Internal Medicine
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Who Really Needs Intensive Blood Pressure Control?
A patient baseline characteristics level analysis of the SPRINT and ACCORD trials resulted in the creation of a simple algorithm for identifying high-risk patients who experienced fewer major cardiac events without increased serious adverse events from intensive blood pressure therapy.
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Neighborhood Socioeconomic Status Associated With Infection Risk, But Not Sepsis
Based on a large, national, prospective cohort study, lower neighborhood socioeconomic status was associated with a higher incidence of hospitalizations for infection (but not sepsis) at presentation.
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Is There a Connection Between Vitamin D and Fracture Prevention?
After conducting an extensive investigation, researchers did not find that vitamin D prevents falls or fractures.
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Exercise Improves Physical Function in Patients With Knee Osteoarthritis
Tailored exercise therapy can improve physical functioning in patients with knee osteoarthritis and comorbid conditions.
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Does Outdoor Play ‘Keep the Doctor Away?’
A survey of more than 29,000 Canadian youth 11 to 15 years of age revealed a correlation between physical activity and lower rates of psychosomatic complaints in girls, and a correlation between valuing connection to nature and lower rates of psychosomatic symptoms in boys and girls.
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Acupuncture for Aromatase Inhibitor-associated Pain in Breast Cancer Patients
The authors of this randomized, controlled trial found that six weeks of acupuncture significantly reduced aromatase inhibitor-related joint pain in early stage breast cancer.
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Gingko biloba and Cognitive Function After Acute Ischemic Stroke
Supplementation with Ginkgo biloba extract may improve cognitive functioning after an acute ischemic stroke.
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Evaluation of Hair Loss in a Primary Care Setting
Hair loss is a common complaint for both male and female patients, who often first present to their family physician for evaluation. However, the vast array of underlying etiologies can present a diagnostic challenge for physicians. Reviewing the main principles of hair biology will help provide a better understanding of the basic science behind hair loss. One of the most important steps in patient evaluation is conducting a thorough history and physical exam. This article will discuss key questions to ask, as well as how to interpret exam findings. In general, hair loss is categorized into scarring alopecia, non-scarring alopecia, and structural hair disorders. This article will focus on the most common causes of scarring and non-scarring alopecia that will be encountered in a primary care setting, as well as first-line treatments for each.
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Should Aspirin Be Used for Primary Prevention of Cardiovascular Events?
Primary prevention of cardiovascular disease and death by using daily low-dose aspirin is not recommended and should be reserved for those instances in which secondary prevention has been demonstrated to be effective in randomized clinical trials.
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Ultraearly Intravenous Thrombolysis for Acute Ischemic Stroke