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What's in a Sign-out System Anyway?The author recalls how the digitization of a sign-out system greatly improved efficiency and reduced headaches among hospital staff, leading to the development of a custom system that further eased the pains of the sign-out process.
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Myocardial perfusion scintigraphy as a gatekeeper for invasive proceduresWe evaluated the potential benefit of using myocardial perfusion scintigraphy as a gatekeeping technique prior to performing coronary angiography and revascularization procedures in patients with stable angina pectoris. Results showed that about half of all catheterizations and almost one fifth of coronary revascularizations could be avoided, assuming that only patients with reversible (stress-induced) myocardial ischemia and a minority of patients with "fixed" perfusion defects (present both at rest and during stress) would benefit from coronary revascularization.
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Elevated high-density lipoprotein cholesterol and carotid atherosclerosisWe assessed the relationship between high-density lipoprotein (HDL) cholesterol level and carotid plaque progression in 1952 men and women with preexisting carotid atherosclerosis over a period of 7 years. The HDL cholesterol level was inversely related to plaque growth. The plaques that became more echogenic during follow-up had a lower growth rate compared with those that became more echolucent. These findings suggest that HDL cholesterol stabilizes plaques and counteracts their growth by reducing their lipid content and inflammation.
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BIO-BUZZ: Inhibition of Angiogenesis with Bevacizumab Shows Promise in the Treatment of Recurrent or Advanced Non-Small-Cell Lung CancerThis year in the US, the American Cancer Society estimates that lung cancer will kill more people than breast, prostate, colon, liver, and kidney cancers combined, making it the leading cause of cancer death among Americans.
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Let's Get Smart about Antibiotic PrescribingAntibiotics are commonly prescribed by a wide range of clinicians. Data suggest that up to 50% of prescribed antibiotics are "unnecessary" or "inappropriate".
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How Health Plans Can Help Address CoronavirusDigital tools can be leveraged to help treat more patients remotely.
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The Assessment and Treatment of Sports-related Acute Knee InjuryDue to the nature of its hinge joint structure and weight-bearing requirement, the knee is easily subject to trauma. This is especially true when it comes to the many stresses that sports and athletics can inflict on the knee.
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Is Anybody Listening? 10 Easy Steps Toward More Dynamic Internet PresentationsConducting distance learning activities over the telephone and the Internet is a cost-effective alternative.
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ALA Chief Mission Officer Explains LUNG FORCE ExposDeborah Brown, Chief Mission Officer of the American Lung Association (ALA), discusses the ALA’S most recent LUNG FORCE Expo in Cherry Hill, New Jersey, 2018.
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Reducing inflammatory biomarkers: What does it mean?The principal finding of this study is that among patients with type II diabetes and mixed dyslipidemia, treatment with simvastatin, fenofibrate, or their combination was associated with reductions in inflammatory biomarkers high-sensitivity C-reactive protein (hsCRP) and lipoprotein-associated phospholipase A2 (Lp-PLA2).
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Older Nurses in the WorkforceA topic that is being discussed a lot these days is older nurses in the workforce. The American Nurses Association reports that the average age of an RN is now 45.2 years, with nurses younger than 30 years making up only 8% of the workforce.
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Decision Support Systems in Oncology: Are we there yet?The push for clinical decision support technology in medicine is a logical consequence of our experiences as consumers and the need for intelligent support at the bedside.
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Mobile Users are Moving Targets in a Dangerous Online WorldAlthough more people than ever use their smartphones to access the Internet, few take the time to think about issues of mobile Internet safety.
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Human Papillomavirus Infection: Current Approach to PreventionPreventing HPV infection is tantamount to cervical cancer eradication. New vaccines offer protection against many HPV serotypes, but even vaccinated women should be screened for cervical cancer.
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White-coat hypertension and progression to home hypertensionOur study aimed to clarify whether white-coat hypertension represents a transient state in the development of hypertension outside medical settings. We followed up 128 subjects with white-coat hypertension and compared their risk of progression to home hypertension with that of 649 sustained normotensive subjects. After 8 years of follow-up, subjects with white-coat hypertension had an approximately 3-fold higher risk of eventually manifesting home hypertension. We concluded that patients with white-coat hypertension should be carefully monitored.
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Web-based Activities to Promote Behavior ChangeThe Internet can be a powerful tool for promoting health with its abundant resources on adopting and maintaining a healthy lifestyle.
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C-reactive protein and hypertensionWe assessed whether C-reactive protein (CRP) concentrations predicted future risk of hypertension in a cohort of young adults. Results showed that CRP levels do not independently predict risk of incident hypertension after accounting for body mass index. Further research is needed in the area of inflammation and hypertension, with a special focus on the effect of obesity and age-related changes on this process.
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The Birth of a New Decade: Will We Finally Improve Maternal Care in the US?Providers must look at their maternal health models to ensure patients are receiving the best care.
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Dealing with Treatment Adherence Issues in Acute ConditionsToo often, patients seek help and receive medical advice but return for follow-up with less-than-optimal improvement because they did not comply with recommended therapy. Costs of nonadherence add to the economic burden of health care in the United States and interfere with appropriate treatment. By discussing with the patient anticipated barriers, such as perceived side effects or regimen complexity, the physician can significantly improve outcomes. The authors outline ways to enhance patient compliance and improve the clinical picture while reducing costs.
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Targeted Interventions : Reengagement in Care of People Living with HIVKeeping some patients with HIV in care can be a challenge.
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How to Find Money Under Your Own RoofIf someone told you there are thousands of dollars hidden somewhere in your building, would you look for it? Medical practices are prime candidates for a cost segregation study, which can save thousands in taxes.
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Study Finds Wide Variation in the Use of Testosterone Therapy among Veterans Health Administration FacilitiesResearchers identify limited evidence base and uneven clinical application as probable reasons for variation.
