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The American Medical Association recently adopted new ethical guidelines on medical tourism to help physicians understand their responsibilities when interacting with patients who seek or have received medical care outside the United States.

AMA Adopts Ethical Guidance on Medical Tourism

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Guidelines include helping patients understand risks and benefits, responding compassionately
For patients presenting to the emergency department with chest pain

Stress Echo Safe for ER Triage of Patients With Chest Pain

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Smaller proportion of patients undergoing SE are hospitalized, with shorter length of stay than CCTA
Pediatric exposure to buprenorphine can result in serious adverse outcomes

Poison Control Center Data Detail Peds Exposure to Buprenorphine

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Children aged <6 have greater odds of hospital admission than teens with single-substance exposure
The prevalence of concussion among U.S. high school students related to playing a sport or being physically active is 15.1 percent per year

U.S. High School Students Report Sport-Linked Concussion

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Overall, 15.1 percent of students reported having at least one concussion in the previous 12 months
At the annual meeting of the American Medical Association

AMA: Docs Declare Drug Shortages Public Health Emergency

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AMA calls for greater manufacturer transparency in order to prepare for disasters, mitigate shortages
The American Academy of Pediatrics is urging parents to ask a simple question before sending their children over to play at someone's house: "Is there an unlocked gun in your house?"

Parents Urged to Ask Playdates If There Is a Gun in the Home

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The ASK Day Campaign urges gun safety with locked, unloaded guns
In infants with neonatal abstinence syndrome outpatient pharmacotherapy is associated with longer length of therapy and higher rates of emergency department utilization than exclusive inpatient treatment

Outpatient Care Less Efficient for Neonatal Abstinence Syndrome

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Also, 1.52 higher odds of ER visits for outpatient pharmacotherapy compared with inpatient treatment
Concurrent benzodiazepine use is associated with increased risk of opioid-related overdose

Risk of OD Highest for First Days of Opioid + Benzodiazepine Use

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Five-fold increased risk of opioid-related overdose during first 90 days of concurrent use
Aedes mosquitoes in California can spread the Zika virus

Some California Mosquitoes Can Carry Zika Virus

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Aedes aegypti mosquitoes found to transmit Zika virus
Following implementation of several major coverage expansion provisions in the Affordable Care Act

ACA Provisions Tied to Change in Profile of Frequent ER Users

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After controlling for patient-level characteristics, odds of being frequent ER user down in Medicaid-insured