Publications by authors named "M Achkar"

: Lipid disorders are very prevalent in patients with chronic kidney disease (CKD) and end-stage kidney disease (ESKD), leading to heightened cardiovascular risk. This review examines the effectiveness of lipid-lowering agents in these populations and explores gaps in the current research. The goal of this review is to assess the efficacy of lipid-lowering therapies in CKD and ESRD patients and identify future research needs.

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Background: Acute heart failure in patients with prosthetic heart valves is a complex problem with clinical and therapeutic challenges. Systemic sclerosis is a chronic autoimmune disease frequently associated with valvular abnormalities. The association between systemic sclerosis and acute heart failure in patients with prosthetic heart valves remains understudied.

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  • Hemophilia, a bleeding disorder, poses higher risks for adverse outcomes and longer hospital stays for patients undergoing percutaneous coronary intervention (PCI) due to acute coronary syndrome (ACS).
  • A study using data from the Nationwide Inpatient Sample Database revealed that individuals with hemophilia had significantly higher rates of gastrointestinal bleeding, hemorrhagic stroke, and retroperitoneal hemorrhage compared to those without the condition.
  • The findings stress the importance of proper management of coagulation factors and collaboration between cardiologists and hematologists to improve patient outcomes in this vulnerable population.
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  • - The study investigates how type 2 diabetes mellitus (T2DM) affects the prevalence of interstitial lung disease (ILD) in patients with systemic lupus erythematosus (SLE), aiming to clarify their relationship.
  • - Using data from the 2019-2020 National Inpatient Sample, researchers found that patients with SLE and T2DM had a lower prevalence of ILD compared to those without T2DM, particularly noting a reduced occurrence of pulmonary fibrosis.
  • - The findings suggest that T2DM may offer some protective effects against ILD in SLE patients, and the study calls for more research into the mechanisms behind this association for improved management strategies.
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Rural primary care (RPC) clinics may face unique barriers to implementing the Collaborative Care Model (CoCM). We used mixed methods to explore RPC staff and practice facilitator (PF) perspectives on CoCM implementation. PFs reported on barriers and facilitators experienced after each monthly meeting with clinics (n = 459 surveys across 23 clinics).

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