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Practice patterns of Ontario physicians working in 'boutique' medical clinics [Economic or policy analysis]

Annals of Family Medicine

Context: In Ontario, multiple organizations operate under a ‘boutique’ medicine model where patients pay a block or annual fee to access primary care services. Little is known about the characteristics of physicians and patients participating in boutique clinic practice models. Study Design and Analysis.

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Liver cancer patients see longer survival with dual immunotherapy approach

Medical Xpress

A research team from the School of Clinical Medicine of the LKS Faculty of Medicine of the University of Hong Kong (HKUMed) has pioneered the use of a 'dual immunotherapy' combination—nivolumab and ipilimumab (NIVO+IPI)—in the treatment of liver cancer patients since 2016.

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A Novel Definition of Urinary Tract Infection across a National Primary Care Network [Geriatrics]

Annals of Family Medicine

Population Studied Providers participating in MaPCReN represented 306,394 patients with ≥1 visit between January 1, 2016 and December 31, 2021. A reference set included n=854 randomly selected adults aged ≥60 years, including 148 (17.3%) patients with ≥1 UTI encounter and 703 (82.6%) patients with no UTI encounters.

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Preventing Blood Pressure Misdiagnosis: Arm Position & Cuff Size

Family Medicine Initiative

The study found that using the wrong cuff size led to misdiagnoses, particularly when cuffs were too small for obese patients: Are wrist blood pressure measurements reliable? A systematic review ( BMJ Open 2016 ) of 20 studies examined the accuracy of blood pressure measurements in obese adults with large upper arm circumferences.

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Timing of Repeat Epinephrine in Pediatric Anaphylaxis: How Long Should We Observe?

PEMBlog

Researchers conducted a retrospective cohort study across 30 US and 1 Canadian pediatric emergency departments, analyzing data from 5641 children (ages 6 months to 17 years) treated with epinephrine for an acute allergic reaction between 2016 and 2019. percent of children received repeat epinephrine after 2 hours 1.9 percent after 4 hours.

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Episode 288: WDx #23: Clinical Unknown Discussion with Dr Rebecca Berger

The Clinical Problem Solvers

[link] In this episode of WDx, Dr Rebecca Berger joins Kara, Jane, & Sharmin to discuss a clinical unknown. She served as a NEJM Editorial Fellow from 2016-2017 and worked as a hospitalist at MGH before moving to Cornell in 2018. Download CPSolvers App here

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9 Technologies That Will Shape The Future Of Dentistry

The Medical Futurist

Just like in the case of other medical specialties , disruptive innovations will have a huge impact on how dentistry will be practiced and how patients will take care of themselves in the future. For patients, it promises more accurate care and better outcomes. How about having a teledentist consultation?

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