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Adverse Outcomes Associated With Inhaled Corticosteroid Use in Individuals With Chronic Obstructive Pulmonary Disease [Original Research]

Annals of Family Medicine

The prevalent cohort required a diagnosis of COPD any time during the observation period, and the inception cohort required a diagnosis of COPD made after entry into the database. Hazard ratios were significantly increased in the prevalent and inception cohorts for recurrent pneumonia (HR = 2.88; 95% CI, 2.62-3.16; 2.06; P < 001).

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Why Identifying and Managing Giant Cell Arteritis as an Emergency Is Crucial

Physician's Weekly

Leonard Calabrese, DO, Paras Karmacharya, MD, MS, and Adam Kilian, MD, break down why giant cell arteritis (GCA) demands immediate action, explain how to confirm diagnosis quickly, and what same-day treatment options like upadacitinib (Rinvoq) mean for patient care. But treatment first, securing the diagnosis is secondary and often delayed.

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Causes of Brain Fog & How to Get Rid of It

AMMD

Brain fog is not a medical condition or a diagnosis. These include our physical environment, jobs, relationships, traffic, and unexpected events. Sleeping well can also lower your risk for diabetes and heart disease. These are signs of brain fog! A little bit of stress is natural and can come from internal or external factors.

IT 130
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Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster

GeriPal

Eric 12:05 Any pearls on the diagnosis of HFpEF. So I would agree, just in terms of not trying to dismiss a lot of these patients in terms of deconditioning and really trying to sometimes hone in on the diagnosis despite a Bnp level that is not necessarily very high. Nicole 12:14 No, HFpEF is cool, and it’s fine. What is GDMT?

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Amyloid Antibodies and the Role of the Geriatrician: Nate Chin, Sharon Brangman, and Jason Karlawish

GeriPal

There is a lot to digest with these draft clinical guidelines but the big change from the 2018 guideline is moving Alzheimers to a biological diagnosis (biomarker evidence only) not just for a research framework but now from a clinical one. That’s going to whole groups of people excluded from formal diagnosis. Eric: PET scans.

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Bisphosphonates for Osteoporosis: Podcast with James Deardorff and Sei Lee

GeriPal

And so many older adults with diagnosis of osteoporosis have never received any therapy for it. These were clinical trials involving postmenopausal women with a diagnosis of osteoporosis, based on either an existing vertebral fracture or a bone mineral at the density T-score of less than negative 2.5, Eric: I like that one.

Clinic 68
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New Prognostic Models for Older Adults: Alex Lee, James Deardorff, Sei Lee

GeriPal

So if you can think about certain decisions like continuing to screen for certain cancers like colon cancer or breast cancer, or how strict you should control diabetes or blood pressures. And really providing these estimates of how long a person has to live affects a lot of the decisions we have to make clinically. Alex, what other decisions?

IT 95