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Primary Care/Hospitalist

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  • Vitamin E is Not the Panacea for This Ill

    In a large randomized trial of healthy men, dietary supplementation with vitamin E (400 IU/day) significantly increased the risk of prostate cancer.
  • Vitamins and Supplements: Ingest at Your Own Risk

    In a large community-based cohort of older women, those who self-reported use of multivitamins, vitamin B6, folate, iron, magnesium, zinc, and copper were more likely to die than those who do not. Calcium use, however, was associated with reduced risk.
  • Hostility and the Risk of Ischemic Heart Disease

    The presence of any observed hostility at baseline was associated with a two-fold increased risk of incident ischemic heart disease over a 10-year period of observation.
  • A Wide Tachycardia of Uncertain Cause

    The lead II rhythm strip shown above was obtained from a woman with new-onset palpitations. How would you interpret this tracing? How certain are you of your answer? Clinically what would you do?
  • Clinical Briefs By Louis Kuritzky, MD

    The decode data (diabetes epidemiology Collaborative Analysis of Diagnostic Criteria in Europe) indicated that all-cause mortality, as well as cardiovascular (CV) events, were better predicted by postprandial glucose (PPG) than fasting blood glucose (FPG).
  • Don't want a $1 million fine? Pay attention to regulated drugs

    [Editor's note: In this issue of Same-Day Surgery, we put a special focus on compliance with regulated drugs. We've talked with some of the top pharmacy consultants in the country to find out foolproof systems for avoiding diversion and theft. These stories will help you decide where to focus your time and energy, while avoiding liability.]
  • Is your patient dealing with high out-of-pocket?

    More often, outpatient surgery staff members find themselves in the unenviable position of telling patients about out-of-pocket responsibilities running into the thousands of dollars.
  • Quarter of providers report breach in past year

    About one-quarter of healthcare respondents reported that their organization has experienced a security breach in the past year, according to survey results from the Healthcare Information Management and Systems Society (HIMSS) in Chicago.
  • Guest Column: Substance diversion can and will happen

    Controlled substance diversion is one of those things that every administrator thinks "could never happen to me. I don't have any thieves or drug abusers working here." In my 20 years of being a pharmacist consultant for surgery centers, I've heard that more times than I can count.
  • SDS Accreditation Update: Compliance issue: clinical privileges

    One of the accreditation standards causing the most headaches for ambulatory organizations is the one on credentialing. In fact, statistics gathered by The Joint Commission indicated that for the first half of 2011, 48% of ambulatory organizations and 56% of office-based facilities were noncompliant with standard HR 02.01.03: The organization grants initial, renewed, or revised clinical privileges to individuals who are permitted by law and the organization to practice independently.