Internal Medicine
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Regarding Exercise Capacity Past Age 75 Years, What Is Normal?
A group of researchers delivered results that could help inform clinicians about the expected exercise test performance of older patients.
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Recommendations Regarding Physical Activity to Delay Death
Using objective measurements of exercise intensity, researchers approximated 110,000 U.S. deaths/year could be prevented by a 10-minute daily increase in moderate-to-vigorous physical activity in adults age 40-85 years.
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Beware the Cardiovascular Risks Associated with Thyroid Hormone Replacement Therapy
Thyroid levels outside the euthyroid range have been associated with higher cardiovascular risk in patients taking thyroid hormone to treat hypothyroidism. In this study, a higher cardiovascular mortality rate was associated with exogenous hyperthyroidism and exogenous hypothyroidism.
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Long COVID Patients Report Symptoms 15 Months Later
Brain fog, dizziness, and more side effects can linger for many months after initial SARS-CoV-2 infection.
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Omega-3 May Help Lower Blood Pressure
A research review revealed consuming about 2 or 3 grams of the fatty acid per day showed benefit.
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Prosecution for Excessive Painkillers Tough Case to Make
A recent case may have generated a fresh conversation about medical aid in dying and physician-assisted suicide.
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Properly Used Decision Aids Can Help Defend Malpractice Claims
Researchers recently concluded there is a high risk of EDs overlooking serious coronary artery disease in women. Using validated diagnostic tools can help alleviate this.
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To Bolster Antibiotic Stewardship, Refine Culture Follow-Up Process
Appoint a dedicated person who sifts through culture reports, reviews old culture data, and follows up with patients. Ideally, this person would be an expert around the antibiotic spectrum who could tailor therapy to culture results.
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Experts Urge ED Leaders to Refocus Efforts on Antimicrobial Stewardship
Early advocates of antimicrobial stewardship tended to focus on prescribing in outpatient settings. In recent years, attention has shifted toward the ED — and there are many good reasons for this shift.
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Unusual Hepatitis Ailment Puzzles Investigators, Frontline Providers
Emergency clinicians have another novel illness to be concerned about. Investigators are uncovering a small, but growing number of unusual cases of hepatitis in young children that is putting many of these patients at risk for bad outcomes.