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Smoke from wildfires will cause poor air quality in parts of the U.S. Pacific Northwest this week

Wildfire Smoke Causing Poor Air Quality in U.S. Pacific Northwest

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Air pollution advisories, air quality alerts issued for Washington, Oregon
First-year residents experience worsening sleep duration and quality as well as daytime sleepiness

Residents’ Sleep Deteriorates During Training

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Worsening seen for sleep duration, quality of sleep, and daytime sleepiness
From 2014 to 2017 there was an increase in tianeptine exposure calls reported by poison control centers to the National Poison Data System

CDC: Increase in Tianeptine Exposures From 2014 to 2017

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Most commonly reported health effects were neurologic, cardiovascular, and gastrointestinal
Little excess risk of death is seen for patients with type 2 diabetes with five risk-factor variables within target ranges

Risk of Death Not Up in T2DM When Risk Factors Within Target

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Little or no excess risk of death, MI, stroke for those with five risk-factor variables within target ranges
A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments. Instead

Comments Open on End of NIH Review for Gene Therapy Studies

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NIH oversight panel no longer plans to review all applications for gene therapy experiments
Certain steps should be taken when discharging a patient for failure or inability to meet financial obligations

Steps Provided for Discharging Patient From Practice

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Letter should be sent informing patient of their discharge, providing at least 30 days' notice
Patient portals have not taken off as expected

Patient Portals Don’t Appear to Have Much Traction

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Patients not accessing them, physicians not using full range of features
After the expanded coverage provisions of the Affordable Care Act were implemented in 2014

ACA Coverage Gains Include Workers Without Insurance

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Reduction in uninsurance rate among this group larger than that of not-employed adults
Smoking cessation accompanied by weight gain is linked to increased risk of type 2 diabetes

Weight Gain After Quitting Smoking May Up T2DM Risk

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But temporary increase in type 2 diabetes risk does not attenuate benefits on total, CVD mortality
Serum 25-hydroxyvitamin D is independently and inversely associated with total cholesterol

Vit D Independently, Inversely Tied to Cholesterol in Children

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Gene variants do not modify the associations of 25(OH)D with lipids