Internal Medicine

Home Internal Medicine
More than 85 percent of patients with urinary tract infection receive antibiotics the same day and more than half are treated with trimethoprim

Most U.K. Patients With UTI Receive Antibiotics on Same Day

Represcription rate at 28 days only 4.1 percent from 2011 to 2015; slight increase seen for men over time
Among African-Americans

BP Outside of Clinic May Better Predict Outcomes in Black Patients

Higher systolic blood pressure measured with ambulatory monitoring tied to cardiovascular events, mortality
Intensive glucose-lowering therapy is prevalent among U.S. adults with diabetes and results in hospitalizations and emergency department visits for hypoglycemia

Hypoglycemia Up With Intensive Glucose-Lowering Therapy

Intensive therapy resulted in estimated 9,578 hospitalizations, ED visits for hypoglycemia over two years
Genetic liability to insomnia is associated with increased odds of major cardiovascular diseases

Genetic Liability to Insomnia Linked to Increased Odds of CVDs

Mendelian randomization analyses revealed greater odds of CAD, heart failure, ischemic stroke
Adding mental health specialists

VA Mental Health Initiative Linked to Improved Access to Care

Addition of mental health specialists at primary care clinics increased utilization but also cost
After any underlying causes are addressed and diet and lifestyle strategies are implemented

AHA: Prescription Omega-3 Fatty Acids Effectively Lower Triglycerides

4 g daily EPA+DHA or EPA only effective and safe for use as monotherapy or in combination
The urgent individualized interventions to reduce firearm access

Extreme Risk Protection Orders May Help in Averting Shootings

Urgent individualized intervention may play role in efforts for prevention in analysis of cases in California
The Infectious Diseases Society of America

Recommendations Developed for Management of Lyme Disease

Public comment period for these guidelines has been extended 30 days to Sept. 9, 2019
For patients with multiple myeloma receiving immunomodulatory drugs

SAVED Score Can Predict Risk for VTE in Multiple Myeloma

Score outperforms current NCCN guidelines for MM patients receiving immunomodulatory therapy
Long-term nursing home residents with hypertension do not experience significant benefits from more intensive antihypertensive treatment

Intensive BP Therapy Not Beneficial in Nursing Home Residents

Findings seen among long-term nursing home residents with, without cognitive impairment