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Oral versus intravenous antibiotics for the initial treatment of acute pyelonephritis in adults: a systematic review [Acute and emergency care]

Annals of Family Medicine

Objective This systematic review aims to determine if oral antibiotic treatment is non-inferior to single dose IV followed by oral antibiotic treatment in terms of efficacy and complications in adults presenting to the emergency department (ED) with acute pyelonephritis. Results The search yielded 2,478 records, with 813 duplicates.

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Artificial Intelligence in Health Care

Integrated Care News by CFHA

Reclaiming Time and Attention Primary care professionals may log more than eleven hours a day, over half of it in the electronic health record (Menchaca, 2025). Beyond the Screen: The Impact of Generative Artificial Intelligence on Patient Learning and the Patient‑Physician Relationship. JAMA , 329(16), 1333–1336. Traylor, D.

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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

I thought of it the other day when I put together a presentation about Galileo’s way of interacting with patients. We are being crushed by mandated screenings for everything from obesity to domestic abuse ( see my post “ Brief is Good ”). We meet people where they are and in many different ways.

Patients 130
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Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson

GeriPal

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. If so, how do we screen and who do we screen? What should we use to screen individuals? Cognitive screening.

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Position Statement on Measurement Based Care

Integrated Care News by CFHA

MBC is presented not simply as data collection, but as a dynamic, evidence-based clinical process that enhances outcomes, promotes equity, and strengthens team-based care. As a clinical process, MBC is distinct from other important healthcare concepts, such as behavioral health screening, diagnostic clarification, or program evaluation. (3,

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Presence of Cardiomyopathy in DLBCL Drives Treatment Decisions

Physician's Weekly

“In addition, despite practice guidelines recommending post-anthracycline echocar­diograms in adults receiving more than 250 mg/m2 of doxorubicin, only a minority of providers report obtain­ing routine screening echocardiograms after comple­tion of anthracycline-based chemotherapy regimen with a cumulative dose of 300 mg/m2,” they added.

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How Mental Health & SUD Bias Impact ED Physical Care

Physician's Weekly

Patients with documented mental illness or substance use disorders (SUDs) continue to encounter a mixed—sometimes starkly divergent—quality of emergency department (ED) care when they present with chest pain, abdominal pain, or other non‑psychiatric complaints, according to a patient‑interview study published in Health Services Research.