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Understanding components of Maternal Diet among those diagnosed with Gestational Diabetes and/or Hypertension in Flint, MI [Community based participatory research]

Annals of Family Medicine

Context: Gestational Diabetes Mellitus (GDM) and Gestational Hypertension (GHTN), each linked to poor maternal and infant health outcomes, affect an average of 5-10% of US pregnancies. Despite an important role in disease development, few have described maternal diet of those diagnosed with GDM/GHTN. Population Studied: 40.5%

Diagnose 130
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Clinical Reasoning Corner: Pre and Posttest Probability – Jack Penner

The Clinical Problem Solvers

Welcome, Clinical Problem Solvers, to our first post in the “Clinical Reasoning Corner,” where we will take a deeper dive into key concepts that shape how we think through cases. The “Clinical Reasoning Corner” will provide an introduction to the topics that keep our reasoning rooted in the core principles of clinical problem solving.

Clinic 52
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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

No prior history of atrial fibrillation – just hypertension and diabetes. Decisions have been dichotomized to ”COVID versus not COVID,” and people that have displayed none of the cardinal respiratory symptoms are being diagnosed with the disease. We walked down to the emergency room and reviewed his chart.

Illness 52
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Prevention of Dementia: Kristine Yaffe

GeriPal

There I was, extremely overly trained with brain stuff, and I wanted to learn how to do clinical research. I just thought there was so much we could learn and offer from every sense, from the clinical point of view, from the family point of view, from prevention, from treatment, epidemiology, et cetera. One might argue they still are.

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Higher Dietary Inflammatory Index Tied to Elevated CHD Risk

Physician's Weekly

had hypertension, and 12.1% had diabetes. A total of 1,842 participants reported physician-diagnosed CHD, and the mean DII score was 1.33. Clinical Implications “Higher DII is independently associated with an increased risk of CHD, potentially through pathways involving metabolism, lipid levels, and kidney function.

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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Katie, welcome back to GeriPal. Jessie: Yes. Why would that be?

Illness 137
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Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster

GeriPal

He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Alex 04:07 A heart failure clinic playing in the background. Is your impression that HFpEFde is under diagnosed in older adults? Yes, over diagnosed in older adults are about right. Parag 13:23 So I think I would say under diagnosed.