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First-year residents experience worsening sleep duration and quality as well as daytime sleepiness

Residents’ Sleep Deteriorates During Training

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Worsening seen for sleep duration, quality of sleep, and daytime sleepiness
Little excess risk of death is seen for patients with type 2 diabetes with five risk-factor variables within target ranges

Risk of Death Not Up in T2DM When Risk Factors Within Target

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Little or no excess risk of death, MI, stroke for those with five risk-factor variables within target ranges
Retrospective review of clinician documentation in the electronic health record can help identify diagnostic uncertainty with moderate reliability

EHR Review Can Measure Diagnostic Uncertainty

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For more than 70 percent of visits to a primary care clinic, reviewers identified diagnostic uncertainty
A U.S. National Institutes of Health oversight panel will no longer review all applications for gene therapy experiments. Instead

Comments Open on End of NIH Review for Gene Therapy Studies

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NIH oversight panel no longer plans to review all applications for gene therapy experiments
Certain steps should be taken when discharging a patient for failure or inability to meet financial obligations

Steps Provided for Discharging Patient From Practice

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Letter should be sent informing patient of their discharge, providing at least 30 days' notice
Counseling about impaired fertility and sexual function for at-risk pediatric populations in developmentally appropriate ways is essential

Counseling Needed for Pediatric Patients With Impaired Fertility

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Report outlines recommendations for counseling of those at risk for sexual dysfunction, fertility issues
Patient portals have not taken off as expected

Patient Portals Don’t Appear to Have Much Traction

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Patients not accessing them, physicians not using full range of features
A liposomal bupivacaine incisional block at the time of cesarean delivery does not improve pain scores in the first 48 hours postoperatively

Liposomal Bupivacaine Block No Aid for Cesarean Pain

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Pain scores, opioid use in the first 48 hours post-surgery were similar compared to placebo
Recognizing the barriers to care for minority patients with type 2 diabetes could reduce the incidence of type 2 diabetes nationwide

Two Strategies for Preventing Diabetes in Minority Patients

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Physicians can stress the factors in a patient's control and change messaging about the condition
After the expanded coverage provisions of the Affordable Care Act were implemented in 2014

ACA Coverage Gains Include Workers Without Insurance

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Reduction in uninsurance rate among this group larger than that of not-employed adults