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The pros and cons of the annual physical are discussed in two perspective pieces published online Oct. 14 in the New England Journal of Medicine.

Pros and Cons of Annual Physical Discussed

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Pros include fostering of therapeutic relationship; cons include lack of evidence for benefits
Neonatal hypoglycemia seems not to be associated with adverse neurologic outcomes when the condition is treated to maintain a certain blood glucose concentration

Glucose Threshold Suggested for Neonatal Hypoglycemia

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No adverse outcome when hypoglycemia treated to maintain blood glucose concentration of ≥47 mg/dL
Lesion-directed screening has a similar skin cancer detection rate as total-body examination but is substantially less time-consuming

Lesion-Directed Screening Effectively Detects Skin Cancer

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Has similar detection rate as total-body examination, takes much less time
The comprehensive Garrett Lee Smith Memorial Suicide Prevention Program is associated with a reduction in suicide attempts among youths

Comprehensive Prevention Program Cuts Suicide Attempts

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Findings among youths in counties implementing the Garrett Lee Smith program
Age significantly impacts long-term outcomes after catheter ablation for atrial fibrillation

Age Impacts Outcomes After Ablation for Atrial Fibrillation

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Younger patients have significantly lower rates of recurrence, death
Coadministering tetanus toxoid

Coadministering Tdap, Flu Vaccines Safe in Pregnancy

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No difference in adverse events, birth outcomes with concomitant versus sequential vaccination
Complications from epidural and spinal anesthetic procedures during cesarean deliveries dropped 25 percent over a recent 10-year period

Epidural-Related Complications Down for C-Sections

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Certain complications down 25 percent over decade
Advanced practice providers

Similar CV Care Quality Seen for NPs, PAs, Physicians

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But advanced practice providers have higher rate of smoking cessation screening in CAD patients
After acute myocardial infarction

Young Women Less Likely Than Men to Start Meds After AMI

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Most myocardial infarction survivors of both genders do not adhere to correct treatment for full year
Enterovirus D68 seems to be a more virulent pulmonary pathogen in children than rhinovirus or non-EV-D68 enterovirus

Enterovirus D68 Doesn’t Raise Mortality Risk in Children

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But it increases the likelihood of respiratory distress compared with rhinovirus, non-EV-D68