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Clinical Briefs
In this section: the insulin misadministration problem; comparing smoking cessation pharmacotherapies; more support for ambulatory BP monitoring.
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Tenofovir Alafenamide vs Tenofovir Disoproxil Fumarate
Tenofovir alafenamide has replaced the tenofovir disoproxil fumarate component of two commonly used drug combinations for HIV-1 infection.
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ICH May Clinically Mimic TIA
In a large retrospective review of 2137 patients with intracerebral hemorrhage, 34 presented with transient symptoms that could have been misclassified as “transient ischemic attack” if brain imaging had not been performed.
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Selecting Patients for Statin Primary Prevention
The new vascular disease risk calculator discriminates who will experience a vascular event in the near future better than using a trial entry criteria approach or a hybrid approach.
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Is Anticoagulant Bridging Needed in Patients with Atrial Fibrillation Going to Surgery?
In patients with atrial fibrillation who had warfarin treatment interrupted for an elective operation or other elective invasive procedure, forgoing bridging anticoagulation was not inferior to perioperative bridging with low molecular weight heparin for the prevention of arterial thromboembolism and decreased the risk of major bleeding.
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ED nurses ID barriers to ethical end-of-life care
Emergency department nurses reported lack of space, time, and staff as challenges to providing good end-of-life care, according to a recent study.
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Hospital LOS confirmed to worsen hip fracture outcomes
Hospital length of stay has been thought to affect a patient’s odds of surviving a hip fracture, and investigators from the University of Rochester Medical Center Department of Orthopedics created a new research tool to determine just how much.
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Swing shift case managers facilitate discharges late in the day
Faced with patients who were ready for discharge but were staying overnight due to glitches and holdups, UCLA Health developed the position of swing shift case manager to facilitate discharges that occur late in the day.
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Indicators measure quality of hospice, palliative care providers
Two organizations of professionals who provide palliative and hospice care developed a series of indicators to gauge the quality of care that patients receive.
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Make sure patients, families are informed about hospice
When patients choose hospice care, case managers should prepare them and their families for what they are going to receive and what they won’t receive when the patient goes home.