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All expectant families should have a pediatric prenatal visit

Prenatal Pediatric Visit Recommended for Expectant Families

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Visit provides unique opportunity to address relationship between family and pediatric practice
New laws and regulations designed to limit the use of prescription narcotics may further constrain doctors' ability to treat patients

New Rules May Constrain Docs’ Ability to Treat Chronic Pain

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Limitations on the use of prescription narcotics could complicate patient treatment
The quality of atrial fibrillation/atrial flutter trials is variable

Variation in Quality of Trials for Atrial Fibrillation, Flutter

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Most common trial endpoint is AF/AFL recurrence; rates of primary clinical endpoints are low
Sleep disruption consistently predicts risk for atrial fibrillation before and after adjusting for obstructive sleep apnea

Sleep Disruption Increases Risk of Atrial Fibrillation

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Higher risk seen across multiple cohorts, regardless of obstructive sleep apnea and other possible factors
In honor of National HIV Testing Day

National HIV Testing Day Is on June 27

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Annual occasion is a good time for health care providers to encourage testing
Medicare fee-for-service beneficiaries were less likely to die in acute care hospitals in 2015 than in 2000

Decline in Medicare Patients Who Die in Acute Care Hospitals

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2000 to 2015 also saw increase in ICU use in last month of life, deaths in home or community setting
Considerable numbers of men who have sex with men and persons who inject drugs who are unaware of their HIV infection report missed opportunities for diagnosis

Missed Opportunities for HIV Diagnosis Among Those at Risk

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Men who have sex with men and persons who inject drugs report missed testing opportunities
Among a cohort of individuals without cardiovascular disease not receiving antiplatelet therapy

Most Bleeding Events in Non-CVD Patients Are GI-Related

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In cohort with no CVD, not receiving antiplatelet therapy, 7 percent of bleeding events were fatal
For men

Binge Drinking Linked to Increased Systolic BP in Men

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And relative risk for hypertension up with any drinking among men without hypertension
Among Medicare beneficiaries on hemodialysis

Few Hemodialysis Patients on Medicare Enroll in Hospice

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Patterns of use, timing of hospice similar among patients with diverse spending trajectories