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  • Home Oral Factor Xa Inhibitor Treatment for Pulmonary Embolism

    Low-risk pulmonary embolus patients discharged in < 48 hours on rivaroxaban recorded a nominal three-month rate of recurrent emboli or major bleeding, suggesting such patients do not need to be hospitalized for treatment of pulmonary emboli.

  • Low TMAO for a Healthy Heart

    The gut microbial metabolite trimethylamine N-oxide (TMAO) is a predictor of coronary artery disease (CAD). Long-term changes in TMAO is a predictor of CAD and speaks to the benefits of a plant-based diet to prevent heart disease.

  • Cholesterol Levels and Predicted Survival Rates Among Elderly Women

    Researchers found neither low levels of high-density lipoprotein nor high levels of low-density lipoprotein were associated with predicted survival in older women. This finding is consistent with other studies of cholesterol and mortality in the elderly.

  • ICU to Long-Term Acute Care: Seamless Transition, Fewer Readmissions

    When a seriously ill patient has not stabilized in the ICU, the next step may be a long-term acute care hospital like Spaulding Hospital Cambridge — which often is a difficult transition. Six years ago, Spaulding joined nearby Brigham and Women’s Hospital in creating the Integrated Patient Centered Care in Chronic Critical Illness program to provide a seamless transition of care for these patients and their families.

  • Ethics, Case Managers, and the Value Proposition

    The pressures case managers face are a reality in a value-based healthcare system. Cost of care and penalties for readmissions are the bottom line in every institution, and that pressure will affect how well case managers perform in their everyday duties. To uphold their ethical tenets, and advocate in the best interests of their patients, a case manager must be prepared to handle these pressures.

  • How to Provide Culturally Competent Care

    With the increased diversity among today’s hospital patients, case managers must be careful to understand each patient’s culture. People coming from different countries have different expectations of the healthcare system.

  • Focusing on Social Determinants of Health Can Reduce ED Revisit Rates

    A case management program that focuses on social determinants of health helped a hospital system reduce revisit rates in its ED. The ED’s revisit rate dropped from 6% to 3%.

  • COVID-19 Pandemic Changes Nation While Hospitals and Case Managers Cope

    The COVID-19 pandemic has disrupted American life and threatens to inundate hospitals with critically ill patients through the spring. Hospitals and case managers can use phone and video conferencing when feasible. Also, they can follow all infectious disease prevention measures.

  • IRBs Can Prepare for Cannabis Research

    The cannabis industry is a booming economic force across the nation as states increasingly legalize the sale of medical and/or recreational marijuana. It remains on the national Schedule I list of drugs that are not acceptable for legal sale. But what do healthcare providers really understand about the drug’s safety, risks, and benefits? Not enough, human research protection professionals say.

  • New Working Group to Produce Guidance for Pediatric Gene Therapy

    The NYU Grossman School of Medicine’s working group on Pediatric Gene Therapy and Medical Ethics formed in the fall of 2019 to address and propose recommendations to issues involving gene-based therapies in pediatric populations, including research activities.