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Physician recourse to online reviews may be futile

...either restrict a patient’s ability to post any review at all, or effectively make any online commentary intellectual property belonging to the physician. Thus, when a physician seeks to respond to negative reviews, they are able to employ the less burdensome claims of breach of contract or copyright infringement. However, the use of medical NDAs to bypass defamation laws and the CDA doesn’t work. NDAs may be deemed unconscionable, and thus unenfo...

Patients who utilize online health services make greater use of in-person services

...r patient groups who might benefit most from online services, such as rurally located and elderly patients, were not explicitly evaluated. Future research is needed on several fronts: (1) to optimize access to care and costs of care, (2) to develop communication strategies to explain how online health services may replace certain in-person services, and (3) to examine service usage by patients using other kinds of HCIT besides patient portals. Cli...

Direct-access online care model may effectively manage chronic atopic dermatitis

...online group and in-person group was comparable at 27.4 and 28, respectively. Using IGA scores, the direct-access online group showed 38.4% (95% CI, 27.7% to 49.3%) of patients achieved near-clearance of their disease as compared to 43.65% (95% CI, 32.6%-54.6%) in the in-person group. The POEM metric demonstrated that the direct-access online group’s scores improved by month 12 from a mean baseline of 13.04 to 7.94 (within group difference of -5....

Cervical length may predict preterm delivery

...k. Prematurity is a major cause of neonatal morbidity and mortality and early identification of potentially premature infants can help ensure that parents receive adequate anticipatory guidance and that the infants receive appropriate health care. Current methods available to providers to predict risk of impending delivery include digital examination (which may demonstrate cervical dilation), fetal fibronectin (which may indicate preterm rupture o...

Prophylactic tranexamic acid prevents significant blood loss after cesarean delivery

...avoid significant postpartum hemorrhage. Tranexamic acid is an antifibrinolytic drug that can help prevent significant blood loss in other elective surgeries and may be applicable to cesarean delivery procedures. As such, this study examined the effect of prophylactic tranexamic acid treatment in women undergoing cesarean delivery. The study determined the patients receiving tranexamic acid experienced a lower incidence of significant postpartum...

Artificial pancreas lowers the risk of overnight hypoglycemia in children

...hildren with type 1 diabetes. 2. There was significantly less variation in overnight glycemic levels using the artificial pancreas. This multi-national crossover study measured the efficacy of an artificial pancreas compared to a sensor-augmented insulin pump in children with type 1 diabetes at a camp. The authors of the study found that artificial pancreas use was associated with a lower risk of hypoglycemia. Some strengths of the study are its s...
Classics Series, Landmark Trials in Medicine

Risks associated with a Trial of Labor after Cesarean Delivery (TOLAC) [Classics Series]

...have been more likely to present with a favorable cervix and thus more likely to achieve vaginal delivery. This may bias results toward the null. Lack of information on use of specific prostaglandin agents disallowed assessment of which were associated with uterine rupture. Additionally, the study was not powered to detect differences in maternal mortality. Click to read study in The New England Journal of Medicine Background reading: U.S. Dept of...
Classics Series, Landmark Trials in Medicine

Progesterone injections reduce recurrent preterm birth [Classics Series]

...to the relatively high infant mortality rate in the United States. Currently, preterm delivery complicates 11.2% of U.S. pregnancies. History of prior spontaneous preterm birth is the strongest predictor of preterm birth such that women with this history experience a 2.5 fold increased risk for recurrent preterm birth. Despite much study, the mechanisms contributing to the impairment of normal cervical physiology in pregnancy remain poorly charac...

Silicon microparticles may improve chemotherapeutic delivery to metastatic tumors in mice [PreClinical]

...comparison to those resulting from other Dox delivery methods. Further analysis showed iNPG specifically localizing in microvessels of the lung metastatic tumors. Mice treated with iNPG-pDox showed greater survival in comparison to mice given Dox via other delivery methods. The researchers then tested the potential therapy in a multidrug resistant (MDR) cell line, demonstrating decreased cell viability following pDox NP treatment in comparison to...

Preterm delivery associated with long-term maternal cardiovascular risk

...h by the authors or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT. Content is produced in accordance with fair use copyrights solely and strictly for the purpose of teaching, news and criticism. No benefit, monetary or otherwise, is realized by any participants or the owner of this domain....

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