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 In outpatients with comorbidities and inpatients with nonsevere pneumonia, a combination of a beta-lactam or third-generation cephalosporin plus a macrolide, or monotherapy with a respiratory fluoroquinolone is recommended. Patients should be treated for methicillin-resistant Staphylococcus aureus or Pseudomonas infection only if they present with risk factors for those pathogens. All adults 65 years or older or those 19 to 64 with underlying conditions should receive the 20-valent pneumococcal conjugate vaccine alone or the 15-valent pneumococcal conjugate vaccine followed by 23-valent pneumococcal polysaccharide vaccine one year later. The 13-valent pneumococcal conjugate vaccine is no longer recommended for routine administration. The Centers for Disease Control and Prevention recommends vaccination against influenza and SARS-CoV-2 viruses for all adults. 

 

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برچسب : نویسنده : ryangorji ryangorji بازدید : 129 تاريخ : چهارشنبه 15 تير 1401 ساعت: 12:29

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برچسب : نویسنده : ryangorji ryangorji بازدید : 89 تاريخ : سه شنبه 14 تير 1401 ساعت: 12:59

https://pasteboard.co/bgV2pDXK626z.jpg

 

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برچسب : نویسنده : ryangorji ryangorji بازدید : 92 تاريخ : شنبه 11 تير 1401 ساعت: 19:11

Evidence-Based Answer[PS1] :

Yes. Patients rate video telemedicine visits comparably to face-to-face visits for satisfaction and quality of care. (SOR: B, systematic review and cross-sectional studies) Time saved is an advantage; video communication and technical conces are disadvantages. (SOR: B, systematic review and cross-sectional study) Predictors of higher satisfaction with telemedicine include patient understanding of telehealth, female gender, and uninsured status. (SOR: B, cross-sectional study) Cross-sectional studies included patients agreeable to telehealth visits and may be subject to selection bias. More studies are needed in primary care.


 [PS1]Can you give an example of how to quantify conclusions as you had suggested?

 

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برچسب : نویسنده : ryangorji ryangorji بازدید : 95 تاريخ : پنجشنبه 9 تير 1401 ساعت: 18:48

 

 

 

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برچسب : نویسنده : ryangorji ryangorji بازدید : 95 تاريخ : سه شنبه 7 تير 1401 ساعت: 16:13

    1. Fibromyalgia is a complex, chronic, non inflammatory musculoskeletal nerve pain, often accompanied by multiple other symptoms including fatigue, cognitive disturbance, headache, and stiffness. The etiology of Fibromyalgia is unclear. This condition is often diagnosed by clinicians after ruling out other common musculoskeletal inflammatory causes. Treatment of Fibromyalgia is achieved through pharmacological and non pharmacological options.

 

 

 

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برچسب : نویسنده : ryangorji ryangorji بازدید : 105 تاريخ : دوشنبه 6 تير 1401 ساعت: 13:08

This question always brings tears to my eyes - it makes me appreciate the jouey and take a step back from everyday hustle and momentum. I was just 17 years old when I decided to move to the United States from Iran - to pursue my American dream.

 

As a teenager in a new country I found myself completely lost. I didn’t speak English, wasn’t able to communicate effectively, and had no friends or acquaintances. Until a few weeks prior to relocating to the United States, I had been spending weekends with relatives, friends and surrounded with so much love! Yet, I had none of that here. Unlike many, weekends were the toughest days of the week for me – reminding me how lonely I was.

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برچسب : نویسنده : ryangorji ryangorji بازدید : 121 تاريخ : يکشنبه 5 تير 1401 ساعت: 13:26

This question always brings tears to my eyes - it makes me appreciate the jouey and take a step back from everyday hustle and momentum. I was just 17 years old when I decided to move to the United States from Iran - to pursue my American dream.

Ryan Gorji MD
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Ryan Gorji Chicago

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برچسب : نویسنده : ryangorji ryangorji بازدید : 96 تاريخ : شنبه 4 تير 1401 ساعت: 14:45