Carrie Armstrong

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Treatment of stage A heart failure should focus on reducing modifiable risk factors, including management of hypertension and hyperlipidemia. To prevent symptomatic heart failure, ACE inhibitors and beta blockers should be used in all patients with stage B or C heart failure who have a reduced ejection fraction. Patients with stage C heart failure and fluid(More)
Concussion is a clinical syndrome of biomechanically induced altered brain function that typically affects memory and orientation, and may involve loss of consciousness. An estimated 1.6 to 3.8 million sports-related concussions occur each year in the United States. The American Academy of Neurology (AAN) studied the incidence of concussion in high school(More)
www.aafp.org/afp Volume 90, Number 9 ◆ November 1, 2014 Vaccination of immunocompromised patients is important because impaired host defenses predispose patients to an increased risk of vaccine-preventable infections. These patients also have a greater risk of exposure to pathogens because of their frequent contact with medical environments. Primary care(More)
Research exploring young people's perspectives on mental health is at an early stage of development and few studies have focused in detail on mental distress or illness. This paper reports findings from a qualitative study which used case vignettes in group and individual interviews to explore the ways in which the young people who took part constructed(More)
Although about 75-80% of neutropenic fevers are thought to be caused by infections, a causal organism can be confirmed microbiologically or suspected clinically in only 30-50%, and even fewer of these cases (16%) have a documented bacteraemia. The cause of neutropenic fever in the remaining cases remains elusive. The reasons for this failure may be due to(More)
www.aafp.org/afp Volume 88, Number 2 ◆ July 15, 2013 Elevated triglyceride levels typically occur in persons with other metabolic abnormalities. Contributing factors include overweight and obesity, physical inactivity, excessive alcohol intake, metabolic syndrome, type 2 diabetes mellitus, and certain genetic disorders (e.g., familial hypertriglyceridemia,(More)
Persons with diabetes mellitus have two to four times the risk of cardiovascular events compared with persons of the same age and sex who do not have the disease. Coronary heart disease (CHD) is responsible for more than two-thirds of deaths in persons with diabetes who are older than 65 years. Although aspirin has been proven to reduce cardiovascular(More)