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Residents of disadvantaged neighborhoods who are discharged from safety-net hospitals have high hospital readmission...

...ged neighborhood and being discharged from a safety-net hospital were independently associated with an increased 30-day risk of readmission. 2. There was a higher association observed between readmission risk and the hospital’s safety-net index compared to the patient’s neighborhood disadvantage status. Evidence Rating Level: 2 (Good) Study Rundown: The term safety-net hospital refers to a center that cares for a large number of significantly disa...

Internet-based cognitive behavioral therapy effective for body dysmorphic disorder

...re excluded if they started a psychiatric drug treatment two months within enrolment or have a concurrent bipolar disorder, psychosis, acute suicidal ideation, or severe personality disorder. The primary outcome of interest was the change in BDD symptom severity as assessed by the modified Yale-Brown Obsessive-Compulsive scale (BDD-YBOCS). The secondary outcomes included percentage of responders, defined as >30% reduction from baseline on the BDD-...

Insecticidal bed nets linked with reduced transmission of lymphatic filariasis

...y 2020 through the usage of mass administrations of antifilarial drugs. Recent attention has focused on the possibility of using vector control, potentially in conjunction with ongoing malaria control efforts, to augment filariasis elimination efforts. In this study, data from before and after a 2009 nationwide mosquito bed-net effort in Papua New Guinea provide quantitative support for this notion. Following bed-net intervention in 2009, there we...

#VisualAbstract: Safety-Net Hospitals, Neighborhood Disadvantage, and Readmissions Under Maryland’s All-Payer Program

...ged neighborhood and being discharged from a safety-net hospital were independently associated with an increased 30-day risk of readmission. 2. There was a higher association observed between readmission risk and the hospital’s safety-net index compared to the patient’s neighborhood disadvantage status. Evidence Rating Level: 2 (Good) Study Rundown: The term safety-net hospital refers to a center that cares for a large number of significantly disa...

Rivaroxaban has no net clinical benefit over enoxaparin for thromboprophylaxis in acutely ill patients

...medicine.com. All rights reserved. No works may be reproduced without written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such 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...

USPSTF Update: Screening adults for unhealthy drug use has moderate net benefit

...by asking questions during patient appointments was found to have moderate net benefit as long as further diagnostic tests, treatment, and supportive care were also available. 2. The benefit of screening for drug abuse in adolescents was not able to be assessed. Evidence Rating Level: 1 (Excellent) Study Rundown: The US Preventative Task Force (USPSTF) commissioned systematic reviews of evidence evaluating the risks and benefits of screening for h...

Neuroendocrine tumor marker pancreastatin may be predictive of survival

...udy Rundown: Tumor resection remains the first-line therapy for pancreatic NETs (PNETs) or small bowel NETs (SBNETs), though recurrence rates are high. The ability to predict the response and survival of patients after tumor resection may aid clinicians in determining subsequent treatment courses (e.g. more or less aggressive therapies). This study examined the potential of NET biomarkers to predict patient outcomes after surgery. They found that...

Daily aspirin may benefit some patients without existing cardiovascular disease

...hat when a CVD event was considered equivalent to 2 major bleeding events, net benefits of aspirin increased to 21% of women and 41% of men. Patients with more CVD risk factors (including hyperlipidemia, hypertension, diabetes, smokers) and those with lower bleeding risk factors benefited more from aspirin treatment. Despite the significance of these results, one limitation of this study was the generalizability of findings given that the study to...

[Physician Comment] Low dose aspirin shows net clinical benefit in patients with first unprovoked...

...y points: 1. Daily aspirin, in comparison to placebo, did not reduce recurrent venous thromboembolism in patients after first episode of venous thromboembolism. 2. Daily aspirin, in comparison to placebo, was associated with statistically significant decrease the secondary outcomes: i.e. the rate of major vascular events in patients after first episode of venous thromboembolism. Primer: Prior studies have demonstrated that an episode of venous thr...

Modelling study suggests that statins may be overprescribed

...Click to read the study in Annals of Internal Medicine Relevant Reading: Genetic risk, coronary heart disease events, and the clinical benefit of statin therapy: an analysis of primary and secondary prevention trials In-Depth [modeling cohort]: The authors conducted a quantitative benefit-harm balance modeling study to assess the use of statins for primary prevention of cardiovascular disease. The population cohort consisted of adults aged 40 to...

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