Annals of internal medicine
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Review Meta Analysis
Subclinical thyroid dysfunction and the risk for fractures: a systematic review and meta-analysis.
Data on the association between subclinical thyroid dysfunction and fractures conflict. ⋯ Swiss National Science Foundation.
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Randomized Controlled Trial Comparative Study Pragmatic Clinical Trial
One-year outcome of subacromial corticosteroid injection compared with manual physical therapy for the management of the unilateral shoulder impingement syndrome: a pragmatic randomized trial.
Corticosteroid injections (CSIs) and physical therapy are used to treat patients with the shoulder impingement syndrome (SIS) but have never been directly compared. ⋯ Cardon Rehabilitation Products through the American Academy of Orthopaedic Manual Physical Therapists.
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Chronic hepatitis C virus (HCV) infection causes a substantial health and economic burden in the United States. With the availability of direct-acting antiviral agents, recently approved therapies and those under development, and 1-time birth-cohort screening, the burden of this disease is expected to decrease. ⋯ National Institutes of Health.
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Practice Guideline
Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from theAmerican College of Physicians.
The American College of Physicians (ACP) developed this guideline to present the evidence and provide clinical recommendations on the diagnosis of obstructive sleep apnea in adults. ⋯ ACP recommends polysomnography for diagnostic testing in patients suspected of obstructive sleep apnea. ACP recommends portable sleep monitors in patients without serious comorbidities as an alternative to polysomnography when polysomnography is not available for diagnostic testing. (Grade: weak recommendation, moderate-quality evidence).