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Yearly Archives: 2017

Cardiovascular disease is increasing in the United States

AHA: CVD Expected to Cost U.S. $1.1 Trillion Per Year by 2035

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American Heart Association estimates CVD-related disease in nearly half of Americans in <20 years
Scalp cooling devices may reduce chemotherapy-induced alopecia in patients with breast cancer

Scalp Cooling Device May Help Reduce Chemo-Induced Alopecia

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Findings in women receiving chemotherapy for breast cancer
For patients with Barrett's esophagus

No Chemopreventive Effect Seen for H2RAs in Barrett’s Esophagus

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PPI use, but not H2 receptor antagonists, linked to reduced risk of progression in Barrett's esophagus
Sublingual grass pollen immunotherapy is not associated with improved nasal response to allergen challenge versus placebo at three-year follow-up in adults with moderate-to-severe seasonal allergic rhinitis

Sublingual Grass Pollen Immunotherapy Has Little Effect

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No significant difference from placebo in patients with moderate-to-severe seasonal allergic rhinitis
First-line therapy for patients with low back pain should be simple non-pharmacological remedies -- from heat wraps to physical therapy

ACP Issues Guideline for Treating Acute, Subacute, Chronic LBP

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Recommendations state opioids should be last resort for pain
Participation in the Medicare Shared Savings Program is associated with an overall reduction in post-acute spending

Medicare Shared Savings Linked to Lower Post-Acute Spending

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And, performance is similar on standardized costs for Oregon, Colorado Medicaid ACO models
Delayed and recurrent orbital cellulitis following use of facial soft-tissue filler is described in a case report published online Feb. 10 in Clinical & Experimental Ophthalmology.

Orbital Cellulitis Reported After Use of Facial Soft-Tissue Filler

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Patient had had soft-tissue filler injection and cheek-lifting cable sutures inserted six years earlier
A 12-joint ultrasound evaluation is relevant in determining disease activity in rheumatoid arthritis patients

Ultrasound IDs Disease Activity in Rheumatoid Arthritis

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Overall, 6.7 percent of joints had US evidence of synovitis but were not considered to be swollen
Quality improvement interventions can increase discussions relating to advanced care planning and the mention of advance directives in the electronic medical record

Interventions Up Discussion of Advanced Care Planning

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Series of quality improvement interventions increases capture of advanced care directives in EMR
About half of patients with chronic plaque psoriasis have fatigue

Fatigue Occurs in ~50 Percent With Chronic Plaque Psoriasis

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Objective measures of psoriasis disease activity are not associated with fatigue severity