The American journal of medicine
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The complex epidemiology of obesity includes environmental factors. We examined how accessibility to fast food restaurants and green spaces is associated with obesity. ⋯ Accessibility to fast food restaurants is positively associated with the presence of obesity hot spots, while access to green space areas is associated with decreased neighborhood obesity rates.
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Stroke is a frequent complication of infective endocarditis, especially infection involving left-sided valves. Management of anticoagulation in left-sided infective endocarditis is controversial as it is unclear whether anticoagulation impacts stroke and bleeding risk in patients with this condition. The objective of this study was to evaluate the effect of anticoagulation on stroke occurrence and bleeding complications in patients with left-sided infective endocarditis. ⋯ Preexisting anticoagulation did not appear to have an effect on stroke, cerebrovascular hemorrhage, or mortality in patients with left-sided infective endocarditis at 10 weeks. Continuation of anticoagulation in patients with a definitive preexisting indication should be considered in patients with left-sided infective endocarditis in the absence of other contraindications.
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Letter Case Reports
Diagnostic Error and Anchoring Bias in a Patient with Schizophrenia.
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Letter Case Reports
Splenic Infarction: A Dark Side of the Nephrotic Syndrome.