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Medicine

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New England Journal of Medicine (NEJM), MacLean Center for Clinical Medical Ethics, University of Chicago Medicine, Mayo Clinic, Beth Israel Deaconess Medical Center, Daniel B. Kramer, Erin Sullivan DeMartino, Mark Siegler, Medical Decision Making, medical decision maker, Surrogate decision making, Advance Directive

Ethics Study: Inconsistent State Laws May Complicate Medical Decision-Making

patchwork of state laws creates a labyrinth that can make it confusing to navigate incapacitated patients’ medical wishes. Without clear national standards, the problem may worsen as the nation’s 75 million baby boomers continue to age, according to medical ethics research published Wednesday in the New England Journal of Medicine.

Medicine

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Acgme, Duty Hour Restrictions, Resident Work Hours, FIRST Trial, Penn Medicine, NEJM, Health Policy

Rules Allowing Longer Shifts for First-Year Doctors Signal a New Approach to Evidence-Based Medical Education

On March 10, the Accreditation Council for Graduate Medical Education (ACGME) increased the limit on work shifts for first-year physicians from 16 to 24 hours – allowing additional hours beyond that to ensure continuity and education, consistent with the limits in place for residents in their second year and beyond. In a Perspective published by the New England Journal of Medicine, David A. Asch, MD, MBA, a professor of Medicine at the Perelman School and of Healthcare Management at the Wharton School at the University of Pennsylvania, says that while the new rules may inflame ongoing controversies, a central message is that ACGME is raising the evidentiary standards for policy in medical education.

Medicine

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Coronary Artery Disease, Weight Cycling, Heart Attack, Stroke, Weight Loss, NYU Langon, Cardiology, NEJM, Sripal Bangalore, yo-yo dieting

Body Weight Fluctuations Linked to More Deaths in People with Coronary Artery Disease

NYU Langone study finds “yo-yo” dieting can increase the odds of stroke, heart attack, and death in people with coronary artery disease.

Medicine

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Hypertriglyceridemia, Cardiovascular Disease, Pancreatitis

UCLA Researchers Discover a New Cause of High Plasma Triglycerides

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People with hypertriglyceridemia often are told to change their diet and lose weight. But a high-fat diet isn’t necessarily the cause for everyone with the condition. UCLA researchers have discovered a subset of people with hypertriglyceridemia whose bodies produce autoantibodies — immune-response molecules that attack their own proteins — causing high levels of triglycerides in the blood.

Medicine

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incentive program, Incentives, Health Policy, Healthcare Costs, Preventive Health Care, Penn Medicine

Penn Researchers Call for Better Laws Covering Patient Incentives to Improve Care

Current federal anti-kickback laws prohibit pharmaceutical companies and providers from bribing patients to seek their goods and services. Unfortunately, the laws also prevent hospitals from offering services that could potentially benefit patients, such as free rides to elderly or disabled patients to help them get to their appointments.

Medicine

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Heart, Heart Surgery, TAVR, Stroke, Heart Valve, heart valve replacement

Transcatheter Aortic Valve Replacement as Effective as Surgery in Intermediate Patients

Medtronic plc (NYSE: MDT) today unveiled first-ever clinical data from the Surgical Replacement and Transcatheter Aortic Valve Implantation (SURTAVI) Trial, which was presented at the American College of Cardiology (ACC) 66th Annual Scientific Session and published simultaneously in The New England Journal of Medicine (NEJM) (1).

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Brain Cancer, Brain, Cancer, Glioblastoma, Seniors, clinical trial, Phase 3 clinical trial, princess margaret cancer centre, University Health Network

Glioblastoma Clinical Trial Shows Combined Therapy Extends Life for Patients 65 and Older

Treating older patients who have malignant brain cancer with the chemotherapy drug temozolomide plus a short course of radiation therapy extends survival by two months compared to treating with radiation alone, show clinical trial results published today in the New England Journal of Medicine.

Medicine

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Autism, autism advocacy, Affordable Care Act (ACA), Individuals With Disabilities Education Act

Don’t Be Distracted: The Real Issues in Autism Are Threats to Funding, Services

With so much focus in recent months on the scientifically discredited notion that childhood vaccines cause autism, the real threats to health care and services for people with autism and other disabilities aren’t being given enough attention, argue two leading health policy experts.

Medicine

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patient advocacy, Patient Advocacy Reporting System , Conflict Of Interest, Medical Ethics, Medical Ethics Research, Penn Medicine, pharmaceutical and healthcare business

Widespread Conflicts of Interest Among Patient-Advocacy Organizations Uncovered in Penn Study

Over the past few decades, hundreds of patient-advocacy organizations have emerged in the United States, promoting disease research and influencing FDA and health insurer policies. Now, a new study reveals a large proportion of these organizations have funding or other connections with drug or medical device makers, yet do not adequately disclose the details of these connections or have publicly accessible policies in place describing how they manage them.

Medicine

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Thyroid, Thyroid Awareness, Thyroid Hormone, Hormones, Ut Southwestern, Pregnacny Health

Multicenter Study Finds No Benefit to Treating Mild Thyroid Dysfunction During Pregnancy

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A large national study suggests that treating pregnant women for mildly low thyroid function does not improve the IQs of their babies or reduce preterm births or other negative outcomes.







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