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ACP's sleep apnea guideline recommends weight loss and CPAP as initial therapies

All overweight and obese patients diagnosed with obstructive sleep apnea (OSA) should be encouraged to lose weight and use continuous positive-airway pressure (CPAP) or, if preferred, mandibular advancement devices, according to a new ACP guideline.
https://immattersacp.org/weekly/archives/2013/09/24/1.htm
24 Sep 2013

Long-term follow-up of WHI indicates menopausal hormone therapy not helpful for chronic disease prevention

Hormone therapy after menopause is not effective for chronic disease prevention, according to a new analysis of long-term follow-up data from the Women's Health Initiative (WHI).
https://immattersacp.org/weekly/archives/2013/10/08/1.htm
8 Oct 2013

Gabapentin reduced drinking, cravings, sleep and mood problems in alcoholics

Treatment with gabapentin reduced alcohol consumption and relapse-related symptoms in patients with alcohol dependence, a recent single-center study found.
https://immattersacp.org/weekly/archives/2013/11/12/2.htm
12 Nov 2013

ACP policy paper calls for tighter management of prescription drugs

The American College of Physicians recommended 10 clinical and administrative changes that will make it harder for prescription drugs, such as those prescribed for pain, sleep disorders and weight loss, to be abused or diverted for sale on the street.
https://immattersacp.org/weekly/archives/2013/12/10/1.htm
10 Dec 2013

Psoriasis symptoms can be tough to address

A recent survey showed that many psoriasis patients are not satisfied with their care, reporting inadequate relief from such symptoms as itching and scaling. Learn more about clues to diagnosis and suggestions on treating and managing symptoms of both mild and more severe disease.
https://immattersacp.org/archives/2014/02/psoriasis.htm
1 Feb 2014

MKSAP Quiz: evaluation of chronic fatigue syndrome

A 32-year-old woman is evaluated following a diagnosis of chronic fatigue syndrome. She has a several-year history of chronic disabling fatigue, unrefreshing sleep, muscle and joint pain, and headache. Following a physical exam, what is the most appropriate management for this patient's symptoms?
https://immattersacp.org/weekly/archives/2014/02/11/3.htm
11 Feb 2014

LUNG CANCER SCREENING cited the harms and costs of ...

sleep lab and pharmacy. Other specialty clinics include bariatric,. cardiology, vascular and general surgery services.
https://immattersacp.org/archives/2014/03/acpi-201403-puzzle_t2.pdf
25 Feb 2014

Consider GERD in patients with pulmonary diseases

Because not all presentations of lung diseases include gastroesophageal reflux disease (GERD)'s more commonly recognized symptoms, such as heartburn and regurgitation, it is easy to miss GERD as a contributing factor. Internists should be on the lookout for “red flags” such as dysphagia or weight loss.
https://immattersacp.org/archives/2014/03/GERD.htm
1 Mar 2014

Withholding, delaying antibiotics for simple respiratory infections had similar outcomes as immediate prescriptions

Not prescribing antibiotics or delaying prescriptions for uncomplicated acute sore throats and other respiratory infections resulted in fewer than 40% of patients using antibiotics and similar symptomatic outcomes versus offering immediate prescriptions, a study found.
https://immattersacp.org/weekly/archives/2014/03/18/1.htm
18 Mar 2014

Cardiac risks of testosterone, saxagliptin under investigation

This regulatory update covers an FDA review of the risk of stroke, heart attack and death in men taking testosterone products, as well as a possible increase in heart failure associated with saxagliptin.
https://immattersacp.org/archives/2014/04/fda.htm
1 Apr 2014

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