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Degree of Weight Loss Affects Tirzepatide-Linked Cardiometabolic Risk Improvement

Physician's Weekly

For waist circumference and blood pressure, the relationship between percentage weight reduction and changes in cardiometabolic risk factors was mostly linear, with a steeper slope for systolic than diastolic blood pressure. Bruno Linetzky, M.D., mm Hg for systolic and diastolic blood pressure, respectively, –32.4

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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

-@AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast. What is the role of the family caregiver system, how they play a role?

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Is Rural Residence a Risk Factor for Preterm Birth in Iowa? [Women's health]

Annals of Family Medicine

We excluded deliveries complicated by known RFs for PTB (n=12,646). Further research is needed to help explain the underlying factors associated with rural residence that may have a more direct causal relationship with sPTB. Setting: IHC, Iowa City, IA. The final dataset included 16,974 deliveries among 13,339 mothers.

Insurance 130
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Influence of Hospital Culture on Intensity of Care: Liz Dzeng

GeriPal

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. Today Liz Dzeng discusses her journey towards studying this issue in detail. I guess the VA is federal though.

Hospital 125
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Involving the inner circle: Emily Largent, Anne Rohlfing, Lynn Flint & Anne Kelly

GeriPal

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. Rather, most of us live and make decisions in relationship to one another. Nice to be here.

Family 97
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RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose.

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Stump the VitalTalk Communication Experts: Gordon Wood, Holly Yang, Elise Carey

GeriPal

It feels nearly impossible if you add another degree of difficulty, whether it be a crying interpreter or a grandchild from another state who shows up at the end of a family meeting yelling how you are killing grandma. And you’re in the ICU family meeting, and it gets heated. So it’s a lot, but it’s good.

IT 132