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Enrollment for health insurance under the Affordable Care Act is down with just days left to sign up

Enrollment Under the Affordable Care Act Down From Last Year

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In most states, Saturday is the sign-up deadline for coverage beginning Jan. 1
An expert consensus decision pathway has been developed for tobacco cessation treatment; the report was published online Dec. 5 in the Journal of the American College of Cardiology.

Consensus Decision Pathway Developed for Tobacco Cessation

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Patients who use tobacco should be offered brief intervention, including prescriptions, behavioral support
Intellectual engagement is associated with level of cognitive performance in later life but does not influence the trajectory of age-related decline in cognitive performance

Intellectual Engagement Linked to Cognitive Performance Later

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Engagement does not influence the trajectory of age-related decline in cognitive performance
After extensive adjustment for confounders

Flu Vaccine Linked to Reduced Risk for Death in Heart Failure

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After adjustment for confounders, vaccine linked to lower all-cause, cardiovascular death
After implementation of the Liaison Committee on Medical Education diversity accreditation standards

U.S. Medical Schools See Increase in Diversity

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More female, black, and Hispanic matriculants seen after diversity accreditation standards implemented
Policies for paid childbearing or family leave for residents are lacking at top-ranking medical schools and may be exacerbated by lack of direction from specialty boards

Paid Childbearing Policies Lacking for Residents

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Policies optimizing competing goals and defining training competency needed
Free flap breast reconstruction is a viable and safe procedure in elderly patients

Free Flap Breast Reconstruction Safe in Elderly Patients

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Older women want breast reconstruction at rates similar to those of nonelderly breast cancer patients
Less than an hour a week of resistance exercise is associated with decreased risks for cardiovascular disease-related events and all-cause mortality

Less Than One Hour of Resistance Training Weekly Tied to Lower CVD Risk

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No further risk reduction for CVD morbidity, all-cause mortality seen for ≥60 minutes/week
Statins are associated with a low risk for side effects

AHA Scientific Statement: Low Risk of Side Effects for Statins

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Risk for statin-induced serious muscle injury <0.1 percent, newly diagnosed diabetes ~0.2 percent
For older patients

Cemented Metal-on-Polyethylene Implants Best for Seniors

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For men, women aged older than 65 years, small-head cemented metal-on-polyethylene cost-effective