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Implementation of a new model of care can improve outcomes of care in medical and surgical units

New Model of Inpatient Care Can Improve Outcomes

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Model aims to up interprofessional collaboration, data-driven decisions, provide leadership
The presence of diffusion-weighted imaging lesions is similar in patients clinically diagnosed with transient neurological attack and transient ischemic attack (TIA)

Accuracy of Clinical Diagnosis in TIA Called Into Question

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Acute infarction on DWI seen in similar numbers of patients clinically diagnosed as TIA, TNA
Seven behaviors should be implemented to improve the art of medicine

Seven Behaviors Suggested to Improve ‘Art of Medicine’

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Seven behaviors promote more consistent practice of interpersonal aspects of medicine
For patients admitted with diagnoses of cirrhosis and ascites

Paracentesis Underutilized in Patients With Cirrhosis, Ascites

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In-hospital mortality down with paracentesis use; trend toward reduction in mortality for early tx
The presence of medical students in the emergency department is associated with increased length of stay

Presence of Medical Students in ER Slightly Ups Length of Stay

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Increase of about five minutes in ER length of stay is significant, but unlikely to be clinically relevant
Despite an increase in the number of U.S. medical school graduates

Percentage of Graduates Entering GME Stable Over Past Decade

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Despite increase in number of U.S. medical school graduates, no change in GME placement
Taking warfarin at the same time as glipizide or glimepiride may increase the risk of hospitalization

Warfarin + Sulfonylureas May Increase Risk of Hospitalization

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Risk found especially high for men aged 65 to 74
More than one in four doctors-in-training may be depressed

Depression Not Uncommon Among Resident Physicians

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Grueling medical training may help explain finding
The expansion of insurance coverage and increases in retail prescription drug spending contributed to an increase in total national health care expenditures in 2014

U.S. Health Care Spending Increased in 2014

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Increase in 2014 followed five consecutive years of historically low health care spending
A mobile stroke treatment unit is feasible for providing acute stroke treatment

Mobile Stroke Treatment Unit Feasible for Acute Stroke Care

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Significantly shorter times from door to CT completion and to intravenous thrombolysis