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Stay up-to-date on topics of Internal Medicine including educational cases, guidelines, important research findings. Admin: Amir Ali Sohrabpour MD Former Provost & Assoc Prof of Gastro/Hepato @ TUMS 🇮🇷 Https://zil.ink/aasohrabpour

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Internal Medicine

💢 Severe anion gap metabolic acidosis in a patient with type 2 diabetes

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https://www.healio.com/news/endocrinology/20231102/severe-anion-gap-metabolic-acidosis-in-a-patient-with-type-2-diabetes


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Internal Medicine

💢 Little evidence suggests clear superiority of any drug class in rheumatoid arthritis

https://www.healio.com/news/rheumatology/20231030/little-evidence-suggests-clear-superiority-of-any-drug-class-in-rheumatoid-arthritis


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Internal Medicine

💢 Clinical examination of the cervical spine

https://youtu.be/HkVqePzXNs8


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Internal Medicine

💢 Puffy fingers and abnormal nail fold capillaries


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Internal Medicine

💢 Aspiration Pneumonia


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Internal Medicine

💢 More research ties red meat to type 2 diabetes

https://www.healio.com/news/primary-care/20231026/more-research-ties-red-meat-to-type-2-diabetes


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Internal Medicine

💢 Two or More Servings of Red Meat Per Week May Significantly Raise Your Type 2 Diabetes Risk


New research suggests that eating just two servings of red meat a week can increase your risk type 2 diabetes but substituting at least one serving with a plant-based protein can help lower that risk by 30%.

▫️Results from a large observational study suggest that eating just two servings of red meat a week can increase your type 2 diabetes risk.

▫️Swapping red meat with plant-based proteins was linked with a reduced type 2 diabetes risk.

▫️Experts say these results highlight the importance of dietary choices in managing your risk of developing chronic illnesses.

▫️Good plant-based swaps include tofu and tempeh, legumes, nuts and seeds.

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https://www.sciencedirect.com/science/article/abs/pii/S0002916523661192


هرچه می
‌گذرد شواهد بیشتری از زیان‌بار بودن مصرف گوشت قرمز به دست می‌آید. این یکی در نوع خود بسیار بااهمیت و در خور توجه است.

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Internal Medicine

💢 Hypokalemia


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Internal Medicine

💢 Dual GLP-1/GIP agonist shows promising impact on liver fat, lipids on top of weight loss

https://www.healio.com/news/endocrinology/20231018/dual-glp1gip-agonist-shows-promising-impact-on-liver-fat-lipids-on-top-of-weight-loss


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Internal Medicine

💢 The dangerous trend of levothyroxine medicalization


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Internal Medicine

💢 Nutrition could prevent or promote non-alcoholic fatty liver disease: an opportunity for intervention . BMJ . 2023


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Internal Medicine

💢 Novo Nordisk sees positive results in impact of semaglutide on kidney function, ends trial

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https://www.healio.com/news/nephrology/20231011/novo-nordisk-sees-positive-results-in-impact-of-semaglutide-on-kidney-function-ends-trial


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Internal Medicine

💢 New anti-obesity medications: With great power comes great responsibility

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https://www.healio.com/news/primary-care/20231010/new-antiobesity-medications-with-great-power-comes-great-responsibility


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Internal Medicine

🔥

💢 Modifiable Risk Factors, Cardiovascular Disease, and Mortality

Studies using individual-level data to evaluate the effect of five modifiable risk factors on cardiovascular disease and all-cause mortality are lacking. New research findings are summarized in a short video.

Video Summary of: Global Effect of Modifiable Risk Factors on Cardiovascular Disease and Mortality


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Internal Medicine

🔶 داروهای این بیماری را باید تا 100 سالگی مصرف کنید / زنان یک و نیم برابر بیشتر از مردان مبتلا می شوند + فیلم


🔸 یک پزشک فوق تخصص گوارش و کبد گفت: اگر این بیماری خودایمنی کبد به موقع شناخته و درمان نشوند، موجب سیروز کبد می شود. در نهایت منجر به این می شود که حدودا 10 درصد کبد کار می کند و دیگر درمانی در پی نخواهد داشت.

@Rokna_NEWS

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Internal Medicine

💢 Heart Attack or Panic Attack

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https://www.youtube.com/watch?v=eC_Of8Fu83E


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Internal Medicine

💢 Heart-related deaths will continue to rise with increased extreme heat, model suggests

https://www.healio.com/news/cardiology/20231030/heartrelated-deaths-will-continue-to-rise-with-increased-extreme-heat-model-suggests


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Internal Medicine

💢 A 43-Year-Old with Eye Pain and Visual Changes

https://castbox.fm/vd/644113463


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Internal Medicine

💢 Acute Limb Ischemia


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Internal Medicine

💢 Osteoporosis

https://castbox.fm/vd/643651696


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Internal Medicine

📍عصرانه این هفته:
پوکی استخوان

📍با حضور:
آقای دکتر مجید علیخانی
فوق تخصص روماتولوژی
هیات علمی دانشگاه علوم پزشکی تهران

🗓 جمعه 5 آبان
⏰ ساعت پنج و نیم عصر

🔗 لینک برنامه عصرانه
👈 ثبت در تقویم گوگل


این پیام را برای همه آنهایی که سلامتی شان برایتان مهمّ است فوروارد کنید


#آگاهتر_سالمتر
#عصرانه
#بارش


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Internal Medicine

📍عصرانه این هفته:
مراقبت در منزل

📍با حضور: دکتر هومن شهسواری
استاد تمام دانشکده پرستاری
هیات علمی دانشگاه علوم پزشکی تهران

🗓 جمعه 28 مهر
⏰ ساعت پنج و نیم عصر

🔗 لینک برنامه عصرانه
👈 ثبت در تقویم گوگل


این پیام را برای همه آنهایی که سلامتی شان برایتان مهمّ است فوروارد کنید


#آگاهتر_سالمتر
#عصرانه
#بارش


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Internal Medicine

2023 American Heart Association Focused Update on the Management of Patients With Cardiac Arrest or Life-Threatening Toxicity Due to Poisoning

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Internal Medicine

https://castbox.fm/vd/641353503

What is the evidence behind K+ repletion? What is a framework to think through for hypokalemia? What are the different repletion formulations and what else can you do to mitigate hypokalemia? Stepping back, do we really need to get labs every single day?!

Timestamp
01:45 Pearl 1: Evidence for potassium repletion 
09:10 Pearl 2: Framework for hypokalemia
17:09 Pearl 3: Repletion goals
23:00 Pearl 4: Options for hypokalemia treatment
29:13 Pearl 5: Frequency of lab checks and repletion


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Internal Medicine

💢 درباره خودکشی

سالانه حدود 100 هزار نفر در ایران دست به خودکشی می زنند. این پادکست به مناسبت دهم سپتامبر، روز جهانی پیشگیری از خودکشی، تولید شده و مخاطب آن همه آحاد جامعه هستند.

این پادکست را برای همه کسانی که سلامتی آنها برایتان مهم است ارسال کنید.


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Internal Medicine

💢 Healthy lifestyle linked to 25% lower coronary heart disease risk

https://www.healio.com/news/primary-care/20231012/healthy-lifestyle-linked-to-25-lower-coronary-heart-disease-risk


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Internal Medicine

💢 Most adults with diabetes report emotional distress, but do not discuss it with care team

https://www.healio.com/news/endocrinology/20231011/most-adults-with-diabetes-report-emotional-distress-but-do-not-discuss-it-with-care-team


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Internal Medicine

💢 Gestational Diabetes and Early Mortality


During 30 years of follow-up, women with prior gestational diabetes had 30% higher risk for death than those without such history.

Gestational diabetes (GD) is associated with development of type 2 diabetes and other adverse outcomes. In this study, researchers used data from the prospective Nurses' Health Study to assess the association between GD and risk for early death among 91,000 female nurses (baseline mean age, 35) who had at least one pregnancy at age 18 or older. About 6000 participants (7%) reported having GD.

After adjustment for multiple potential confounders, risk for all-cause death during 30 years of follow-up was significantly higher among participants with GD than among participants without GD (hazard ratio, 1.3).

This association persisted regardless of whether type 2 diabetes developed subsequently and was more robust among those who had GD in ≥2 pregnancies, had concurrent hypertension, or delivered preterm infants. Participants with GD had higher risk for cardiovascular (CV)–related death (HR, 1.6) and for non–CV-related, non–cancer-related death (HR, 1.5) but lower risk for cancer-related death (HR, 0.8).

The authors speculate that pregnant women who develop GD might be predisposed to chronic disease through shared pathways that predate pregnancy (e.g., systemic inflammation, insulin resistance, endothelial dysfunction). Reasons for the inverse association between GD and cancer-related death are unclear.


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Internal Medicine

💢 Ranitidine Does Not Increase the Risk for Cancer, Study Suggests

Ranitidine does not pose an increased risk for cancer when compared to other histamine-2 receptor antagonists (H2RAs), according to a study published in JAMA Network Open.

For this study, researchers analyzed data from health claims and electronic health record databases in the United States, United Kingdom, Germany, Spain, France, South Korea, and Taiwan.

The study included more than 1.1 million individuals who were at least 20 years of age, had no history of cancer, and who used H2RAs for more than 30 days between January 1986 and December 2020. The cohort included 909,168 new users of ranitidine and 274,831 new users of other H2RAs.

The crude incidence rate of cancer was 14.30 events per 1000 person-years among ranitidine users and 15.03 events per 1000 person-years for users of other H2RAs.


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Internal Medicine

📍عصرانه این هفته:
شیرین‌کننده‌های مصنوعی و سلامتی

📍میهمان این هفته:
آقای دکتر حامد محمدی
دکترای تخصصی علوم تغذیه
هیات علمی دانشگاه ع پ تهران

🗓 جمعه ۲۱ مهر
⏰ ساعت پنج و نیم عصر

👈 ثبت در تقویم گوگل
🔗 لینک برنامه عصرانه

این پیام را برای همه آنهایی که سلامتی شان برایتان مهمّ است فوروارد کنید


#آگاهتر_سالمتر
#عصرانه
#بارش


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