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Guidelines have been developed for clinical documentation and interrelated issues. The position paper has been published online Jan. 13 in the Annals of Internal Medicine.

Guidelines Presented for Clinical Documentation in 21st Century

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Recommendations provided for clinicians, provider institutions, government regulators, payers
Children who play football in middle school don't appear to have any noticeable short-term brain damage from repeated hits to the head

Short-Term Effects of Middle School Football Analyzed

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No impairment of brain function seen over short term
Researchers found that of 68

Over 10 Percent of Patients Taking Aspirin Inappropriately

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For many users, odds of heart attack, stroke are lower than risk of serious bleeding
Higher vitamin D levels in patients with advanced colorectal cancer appear to improve response to chemotherapy and targeted anti-cancer drugs

ASCO: Vitamin D Tied to Colon Cancer Progression, Survival

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Certain types of cancer patients tended to have lower vitamin D levels
There was a 40 percent drop in uninsured visits to community health centers in states where Medicaid was expanded during the first half of 2014

Uninsured Visits to Community Health Centers Down Post-ACA

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Expansion of Medicaid under the Affordable Care Act is reducing the numbers, researchers say
The long-term effectiveness and harms of opioids for chronic pain are unclear

Major Risks of Long-Term Opioid Rx Deemed Dose-Dependent

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In review, serious harms of long-term therapy seemed to depend on opioid dose
Widespread vaccination against rotavirus cuts children's rates of infection

Rotavirus Vaccine Effective in Reduction of Morbidity

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Widespread vaccination against rotavirus cuts children's rates of infection
The incidence of episiotomy has been declining since the 1990s because of concerns regarding related risks and benefits

Fewer Episiotomies, but Nonmedical Factors May Persist

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Almost 12 percent of deliveries still involve the surgical procedure
Male and female general practitioners prescribe analgesics to older patients in a similar manner but differ in their prescribing habits for antineuropathic pain drugs and symptomatic slow-acting drugs for osteoarthritis

Gender of Provider May Impact Pain Management Practices

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GP prescribing behavior differs for antineuropathic drugs, symptomatic slow-acting drugs for OA
Clinicians are increasingly ordering advanced imaging and referring to other physicians for headache but less often providing counseling

Clinicians Increasingly Ordering Imaging for Headaches

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From 1999-2000 to 2009-2010, increases seen in use of CT/MRI, referrals to other physicians