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August 2015 Briefing – Internal Medicine

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Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for August 2015. This roundup includes the...
Seniors with a higher resting heart rate and lower heart rate variability are less able to care for themselves

Resting Heart Rate, HR Variability May Help ID Functional Disability

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Researchers eye earlier detection of decline
Those who sleep less than six hours a night may be more than four times as likely to catch a cold as those who get more than seven hours of sleep

Too Little Sleep Can Quadruple Risk for the Common Cold

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Less than six hours a night linked to higher rate of illness, researchers say
The U.S. smoking rate continues to decline

CDC: Smoking Rate Falls to 15.2 Percent in the United States

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Higher tobacco taxes, tough messages contributing to decline
For elderly adults diagnosed with non-Hodgkin's lymphoma

Endoscopic Evaluation Advised in Non-Hodgkin’s Lymphoma

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Report of elderly man with mantle cell lymphoma in addition to diffuse large B-cell lymphoma
More than one-quarter of Medicare beneficiaries with multiple observation stays have a cumulative financial liability that exceeds that of the inpatient deductible

Observation Stays Can Exceed Cost of Inpatient Deductible

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For 26.6% of Medicare beneficiaries, cumulative financial liability up with observational stays
Religion or spirituality is important to many people nearing the end of life

Critical Care Docs Rarely Discuss Religion With Patients, Families

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Researchers find a significant need goes unfulfilled
The onset of cold weather may increase the risk of ischemic stroke and ST-elevation myocardial infarction for some

Cold Weather Tied to Increased Risk of Stroke, STEMI

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But more study needed to determine what strategies might cut those risks
For patients with heart failure with reduced ejection fraction and predominantly central sleep apnea

Adaptive Servo-Ventilation No Benefit in Heart Failure

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Findings for patients with heart failure with reduced ejection fraction, predominantly central sleep apnea
For patients with an acute coronary syndrome undergoing percutaneous coronary intervention

Bivalirudin Doesn’t Lower Major Cardiovascular Event Rate in ACS

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No decrease in rate of major CV events, net adverse clinical events for patients undergoing PCI