Tips for cancer

In Reply We appreciate the letters from Kawji and Chang et al regarding our report of migrating localized ST-segment elevation in the setting of acute pericarditis. In response to Kawji’s comments, we agree that the ST-segment dynamic change in this case was fast. This was seen on the repeated electrocardiogram (ECG) in the emergency department (Figure, B), obtained 25 minutes after the first ECG by emergency medical services (Figure, A). It continued to evolve with migrating ST-segment elevation in localization as seen on the third ECG (Figure, C) obtained 88 minutes after the first ECG, and was followed by diffuse ST-segment elevation in all the leads except aVR and V1. The lack of coronary obstruction on coronary angiogram in the setting of ongoing chest pain along with other findings, including normal ventricular wall motion, normal cardiac troponin level, trivial pericardial effusion on transthoracic echocardiography, and significantly elevated C-reactive protein levels, establish...

This cluster randomized clinical trial evaluates the effect of a personalized multilevel intervention on screening orders in older adults due for average-risk colorectal cancer (CRC) screening. from JAMA Internal Medicine Online First https://ift.tt/SOT4mzs

This cluster randomized clinical trial assesses whether implementation of the Massachusetts model of nurse care management for opioid use disorder in primary care increases opioid use disorder treatment with buprenorphine or extended-release injectable naltrexone and secondarily decreases acute care utilization. from JAMA Internal Medicine Online First https://ift.tt/n5HcpZ0

This longitudinal cohort study measures changes in physician use of electronic health records and electronic messaging given the telemedicine expansion catalyzed by the COVID-19 pandemic. from JAMA Internal Medicine Online First https://ift.tt/dw6DaLn