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The U.S. Environmental Protection Agency has formally released its proposal to replace the Clean Power Plan with the Affordable Clean Energy Rule

EPA Plan Will Maintain Carbon Emissions From Power Plants

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Inadequate regulation of carbon pollution will likely have current, future consequences for human health
A cardiac magnetic resonance with contrast protocol is feasible for implementation in the developing world and can impact management

Cardiac MR With Contrast Feasible in Developing World

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Cardiac magnetic resonance has cost of $150 and average scan duration of 18 ± 7 minutes
Fourteen percent of older adults hospitalized with non-cardiac conditions are discharged with intensified antihypertensive treatment

HTN Tx Intensification Common Upon Discharge in U.S. Vets

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Fourteen percent of older adults admitted to hospital for non-cardiac conditions had intensification of tx
In 2016 the age-standardized prevalence of insufficient physical activity was 27.5 percent

Global Prevalence of Insufficient Activity 27.5 Percent

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Levels of insufficient physical activity stable between 2001, 2016; increase seen in high-income countries
Rivaroxaban does not lower risk of symptomatic venous thromboembolism and related death in medical patients after hospital discharge

No Clear Benefit for Rivaroxaban After Hospital Discharge

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Incidence of major bleeding low with rivaroxaban, but clot risk not lower
Half of trials on the European Union Clinical Trials Register are non-compliant with the European Commission's requirement that all trials post results to the registry within 12 month of completion

Compliance With Requirement to Report Results on EUCTR Is Poor

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Half of trials on European Union Clinical Trials Register are non-compliant with requirements
Prices for drugs under shortage increase more than twice as quickly as expected in the absence of a shortage

Drug Prices Increase More Than Expected After Shortages

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Expected price increase 20 percent for all drugs after shortage versus 9 percent in absence of shortage
Use of medical scribes is associated with decreased physician documentation burden

Scribes Improve Physician Workflow, Patient Interaction

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Scribes lower EHR documentation burden for doctors and increase time spent interacting with patients
In patients with transthyretin amyloid cardiomyopathy

Tafamidis Treats Transthyretin Amyloid Cardiomyopathy

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Reduces all-cause mortality, cardiovascular-related hospitalizations compared with placebo
Clinicians advising families living overseas in highly polluted settings should understand their patients' concerns and have a network of resources to draw upon for guidance

Tips for Advising Patients Living in Highly Polluted Settings

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Guidance focuses on Americans posted in overseas settings with high ambient levels of air pollution