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July 2019 Briefing – Family Practice

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Here are what the editors at HealthDay consider to be the most important developments in Family Practice for July 2019. This roundup includes the...
The first transmission of the Ebola virus in Congo's major city of Goma was announced Thursday by the country's health ministry. It said that the disease has been confirmed in the 1-year-old daughter of a man who died of Ebola on Wednesday. The man had symptoms for several days while at home with his large family

First Ebola Transmission in Congo City of Goma Reported

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Rwanda has closed its border with Congo due to the Ebola outbreak
Symptoms of burnout seem to be associated with greater explicit and implicit racial bias among resident physicians

Burnout Symptoms May Up Racial Bias Among Resident Physicians

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Residents with burnout had greater explicit racial bias, implicit racial bias scores after adjustment
Patients receiving gastric acid inhibitors have an increase in prescriptions of anti-allergic drugs

Risk for Allergy Development Increased After Gastric Acid Inhibitor Use

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Rates ratios increased with increasing age and were more prominent in women
The incidence of Lyme disease increased from 2001 to 2012 in the United Kingdom

Estimated U.K. Incidence Rate of Lyme Disease 12.1 per 100,000

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If increase continues, more than 8,000 cases expected in United Kingdom by end of 2019
Moving to a new home in the first trimester of pregnancy is associated with an increased risk for low birth weight and preterm birth

Moving House in First Trimester Linked to Worse Infant Outcomes

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Residence change linked to low birth weight and preterm birth in all socioeconomic strata
Receiving treatment at clinics in the lowest-income sites is associated with poorer blood pressure control and worse outcomes

With Standard Care, BP Control Still Worse in Low-Income Areas

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Outcomes worse for some adverse cardiovascular events for participants in lowest-income sites
Women with preeclampsia have an increased risk for developing end-stage kidney disease (ESKD)

Preeclampsia History Increases Risk for End-Stage Kidney Disease

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ESKD risk highest for women with preterm preeclampsia and/or preeclampsia in two pregnancies
There is a U-shaped association for hemoglobin levels with risk for dementia

U-Shaped Association Found for Hemoglobin Level, Dementia Risk

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Similar correlations seen with structural connectivity and white matter hyperintensity volume on brain MRI
Hot pavement poses a burn risk

Hot Pavement Can Burn Feet in Seconds

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More education needed to warn of burn risk from hot pavement, particularly as temps exceed 100