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Providing assistance for physician impairment and rehabilitation is addressed in a position statement issued by the American College of Physicians and published online June 4 in the Annals of Internal Medicine.

ACP Issues Position on Response to Physician Impairment

Rehabilitated doctors should be reintegrated into practice as long as patient safety not compromised
Clinical manifestations of systemic lupus erythematosus vary by racial and ethnic groups

Lupus Manifestations Appear to Differ by Race, Ethnicity

Increased risk for severe manifestations seen among blacks, Hispanics, and Asians/Pacific Islanders
Taking proton pump inhibitors is associated with an excess of cause-specific mortality

Excess Cause-Specific Mortality Tied to Chronic Proton Pump Inhibitor Use

Excess mortality due to CVD, CKD, upper GI cancer for those with no indication for PPI use
Positive cultural beliefs around taking aspirin for prevention of cardiovascular disease are associated with greater adoption of the intervention among African-Americans

Providers, Peers Influence Aspirin Use Among African-Americans

Positive social environment around a prevention approach may increase uptake, authors say
Fasting before a cholesterol test is not necessary when evaluating risk for cardiovascular events

Nonfasting Lipid Levels Adequate for Assessing Cardiovascular Risk

Fasting, nonfasting levels show similar associations with cardiovascular events even for patients on statins
Low-density lipoprotein cholesterol is associated with the probability of developing early-onset Alzheimer disease

Higher LDL-C Levels Linked to Early-Onset Alzheimer Disease

Cases with EOAD have higher levels of LDL-C, greater frequency of rare genetic coding variants of APOB
High costs are associated with physician turnover and reduced clinical hours attributed to burnout

High Costs Associated With Physician Burnout in U.S.

Nationally, about $4.6 billion in costs are related to physician turnover, reduced clinical hours
Pregnant women with syncope

Syncope in Pregnancy May Up Risk for Adverse Outcomes

Syncope may be associated with adverse neonatal and maternal outcomes in first year postpartum
More steps taken per day are associated with lower mortality rates among older women

More Steps Tied to Lower Death Risk in Older Women

Association between steps, mortality leveled off at approximately 7,500 steps/day
Ultra-processed food consumption is associated with an increased risk for cardiovascular disease and all-cause mortality

Ultra-Processed Food Intake Linked to Increased CVD Risk

Second study shows consumption associated with all-cause mortality with significant dose-response link