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Quality improvement interventions can increase discussions relating to advanced care planning and the mention of advance directives in the electronic medical record

Interventions Up Discussion of Advanced Care Planning

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Series of quality improvement interventions increases capture of advanced care directives in EMR
Cardiovascular disease is increasing in the United States

AHA: CVD Expected to Cost U.S. $1.1 Trillion Per Year by 2035

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American Heart Association estimates CVD-related disease in nearly half of Americans in <20 years
Albuminuria is associated with cognitive impairment

Review Links Albuminuria to Cognitive Impairment, Dementia

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Worse global cognitive performance and accelerated cognitive decline for subjects with albuminuria
Renal transplant recipients are often admitted with acute myocardial infarction

Renal Transplant Recipients Often Admitted With Acute MI

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Acute STEMI accounted for 29.3% of RTR admissions; no recent change in STEMI in-hospital mortality
For patients with impaired glucose tolerance

Valsartan Cuts Microalbuminuria in Impaired Glucose Tolerance

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No difference in ESRD or doubling of serum creatinine with valsartan versus placebo
For patients with chronic kidney disease

Patient Satisfaction High With Nurse-Led Chronic Kidney Dz Care

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Suggested improvements relate to car-parking, more practical support, accessible locations
Significant differences are seen for immunochemical

Significant Differences for Methods of Measuring Albumin

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Biases for plasma samples generally higher than for serum samples for all measurement methods
Mortality rates are lower for older Americans treated by doctors trained in other countries than by those who went to a U.S. medical school

Mortality Down for U.S. Patients Treated by International Doctors

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Compared to mortality rates for Medicare patients treated by U.S.-trained doctors
New research

Health Care Access Not Easy for Undocumented Immigrants

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Two U.S. studies find them unable to get adequate dialysis and end-of-life care
For patients with chronic kidney disease

Skin Sodium Content Linked to Left Ventricular Mass in CKD

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Skin sodium content more closely linked to left ventricular mass than total body overhydration