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Higher doses of radiation may improve survival in men with intermediate- and high-risk prostate cancers

More Radiation Doesn’t Up Survival in Low-Risk Prostate CA

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But higher doses may improve survival in men with intermediate- and high-risk prostate cancers
Many clinically low-risk prostate cancer patients are upgraded at prostatectomy

Many Low-Risk Prostate Cancer Cases Upgraded at Prostatectomy

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Upgrading, up staging linked to age >60, PSA >5.0 ng/ml, and >25 percent positive cores
Universal health literacy precautions should be used to provide understandable information for all patients

Universal Health Literacy Precautions Recommended

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Precautions include avoiding medical jargon, breaking down information into small steps
Repetitive transcranial magnetic stimulation can improve tinnitus severity

Repetitive Transcranial Magnetic Stimulation Treats Tinnitus

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Significantly more responders to treatment with 10 days of active versus placebo rTMS
For patients with type 2 diabetes

CVD Risk Similar for Metformin + Insulin or Sulfonylureas

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Similar risk for second-line therapies for type 2 diabetes in combination with metformin
Americans are up to three times more likely to receive preventive care if they have health insurance

CDC: ACA May Have Boosted Uptake of Preventive Care

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Insurance major factor in determining receipt of preventive services
Failed communication attempts are associated with readmission among Medicare beneficiaries with congestive heart failure

Failed Communication Associated With Readmission

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But, after adjustment for other variables, link not significant
A zero coronary artery calcium score has long-term prognostic utility

Coronary Artery Calcium Score Has Long-Term Prognostic Utility

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CAC=0 offers almost 15-year warranty against mortality, with no difference based on age, gender
Strategies should be adopted to help with implementation of the Choosing Wisely program

Choosing Wisely: How to Implement in Clinical Practice

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Strategies to improve chance of success include familiarization with evidence behind recs
Measures can be taken to encourage patients to use patient portals to help ensure practices meet current Stage 2 meaningful use requirements

AMA Suggests Ways to Encourage Use of Patient Portals

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Suggestions include training staff on portal use; showing patients how to use the portal