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Advancing High-Value Health Care: A New AJM Column Dedicated to Cost-Conscious Care Quality Improvement

Despite the very high cost of health care in the US, expenditure continues to rise. According to the Centers for Medicare & Medicaid Services, health care expenditures for 2016 are projected to be $3.4 trillion, and the percentage of the gross domestic product spent on health care will increase from 17.4% in 2013 to 19.6% […]

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Incorporating Formal Nutrition Education into a Medical School Curriculum

Since the 1985 report titled “Nutrition Education in U.S. Medical Schools,” The National Research Council has recommended at least 25 to 30 hours of nutrition education in graduate medical education.1 However, a 2013 survey of 133 US medical schools found that 71% of programs continue to fall short in providing the minimum recommended 25 hours of […]

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Joint Hypermobility Syndrome: Recognizing a Commonly Overlooked Cause of Chronic Pain

Joint hypermobility syndrome, also known as benign hypermobility syndrome, is a connective tissue disease characterized by joint instability, chronic pain, and minor skin changes. It shares many clinical features of Ehlers-Danlos syndrome, Hypermobility Type; enough so that many authorities consider them as one disease process. Approximately 3% of the general population is believed to have […]

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Dr. Joseph S. Alpert

Can a Toothpaste Reduce Heart Attacks and Strokes?

My father was a busy and successful dentist in New Haven, Connecticut. One of my earliest memories is of sitting in one of his dental chairs and having my teeth inspected and cleaned. Many years later when I was about to start medical school, my father told me that in his practice, patients with poor […]

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Immunotherapy in Squamous Cell Skin Carcinoma: A Game Changer?

  A 74-year-old white male was diagnosed with squamous cell carcinoma in 2013. Six months after Mohs surgery, he underwent a left superficial parotidectomy, left neck dissection, and excision of the left postauricular lymph node after confirmation of lymphatic spread. Pathology from the left parietal scalp lesion revealed multifocal invasive squamous cell carcinoma. Extranodal tumor […]

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