Primary Care/Hospitalist
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Posterior Myocardial Infarction, or deWinter T Waves?
The ECG was taken from an older man who complained of chest pain over the past month. The pain severity was even worse on the day he underwent imaging. How would you interpret the ECG?
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Dexmedetomidine Sublingual Film (Igalmi)
Dexmedetomidine can be prescribed for the acute management of agitation associated with schizophrenia or bipolar I or II disorder.
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COVID-19 Vaccine and the Menstrual Cycle
In a retrospective cohort analysis of prospectively tracked menstrual cycle data from the smartphone application “Natural Cycles,” the COVID-19 vaccine was associated with a less than one day change in menstrual cycle length and no change in menses length.
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The Association Between Cancer Mortality and Physical Activity for Middle-Aged and Older Patients
In a prospective cohort study of older U.S. adults, replacing sedentary behavior with physical activity was associated with a lower cancer mortality risk.
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Postmenopausal Estrogen May Prevent Death from COVID-19 Infection
Swedish researchers found taking postmenopausal estrogen was associated with a lower death rate from COVID-19 infection. Taking estrogen suppression therapy for breast cancer was associated with a higher death rate compared with controls.
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Sugar-Containing Beverages in Infancy and Liver Fat Accumulation at School Age
In this observational study, the authors examined the associations between sugar-containing beverage intake in infancy and liver fat accumulation and nonalcoholic fatty liver disease among school-aged children.
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Can Antioxidant Consumption Prevent Coronary Artery Disease?
A study of single nucleotide polymorphisms (SNP) that increase blood levels of diet-derived antioxidants in three large individual subject genetic databases did not demonstrate a relationship between SNPs and coronary artery disease.
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Recommendations Regarding Physical Activity to Delay Death
The authors of a large cohort study using objective measurement of exercise intensity reported potentially 110,000 U.S. deaths per year can be prevented by a 10-minute daily increase in moderate-to-vigorous physical activity in adults ages 40-85 years.
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Identifying Community-Acquired Pneumonia During the COVID-19 Pandemic
Pneumonia is an infection of the alveoli of the lungs. Alveolar infection results in inflammation that disrupts normal pulmonary function, producing impaired gas exchange. Pneumonia can be caused by bacteria, viruses, or fungi. Pathogens can infect the lung parenchyma through three routes: inhalation, aspiration, or hematogenous spread. In community-acquired pneumonia, the infection is initiated outside the hospital. The prevalence of COVID-19, the clinical disease caused by the SARS-CoV-2 virus, has changed the landscape of pneumonia.
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Donepezil Transdermal Patch (Adlarity)
Donepezil transdermal system can be prescribed to treat mild, moderate, and severe dementia of the Alzheimer’s type.