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The Impact of COVID-19 Pandemic on Patient Care of Adult Patients with Acute Kidney Injury in Academic Medical Centers [Big data]

Annals of Family Medicine

Objective: To assess the epidemiology and mortality risk among patients with AKI discharged from AMCs in the US from October 2019 to December 2023. Study Design: This retrospective case series analysis utilized Vizient's clinical database data. Mixed models were used for analysis. Setting: AMCs within the US.

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The utilization patterns and impact of the Stanford Chronic Pain Self-Management Program in Eastern Ontario, Canada [Pain management]

Annals of Family Medicine

Objectives: In this study, we aimed to describe patterns of utilization of a Chronic Pain Self-Management Program (CPSMP) in Eastern Ontario and evaluate the impact of the program on patient activation, a measure of participants’ involvement in their care, their health behaviors, and their knowledge of the condition.

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Feasibility and Acceptability of Implementing a Digital Cognitive Assessment for Alzheimer Disease and Related Dementias in Primary Care [Original Research]

Annals of Family Medicine

METHODS We conducted a single-arm pragmatic clinical demonstration project in 7 diverse primary care clinics to test implementation of the Linus Health Core Cognitive Evaluation and Digital Clock and Recall DCAs (Linus Health, Inc). RESULTS There were 16,708 eligible encounters during the 12-month study period (June 2022-May 2023).

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More than the rule of 2s: All about Meckel Diverticulum

PEMBlog

This nuclear medicine scan utilizes a radioactive tracer that is taken up by the gastric mucosa in Meckel’s diverticulum, thereby helping to identify its presence. “Clinically, Meckel diverticulum should be suspected in any child younger than 2 years of age with painless rectal bleeding. ” An et. ” An et.

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Beyond the Diagnosis: A Detailed Characterization of Outpatient Palliative Care Patients [Palliative and end-of-life care]

Annals of Family Medicine

Objective Describe the population of patients referred to a palliative care clinic and observe their healthcare utilization patterns. Study Design Retrospective chart review of patients seen in a palliative care clinic between June 2023 and August 2023. Results The patients in the SMC had a mean age of 71.

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You don’t need labs to medically clear a psych patient

PEMBlog

Attention to any toxidromes, any abnormal vital signs or mental status, eye findings, and neurologic examination provide the greatest help in narrowing the differential diagnosis. Clinical utility of screening laboratory tests in pediatric psychiatric patients presenting to the emergency department for medical clearance.

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Sweet! A Metabolic Disorders focused podcast episode

PEMBlog

She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. Updated 2023 Jul 17]. Inborn errors of metabolism in infancy: a guide to diagnosis. On clinical presentation. So what are some of these suggestive clinical features? Pediatr Rev.