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Internal Medicine

Drop in Incidence of End-Stage Renal Disease Due to Diabetes

2000 to 2014 saw decrease in incidence of ESRD with diabetes listed as the primary cause

Lymphoma Risk Up With Thiopurine, Anti-TNF Tx in IBD

Risk higher for those exposed to combination therapy versus thiopurine or anti-TNF monotherapy

In ER, Combination of Ibuprofen, Acetaminophen Relieves Pain

No difference in pain reduction for ibuprofen and acetaminophen vs. 3 opioid/acetaminophen combos

Increases in U.S. Health Spending Tied to Health Service Price

Higher spending also linked to population growth and aging, negatively linked to disease incidence

Evidence Scant for Treatment of Cough With the Common Cold

Update recommends against nonsteroidal anti-inflammatory agents for adults, codeine for children

Sodium Oxybate Promising for Parkinson’s, Daytime Sleepiness

Improvements in subjective sleep quality, objectively measured slow-wave sleep duration

Glycosylation Differences in Egg-Adapted Vaccines May Cut Impact

H3N2 egg-adapted vaccines, circulating strains were different in 2016-2017 influenza season

Delay in Tranexamic Acid Administration Reduces Benefit

Survival benefit decreases by 10 percent for every 15-minute delay in treatment for severe bleeding

ASCO Issues Statement Regarding Alcohol and Cancer

Alcohol-related cancers account for 5.5 percent of all cancers treated annually worldwide

Neurologic Abnormalities Identified After West Nile Virus

Half of patients with history of West Nile virus have abnormality on neurologic exam years after infection

Doctors Have Extra Two Weeks to Preview Performance Data

Due to technical issue with Physician Compare, CMS extending time frame for physicians to view data

Depressive Symptoms Increase During Internship Year

Significantly greater increase seen among women; sex disparity partly due to work-family conflict

Children of Immigrants Less Likely to be Up-to-Date on Shots

Children with at least one foreign-born parent less likely to be up-to-date at ages 2, 6, 18, 36 months

Ohio Upholds Law Requiring HIV-Infected to Tell Sex Partners

State’s high court unanimously upholds law’s constitutionality; appeal to U.S. Supreme Court likely

HBcrAg Levels Tied to Progression to Cirrhosis in HBV Carriers

After adjustment, hepatitis B virus core-related antigen was independently linked to progression

Insurer Market Power Lowers Providers’ Prices

Evidence seen for specialists in markets with high provider, insurer concentration

Many Children With Reported Penicillin Allergy Are Not Allergic

Follow-up of 100 children found none were allergic to penicillin

Major Zika Outbreak Considered Unlikely in the United States

Higher standard of living reduces odds the virus-carrying mosquitoes will thrive

Arm Circumference May Be Useful Predictor of CVD Survival

Findings among elderly patients with cardiovascular disease

More Cognitive Difficulties for Patients After Chemotherapy

Breast cancer survivors report cognitive issues after chemo, through six-month follow-up

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