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The Call for a Physical Activity Vital Sign in Clinical Practice

According to the Bureau of Labor Statistics, the most common shared occupational health risk is sedentary behavior. Physical inactivity increases the relative risk of coronary artery disease, stroke, hypertension, and osteoporosis by 45%, 60%, 30%, and 59%, respectively. Epidemiologic data suggest that physical inactivity is associated with an increased risk of 25 chronic diseases. Because approximately 90% […]

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A Tool to Assess Risk of De Novo Opioid Abuse or Dependence

Readily available demographic, clinical, behavioral, pharmacy, and geographic information can be used to predict the likelihood of opioid abuse or dependence. Determining risk factors for opioid abuse or dependence will help clinicians practice informed prescribing and may help mitigate opioid abuse or dependence. The purpose of this study is to identify variables predicting opioid abuse […]

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Computerized Patient Education

Using Animated Computer-generated Text and Graphics to Depict the Risks and Benefits of Medical Treatment Computer-animated depictions of risks and benefits offer an effective means to describe medical risk/benefit statistics. Understanding and satisfaction were significantly better when the format matched the patient’s preference for message delivery. Abstract  Objective  Conventional print materials for presenting risks and […]

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Weight Loss Improves Cardiometabolic Risk

Incremental Weight Loss Improves Cardiometabolic Risk in Extremely Obese Adults Very obese adults can improve their cardiometabolic risk under primary care weight management. In this study, weigh loss correlated significantly with improvements in fasting plasma glucose, triglycerides, high and low-density lipoprotein cholesterol, uric acid, alanine aminotransferase, lactate dehydrogenase and high-sensitivity C-reactive protein. Abstract Objective Excessively […]

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Weight and Weight Change—Think About the Context

While obesity has been linked to multiple risk factors for cardiovascular disease and risk for type 2 diabetes and its complications, several epidemiologic studies have suggested that patients with excess weight may not have higher rates of (cardiovascular) mortality. Two articles in this issue of The American Journal of Medicine and one in the September […]

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Attributable Risk Estimate of Severe Psoriasis on Major Cardiovascular Events

Patients with severe psoriasis have an additional 6.2% absolute risk of major adverse cardiac events compared to the general population. This finding could have important therapeutic implications for cardiovascular risk stratification and prevention in patients with severe psoriasis. Abstract Background Recent studies suggest that psoriasis, particularly if severe, may be a risk factor for major […]

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