Internal Medicine Alert
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Carotid Occlusion Rarely Develops from Asymptomatic Carotid Artery Stenosis
Recent study indicates that the risk of progression to carotid occlusion is well below the risk of carotid stenting or carotid endarterectomy.
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Utility of Non-traditional Risk Factors in Patients Ineligible for Statin Therapy
Adding additional risk factors not in the pooled risk equation to low-risk subjects identified a sub-group with an observed event rate > 7.5% who may warrant statin therapy.
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Effect of Modified Valsalva Maneuver for Emergency Treatment of Supraventricular Tachycardia
In patients presenting with supraventricular tachycardia, a modified Valsalva maneuver with leg elevation and supine positioning at the end of strain was demonstrated to be more effective than the standard Valsalva maneuver at restoring normal sinus rhythm.
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Clinical Briefs
In this section: no payoff to physical therapy after healed ankle fracture; bisphosphonates and bone recurrence; and manipulating the microbiome.
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No More Bacon? Carcinogenicity of Meat
A review of published research by the World Health Organization concludes that processed meats are probably carcinogenic.
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Naloxone Nasal Spray (Narcan)
The FDA has approved naloxone in the form of a nasal spray as a life-saving medication to reverse the effects of an opioid overdose.
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Nicotinamide Chemoprevention for Skin Cancer Is Impressive
In a Phase III, double-blind, randomized, placebo-controlled trial, oral nicotinamide was safe and effective in reducing the rates of new nonmelanoma skin cancers and actinic keratoses in high-risk patients.
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Vitamin D Levels and Cognitive Function: Does It Make a Difference?
Similar to previous studies, vitamin D deficiency and insufficiency rates were not significantly different between those with normal cognitive status, mild cognitive impairment, or dementia. However, cognitive decline occurred at a significantly greater rate in individuals with low 25-hydroxyvitamin D levels in the areas of episodic memory and executive function.
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Is it Normal Aging or Chronic Kidney Disease?
Current clinical guidelines for the diagnosis of chronic kidney disease resulted in more than half of adults > 70 years of age having chronic kidney disease. Should these guidelines change to require age calibration for diagnosis and classification of chronic kidney disease?
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ECG Review: Why are aVR Waveforms Positive?