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Chronic disease management among people with serious mental illness across rural, small urban, and metropolitan settings [Health care disparities]

Annals of Family Medicine

Context: People with serious mental illness (SMI) are at increased risk of complications and earlier death from comorbid chronic diseases, compared with patients without mental illness. Referral to and/or visit with an ophthalmologist was most common in metropolitan settings, with similarly lower values in small urban and rural.

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Under Pressure: Hypertensive Emergencies in the Pediatric Emergency Department

PEMBlog

All kids with hypertensive emergency need ICU-level care. Upon entering the room, you find the patients nurse at the bedside already in mid-conversation with the patients parent. However, the presence of end-organ damage is the defining feature of a hypertensive emergency, rather than the absolute blood pressure value alone.