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New Role for Case Managers Opens Up with Payment Reform
Somebody has to coordinate the post-discharge care now that hospitals are beginning to bear risk for what happens to patients after discharge, but inpatient case managers are already swamped and don’t have the time to do the job well, experts say.
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Managing Type 2 Diabetes Mellitus: Part 1
MONOGRAPH: Covering sodium glucose co-transporter-2 inhibitors, incretin-based therapies, amylin analog, and dopamine receptor agonists.
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Close Ties Between Surgeons and Device Reps Raises Ethical Concerns
“I often felt like I’m driving up the costs of the healthcare system …We used to sell an implant that has 99% survivorship at 15 years, which is great, right? "
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People with Mental Illness Often Excluded from Clinical Trials
If a medication for major depression has a dangerous adverse interaction with a different medication that’s being studied in a clinical trial, will it be discovered by researchers and reported in the literature? Not likely, if no one enrolled in the study has major depression.
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Physicians Have New Guidance on Ethics of Telemedicine
A patient asks her physician, whom she’s never seen previously, a particularly sensitive medical question. How does this interaction differ if the patient is at home, viewing the doctor’s response on a computer screen?
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Intense Competition, Inadequate Assessment are Factors in Research Misconduct
The number of retractions in scientific journals has increased significantly in recent years, according to research.1 Sometimes, it’s due to honest mistakes — researchers realize they made an error and want to correct the scientific record.
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Ethical Controversy Erupts Over Human-animal Embryo Research
Do animals with partly human brains, or producing human embryos, sound like science fiction? Some worry that creating “chimeras”— embryos with cells from more than one species — opens the door to just such possibilities.
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Alternatives to Opioids for Acute Pain Management in the Emergency Department: Part I
Using therapy designed specifically for several different painful conditions that commonly present to the ED, patients frequently achieve significant pain relief without the use of opioids.
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Infectious Disease Alert Updates
HBV Infection in the HAART Era; Current Trends in Salmonella Resistance
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Zika Virus Infection in Utah — Transmission by Mysterious Means
A caretaker of a patient with extreme viremia due to Zika virus became infected by the virus by uncertain means, but most likely as a consequence of close contact with body fluids.