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Mistreatment of nursing home residents by staff is a well-known phenomenon, and policies and initiatives have been developed to detect, prevent, and prosecute such abuse. In an observational study, mistreatment committed by other residents, including threats and physical, verbal, and sexual actions, was determined and compared with that committed by staff.
This study tested the idea that nurse practitioners and physician assistants might provide relatively lower-value care than physicians in the primary care setting. The study was limited to patients with upper respiratory infections, back pain, and headache; outcome measures included the use of guideline-discordant antibiotics, radiography, computed tomography or magnetic resonance imaging, and referrals to other physicians.
Unintentional overdose involving opioid analgesics is a leading cause of death in the United States. This study evaluates the feasibility and impact of prescribing naloxone prescription to patients receiving opioids for chronic pain in 6 safety net primary care clinics in San Francisco.
This review contributes new information on use of the Wells rule with D-dimer testing to make decisions about imaging in patients with suspected pulmonary embolism.
The Total Worker Health program was created in 2011 to focus attention on integrated approaches to worker health and safety. This review evaluates evidence about the benefits of integrated health programs for workers.
New designs for precision medicine in oncology clinical trials are being developed to utilize our greater understanding of the molecular heterogeneity of human cancer types. The author describes some of the newer trial designs, cites examples of such trials, and presents detailed schematics to highlight their important features.
This position paper from the National Institutes of Health Pathways to Prevention program highlights 8 recommendations critical for advancing the science of integrated interventions to improve the total health of workers.
Highlighting recent findings of a National Academies of Sciences, Engineering, and Medicine report, this commentary addresses the feasibility of eliminating hepatitis B and C viruses in the United States.
Concerns have been raised over possible expansion of the Zika virus epidemic by infected travelers returning from the 2016 Olympics in Brazil. A modeling study was performed to assess this risk, and the authors present its findings.
Lachs and colleagues examined the prevalence and correlates of resident-to-resident elder mistreatment. The editorialist discusses the study results and calls for strategies to better prevent, screen for, monitor, and manage elder abuse in nursing homes.
Mafi and colleagues examined the role of nurse practitioners and physician assistants in the delivery of high-quality, cost-effective primary care. The editorialist discusses the findings and believes that questions remain on how to ensure ready availability of the deep clinical competencies required for diagnosis and management of medically complex patients.
Coffin and colleagues evaluated the implementation of overdose education and naloxone rescue kit prescriptions among patients in safety net community health centers treated with opioid therapy for chronic pain. The editorialists describe why this study is a critical step forward in integrating interventions to reduce opioid overdose in primary care settings.
Two articles present perspectives on the current science of the effectiveness of Total Worker Health interventions—employer-based interventions to promote health; disease management; control costs; and maintain a healthy, productive workforce. The editorialist discusses potential advantages and disadvantages.
This editorial discusses the National Institute for Occupational Safety and Health response to the National Institutes of Health Pathways to Prevention workshop, “Total Worker Health—What's Work Got to Do With It?”
The Consult Guys bring a new perspective to the art and science of medicine with lively discussion and analysis of real-world cases and situations.