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Guidelines have been developed for clinical documentation and interrelated issues. The position paper has been published online Jan. 13 in the Annals of Internal Medicine.

Guidelines Presented for Clinical Documentation in 21st Century

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Recommendations provided for clinicians, provider institutions, government regulators, payers
Based on data from mouse models and humans

Gastric Acid Suppression May Promote Liver Injury

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Expansion of intestinal Enterococcus faecalis in mice exacerbates ethanol-induced liver disease
Both hospitalizations and deaths are increasing among Medicare recipients with liver cancer

Burden of Liver Cancer Rising in Medicare Patients

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Coexistence of other liver conditions tied to even higher risk for death, health care costs
Both paper-based and electronic health records have shortcomings in terms of quality of content

Quality Issues for Both Paper-, Electronic-Based Health Records

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Study affirms poor quality of nursing documentation, as well as lack of knowledge and skills
Female physicians are more burned out than their male colleagues

Female Physicians May Be Especially at Risk of Burnout

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They tend to deal with psychosocial care more than male colleagues but can take steps to reduce stress
Men and women who are obese as adolescents are at an increased risk for pancreatic cancer in adulthood

Obesity as a Teen Ups Risk for Later Pancreatic Cancer

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In men, overweight and even higher normal weight tied to increased risk
Americans who must work longer to reach Social Security retirement age have worse measures of health in the years leading up to retirement

Pre-Retirement Morbidity Higher in Later Birth Cohorts

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Worse measures of health for Americans who must work longer to reach Social Security retirement age
Internal medicine patients are frequently prescribed potentially inappropriate medications (PIMs)

Screening Tools Identify Potentially Inappropriate Meds

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However, substantial proportion of PIMS identified in internal medicine ward are not clinically relevant
In the first six months of 2018

CDC: 8.8 Percent Uninsured in U.S. in First Half of 2018

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12.5 percent of adults aged 18-64 years and 4.4 percent of children aged 0-17 years uninsured
In 2015

Serious Suffering Affects Almost Half of Those Who Die Yearly

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Vast majority who experience serious health-related suffering have no palliative care, pain relief