Annals of internal medicine
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This commentary discusses the COVID-19 pandemic on the African continent. The authors describe why the international community should be hesitant in developing forecasts and prevention strategies for COVID-19 in the absence of integration of African data and leadership by African institutions.
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The American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) developed this guideline to provide clinical recommendations on nonpharmacologic and pharmacologic management of acute pain from non-low back, musculoskeletal injuries in adults in the outpatient setting. The guidance is based on current best available evidence about benefits and harms, taken in the context of costs and patient values and preferences. This guideline does not address noninvasive treatment of low back pain, which is covered by a separate ACP guideline that has also been endorsed by AAFP. ⋯ ACP and AAFP suggest against clinicians treating patients with acute pain from non-low back, musculoskeletal injuries with opioids, including tramadol (Grade: conditional recommendation; low-certainty evidence).
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Randomized Controlled Trial
Three-Year Outcomes of Bariatric Surgery in Patients With Obesity and Hypertension: A Randomized Clinical Trial.
Midterm effects of bariatric surgery on patients with obesity and hypertension remain uncertain. ⋯ Ethicon, represented in Brazil by Johnson & Johnson do Brasil.
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In their article, Sudharsanan and colleagues show the importance of adjusting for the age distribution of cases of coronavirus disease 2019 before doing cross-country comparisons of case-fatality rates. The editorialists explore the effect of age distribution on these rates and other determinants of between-country variation in the severity of this disease.