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Yearly Archives: 2018

Computed tomography neuroimaging did not decrease from 2007 to 2015 among pediatric patients evaluated in the emergency department for head injury

No Drop Seen in CT Use for Pediatric Head Trauma

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About one-third of children who visit ER with head injuries undergo computed tomography imaging
A bipartisan bill meant to combat the United States' opioid abuse epidemic was signed into law Oct. 24 by President Donald Trump.

Bill to Fight U.S. Opioid Crisis Signed Into Law

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Legislation expands treatment options, removes ban on Medicaid reimbursement at certain facilities
Genetic and lifestyle factors are independently associated with incident stroke among men and women aged 40 to 73 years

Independent Links for Genetics, Lifestyle With Incident Stroke

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Significantly increased risk for high versus low genetic risk, unfavorable versus favorable lifestyle
For acutely ill patients

Oxygen Saturation Should Not Top 96 Percent in Acutely Ill

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Patients with acute stroke or MI should not receive supplemental oxygen if SpO2 ≥90 percent
For patients with acute respiratory failure or shock and hypoactive or hyperactive delirium in the intensive care unit

Neither Haloperidol, Ziprasidone Shortens Delirium in ICU

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No decrease in duration versus placebo for patients with hypoactive, hyperactive delirium in ICU
While primary care physicians overwhelmingly recommend pneumococcal vaccines

Pneumococcal Vaccine Recs Cause Confusion Among Docs

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Survey finds variance in knowledge of adult pneumococcal vaccine recommendations
The impact of alternative payment models on physician practices has been described in a study published by the RAND Corp. and the American Medical Association.

Pace of Change Has Accelerated in Alternative Payment Models

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Physicians also report increasing complexity of APMs, more financial risk aversion
Among women undergoing midurethral mesh sling insertion

Outcomes Studied for Surgical Tx of Stress Urinary Incontinence

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~3 percent of midurethral mesh slings for stress urinary incontinence removed by 9 years
HIV-exposed infants have high rates of congenital cytomegalovirus (cCMV) infection

Infant HIV Infection Ups Risk for Congenital CMV Infection

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In utero HIV infection tied to higher cCMV risk in infants of HIV-infected women not on antiretrovirals
Loss to follow-up is common with inflammatory bowel disease

Loss to Follow-Up Common With IBD, But Many Have Flare-Ups

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Predictors of follow-up loss are long travel time and low C-reactive protein levels at diagnosis