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Benefit of Bariatric Surgery for Obesity and Diabetes Maintained After Five Years
It seems that for an individual patient, clinicians now can discuss the pros and cons of bariatric surgery compared with aggressive medical management with a fair bit of certainty about expected outcomes.
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2017 Update on Adult Vaccinations
Vaccinations to directly prevent disease in adults likewise have reduced morbidity and mortality from a wide variety of viral and bacterial infections. This article will review the vaccines recommended for all adults as well as those vaccines recommended for special populations, such as immunosuppressed patients and pregnant women. In addition, the article will examine strategies that can be employed to increase vaccination rates in adults.
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Group Prenatal Care
Group prenatal care is a different model for the delivery of prenatal care that typically consists of groups of eight to 12 women of similar gestational age who have each visit together. This contrasts with the one-on-one patient/provider prenatal care visits that are the traditional model. Women are enrolled in group prenatal care after they have had an individual initial prenatal visit and health risk assessment, and have completed the first trimester.
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More Confusion Over Whether HRT Prevents Dementia
A 20-year prospective cohort study from Finland did not provide strong evidence that hormone replacement therapy prevents dementia except among women who self-reported long-term use.
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Embryo Implantation
A recent study tracking embryos after embryo transfer has provided insight into why embryos have a greater tendency to ultimately implant in the lower uterine segment, thereby predisposing patients to a greater risk of placental complications.
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Contraception, Migraines, and Stroke
In this case-control study, women with migraines with aura using combined hormonal contraception had six times the odds of experiencing ischemic stroke compared to women without migraines not using combined hormonal contraception. Use of combined hormonal contraception among women with migraines without aura was not associated with an increased risk of stroke over baseline.
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Hate Traffic? You Might Be Forgetting Something
As clinicians search for remediable explanations for Alzheimer’s disease and other dementias, several epidemiologically intriguing potential culprits have emerged, including air pollution and diesel exhaust.
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Sickle Cell Trait Falsely Lowers Hemoglobin A1c
Clinicians may wish to include additional diagnostic tests for diabetes in persons with sickle cell trait, such as fasting glucose, postprandial glucose, or oral glucose tolerance testing.
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Atopic Dermatitis Associated With Autoimmune Disorders
The list of autoimmune disorders linked with atopic dermatitis has expanded to include vitiligo, alopecia, lupus, and inflammatory bowel disease.
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Antisocial Behavioral Syndromes in the United States
Whether treatment for the numerous other comorbidities, such as substance abuse associated with antisocial personality disorder, will hasten time to remission is an area of needed research.