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Scientific statement addresses primary care's role in poststroke care

Effective communication by primary care clinicians can improve adherence to necessary interventions after stroke, boost patient motivation, and reduce barriers to care, the American Heart Association and American Stroke Association advised.
https://immattersacp.org/weekly/archives/2021/07/27/2.htm
27 Jul 2021

FDA plans to ban menthol cigarettes, flavored cigars

This column reviews details on recent recalls, alerts, and approvals.
https://immattersacp.org/archives/2021/06/fda-plans-to-ban-menthol-cigarettes-flavored-cigars.htm
1 Jun 2021

Osteoporosis screening, treatment uncommon after stroke

Among 16,581 patients, 5.1% underwent poststroke bone mineral density testing and 15.5% received fracture prevention treatment within one year.
https://immattersacp.org/weekly/archives/2019/04/30/4.htm
30 Apr 2019

PPI's benefits can outweigh their possible risks

The key to proper use of proton-pump inhibitors is monitoring patients closely to determine if they are benefitting from long-term therapy, or could potentially discontinue or reduce their dose.
https://immattersacp.org/archives/2012/10/PPIs.htm
1 Oct 2012

Physical activity program for older adults linked to long-term improvements in function

Older adults with reduced lower-limb physical functioning treated with a 12-month, group-based physical activity and behavior maintenance program had greater improvements in function than those who received educational sessions on healthy aging, an English trial found.
https://immattersacp.org/weekly/archives/2022/03/29/1.htm
29 Mar 2022

NAFLD treatment starts with weight loss, then other modes

Nonalcoholic fatty liver disease (NAFLD), which accounts for 30% to 40% of chronic liver disease in the U.S. today, is the hepatic manifestation of the metabolic syndrome and is associated with sleep apnea, cardiovascular disease, and diabetes.
https://immattersacp.org/archives/2016/07/NAFLD.htm
1 Jul 2016

From internist to whistleblower on detention facilities

An FACP alerted the Senate to conditions at migrant detention centers.
https://immattersacp.org/archives/2019/10/from-internist-to-whistleblower-on-detention-facilities.htm
1 Oct 2019

MKSAP Quiz: Evaluation for a new-patient visit

A 55-year-old woman is evaluated for a new-patient visit. Medical history is significant for an eating disorder. Although she has maintained a normal weight for the past 20 years, she notes that prior to that time her weight would fluctuate in a range correlating with BMIs of 17 to 19. Family history is significant for postmenopausal osteoporosis in her mother. Following a physical exam and lab studies, what is the most appropriate management of this patient?
https://immattersacp.org/weekly/archives/2018/03/27/3.htm
27 Mar 2018

Shifting standards for hypertension

New hypertension guidelines are being developed by the American Heart Association (AHA) and the American College of Cardiology (ACC) that will incorporate new study results. At issue is how these results apply to the many types of patients who walk through the office door, including those with diabetes.
https://immattersacp.org/archives/2016/03/hypertension.htm
1 Mar 2016

MKSAP Quiz: Follow-up for deep venous thrombosis

A 42-year-old man arrives for three-month follow-up of a proximal right leg DVT after right tibia fracture. Thrombophilia evaluation was done, although not recommended by guidelines, and found an elevated plasma homocysteine level; genetic testing then found homozygosity for the C677T methylene tetrahydrofolate reductase (MTHFR) polymorphism. His only medication is warfarin. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/07/17/3.htm
17 Jul 2018

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