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Half of patients with recurrent urinary tract infections and asymptomatic renal calculi can be rendered infection-free with stone extraction

Stone Removal Helps Half of Patients With Recurrent UTI

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Patients in study had nonobstructive renal stones; black race, HTN tied to higher recurrence risk
Patients with small renal masses who have a radical nephrectomy are significantly more likely to experience up staging to a more advanced chronic kidney disease stage based on glomerular filtration rate ranges

Surveillance Beats Radical Nephrectomy for Small Masses

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Active surveillance equal to partial nephrectomy for renal function preservation
Compliance with American Urological Association guidelines for shorter antibiotic prophylaxis does not result in higher rates of infection among patients undergoing percutaneous nephrolithotomy

Shorter Antibiotic Prophylaxis Doesn’t Raise Infection Rates

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Findings based upon ≤24 hours versus six days of antibiotics with percutaneous nephrolithotomy
A new report commissioned by the U.S. government contends that most Americans will encounter at least one diagnostic error in their lifetime

IOM: Most U.S. Patients Will Experience Diagnostic Error

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Panel urges changes to an increasingly complex health care system
Health insurance deductibles have risen more than six times faster than American workers' average wages since 2010

Health Insurance Deductibles Rising Faster Than Wages

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One in five workers now have a deductible of $2,000 or more
Many medical schools are integrating discussions of cost

Medical Schools Teaching Students About Costs of Care

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Importance of understanding costs due to ACA, prevalence of high-deductible plans
Physicians

Docs in Productivity Models Likely to Encounter Compensation Caps

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Physicians, especially those working in a productivity model, must understand compensation caps
In 2012 there were an estimated 301 physician office visits per 100 persons

2012 Office Visits 57% Higher for Women than Men, Ages 1864

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Visit rate also higher for adults aged 65 years and older
Choosing preferred activities for a work break and taking a break earlier in the shift are linked to more resource recovery after a break

Mid-Morning May Be Best Time for Workday Break

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Longer breaks, frequent short breaks linked to more resource recovery than infrequent short breaks
Physicians who volunteer their medical expertise should consider their legal risks

Volunteer Doctors Need to Check Liability Coverage

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Immunity laws vary by state; liability policies vary coverage outside of regular practice