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Opioids that have features that make them hard to abuse may be linked to a drop in both the number of prescriptions and overdoses of these drugs

Changing Opioid Rx Formulations May Help Curb Abuse

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As opioid market changed, number of prescriptions, overdoses dropped, but heroin overdoses went up
Both residents and attending physicians are only partly compliant with national opioid prescribing and monitoring guidelines

Attending Physicians, Residents Similar in Opioid Rx Monitoring

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Residents provide more early refills; also see more patients at higher misuse risk
Good communication is key to managing conflict with patients

Guidance Offered for Managing Conflict With Patients

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Good communication is crucial for managing encounters when denying a patient request
Medical students in personal distress may be more likely to have suboptimal attitudes about self-prescribing and personal responsibility for reporting impaired colleagues

Suboptimal Prescribing Attitudes Could Signal Personal Distress

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Med students experiencing depression, alcohol abuse less likely to report impaired colleagues
Looking up students on Facebook and other social networking sites is associated with ethical concerns

Ethical Implications for Looking Up Applicants on Facebook

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Misinterpretation of content, implicit bias could undermine fair appraisal for applicants
Medicare spending is down in year one of the Pioneer accountable care organization program

Medicare Spending Down in Year One of Pioneer ACO

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Total adjusted per-beneficiary spending down in ACO group versus control group
Most U.S. adults would prefer to be asked for permission to participate in studies assessing usual medical practices

Survey Looks at Patient Attitudes Regarding Informed Consent

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Most respondents want to be asked for permission to participate in studies assessing medical practice
For patients with single-level symptomatic cervical disc disease

Cervical Disc Arthroplasty Tops ACDF for Single-Level Cervical Dz

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Lower readmission rates, lower reoperation rates, reduced index and total costs for CDA
For patients with knee osteoarthritis

Meta-Analysis: Valgus Knee Bracing Helps Pain in Knee OA

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Small, statistically significant effect for pain compared with group that used control orthosis
Acetaminophen may do more than simply dull pain -- it may also dull positive and negative emotions

Acetaminophen Appears to Blunt Emotional Response

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Research involved two experiments, each enlisting about 80 college students