Women Surgeons’ Experiences of Interprofessional Workplace Conflict

 Abstract IMPORTANCE Gender differences in interprofessional conflict may exist and precipitate differential achievement, wellness, and attrition in medicine. OBJECTIVE Although substantial attention and research has been directed toward improving gender equity in surgery and addressing overall physician wellness, research on the role of inter...
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Domestically Produced Radioisotope

The FDA and the Nuclear Regulatory Commission (NRC) have collaborated to establish a stable, domestic supply of the most widely used radioisotope in medical imaging.
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Prehospital Blood Product Transfusion and Combat Injury Survival—Reply

In Reply Although a retrospective study cannot rule out unmeasured confounding, we respectfully disagree with Dr David and colleagues that the reported between-group mortality difference “may be related to the quality of prehospital resuscitation rather than prehospital transfusion.”
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Appropriately Framing Child Health Care Spending

This Viewpoint cautions against the misperception that health care spending on children in the United States is small compared with that for adults, arguing that a proper appreciation of the magnitude of spending is required to reduce the financial burden on families and make informed decisions about how to allocate limited resources.
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Highlights for March 20, 2018

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Integrating Infection Prevention Programs in Hospitals and Nursing Facilities

This Viewpoint argues that integrated infection prevention programs in which hospitals share resources, standards, responsibility, and oversight for infection control with nursing homes could reduce resident readmissions and costs and limit the transmission of drug-resistant organisms between facilities.
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Risks and Benefits of Hormonal Contraception

This Medical News story discusses the risks and benefits of hormonal contraception in light of recent research assessing the association between contemporary hormonal contraception use and breast cancer risk.
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322 Hits
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Reducing Overtreatment of Cancer With Precision Medicine

This Viewpoint uses advances in breast cancer to discuss how physicians might harness precision medicine to reduce the burden on patients of unnecessary treatment.
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*How Life Is

Brief and muddled. Fear and pain and worrybetween moments of joy so intenseit seems they are eternal. Perhaps they are.Ordinary. Extraordinary. Lonely.What is drained away from childhood.What is learned—as if it is importantwhen it falls into the abyss of age.I do not compare—there is alwayssomething worse, and something better.The chemicals that tangle my eyes and brainmay save my body.Will it return? Will the daysof dragonflies and birdsthe chipmunks in my yardthe fox and coyote remain?We slowly break apart.No one expects what may behow life is.
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A Reflection on Child Abuse and Neonatal Abstinence Syndrome

In this essay, the author a resident physician caring for an infant hospitalized for injury from physical abuse and for neonatal abience syndrome, wonders about the circumstances that led to the infant’s mistreatment and about how her life will develop.
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Robotic-Assisted vs Laparoscopic Radical Nephrectomy

In Reply Dr Weiner and colleagues suggest that a significant portion of robotic-assisted radical nephrectomies in our study may actually be unsuccessful partial nephrectomies that resulted in conversion to radical nephrectomies. The authors cited a prior study by our group that used the same data set but different methodology. This latter study incorporated hospital-specific projection weighting provided by Premier that allowed the results to be extrapolated to a national sample of inpatient discharges. This additional weighting likely increased the sample of converted partial nephrectomies by 500% to 600%. In contrast, due to journal preference, projection weights were not included in our current study. Additionally, the inclusion criteria in the studies differed: the prior study excluded patients not receiving intraoperative mannitol. Thus, a direct comparison between the 2 studies, including the requested sensitivity analysis, is not feasible.
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Global HIV Epidemic

Recent estimates indicate that approximately 57% of the 36.7 million people living with HIV worldwide are in care and receiving antiretroviral treatment (ART). Although this represents a 20-fold increase in less than 2 decades in the number of people receiving ART, these findings also demonstrate that the global community is still far from achieving the targets laid out by the Joint United Nations Programme on HIV/AIDS (UNAIDS) called 90-90-90—specifically, 90% of all people living with HIV knowing their status; 90% of those diagnosed receiving sustained ART; and 90% of those receiving ART achieving viral suppression by 2020. Accomplishing this ambitious agenda requires sustainable approaches in countries with the highest burden of HIV.
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More Questions Raised by Concussion-like Symptoms Found in US Diplomats Who Served in Havana

This Medical News article discusses recent findings that suggest former members of the US diplomatic community in Havana developed concussion-like symptoms, despite no history of head trauma, and explores possible causes and next steps.
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Quality of Health Care for Children

Seventeen years have passed since the US National Academy of Medicine (NAM) (then the Institute of Medicine) published Crossing the Quality Chasm, a major effort to outline an approach to improving health care quality. One of the recommendations for improving care envisioned the broader use of evidenced-based clinical practice guidelines (CPGs) as a pathway toward standardization and improved outcomes. The success of this strategy would depend on the supply of trustworthy CPGs and the demand by both clinicians and organized health systems to deploy those CPGs. Quality metrics derived from CPGs were expected to be guideposts for health systems to gauge performance.
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NTDs Added to Scorecard

African leaders added neglected tropical diseases (NTDs) to the African Leaders Malaria Alliance’s (ALMA’s) annual scorecard on disease progress during the 30th Anniversary of the African Union Heads of State Summit in Addis Ababa, Ethiopia. The establishment of the NTD progress index recognizes NTDs as a top health priority for the continent along with malaria and maternal and child health.
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Neurological Symptoms Among US Diplomats in Cuba

The primary value of publishing case reports and case series in the medical literature involves the documentation of symptoms, signs, and clinical data in a unique group of individuals. Often at the time of initial report, the fundamental etiology and pathophysiologic mechanism underlying the clinical phenomena are not yet fully understood, but the clear description of potentially pertinent data serves as a foundation on which other clinicians and investigators can build.
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Smart Watch Detects Seizures

The first smart watch used to monitor seizures has received FDA approval. Marketed under the name Embrace, the watch uses advanced machine learning to detect grand mal or generalized tonic-clonic seizures and to alert a caregiver for help.
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Behavioral Counseling for Skin Cancer Prevention

In this issue of JAMA, the US Preventive Services Task Force (USPSTF) provides 3 recommendations about counseling patients in self-management of prevention and early detection of skin cancer. Specifically, the USPSTF “recommends counseling young adults, adolescents, children, and parents of young children about minimizing exposure to UV radiation for persons aged 6 months to 24 years with fair skin types to reduce their risk of skin cancer (B recommendation)”; “recommends that clinicians selectively offer counseling to adults older than 24 years with fair skin types about minimizing their exposure to UV radiation to reduce risk of skin cancer” and that “patients and clinicians should consider the presence of risk factors for skin cancer (C recommendation)”; and “concludes that the current evidence is insufficient to assess the balance of benefits and harms of counseling adults about skin self-examination to prevent skin cancer (I statement).”
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Behavioral Counseling for Skin Cancer Prevention

This JAMA Patient Page discusses the US Preventive Services Task Force’s recommendations on behavioral counseling for skin cancer prevention.
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Effect on Viral Suppression of Same-Day ART vs Care Referral After Home HIV Testing in Lesotho

This randomized clinical trial compares the effect of immediate antiretroviral therapy (ART) vs referral to the nearest health facility on linkage to care and viral suppression among ART-native adults in rural Lesotho who home-tested positive for HIV.
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