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Uncategorized Published - 17 October, 2016    By - Dr Clemens
Pill Mill Doctor to Serve Jail Time

A West Virginia physician has been sentenced to a year and a day in jail after pleading guilty to seven felonies for illegal distribution of oxycodone. West Virginia has one of the highest rates of drug overdose deaths in the country, with 627 deaths in 2014, according to the Centers for Disease Control and Prevention. […]

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Uncategorized Published - 17 October, 2016    By - Dr Clemens
Trauma Care and Outcomes for Urban and Rural Patients

Authors: Newgard CD et al., JAMA Surg 2016 Oct 12; Patients injured in rural settings were less likely to be cared for in a trauma center than those injured in urban settings, yet mortality didn’t differ between groups. Several studies have shown worse outcomes for patients with injuries that occur in rural versus urban settings, and have […]

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Uncategorized Published - 17 October, 2016    By - Dr Clemens
Spinal Cord Stimulation for Treatment of Neuropathic Pain Associated With Erythromelalgia

Regional Anesthesia & Pain Medicine: September/October 2016 – Volume 41 – Issue 5 – p 619–620 Authors: Matzke, Laura L. MD et al Objective: Erythromelalgia is a rare disorder associated with neuropathic pain that commonly affects the lower extremities. This pain is often refractory to multimodal treatment. Both pharmacologic management and interventional anesthetic blocks have […]

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Uncategorized Published - 17 October, 2016    By - Dr Clemens
Updated Blood Transfusion Guidelines Back a Conservative Approach

Updated guidelines from the AABB (formerly, American Association of Blood Banks), published in JAMA, recommend a conservative strategy for blood transfusion. The recommendations, an update from the group’s 2012 guidance, are based on an analysis of 31 randomized trials comparing a restrictive strategy (triggered by a hemoglobin concentration 7–8 g/dL) with a liberal strategy (9–10 g/dL). […]

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Uncategorized Published - 17 October, 2016    By - Dr Clemens
Current Use of Prescribed NSAIDs Is Associated with Elevated Risk for Heart Failure

Arfè A et al., BMJ 2016 Sep 28; 354:i4857 Level of risk varied among nonsteroidal anti-inflammatory drugs. Nonsteroidal anti-inflammatory drugs (NSAIDs) are associated with excess risk for heart failure (HF). In this study, researchers used healthcare databases in four European countries to evaluate the association between NSAID use and hospital admission for HF. Among 7.7 million adults […]

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