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Exploring role of elective lymph node dissection in managing high-risk CSCC
The jury is still out on whether patients with high-risk cutaneous squamous cell carcinoma (CSCC) whose lymph nodes are clinically node-negative (N0) may benefit from elective neck dissection (END), according to Jonathan L. Cook, M.D., associate professor of medicine and director of dermatologic surgery, Duke University Medical Center, Durham, N.C. END, a diagnostic staging procedure, allows microscopic detection of subclinical nodal metastases.
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Metabolic syndrome guidelines center on lifestyle modifications
Critical to management of metabolic syndrome, or the clustering of cardiovascular risk factors in an individual, is the assessment of lifestyle risk factors, such as abdominal obesity, physical inactivity, and atherogenic diet. The recommendations from the American Heart Association/National Heart, Lung and Blood Institute encourage physicians to.
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Testosterone and the prostate: Is there really a problem?
True or false? Higher testosterone levels increase the risk of prostate cancer. Although long believed to be true, a growing body of evidence to the contrary is shattering this long-standing dogma—and, the author argues, should change the way urologists manage hypogonadism in the aging male.
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Update on fever in the returning traveler
Returning travelers who are febrile require an urgent diagnostic workup and appropriate consultation even if signs on the physical exam are unremarkable. Here's how you should proceed.
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Formularies under Medicare Part D
Lawmakers crafting the Medicare Modernization Act (MMA) intentionally created incentives favoring the use of formularies based on the premise that competition among manufacturers would lower program cost. CMS subsequently issued regulations about formularies and cost-sharing strategies that would balance the needs of persons with Medicare against the cost-control measures typically imposed by PBMs.
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Medicare's drug coverage: Get ready for questions
By educating yourself, you can help answer your patients' questions—and there are bound to be lots of them.
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Teaching residents pays off for us
Doctors tend to shy away from resident education, thinking it takes too much time and money. In this FP's experience, it can actually save you both.
There are common reasons why physicians are reluctant to participate in resident education. But teaching residents doesn't have to be a drain. If done effectively, it can lead to increased productivity, a fatter bottom line, and improved quality of life. And best of all, it can boost your job satisfaction.
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