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While consolidating the industry may not have been the goal of independent IRBs, the number of small and family owned IRBs continues to shrink.
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As the use of central IRBs grows nationally, these models are increasing consistency in IRB review, but they also are causing some confusion for institutional IRBs.
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Thanks to the rise in private equity ownership, the number of independent IRBs may be shrinking, but the number of services they offer is greatly expanding.
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Approximately 62 million Americans speak a language other than English at home, and 25 million have limited English proficiency (LEP).
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Advance directives covering dementia care are complex, according to Rebecca Dresser, JD, Daniel Noyes Kirby Professor of Law and Professor of Ethics in Medicine at Washington University in St. Louis, MO.
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Preclinical diagnosis of Alzheimers disease shares some of the same controversies surrounding preclinical states of other diseases such as cardiovascular disease, osteoporosis, and diabetes.
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Physicians often provide high-intensity care for patients at the end of life, even when the physicians would not choose this for themselves.
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Almost all (96%) of 173 oncology nurses surveyed reported concerns about system barriers in their efforts to help patients prepare for the end of life, according to a 2014 study.
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