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January 2019 Briefing – Internal Medicine

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Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for January 2019. This roundup includes the...
A personalized web-based decision aid about prolonged mechanical ventilation does not improve prognostic concordance between clinicians and surrogate decision makers

Minimal Benefit for Decision Aid About Prolonged Ventilation

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Web-based decision aid does not improve prognostic concordance between surrogates and physicians
For older men

Hearing Loss Linked to Subjective Cognitive Function Decline

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Findings seen in older men; risk for SCF decline also up for men with severe hearing loss using hearing aids
A pharmacist-led

Pharmacist-Led Phone Follow-Up May Cut Readmission Rates

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Intervention for polypharmacy patients linked to improved readmission rates, time to readmission
More black index patients diagnosed with HIV are interviewed for partner services than all index patients combined

CDC: Most Black HIV Patients Interviewed for Partner Services

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78 percent of partners identified were notified of potential exposure; 47 percent were tested for HIV
Physicians who receive direct pharmaceutical payments for opioid prescribing prescribe more opioids

Direct-to-Doctor Payments May Increase Opioid Prescribing

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Prescribers receiving opioid-specific payments prescribed 8,784 more opioid daily doses per year
Receipt of primary care is associated with significantly more high-value care

More High-Value Care Associated With Receipt of Primary Care

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Increasing investment in primary care may improve value in the U.S. health care system
New symptom combinations that may indicate early symptoms of laryngeal cancer have been identified

Symptom Combos Suggesting Laryngeal Cancer Identified

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10 features of laryngeal cancer with which patients presented in year before diagnosis identified
Eating breakfast may not be a good strategy for weight loss

Meta-Analysis: Small Weight Increase Seen for Breakfast Eaters

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Total daily energy intake higher for participants who eat breakfast, but results inconsistent
Methotrexate is well tolerated and effective for psoriasis in a Chinese population and is more effective for those without psoriatic arthritis

Methotrexate Well Tolerated, Effective for Psoriasis in Chinese

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Greater therapeutic response, fewer adverse events seen in those without psoriatic arthritis