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Q&A: Diabetic Retinopathy Screening Devices and TechnologiesWade Brosius, DO, Shelton Hager, MD, and Steven Peskin, MD, answer questions relating to diabetic retinopathy screening devices and highlight novel technologies utilized in this space.
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Vaccine Clinic: If Abuelo Could See Me NowAs a second-year medical student volunteers at a COVID-19 vaccine clinic, the Spanish last name shared by the elderly couple now in front of her is a poignant reminder of why she chose medicine.
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Learning that Health Care is a PrivilegeA young medical student, native of Peru and now resident of Georgia in the US, relates her early education in health care disparities, first in Peru, then in her adopted home.
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Improved Diabetes and Kidney Function Control With KidneyIntelXDrs Aide Vega and Fernando Carnavali highlight the increased control in both diabetes and kidney function with the use of KidneyIntelX in patients with DKD.
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Take-home Messages for Acute Pain ManagementBenjamin W. Friedman, MD, MS; Francesca Beaudoin, MD, MS, PhD; Paul Arnstein, RN, PhD, FAAN; and Jeff Gudin, MD, provide take-home messages to providers treating patients with acute pain.
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The 10 Best States for PhysiciansSome states that are better for physicians than others in terms of finances, competition, and other criteria. Partner site Physicians Practice crunched the numbers for you.
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Leading Risk Factors Associated with Childhood Obesity: A Primer for PractitionersHow do low socioeconomic status and adverse childhood experiences tie into pediatric obesity? Here, an overview for practitioners.
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Q&A: Diabetic Retinopathy Screening Devices and TechnologiesWade Brosius, DO, Shelton Hager, MD, and Steven Peskin, MD, answer questions relating to diabetic retinopathy screening devices and highlight novel technologies utilized in this space.
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Prioritizing Mental Health: Applying Person-First Approaches to CareWhen addressing mental health with patients with obesity, a thoughtful approach that balances psychological health and weight loss is critical, explains Dr Ethan Lazarus.
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FDA approves HIV pre-exposure preventive injectionCabotegravir extended-release injectable suspension is the first injectable PrEP to receive FDA approval and is given only every 2 months.
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FDA Advisory Committee Vote Unanimous on Harmonizing COVID Vaccine FormulationsThe FDA and CDC must adopt the VRBPAC recommendation before it can be considered for implementation.
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Role of Bempedoic Acid in Clinical PracticeExperts discuss key takeaways from the review article “Role of Bempedoic Acid in Clinical Practice”, clinical implications, and the greatly anticipated CLEAR Outcomes trial.
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ACIP 2023 Vaccination Schedule Update, At-a-GlanceAmong the CDC vaccine advisory group's recommendations are adding COVID-19 vaccines to the Vaccine for Children program and allowing PCV20 shots for those who previously received PCV13.
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Social Determinants of Obesity: Treating Urban & Rural PatientsSocial determinants of health vary between patients living in different environments, so what are the key factors to consider when creating a treatment plan?
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Key Takeaways for the Management of MDDCarmen Kosicek, MSN, PMHNP-BC; Charles Montano, MD; and Gus Alva, MD, DFAPA, provide take-home messages for the management of patients with MDD and other depressive disorders.
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Sleep & Obesity: How to Prescribe Better Sleep for PatientsEducating patients with obesity about the link between poor sleep and weight gain is crucial. Review 5 key elements for achieving better sleep, here.
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Conversations Around Pediatric Obesity: Communicating with CompassionWeight management in children and adolescents with obesity requires unique sensitivity to the physical and emotional needs of these vulnerable pediatric patients.
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Helping Patients with Obesity Age Healthier and HappierThree diets that can help patients with obesity age healthier, how to make nutrition personal, and more highlighted, here.
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Clinical Implications of Off Target TSH Levels and Importance of Patient Education in Managing HypothyroidismEndocrinology experts discuss the clinical implications of off-target TSH levels and stress the importance of stabilizing these levels for hypothyroidism management.
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Study Finds COVID-19 Neutralizing Antibody Response Differs by Vaccine TypeNeutralizing antibodies were lowest among Janssen volunteers at 1 month post-vaccination but at 6 months afterward, the picture was much different.
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Key Takeaways for the Management of MDDCarmen Kosicek, MSN, PMHNP-BC; Charles Montano, MD; and Gus Alva, MD, DFAPA, provide take-home messages for the management of patients with MDD and other depressive disorders.
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Why all patients with asthma do not require controller therapyAbstract: Although controller therapies are currently recommended for patients who have persistent asthma, a number of studies indicate that these therapies do not adequately control asthma in a substantial number of these patients. This observation, combined with the potential risk of adverse effects with corticosteroids, supports the conclusion that controller therapies are not appropriate for all patients. However, some patients who do not respond to one type of controller therapy will respond to another, which suggests that we might consider targeting specific medications to select patients. There is increasing evidence that certain biomarkers may be useful in guiding therapy. For example, levels of sputum eosinophils have been shown to predict which patients are at increased risk for deterioration of asthma when inhaled corticosteroids are withdrawn.
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Man With Prosthetic Valve Who Needs GI SurgeryA 68-year-old man with a prosthetic mitral valve presents to the emergency department with acute abdominal pain, nausea, vomiting, and constipation. Surgical evaluation is performed; the results suggest a complete bowel obstruction. Urgent celiotomy is recommended.
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Cecal Volvulus at an Unusual AgeFor the past 2 hours, a 19-year-old man had lower abdominal pain accompanied by nausea and vomiting. He had no fever and no diarrhea. Direct tenderness was mainly in the right lower quadrant, radiating slightly to the left lower quadrant. There was no significant rebound tenderness. The patient refused rectal examination.
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Lower Quadrant Pain and Emesis in a Young BoyThe 9-year-old was admitted after 1 day of symptoms; he had no fever, diarrhea, constipation, dysuria, or rash. More details here. What's your diagnosis?
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A patient with Cushing syndrome and reduced lung volumesWe present a rare case ofCushing syndrome resultingfrom thymic carcinoid of thelung. Although Cushing syndromeis not usually associatedwith respiratory muscleweakness or restriction, ourpatient had reduced lung volumesand expiratory muscleweakness. His reduced lungvolumes could not be completelyexplained by respiratorymuscle weakness, parenchymallung disease, or obesity.Six months after removal ofthe carcinoid tumor, the patient'sgrowth hormone leveland the lung volumes improvedsignificantly, and hebecame asymptomatic.
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Metastatic Melanoma in an 83-year-old ManAn 83-year-old man with a history of hypertension and coronary artery disease presented with a 4-day history of mental status changes, slurred speech, and difficulty ambulating. He reported a lack of appetite and weakness of several days.
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Visual Hallucination: Charles Bonnet SyndromeCharles Bonnet syndrome is an uncommon condition causing visual hallucination in patients who do not have mental illness
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Inflammatory Breast CancerA 40-year-old woman was concerned about an area of redness and tenderness on her left breast. Despite antibiotic therapy prescribed by another physician, the rash had progressed during the past month to erythema and nodules that involved the anterior chest and right breast.
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Chylothorax After Debridement of Necrotizing FasciitisA 38-year-old woman with a history of injection drug use presented with progressive pain in the left arm and neck and fever.
