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Gastroenterology

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For older adults

DPP-4I Not Tied to Increased Risk of Acute Pancreatitis in Seniors

Among adults with heart disease, risk increased with DPP-4I versus thiazolidinedione not sulfonylureas
Whole body computed tomography is not associated with reduced mortality compared with a selective computed tomography approach among children with blunt trauma

Whole Body CT Doesn’t Cut Mortality in Peds Blunt Trauma

No significant difference in mortality for those undergoing whole body CT vs selective CT approach
There are considerable differences in the burden of disease at the state level

Considerable Differences in Burden of Disease at State Level

Increasing burden of various diseases depending on state; overall death rates declined
Changes can be implemented to help reduce physician frustration with electronic health records

Suggestions Offered to Reduce Physician Frustration With EHRs

Eight suggestions include providing individualized optimization training to personalize EHR settings
Increased adiposity in childhood may negatively impact liver function in children as young as 8 years old

Obesity Can Negatively Effect Liver in Children As Young As 8

At mid-childhood, 23 percent of studied children with high waist circumference had elevated ALT
New interns' intense and changing schedules take a toll on sleep

Interns’ Schedule Takes Toll on Sleep, Physical Activity, Mood

Findings based on eight-month evaluation of new interns using Fitbit activity trackers
The Affordable Care Act's Marketplaces covered a disproportionate share of non-elderly adults with high health care risks in the 2014 to 2015 time period

ACA Marketplaces Expand Coverage for Chronically Ill

Enrollees have more chronic conditions, health care use versus other privately insured individuals
Online physician reviews do not reflect patient satisfaction surveys

Online Doc Reviews Don’t Reflect Patient Satisfaction Surveys

No difference in Press Ganey PSS for physicians with versus those without negative online reviews
There is considerable variation in the quality of free-text patient directions in electronic prescriptions

Variations Identified in Free-Text Directions in E-Prescriptions

However, more than half of all prescriber's patient directions could be categorized into 25 concepts
Alcohol consumption early in pregnancy may be a risk factor for development of gastroschisis in neonates

Early Alcohol Use in Pregnancy Tied to Gastroschisis

No association seen with illicit, prescription, or over-the-counter drug use