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In light of multiple recent studies linking feeding tubes in patients with advanced dementia with numerous treatment burdens and complications, the American Geriatrics Society released an updated position statement in July 2014 on this practice.
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Bundled payments aim to contain healthcare costs, but some say this new payment model has the potential to incentivize undertreatment.
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Hydrocodone is formulated to resist crushing, breaking, and dissolution and still retain some extended-release properties.
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Because of its strong efficacy, long-term durability, and predictability when titrated with algorithms employed in clinical trials, basal insulin remains a mainstay of treatment for type 2 diabetes patients who are not able to attain or maintain glycemic control with oral agents alone. Because diabetes is a progressive disorder, even patients who are initially well-controlled on basal insulin will likely require “fine tuning” of their diabetes regimen, usually with agents that preferentially affect postprandial glucose levels.
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Although not a life-threatening condition, benign prostatic hypertrophy (BPH) is one of the most annoying and troublesome problems that plagues aging males.
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Due to the short half-life and rapid onset of action of the new oral anticoagulants (NOACs), peri-procedural anticoagulant free time intervals should be shorter than with warfarin. Thus, there is uncertainty about the use of heparin bridging.
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Bioprosthetic aorta valves are recommended for those > 70 years of age because of their reduced durability compared to mechanical valves and mechanical prostheses, which are recommended for those < 60 years because bioprosthetic valves deteriorate more rapidly in younger individuals.
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Type 1 diabetes is associated with an increased risk of mortality, secondary to microvascular (neuropathy, nephropathy) and macrovascular (coronary artery disease, stroke, peripheral vascular disease) complications.
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Proving that less really is more, five specific tests or procedures commonly performed in anesthesiology that might not be necessary and, in some cases should be avoided, was published online June 16 in JAMA Internal Medicine.