Rising educational debt may discourage entry into primary care and practice in safety net settings, but little is known about participation in loan repayment programs that are thought to be part of the solution. A survey of 2052 recent family physician residency graduates found that 30% pursued loan repayment, only a portion of which is tied to service obligations, suggesting opportunities for research and areas for the attention of policymakers.
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| http://dx.doi.org/10.3122/jabfm.2018.04.180002 | DOI Listing |
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Stochastic simulation modeling of the economics of providing additional living space for housed dairy cows.
Front Vet Sci
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School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington, Leicestershire, United Kingdom.
The housed environment for dairy cattle is of critical importance to their health, wellbeing, and productivity. Lack of space is an important factor for housing quality assessment due to links with increased likelihood of disease. A recently published randomized controlled trial identified that greater living space provision increased lying time, milk volume production, and also increased time to conception.
View Article and Find Full Text PDFLearning Curves for Robotic-Assisted Ventral Hernia Repair.
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Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor.
Importance: Although the use of robotic-assisted ventral hernia repairs has increased significantly over the last decade, the experience surgeons need to achieve comparable outcomes with more established laparoscopic and open approaches has not been well characterized.
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Leveraging Health Policy Solutions to Address Obesity in Rural America.
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DSP Health, Granville, OH, USA.
Rural America faces an alarming obesity crisis, with residents experiencing significantly higher rates of obesity due to socioeconomic disparities, limited access to healthcare, and structural challenges such as food deserts and insufficient healthcare infrastructure. This perspective addresses these pressing issues by proposing targeted, evidence-based interventions to reduce obesity in rural communities. Our recommendations include (1) increasing the number of multidisciplinary healthcare professionals in rural areas through initiatives such as the Rural Medical Scholars Program, the Rural Community Loan Repayment Program, and the Conrad 30 Waiver Program; (2) expanding coverage for essential obesity services via H.
View Article and Find Full Text PDFLong-Term Outcomes of Component Separation for Abdominal Wall Hernia Repair.
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Department of Surgery, University of Michigan, Ann Arbor.
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The introduction of tumor necrosis factor inhibitors has led to a paradigm shift in the management of inflammatory bowel disease (IBD). The subsequent introduction of both anti-integrins and cytokine blockers has since expanded the biologic armamentarium. However, immunogenicity, defined as the production of anti-drug antibodies (ADAs) to the prescribed biopharmaceutical, means a significant fraction of patients exposed to biologic agents will experience a secondary loss of response to one or more of the drugs.
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