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Better ways to evaluate, negotiate employment contracts

Before signing an employment contract, reflect on the life you want and what is most important to you.
https://immattersacp.org/archives/2023/11/better-ways-to-evaluate-negotiate-employment-contracts.htm
1 Nov 2023

MKSAP Quiz: 3-day history of headaches, low-grade fever

A 17-year-old woman is evaluated in the emergency department in September for a 3-day history of headaches, low-grade fever, sore throat, cough, and stiff neck. She is otherwise well and takes no medications. Following a physical exam and other tests, what is the most likely cause of this patient's findings?
https://immattersacp.org/archives/2023/11/mksap-quiz-3-day-history-of-headaches-low-grade-fever.htm
1 Nov 2023

16th annual Global Forum discusses threat of rising drug prices

At ACP's Global Forum in San Diego, attendees discussed how pharmaceutical pricing constitutes an overall health threat to patients.
https://immattersacp.org/archives/2023/11/16th-annual-global-forum-discusses-threat-of-rising-drug-prices.htm
1 Nov 2023

Use of chiropractors and occupational, physical therapy for low back pain uncommon, despite guidelines

While clinical practice guidelines encourage nonpharmacologic treatments as first-line therapy for low back pain, fewer than a third of patients used chiropractic care or occupational or physical therapy for this problem in 2002 to 2018.
https://immattersacp.org/weekly/archives/2023/10/31/4.htm
31 Oct 2023

Low thyroid-stimulating hormone levels linked with cognitive impairment

Thyrotoxicosis from any cause, including medical treatment, was associated with an increased risk of being diagnosed with a cognitive disorder among those ages 65 years and older, a new analysis found.
https://immattersacp.org/weekly/archives/2023/10/31/2.htm
31 Oct 2023

NPs, physicians appear equally likely to prescribe potentially inappropriate medications to seniors

Nurse practitioners (NPs) and physicians prescribed medications not recommended under Beers Criteria at very similar rates: 1.63 versus 1.69 per 100 prescriptions, respectively, a new analysis of Medicare Part D data found.
https://immattersacp.org/weekly/archives/2023/10/24/2.htm
24 Oct 2023

MKSAP quiz: Inclusion body myositis

An 82-year-old man is seen in follow-up for inclusion body myositis. A prednisone taper over the past 4 months was completed without clinical improvement. Following a physical exam and lab test, what is the most appropriate treatment?
https://immattersacp.org/weekly/archives/2023/10/24/3.htm
24 Oct 2023

Orthostatic hypotension not a barrier to intensive hypertension treatment, meta-analysis finds

Researchers observed that more intensive blood pressure treatment lowered risk of cardiovascular disease or all-cause mortality regardless of whether patients had orthostatic hypotension.
https://immattersacp.org/weekly/archives/2023/10/24/1.htm
24 Oct 2023

Primary care reminders, outreach boosted overdue cancer screening follow-up

Electronic reminders alone did not increase follow-up rates for abnormal breast, cervical, colorectal, or lung cancer screening test results, but adding outreach by letter and phone did, a study found.
https://immattersacp.org/weekly/archives/2023/10/17/4.htm
17 Oct 2023

Drug screens early during treatment for OUD predict risk of return to opioid use

Patients whose urine drug screens in the three weeks after beginning treatment for opioid use disorder (OUD) were negative for opioids had a 13% risk of returning to opioid use compared with 85% for those with three weeks of opioid-positive or missing results.
https://immattersacp.org/weekly/archives/2023/10/10/2.htm
10 Oct 2023

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