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First-line therapy for patients with low back pain should be simple non-pharmacological remedies -- from heat wraps to physical therapy

ACP Issues Guideline for Treating Acute, Subacute, Chronic LBP

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Recommendations state opioids should be last resort for pain
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
Non-vitamin K antagonist oral anticoagulants have been adopted into practice and are more frequently prescribed than vitamin K antagonists in the Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation trial

NOACs Have Been Widely Adopted Into Practice

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Non-vitamin K antagonist oral anticoagulants prescribed more often than vitamin K antagonists
About half of patients with chronic plaque psoriasis have fatigue

Fatigue Occurs in ~50 Percent With Chronic Plaque Psoriasis

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Objective measures of psoriasis disease activity are not associated with fatigue severity
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
Health officials in Utah and Louisiana have issued orders to make naloxone more widely available in an effort to prevent overdose deaths

Access to Naloxone Eased in Louisiana, Utah

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Standing orders for naloxone allow it to be dispensed to laypeople without patient-specific prescription
All caregivers for children at risk of anaphylaxis should have a written action plan and epinephrine auto-injectors readily available

AAP Provides Guidance on Anaphylaxis Emergency Plans

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Pediatricians suggest families of at-risk children have written action plan
Fluid-filled intragastric balloons used to treat obesity have been linked to two different types of adverse events

FDA Issues Safety Alert for Fluid-Filled Intragastric Balloons

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Some devices are over-inflating, and some have been linked to acute pancreatitis, agency says
There has been a sharp rise in the number of American seniors who take three or more medications that affect their central nervous system

Use of Multiple CNS-Affecting Drugs Increasing Among Seniors

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Psychiatrist cautions doctors and patients to consider risks and benefits of each drug
Men who have sex with men are much less likely to use condoms now than they were two decades ago

Rise in Unsafe Practices Among Men Who Have Sex With Men

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Researchers report increased beliefs that treatments prevent HIV and increased condomless anal sex