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Effects of Coffee Intake on Incident Chronic Kidney Disease

Drinking coffee can raise public health problems, but the association between coffee and kidney disease is unknown. We studied whether coffee intake can affect the development of chronic kidney disease in the general population. Methods We analyzed 8717 subjects with normal renal function recruited from the Korean Genome and Epidemiology Study (KoGES) cohort. Based on […]

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Cardiologists Receive Little Nutrition Education in Med School (video)

Writing in the American Journal of Medicine, Devries et al reported that “a large proportion of cardiovascular specialists have received minimal medical education and training in nutrition, and current trainees continue to experience significant education and training gaps.” In the video, AJM Editor-in-Chief Joseph S. Alpert, MD, suggests that nutrition education might be more important […]

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Dairy Consumption and 24-Hour Blood Pressure in Older Adults with Hypertension (video)

The aim was to examine the association between habitual consumption of dairy products and 24-hour ambulatory blood pressure monitoring among older adults with hypertension. Methods We conducted an analysis of 715 community-living hypertensive adults age ≥60. Habitual dairy consumption was assessed with a validated diet history. Blood pressure was recorded by 24-hour ambulatory blood pressure […]

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Samples of meat from the patient's freezer were analyzed by x-ray study to determine the presence of metal fragments. Two packages of ground deer meat (UL and UR) and one package of ground goat (LL) revealed a number of large metal fragments (black arrows) throughout the meat (Panel A). Each package of meat was approximately 1 kg. Upon further examination at higher resolution it became clear that there were smaller metal fragments throughout the samples (orange arrows). When selecting bullets, hunters have a choice of materials. Three of the common options are lead bullets, lead-core copper-jacketed bullets, or lead-free bullets (Panel B). All bullets shown are 165-grain, 30-caliber rifle bullets. Importantly, hunters may confuse the copper-jacketed lead bullets with bullets that are lead free, as they have a copper jacket covering most of the lead core.

Hidden Giant: Medium Vessel Vasculitis as a Cause for Unresolving Fever

The purpose of this article is to determine if conversion from eating wild game harvested with lead-based ammunition to nonlead-based ammunition results in lower blood lead levels. Supersonic injection of toxin-leeching frangible projectiles into food is intuitively bad. As much as 95% of the ~13.7 million hunters in the United States choose shrapnel-inducing lead bullets […]

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Colonoscopic view of a mobile polypide in the ileocecum.

Colonic Anisakiasis

To the Editor: A 24-year-old man with a 2-week history of nausea, lower-right abdominal pain, and melena presented to the Gastroenterology outpatient clinic. He had no previous cardiovascular or gastrointestinal problems and denied any history of an allergy. In addition, the patient reported having eaten raw mackerel, sardines, and squid at a sushi restaurant 2 […]

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Dietary Patterns and Long-Term Survival (video)

Dietary patterns are related to mortality in selected populations with comorbidities. We studied whether dietary patterns are associated with long-term survival in a middle-aged, healthy population. Methods In this observational cohort study at the Cooper Clinic preventive medicine center (Dallas, Tex), a volunteer sample of 11,376 men and women with no history of myocardial infarction […]

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