J Natl Med Assoc
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Observational Study
Clinical Profiles of Elderly Patients Presenting with Persistent Dizziness.
Dizziness among elderly patients is primarily treated in emergency and primary care centers. However, the causes and comorbidities responsible for dizziness in the elderly may differ in tertiary health care centers. ⋯ Primary care physicians need to anticipate that many elderly dizzy patients can have more than one cause of dizziness. A systematic and planned approach can help the clinician to effectively treat dizziness in the elderly.
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To report a case of a patient with mixed mechanism glaucoma and a clear lens who was successfully surgically treated with combination cataract extraction, goniosynechiolysis and the Hydrus stent. ⋯ and Importance: Patients mixed mechanism glaucoma may benefit from earlier cataract extraction, goniosynechiolysis and Hydrus stent placement to lower intraocular pressure and reduce medication burden.
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Non-Hispanic black women are 3-4 fold more likely to experience a maternal death than white women in the US, a health disparity that has been persistent for the past 50 years. The complete explanation for this disparity is unknown, but awareness of factors contributing to this disparity is key in addressing it. ⋯ Reducing maternal mortality will take a multifaceted approach. It was the goal of this summit and writing group that this workshop and executive summary with recommendations will be a call to action to establish the will for developing and implementing developed guidelines and protocols to reduce maternal mortality among vulnerable patient populations.
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Comparative Study
Rivaroxaban Versus Warfarin in African American Patients with Nonvalvular Atrial Fibrillation.
Black patients are under-represented in randomized trials evaluating oral anticoagulants in non-valvular atrial fibrillation (NVAF). We sought to evaluate the effectiveness and safety of rivaroxaban versus warfarin in African Americans with NVAF. ⋯ Rivaroxaban appeared at least as effective and safe as warfarin when used to manage African American patients with NVAF in routine practice.