Annals of internal medicine
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Meta Analysis
Marijuana Use, Respiratory Symptoms, and Pulmonary Function: A Systematic Review and Meta-analysis.
The health effects of smoking marijuana are not well-understood. ⋯ None. (PROSPERO: CRD42017059224).
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Comparative Study
Percutaneous Ablation Versus Partial and Radical Nephrectomy for T1a Renal Cancer: A Population-Based Analysis.
Stage T1a renal cell carcinoma (RCC) (tumors <4 cm) is usually curable. Nephron-sparing partial nephrectomy (PN) has replaced radical nephrectomy (RN) as the standard of care for these tumors. Radical nephrectomy remains the first alternative treatment option, whereas percutaneous ablation (PA), a newer, nonsurgical treatment, is recommended less strongly because of the relative paucity of comparative PA data. ⋯ Association of University Radiologists GE Radiology Research Academic Fellowship and Society of Interventional Radiology Foundation.
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Letter Case Reports
Genomic Analysis to Avoid Misdiagnosis of Adults With Bilateral Renal Cysts.
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Viral suppression is a primary marker of HIV treatment success. Persons with HIV are at increased risk for AIDS-defining cancer (ADC) and several types of non-AIDS-defining cancer (NADC), some of which are caused by oncogenic viruses. ⋯ National Cancer Institute and National Institute on Alcohol Abuse and Alcoholism of the National Institutes of Health.
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In the United States, nearly half of undocumented immigrants with end-stage kidney disease receive hemodialysis only when they are evaluated in an emergency department and are found to have life-threatening renal failure ("emergency-only hemodialysis" [EOHD]). These patients experience psychosocial distress and much higher mortality than patients receiving regularly scheduled hemodialysis, but little is known about how providing EOHD affects the clinicians involved. ⋯ Robert Wood Johnson Foundation and Doris Duke Charitable Foundation.