including a few with serious hemorrhages.
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Results of this small pilot trial suggest that acupuncture analgesia in the ED may be both effective in managing pain associated with minor extremity trauma as well as feasible. While the conclusions are welcome, they serve more to advance the notion that further study is warranted than to promote application of acupuncture in the acute setting.
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Results of this large, retrospective cohort investigation suggest that cumulative significant childhood stress and trauma contribute to development of systemic inflammation and autoimmune disease during adulthood.
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This report describes the unfortunate case of a woman who unwittingly exposed herself to moderately high-dose zinc supplementation for a period of years without attendant copper supplementation, ultimately suffering irreversible neurologic consequences due to copper deficiency.
