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‘Tremendous Interest’ in Dementia-specific Advance Directives
Court challenges and resistance are expected for recently developed dementia-specific advance directives despite strong demand voiced by patients, family, and providers.
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Advance Care Planning Discussions ‘Buried’ in EHRs: Problem Is Pervasive
Half of patients with a completed advance care planning legal form had no explanatory discussion documented, found a recent study.
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Reporting Individual Results to Research Participants
Noting that IRBs historically have “actively discouraged the disclosure of research results to individual participants,” a recently published consensus report calls for a paradigm shift toward transparency and disclosure of findings to research subjects.
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NIH Reaches Out to Native Americans to Join All of Us Study
The National Institutes of Health is treading carefully and erring on the side of communication and inclusion in asking American Indian and Alaska Natives to participate in the All of Us precision research initiative.
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Meaningful Informed Consent Tells People What They Want to Know
Informed consent forms should provide information that a reasonable person would like to have and that would help an informed person make a decision on whether to participate in a study.
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Managing Conflicts of Interest Requires Time, Expertise
Research institutions could improve their conflicts of interest management by devoting staff or departmental resources to the issue.
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Recent Controversy About Conflicts of Interest Highlights Need for Strong Policies
In the wake of recent controversy, some institutions are revisiting their own conflict of interest policies and practices.
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Not All Round Rashes Are Ringworm: A Differential Diagnosis of Annular and Nummular Lesions
Although rashes are not usually an emergency, it is common for emergency physicians to see patients come in with a rash. Sometimes the rash is new onset, and sometimes it has been present for a while and refractory to treatment.
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Telemedicine Improves Outcomes in Heart Failure
In patients with chronic heart failure, adding a remote patient management program to usual care was associated with improvement in unplanned cardiovascular hospitalization or death.
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Total Arterial Revascularization: Where Is It?
The results of a long-term follow-up study of matched pairs of patients undergoing surgical coronary artery revascularization showed that total arterial graft usage significantly reduced all-cause mortality vs. left internal mammary artery plus saphenous vein grafts.