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Churning out of insurance among patients with diabetes served in US Community Health Centers [Economic or policy analysis]

Annals of Family Medicine

Health insurance instability may be particularly challenging for patients with diabetes who need regular chronic care management to reduce the risk of diabetes complications. 46,844 patients were diagnosed with diabetes during study period. Study Design: Retrospective observational cohort study.

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

James Stevermer and Kenneth Fink wrote in an AFP editorial : Few men diagnosed with and treated for prostate cancer will experience a mortality benefit, and an estimated 20% to 50% of those treated will never become symptomatic, even without treatment. times more likely to develop urinary or sexual complications, 2.78 in 2000 to 59.8%

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Increasing Rates of Pre-Pregnancy T2D Tied to Higher Fetal, Neonatal Risk

Physician's Weekly

Early-onset type 2 diabetes is rising in women of childbearing age, increasing the risk for fetal and maternal complications versus other forms of diabetes. In the United States, the March of Dimes estimates that 1% to 2% of women have preexisting diabetes before pregnancy, a number that has been increasing in recent years.

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Reasoning during the COVID-19 pandemic

The Clinical Problem Solvers

Had the ED not ordered a chest CT, would I have tested this patient for COVID-19? Decisions have been dichotomized to ”COVID versus not COVID,” and people that have displayed none of the cardinal respiratory symptoms are being diagnosed with the disease. Thinking back on this case, I was completely unsettled.

Illness 52
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The Mycoplasma Comeback: Why This Atypical Pneumonia is Back – A PEMCurrents Podcast

PEMBlog

In this episode we dive into the resurgence of Mycoplasma pneumoniae an atypical bacterial cause of community-acquired pneumonia thats making waves in pediatric emergency medicine. Mycoplasma pneumoniae as a Cause of Community-Acquired Pneumonia in Children. Plus, well discuss whether M. Plus, well discuss whether M. Epub 2024 Aug 3.

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Clinical Reasoning Corner: Likelihood Ratios

The Clinical Problem Solvers

Likelihood ratios (LRs), which help us determine how a test changes the probability of a disease, are defined as: For example, say 60% of patients with aortic stenosis have a systolic ejection murmur best heard over the aortic valve area, and only 10% of patients without aortic stenosis have that same murmur.

Clinic 52
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Updates in ID and Nephrology: Lona Mody, Rasheeda Hall, Devika Nair, Sonali Advani

GeriPal

When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. Alex: And we are delighted to welcome Rasheeda Hall, who is a physician scientist in the division of nephrology at Duke University School of Medicine, and sees patients at the Durham VA.