
Lifelong Learning
Outbreak Notice – Yellow Fever in Brazil
Yellow Fever Alert for Brazil | CDC Travelers’ Health
Yellow fever is spread by infected mosquitoes. DEET, anyone?

Clinical Practice Updates
News Briefs: Clinical Practice Updates — AAFP News Now — American Academy of Family Physicians
Note Suicidality Warning on Antiepileptic Drugs.

CKD and CAD
Implications of CKD for Patients with CAD
The nearly 50% case fatality rate at one year caught my eye.

Less Than 6 Hours of Sleep = Greater Risk for IFG
Deformational Plagiocephaly
The left rear side of my head has been flat for as long as I can remember.
+0 debits.

AF + DM = 61% Greater Risk of All-Cause Mortality
Among the findings:
- Over 4.3 years of follow-up, 879 patients died and 53% of those deaths were from cardiovascular causes
- 15% of the deaths occurred in patients with atrial fibrillation
- Atrial fibrillation was associated with a 77% risk of cardiovascular death (P<0.0001) and a 68% increase in risk of death from heart failure (P=0.0002) over the course of the study
- Atrial fibrillation was associated with an increased risk of ischemic stroke (P=0.0006)
- 26% of patients with atrial fibrillation at baseline were on anticoagulant therapy
- Among patients taking oral anticoagulant therapy at baseline, the “adjusted HRs associated with [atrial fibrillation] were 2.16 (95% CI 1.15 to 4.07; P=0.02) and 2.32 (95% CI 1.06 to 5.12, P=0.04) for all-cause mortality and cardiovascular death, respectively.”

Watch, Listen & Learn – Compliance With Medications (or not)
50% of patients on meds for HTN stop their meds at one year.
Cooked meat is not red meat because it’s not red anymore.
Say what???

Going to Tripura, Meghalaya, and/or Mizoram?
Depression Can Be Deadly
Remember, “strong association” does not equal causality. These findings are interesting and merit further studies prior to any practical use in underwriting.

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