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Medical End-of-Life Practices in Switzerland

In Switzerland in 2013, more than 4 of 5 non-sudden deaths, corresponding to 58.7% of all deaths, were preceded by at least 1 specific end-of-life practice in 2013 compared with 52.0% in 2001. Similar increases in medical end-of-life practices were reported in the Netherlands, from 43.8% in 2001 to 57.8% in 2010, and in Belgium, from 38.4% in 2001 to 47.8% in 2013 http://ja.ma/24pjhvO
This study assesses the trends in physician-assisted suicide and other medical end-of-life practices in Switzerland.
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News and Internet Searches About HIV After Charlie Sheen's Disclosure

Sheen’s disclosure also corresponded with the greatest number of HIV-related Google searches ever recorded in the United States. About 2.75 million more searches than expected included the term HIV, and 1.25 million searches were directly relevant to public health outcomes because they included search terms for condoms, HIV symptoms, or HIV testing. http://ja.ma/1TuNYvZ
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Fasting for #cholesterol and lipid testing. Is it necessary?
This review assesses the relative merits of using nonfasting blood draws for routine lipid testing.
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Editor's Note: Use of PSA Testing Is in the Eye of the Beholder

The vast majority of PSA testing is still performed by primary care physicians, but there seems to be a continued perception, more firmly held by urologists than by primary care physicians, that the screening is beneficial. http://ja.ma/1K0KBKg
The use of prostate-specific antigen (PSA) screening for prostate cancer is controversial. Various organizations have released conflicting messages regarding the use of the PSA screening test. In 2012, the US Preventive Services Task Force recommended against routine PSA screening, citing a lack of evidence regarding its benefits and known harms ...
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Effect of Detecting and Isolating Clostridium difficile Carriers http://ja.ma/1YLcmZg
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Catheterization and Percutaneous Coronary Intervention in China

The use of catheterization and PCI in China has increased substantially from 2001 to 2011. However, changes in procedural volume have not been matched by the development of systems to ensure that the care delivered to these patients is evidence-based, safe, and efficient. http://ja.ma/1R7FRp1
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The Adequacy of Individual Hospital Data to Identify High Utilizers http://ja.ma/1MNhknO
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Deep T-Wave Inversions After Pacemaker Adjustment http://ja.ma/1MNhb3w
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Improving Hospital Care Efficiency

During the first year of the project, we achieved a 20% reduction in the total number of laboratory tests performed, resulting in a savings of $250 000. In addition, the laboratory turnaround time from sample receipt to results dispatch was reduced. http://ja.ma/1KKDJLI
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Active Surveillance and Isolation of Asymptomatic Carriers of C. Difficile http://archinte.jamanetwork.com/article.aspx?doi=10.1001/jamainternmed.2016.1118
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Syncope and the Risk of a Subsequent Motor Vehicle Crash http://archinte.jamanetwork.com/article.aspx?doi=10.1001/jamainternmed.2015.8617
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Most Read Online: Cumulative Use of Strong Anticholinergics and Incident Dementia
A Cohort Study http://ja.ma/1YSbfqL
This prospective population-based cohort study reports an increased risk for dementia with increased total standard daily doses of anticholinergics. See the Invited Commentary by Campbell and Boustani.
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Shahrukh Hussain's profile photo
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Introduction
JAMA Internal Medicine is an international, peer-reviewed journal published weekly online and monthly in print.