Primary Care/Hospitalist
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Rhythm vs. Rate Control for Atrial Fibrillation Patients: The Controversy Continues
Early use of rhythm control in patients with atrial fibrillation and high cardiovascular risk appears to improve cardiovascular outcomes compared to usual care.
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Treating Hypertension Without Drugs
High flavanol intake was associated with lower blood pressure in men and women comparable to what is seen with a Mediterranean diet or moderate salt restriction.
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House Approves Violence Prevention Legislation
Federal grants would be awarded to hospitals to help fund prevention programs, study efficacy.
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Arterial Ischemic Stroke Prevention and Risk Factor Management
Stroke prevention is complex because of the varied stroke etiologies and the multifactorial approach necessary for optimal stroke prevention and risk factor management. Inevitably, primary care providers will be part of every aspect of stroke care and, with a thorough understanding of key aspects, can greatly assist in the management of these patients.
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Fruits and Vegetables Lower the Risk of Type 2 Diabetes
A multicenter, multinational prospective case-cohort study concludes that an increase in dietary consumption of fruits and vegetables is beneficial in reducing the risk of diabetes mellitus type 2 regardless of the current level of consumption.
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Childhood Sleep Difficulties and Adolescent Mental Health
This prospective United Kingdom study involving 13,488 children shows an association between specific early childhood sleep problems and symptoms of psychosis in adolescence. Another specified early childhood sleep problem is associated with symptoms of borderline personality disorder in adolescence.
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Air Pollution and Cognitive Decline
SYNOPSIS: In this large prospective cohort study of subjects in Manhattan, researchers demonstrated an association between exposure to air pollution and decline in cognitive function over time in one cohort, but not the other.
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Remdesivir Injection (Veklury)
Remdesivir’s benefit appears to be modest, but may be better for those receiving low-flow oxygen.
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Can Chopsticks Carry SARS-CoV-2?
This small study suggests salivary contamination of utensils with SARS-CoV-2 virus can occur. Sharing food and utensils, or using communal food bowls, probably is not a good idea if one is trying to avoid COVID-19.
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Possible Aerosol Spread of SARS-CoV-2 in an Apartment Building
Although not definitive, evidence is consistent with aerosol spread of SARS-CoV-2 in an apartment building as a result of transport through the drainage system to apartments directly above.