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Prophylactic use of melatonin does not prevent delirium after major cardiac surgery

Prophylactic Melatonin Does Not Cut Delirium After Major Cardiac Surgery

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Findings based on results of randomized trial of patients undergoing major cardiac surgery
In predominantly English-speaking settings

Limited English Proficiency May Worsen Chronic Disease Outcome

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Findings seen in patients discharged from academic medical centers in Toronto with COPD or heart failure
Ingestion of prescribed blood pressure-lowering medications at bedtime is associated with a reduction in cardiovascular disease risk

CVD Risk Declines When BP Meds Taken at Bedtime

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Patients routinely taking antihypertensive meds at bedtime have lower risk for CV events, death
U.S. health groups are slamming the U.S. Food and Drug Administration's decision to permit the General brand of the smokeless tobacco product snus to claim that it poses a "lower risk of mouth cancer

FDA: Smokeless Tobacco Snus Can Be Marketed as Less Risky Than Cigarettes

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This is the first time the FDA has allowed product marketing of this type
Periodontitis is a possible risk factor for hypertension

Review Links Periodontitis to Increased Odds for Hypertension

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Five of 12 interventional studies confirmed reduction in hypertension after periodontal treatment
Patients with infective endocarditis and substance use disorder have a more than twofold risk for dying following valve surgery compared with patients without substance use disorder

Substance Use Disorder Ups Risk for Death After IE Valve Surgery

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Midterm postoperative period (six months to five years) a particularly vulnerable period
There will be more health insurance choices and a slight decrease in premiums for many consumers next year under the Affordable Care Act

More Choices, Lower Premiums for ACA Consumers Next Year

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20 more insurers will be participating in 2020, expanding consumer choice in many states
Initiating public reporting was associated with a significant decrease in valve surgery for all infective endocarditis cases

Public Outcomes Reporting Tied to Drop in Valve Replacements

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Fewer aortic valve surgeries performed for people with endocarditis, regardless of injection drug use
American Indians have a higher risk for incident atrial fibrillation compared with all other racial and ethnic groups

Atrial Fibrillation Risk Found to Be Higher Among American Indians

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Findings persisted even when accounting for many other demographic and health factors
In clinical guidelines published online Oct. 22 in the Annals of Internal Medicine

Recommendations Updated for Nonvariceal Upper GI Bleeding

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Guidelines address preendoscopic, endoscopic, and pharmacologic management