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Diabetes related complications among Ethiopian Jews-Outcomes of a 10 years cohort study in Israel [Population health and epidemiology]

Annals of Family Medicine

The context: Immigrants, particularly those moving from lower to higher-income countries, often exhibit a heightened susceptibility to non-communicable diseases, such as Type 2 diabetes (T2D), which may manifest at an earlier age and present with different complications compared to the native population. 0.83, HR 0.70; 95% CI 0.65-0.76,

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A deeper dive into GPA – Jack Penner

The Clinical Problem Solvers

Let’s review the case: A 70-year-old man with COPD presented with subacute pleuritic chest pain and dyspnea. A CXR showed a left upper lobe consolidation, and he was treated with antibiotics for presumed community-acquired pneumonia. However, the patient continued to be symptomatic and he returned for further evaluation.

Illness 52
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Helping Patients Preserve Muscle Mass During Weight Loss

Physician's Weekly

The findings were presented in an abstract at the American Diabetes Association 85th Scientific Sessions. However, the concurrent loss of muscle mass—even in the context of favorable fat loss—can cause health complications, particularly in older adults.

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The Mycoplasma Comeback: Why This Atypical Pneumonia is Back – A PEMCurrents Podcast

PEMBlog

In this episode we dive into the resurgence of Mycoplasma pneumoniae an atypical bacterial cause of community-acquired pneumonia thats making waves in pediatric emergency medicine. Well cover its clinical presentation, epidemiology, diagnostic approach, and management, including why standard beta-lactam antibiotics wont work.

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Supporting Healthy Aging With Tailored Obesity Management Strategies

Physician's Weekly

If low bone density is present, it’s often treated alongside a weight loss program. What practical strategies would you recommend for implementing resistance training in community or home-based settings? For older adults, the YMCA’s Silver Sneakers Program is a fantastic community resource.

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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

The second major factor complicating our diagnostic reasoning during this time is the dramatic shift in prevalence of the disease in the community. The pretest probability is composed of the overall concordance of the clinical data with a specific illness script as well as the prevalence of that disease within the community.

Illness 52
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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

A patient’s clinical presentation, risk factors, and the base rate of disease, in addition to our own clinical experience, all factor into the pretest probability we assign to any diagnosis. Further studies then reframe these probabilities and give us a posttest probability. On exam, her vitals are T 38.6°C, for chronic abdominal wall pain.

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