The American journal of medicine
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Letter Case Reports
Community-acquired pneumonia caused by Enterobacter asburiae.
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Although antidepressants are often used for preventing chronic headache, their effectiveness is uncertain. ⋯ Antidepressants are effective in preventing chronic headaches. Whether this is independent of depression and whether there are differences in efficacy by class of agent needs further study.
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This study's purpose was to evaluate whether Medicare hospice care provided in nursing homes is associated with lower hospitalization rates. ⋯ When integrated into the nursing home care processes, hospice care is associated with less hospitalization for Medicare hospice patients. Additionally, possibly through diffusion of palliative care philosophy and practices, nonhospice residents who died in nursing homes having a hospice presence had lower rates of end-of-life hospitalizations.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Pioglitazone hydrochloride in combination with sulfonylurea therapy improves glycemic control in patients with type 2 diabetes mellitus: a randomized, placebo-controlled study.
To evaluate the efficacy and tolerability of pioglitazone in combination with a sulfonylurea in the treatment of type 2 diabetes mellitus. ⋯ In patients with type 2 diabetes, pioglitazone plus sulfonylurea significantly improves HbA1C and fasting plasma glucose levels with beneficial effects on serum triglyceride and HDL-cholesterol levels.
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We sought to evaluate the effectiveness of self-monitoring blood glucose levels to improve glycemic control. ⋯ More frequent self-monitoring of blood glucose levels was associated with clinically and statistically better glycemic control regardless of diabetes type or therapy. These findings support the clinical recommendations suggested by the American Diabetes Association.