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Novel metrics have been developed to assess electronic health record use and are described in an opinion article published online Oct. 9 in the Annals of Internal Medicine.

Novel Metrics Suggested for Assessing EHR Use

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Metrics aim to provide insight into the clinician experience in light of impaired practice efficiency
A suppressed renin phenotype is associated with higher incidence of incident hypertension than other plasma renin activity phenotypes

Specific Phenotype Relevant in Subclinical Primary Aldosteronism

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Findings suggest a clinically relevant spectrum of subclinical primary aldosteronism
Co-occurrence of type 1 diabetes and celiac disease autoimmunities significantly exceeds the expected rate

Autoimmunities for T1D, Celiac Co-Occur More Than Expected

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Greater co-occurrence seen in children with T1D family history, HLA-DR3/4, and SNP rs3184504
A guide has been developed to assist physicians considering joining a physician-led integrated health system

Guide Offers Doctors Tips for Choosing a Health System

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New guide helps clinicians considering joining physician-led integrated health systems
For young patients with type 1 diabetes

Better Glycemic Control With Insulin Pump for Youth With T1D

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Severe hypoglycemia, diabetic ketoacidosis less likely with insulin pump therapy than injection therapy
The Multidisciplinary Multistep Medication Review is effective for discontinuation of inappropriate medication among elderly nursing home residents without a decline in their well-being

3MR Intervention Effective for Discontinuing Inappropriate Meds

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Multidisciplinary Multistep Medication Review is effective for use in frail nursing home residents
The overall incidence of adverse effects and serious adverse effects is similar in patients with type 2 diabetes mellitus taking dapagliflozin or placebo

Rate of Adverse Effects for Dapagliflozin Similar to Placebo

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Although genital infections, renal function AEs found more frequently with dapagliflozin than placebo
The 2016 Physician Quality Reporting System and the 2016 annual Quality and Resource Use reports have been released for individuals and group practices

2016 Physician Quality Reporting System Reports Available

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Physicians should review reports to know whether they are subject to 2018 PQRS payment adjustment
Use of antibiotics in early life is not associated with islet or celiac disease (CD) autoimmunity in children at risk for type 1 diabetes or CD

Antibiotic Use Not Linked to Islet, Celiac Disease Autoimmunity

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Exposure to and frequency of antibiotic use in young children not associated with risk of autoimmunity
Communication-and-resolution program experiences are positive overall for a small majority of patients and families

Injured Patients Want More Info on Safety Improvement Efforts

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Eighteen of 30 patients and family members reported the CRP experience to be positive overall