Internal Medicine Alert
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Obesity Paradox and Diabetes
In a prospective cohort study of overweight or obese type 2 diabetics, being overweight was associated with a lower mortality risk, but being obese was not.
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Can CPAP Treatment Prevent Dementia?
ABSTRACT & COMMENTARY: Older people with sleep apnea had onset of cognitive decline at an earlier age than those without sleep apnea.
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ECG Review: Is There Complete AV Block or Any Block at All?
We summarize the five parameters to assess in the interpretation of any cardiac rhythm by the saying, “Watch your Ps and Qs — and the 3Rs.”
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Clinical Briefs
In this issue: Carbon monoxide toxicity in the elderly; Does hypovitaminosis D increase risk of atrial fibrillation in hypertensive patients?; and reflections on the consequences of morning BP surge.
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Liraglutide Injection (Saxenda®)
The glucagon-like peptide (GLP-1) receptor agonist, liraglutide is now approved for weight management in adults.
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Inpatient and Outpatient Care Providers: Why Can’t We Just Work Together?
The authors of this paper did a qualitative study to analyze the barriers and solutions to care coordination between hospitalists and primary care providers in North Carolina.
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Efficacy of Folic Acid Therapy in Primary Prevention of Stroke
Among adults with hypertension in China without a history of stroke or myocardial infarction, the combined use of enalapril and folic acid, compared with enalapril alone, significantly reduced the risk of first stroke.
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Clinical Briefs
This article covers the following topics: the saga of homocysteine and vasculopathy; roflumilast for acute exacerbations in COPD; and treatment of OSA reduces risk of repeat revascularization after PCI.
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Ivabradine Tablets (Corlanor ®)
Ivabradine's effect in reducing heart rate, by acting on the SA node, was most prominent at a higher heart rate, thus minimizing the risk of bradycardia.
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Clindamycin vs. Trimethoprim-Sulfamethoxazole for Uncomplicated Skin Infections
Cure rates did not differ between the treatments and rates of adverse events were similar in the two groups.