JAMA : the journal of the American Medical Association
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Prospective studies linking shift work to coronary heart disease (CHD) have been inconsistent and limited by short follow-up. ⋯ Among women who worked as registered nurses, longer duration of rotating night shift work was associated with a statistically significant but small absolute increase in CHD risk. Further research is needed to explore whether the association is related to specific work hours and individual characteristics.
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Lyme disease, human granulocytic anaplasmosis (HGA), and babesiosis are emerging tick-borne infections. ⋯ Evidence is evolving regarding the diagnosis, treatment, and prevention of Lyme disease, HGA, and babesiosis. Recent evidence supports treating patients with erythema migrans for no longer than 10 days when doxycycline is used and prescription of a 14-day course of oral doxycycline for early neurologic Lyme disease in ambulatory patients. The duration of antimicrobial therapy for babesiosis in severely immunocompromised patients should be extended to 6 weeks or longer.
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Biography Historical Article
Truncated View of the Broekzijder Mill on the Gein, Wings Facing West: Piet Mondrian.