Ossification versus innovation in family medicine training: a call to action.
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Biomedical subjects
Publications and source records attributed to Warren Newton.
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This study provides excellent evidence that a 6-item screening tool based on orientation to date and a 3-item short-term recall is sensitive for dementia. Clinicians should consider using this simple screen in an outpatient setting, keeping in mind that the final diagnosis of dementia is a clinical judgment after full assessment and that this screen was not intended for use in following patients over time. Caution also should be exercised in extending these results to patients in the hospital, who were not included in this trial.
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Patients with late-onset idiopathic scoliosis have only a modest increase in health problems compared with patients without scoliosis. Clinicians should keep this in mind when providing health education and offer reassurance and watchful waiting to patients with small curves at skeletal maturity. More broadly, whether to screen for scoliosis depends on the performance of the screening test as well as evidence of whether treatment alters the natural history of scoliosis. The US Preventive Services Task Force has concluded that there is insufficient evidence to recommend routine screening.
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This study provides good evidence that continuous use of combination oral contraceptives for 1 year decreases bleeding without clinically important changes in blood pressure, weight, or hemoglobin when compared with cyclic users. Clinicians should consider offering this option to their patients, while continuing to look for evidence that addresses long-term sequelae, as well as patients of color or those with less than a college education.
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