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Overall medication adherence as an indicator for health outcomes among elderly patients with hypertension and diabetes [Diabetes and endocrine disease]

Annals of Family Medicine

Objectives To assess overall medication adherence as an indicator for emergency room (ER) visits, hospitalizations, and mortality among elderly patients. We retrieved information on all ER visits and hospitalizations in internal medicine and surgical wards from 2017 to 2019 and mortality in 2019. The mean age was 81.2

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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

No prior history of atrial fibrillation – just hypertension and diabetes. Had the ED not ordered a chest CT, would I have tested this patient for COVID-19? 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.

Illness 52
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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

Likelihood ratios (LRs), which help us determine how a test changes the probability of a disease, are defined as: For example, say 60% of patients with aortic stenosis have a systolic ejection murmur best heard over the aortic valve area, and only 10% of patients without aortic stenosis have that same murmur.

Clinic 52
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Episode 148: Antiracism in Medicine Series Episode 4 – Dismantling Race-Based Medicine Part 2: Clinical Perspectives

The Clinical Problem Solvers

19:05 Clarifying the “ethics vs science” argument and critiquing research techniques 22:00 Resurgence of race-based speculation in COVID-19-related research 25:57 Implantation of ideas about innate racial inferiority within medicine 28:32 Will removal of race from algorithms potentially harm our patients?

Clinic 52
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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

All kids with hypertensive emergency need ICU-level care. Upon entering the room, you find the patients nurse at the bedside already in mid-conversation with the patients parent. However, the presence of end-organ damage is the defining feature of a hypertensive emergency, rather than the absolute blood pressure value alone.

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Higher Dietary Inflammatory Index Tied to Elevated CHD Risk

Physician's Weekly

“Current research suggests that the DII is associated with subclinical atherosclerosis,” wrote corresponding author Ming Cui, MD, PhD , Peking University Third Hospital, and colleagues. Due to the inclusion of multiple variables, guiding patients on diet based on DII becomes more complex.” had hypertension, and 12.1%

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

GeriPal

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. When I see a patient? Matthew, I get the lyrics.