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Opioid-prescribing patterns of emergency physicians and risk of long-term use

by jmiller on March 15, 2017

Article concludes: “Wide range of opioid prescribing existed among physicians practicing within the same emergency department, and rates of long-term opioid use were increased among patients who had not previously received opioids and received treatment from high-intensity opioid prescribers.”  (NEJM, learn more

Opioid Crisis – Annals of Surgery Special Series

by jmiller on March 9, 2017

Annals of Surgery (April) includes a special series dealing with the opioid crisis which includes:  It’s time to adopt electronic prescriptions for opioids by Atul Gawande’s Preoperative opioid use is independently associated with increased costs and worse outcomes after major … learn more

AAMC Women’s Center for Pelvic Health recognized and certified by ACOG for patient safety

by jmiller on March 7, 2017

AAMC Women’s Center for Pelvic Health Recognized as Leaders in Women’s Health Care

(Annapolis, MD) March 7, 2017—Anne Arundel Medical Center (AAMC) Women’s Center for Pelvic Health has been awarded the Safety Certification in Outpatient Practice Excellence (SCOPE) for Women’s … learn more

Management of sepsis and septic shock: new guidelines

by jmiller on March 2, 2017

“Management of sepsis and septic shock” and Viewpoint: “Surviving sepsis guidelines: a continuous move toward better care of patients with sepsis” (JAMA, Feb 28) and “A user’s guide to the 2016 surviving sepsis guidelines” (Critical Care Med, Feb) provide a … learn more

In the news: increase in colorectal cancer in millenials. Colorectal cancer incidence patterns in the United States, 1974-2013

by jmiller on March 2, 2017

Article (JNCI, Feb 28) concludes:  “Age-specific CRC risk has escalated back to the level of those born circa 1890 for contemporary birth cohorts, underscoring the need for increased awareness among clinicians and the general public, as well as etiologic research … learn more

Assessing the risks associated with MRI in patients with a pacemaker of defibrillator

by jmiller on March 2, 2017

“The presence of a cardiovascular implantable electronic device has long been a contra-indication for the performance of MRI.  We established a prospective registry to determine the risks associated with MRI at a magnetic field strength of 1.5 tesla for patients … learn more

Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Practice Guideline Update

by jmiller on February 2, 2017

Recommendations:  “Inpatients and outpatients with advanced cancer should receive dedicated palliative care services, early in the disease course, concurrent with active treatment.  Referral of patients to interdisciplinary palliative care teams is optimal, and services may complement existing programs.  Providers may … learn more

Folic Acid Supplementation for the Prevention of Neural Tube Defects: An Updated Evidence Report and Systematic Review for the US Preventive Services Task Force

by jmiller on February 2, 2017

“In studies conducted before the initiation of food fortification in the United States in 1998, folic acid supplementation provided protection against neural tube defects. Newer postfortification studies have not demonstrated a protective association but have the potential for misclassification and … learn more

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