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Episode 286 – Rafael Medina Subspecialty Series – Elevated Creatinine

The Clinical Problem Solvers

Rafa presents a nephrology clinical unknown to Drs. The goal of this series is to expand access to subspecialty, primary care and internal medicine-adjacent specialty education to learners around the world. And now incoming internal medicine resident at the University of Colorado.

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Passive Digital Marker Can Identify Childhood Asthma Risk

Physician's Weekly

from the Indiana University School of Medicine in Indianapolis, and colleagues sought to externally validate and update the PARS as a passive digital marker (PDM) for asthma risk. The analysis included data from 69,109 children born between 2010 and 2017, of whom 5,290 (7.65 Arthur Hamie Owora, Ph.D.,

Asthma 52
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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Watchful waiting refers to clinical observation only. A recent analysis of the U.S.

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AGS Beers Criteria for Potentially Inappropriate Medication Use: A Podcast with Todd Semla and Mike Steinman

GeriPal

Alex: And we’re delighted to welcome Todd Semla, who is a clinical pharmacist and associate professor at the Feinberg School of Medicine at Northwestern University. And then in 2010, the AGS took over because it was sort of wafting out there and people were wondering, when are you going to update it? Todd: Thank you.

Medical 97
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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

Now when I say variation, I’m not talking about small little clinically questionable variations. Archives of Internal Medicine 2010. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. Rehabbed to Death. Ruth: Aw, thanks. Ruth: Sure.

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Hastening Death by Stopping Eating and Drinking: Hope Wechkin, Thaddeus Pope, & Josh Briscoe

GeriPal

I was part of a writing group that wrote clinical guidelines for VSET for voluntarily stopping eating and drinking. This is just because this arose organically in clinical practice as a way of balancing these underlying competing ethical issues. Smith has no Meal Times, Minimal Comfort feeding for Patients with Advanced Dementia.

IT 87