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Hospitals receiving bundled payments are reducing skilled nursing facility use and improving care integration to improve quality and control costs

Hospitals Using Two Strategies to Up Quality, Lower Costs

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Findings based on interviews with hospitals participating in Medicare bundled payments
Published trials have larger treatment effects than unpublished trials

Publication Characteristics Tied to Treatment Effects

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Larger tx effects for published versus unpublished trials; larger effects in non-English publications
Physical activity is not associated with natural menopause before age 45 years (early menopause)

Physical Activity Not Linked to Natural Early Menopause

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Moderate and strenuous activity in adolescence, young adulthood also not related to menopause risk
Prostate cancer screening with prostate-specific antigen testing is not recommended

PSA Testing Not Recommended for Prostate Cancer Screening

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Odds of choosing screening up for men with family history, African descent, low socioeconomic status
Statin use is not associated with reduced risk of atherosclerotic cardiovascular disease or all-cause mortality among older adults without type 2 diabetes

Widespread Statin Use Not Recommended in Old, Very Old

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No benefit in healthy elderly patients; protective effect limited to those with type 2 DM aged 75 to 84
The U.S. Centers for Disease Control and Prevention has established an evidence-based guideline for diagnosis and management of pediatric mild traumatic brain injury. The guideline was published online Sept. 4 in JAMA Pediatrics.

CDC Issues Recs on Diagnosis, Management of Pediatric mTBI

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Guideline presents 19 sets of recommendations on diagnosis, prognosis, management/treatment
Psychological distress is associated with myocardial infarction and stroke in men and women

Psychological Distress Linked to Increased Risk of MI, Stroke

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Dose-dependent, positive association with myocardial infarction and stroke in men and women
Though the incidence of tickborne infections in the United States has risen significantly within the past decade

Gaps in Prevention, Management of Tickborne Diseases Identified

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Diagnostic and surveillance limitations and lack of treatment options, vaccines hamper efforts
Heart transplants using drug-intoxicated donors have significantly increased

Increase Observed in Hearts From Drug-Intoxicated Donors

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However, use of drug-intoxicated donor hearts does not adversely affect post-transplant survival
Chronic vaping exerts biological effects on the lung

Chronic Vaping Exerts Biological Effects on Lung

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On visual inspection by bronchoscopy, airways of e-cigarette users appeared friable and erythematous