Association Between Treatment by Locum Tenens Internal Medicine Physicians and 30-Day Mortality Among Hospitalized Medicare Beneficiaries: This cohort study evaluates the differences in quality and costs of care related to locum tenens vs non–locum tenens physicians treating hospitalized Medicare beneficiaries....
Source: jamanetwork.com
Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment: This Teachable Moment examines the danger in overvaluing laboratory test results that contradict clinical findings. Elizabeth Y. Wang. Lauren Patrick. Denise M. Connor. JAMA Internal Medicine.
Source: jamanetwork.com
Towards a Competence-Based Course Authoring Tool Supporting Learning Management Systems: To establish a more comparable, compatible, and coherent system of higher education in Europe, the so-called Bologna Process (BP) has been adopted. As a measure to improve comparability, the BP requires that every...
Source: online-journals.org
The Health and Social Care Act of 2012 - making GPs lead Clinical Commissioning Groups - did not reduce overall hospitalisations study concludes. "[G]iving control of healthcare budgets to GP-led CCGs was not associated
with a reduction in overall hospitalisations and was associated with an
increase...
Source: plos.org
Gabapentin, opioids, and the risk of opioid-related death: A population-based nested case–control study: In a matched case-control-study among patients in Ontario, Canada treated with opioid painkillers, Tara Gomes and colleagues investigate whether co-prescription of gabapentin is associated with...
Source: plos.org
The Nuremberg Code 70 Years Later: This Viewpoint examines the impact that the Nuremberg Code has had on the history of biomedical research ethics and discusses its place at the intersection of contemporary medicine and politics. Jonathan D. Moreno. Ulf Schmidt. Steve Joffe. JAMA.
Source: jamanetwork.com
Effect of Malaria Initiative: Launched in 2005 by President George W. Bush and expanded by President Barack Obama, the US President’s Malaria Initiative (PMI) has been one of the main sources of funding for malaria prevention interventions in sub-Saharan Africa. A new report in PLoS Medicine shows...
Source: jamanetwork.com
The burden of triumph: meeting health and social care needs. Andrew Dilnot, Lancet 15 August 2017. "Life is getting longer. Death is not defeated, but it takes longer to win than it used to. The increases seen for most people in life expectancy are surely a matter for great rejoicing. References to...
Source: thelancet.com
Shared Decision Making and Improving Health Care: The Answer Is Not In: Achieving health care of higher quality at lower cost has fueled policy interest in shared decision making (SDM).1 In SDM, clinicians and patients work together to understand the patient’s situation and determine how best to address...
Source: jamanetwork.com
A Team-Based Online Game Improves Blood Glucose Control in Veterans With Type 2 Diabetes: A Randomized, Controlled Trial. "Patients with diabetes who were randomized to an online game delivering DSME demonstrated sustained and meaningful HbA1c improvements. Among patients with poorly controlled diabetes,...
Source: diabetesjournals.org
Community detection, link prediction, and layer interdependence in multilayer networks. "Complex systems are often characterized by distinct types of interactions between the same entities. These can be described as a multilayer network where each layer represents one type of interaction. These layers...
Source: aps.org
Measuring Surgical Outcomes for Improvement: Was Codman Wrong?: Ernest Amory Codman was the courageous early 20th century champion for an “end results system” to track hospital outcomes, an idea his surgical colleagues did not welcome. If he were to come back to life today, he would feel vindicated,...
Source: jamanetwork.com
Assessing the impact of healthcare research: A systematic review of methodological frameworks: Derek Kyte and colleagues systematically review approaches to the evaluation of health research. Samantha Cruz Rivera. Derek G. Kyte. Olalekan Lee Aiyegbusi. Thomas J. Keeley. Melanie J. Calvert. PLOS Medicine.
Source: plos.org
Human Insulin for Type 2 Diabetes: An Effective, Less-Expensive Option: This Viewpoint suggests that clinicians prescribe human insulin products as a more-affordable option over insulin analogues and explains dosing options. Kasia J. Lipska. Irl B. Hirsch. Matthew C. Riddle. JAMA.
Source: jamanetwork.com
Treatment of Elevated Cholesterol in 2017: This Viewpoint clarifies 3 treatment options for treating patients with elevated cholesterol levels by discussing patient goals, encouraging lifestyle changes, and using lipid-lowering medication. Harlan M. Krumholz. JAMA.
Source: jamanetwork.com
Reducing Excessive Use of Antipsychotic Agents in Nursing Homes: This Viewpoint describes the structure and outcomes of a national initiative of the Centers for Medicare & Medicaid Services to reduce the use of antipsychotics in nursing homes. Jerry H. Gurwitz. Alice Bonner. Donald M. Berwick. JAMA....
Source: jamanetwork.com
Sci-Hub’s cache of pirated papers is so big, subscription journals are doomed, data analyst suggests. "Given that Sci-Hub has access to almost every paper a scientist would ever want to read, and can quickly obtain requested papers it doesn’t have, could the website truly topple traditional publishing?...
Source: sciencemag.org
The new survivors and a new era for trauma research: Karim Brohi and Martin Schreiber, Guest Editors of the Special Issue on Trauma, describe a new era in exploration of the biology of injury response and translation of new opportunities into clinical practice. Karim Brohi. Martin Schreiber. PLOS Medicine....
Source: plos.org
The Need to Test Strategies Based on Common Sense: “You have diabetes.” In most care settings, this statement still triggers prescription of a glucometer and instruction on how to perform self-monitoring of blood glucose (SMBG). Every 3 months thereafter, patients’ glucose logs are reviewed and...
Source: jamanetwork.com