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Implementation of a clinical pathway to improve care of acute gastroenteritis patients is associated with a sustained reduction in intravenous (IV) fluid use and length of stay in the pediatric emergency department

Intervention Beneficial for Acute Gastroenteritis Patients

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Reduction in IV fluid use and length of stay in pediatric ER after implementation of clinical pathway
Proposed budget cuts could seriously hamper efforts to address antimicrobial resistance

Budget Cuts Threaten Research on Antimicrobial Resistance

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Patient safety, international status of the U.S. as leader in combating AMR both at risk
Mailed outreach invitations offering a fecal immunochemical test (FIT) or colonoscopy increase the proportion of participants completing colorectal cancer screening

Mailed Invitations Increase CRC Screening Completion

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And providing specific reminders to general practitioners improves participation in FIT screening
For patients with acute diverticulitis

Acute Diverticulitis Recurrence More Likely With Barium Enema

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Patients who undergo barium enema are more likely to present with higher Hinchey grade at recurrence
Universal sequencing of a broad panel of cancer-related genes is associated with increased detection of potentially clinically significant heritable mutations

Universal Sequencing of Cancer Genes Ups Mutation Detection

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Increased detection of heritable mutations over the predicted yield of testing based on guidelines
Physicians should be aware of societal codes of conduct that affect family beliefs and behaviors regarding information disclosure to pediatric patients

Docs Should Be Aware of Family Beliefs Regarding Nondisclosure

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Evidence from Middle East literature suggests variability in practices, preferences of truth telling
Gut microbes may promote cytotoxic T-cell infiltration in tumors

CRC Tumor Cells Exposed to Gut Bacteria Express Chemokines

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Antibiotic treatment of orthotopic tumor-bearing mice reduced chemokine expression levels
For patients with cirrhosis

CRP, PCT Added to MELD Ups Prediction of Mortality in Cirrhosis

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Addition of C-reactive protein, procalcitonin to model for end-stage liver disease score beneficial
Refractory Helicobacter pylori infection can be successfully treated with goshuyuto and rabeprazole

Goshuyuto, Rabeprazole Shown to Treat Refractory H. pylori

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3 cases successfully treated after eradication was not achieved with vonoprazan-based triple therapy

August 2017 Briefing – Gastroenterology

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Here are what the editors at HealthDay consider to be the most important developments in Gastroenterology for August 2017. This roundup includes the latest...