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Impact of Geriatrician-Performed Comprehensive Geriatric Care on Medication Use and Cognitive Function in Older Adults Referred to a Non-Hospital-Based Rehabilitation Unit

Eighty-eight percent of older adults referred to Danish non-hospital-based rehabilitation units used ≥5 regular drugs per day at the beginning of rehabilitation. The aim of the study was to explore whether geriatrician-performed comprehensive geriatric care had an impact on medication use and cognitive function in older adults after a 90-day follow-up. Methods There were 368 […]

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Medical Principles in Obstetrical Consults

The ideal pregnancy should be medically uncomplicated. In contrast, maternal mortality in the United States equates to approximately 3 deaths per day and averages approximately 1 in 4000 live births (a total of 1063 deaths in 2015).1 Moreover, the annual number of maternal deaths has nearly doubled in the last 25 years for the United States, […]

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Nurse Practitioners & Physicians as Effective as Physicians in Early Diabetes Care (video)

Who should care for patients in the first five years of a diabetes diagnosis? New research in the American Journal of Medicine reveals that nurse practitioners, physician assistants and doctors are comparable in their management of diabetes during the first five years. You can read “Nurse Practitioners, Physician Assistants, and “Physicians Are Comparable in Managing […]

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nurse showing an elderly woman something on a tablet in office

Trends in 30-Day Readmission Rates for Medicare and Non-Medicare Patients in the Era of the Affordable Care Act

Temporal changes in the readmission rates for patient groups and conditions that were not directly under the purview of the Hospital Readmissions Reduction Program (HRRP) can help assess whether efforts to lower readmissions extended beyond targeted patients and conditions. Methods Using the Nationwide Readmissions Database (2010-2015), we assessed trends in all-cause readmission rates for 1 […]

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‘A Man Walks Into a Bar’: Riddles in the Teaching of Medicine

For some years now, one of us (AV) has enjoyed posing this riddle on teaching rounds with residents.1, 2 A man walks into a bar and makes a wager: He will keep his head submerged in a bucket of water for as long as the patrons wish. If he succeeds, the patrons must each buy him […]

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William H. Frishman, M.D.

House Calls

When I was a medical student, 50 years ago, physicians, especially pediatricians, internists, and family physicians, were still making house calls as part of their provision of care for their patients.1 The symbol of the practicing physician at that time was the “black bag,” which contained diagnostic tools like the stethoscope, ophthalmoscope, tuning fork, reflex hammer, […]

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