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Patients who are frequently admitted to U.S. academic medical centers are significantly more likely than other patients to have multiple complex chronic conditions

Complex Chronic Diseases Appear to Drive Frequent Admissions

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1.6 percent of patients make up 8 percent of admissions, comprise 7 percent of direct costs
Costs of sustaining patient-centered medical homes have been detailed in new research published in the September/October issue of the Annals of Family Medicine.

Substantial Costs to Sustain Patient-Centered Medical Homes

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Study looks at personnel costs for staffing needed to deliver PCMH functions in two states
A chronic disease cost calculator has been developed to estimate state-level costs

CDC Develops State-Level Chronic Disease Cost Calculator

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Calculator identifies median state-specific medical costs and median absenteeism costs
For patients with coronary artery disease on statin therapy after undergoing a first percutaneous coronary intervention

Low HDL-C, High CRP Ups Mortality for Patients With CAD

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Findings in patients with coronary artery disease on statin therapy after undergoing first PCI
Most patients who hasten death by voluntarily stopping eating and drinking are in poor health

Characteristics ID’d for Those Who Voluntarily Stop Eating

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Most who hasten death by voluntarily stopping eating and drinking are in poor health, dependent on others
The U.S. Preventive Services Task Force has concluded that the benefits and harms of low-dose aspirin for prevention of cardiovascular disease and cancer vary by patient age. These findings form the basis of a draft recommendation statement published online Sept. 14 by the USPSTF.

USPSTF Recommendations for Aspirin Use Vary by Age

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Recommended for some patients aged 50 to 59 years; insufficient evidence for those <50, ≥70
For pediatric patients with appendicitis

Racial Disparities in Analgesia for Children With Appendicitis

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Black children less likely to receive pain meds for moderate pain, less likely to receive opioids
A large percentage of HIV-positive patients may see family physicians exclusively for their care

Half of HIV-Positive Patients See Family Docs Exclusively for Care

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HIV+ patients who see generalists experienced in HIV care more likely to get antiretroviral therapy
The addition of 40 minutes of outdoor activity at school for 6-year-old children in China resulted in a reduced incidence rate of myopia over the following three years. The research has been published in the Sept. 15 issue of JAMA.

More Outdoor Time at School May Help Prevent Myopia in Children

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Adding 40 minutes of outdoor time to daily school schedule tied to lower rate of myopia
Tighter blood glucose control may have a protective effect against dementia in patients with type 2 diabetes

Lower HbA1c Levels Linked to Less Dementia in T2DM

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Poor control linked to 50 percent higher risk of being admitted to hospital in future for dementia