News

In cooperation with Reuters News and Reuters Health, we are proud to provide you with our continuously updated news feed. We select news that applies to physicians in all the major clinical specialties, as well as on finance, science, technology, and other areas.



It really is hard to sleep in the ER

By Lisa Rapaport (Reuters Health) - Patients who spend the night in the emergency room may get much less rest than patients who sleep in beds in hospital rooms, a small study suggests. For the study,

Mint, menthol e-cigarette liquids high in cancer-causing compound -study

By Linda Carroll (Reuters Health) - A cancer-causing compound banned by U.S. regulators last year as a food additive has been found at potentially dangerous levels in mint and menthol flavored

U.S. CDC activates emergency operations center for vaping-related illnesses

By Reuters Staff (Reuters) - The U.S. Centers for Disease Control and Prevention (CDC) said on Monday it has activated its emergency operations center to coordinate the investigation into hundreds of

1 in 16 US women forced or coerced into first-time sex

By Lisa Rapaport (Reuters Health) - Many American women are physically forced or coerced into having sex for the first time, and a new study suggests these women have a higher risk for developing

Race, income may impact U.S. oral cancer screening rates

By Vishwadha Chander (Reuters Health) - Only about 1 in 3 U.S. adults say a dentist has ever examined them for oral cancer - and most of those who remember getting such exams are non-Hispanic whites,

Older patients don't see diabetes recommendations same way doctors do

By Lisa Rapaport (Reuters Health) - Doctors' advice for starting or stopping diabetes medicines often doesn't resonate with older patients, a new study suggests. When deciding how much medicine

Aspirin likely beneficial for primary CVD prevention in some adults, researchers say

By Megan Brooks NEW YORK (Reuters Health) - The benefit of aspirin therapy may outweigh the bleeding risk for some adults who do not have heart disease, and these individuals can be identified using a

New, invasive Strep A strain linked to scarlet fever surge in England

By Marilynn Larkin NEW YORK (Reuters Health) - A new Strep A strain that emerged during an "unprecedented" increase in scarlet fever in England in 2016 may be responsible for the country's increased

Coronary revascularization linked to survival in non-ST-segment elevation ACS

By Marilynn Larkin NEW YORK (Reuters Health) - Higher rates of coronary revascularization in patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS) are associated with lower

Left-handed genetic variants linked to brain connectivity, neuropsychiatric diseases

By Reuters Staff NEW YORK (Reuters Health) - Genetic variants associated with left-handedness influence brain connectivity and might be related to the pathogenesis of such neuropsychiatric diseases as

Estradiol vaginal insert provides early relief of postmenopausal vulvar and vaginal atrophy

By Will Boggs MD NEW YORK (Reuters Health) - A new 17beta-estradiol softgel vaginal insert relieves postmenopausal vulvar and vaginal atrophy (VVA) in as little as two weeks, according to findings

Supercooling might extend preservation time of human livers for transplant

By Will Boggs MD NEW YORK (Reuters Health) - Supercooling of human livers might extend their preservation time beyond 24 hours, researchers report. "To me, the most interesting result is that we were

Men with BRCA mutations at increased risk of prostate cancer, study confirms

By Reuters Staff NEW YORK (Reuters Health) - Males who carry BRCA1 or BRCA2 mutations are at increased risk of prostate cancer (PC), a new prospective study confirms. BRCA1/2 mutations have been

Consider transferring pancreatic-necrosis patients if clinical expertise is limited: recommendations

By Will Boggs MD NEW YORK (Reuters Health) - A clinical-practice update from the American Gastroenterological Association provides 15 "best practices" for the management of pancreatic necrosis. "

FEATURE-Kathmandu battles new threat as temperatures rise: dengue fever

By Aadesh Subedi KATHMANDU (Thomson Reuters Foundation) - For Prabina Maharjan, it started with a headache, which then turned into fever and body pain. When she finally turned up at the Sukraraj

FEATURE-Armed with tech tools, Colombian cities combat mosquito-borne diseases

By Anastasia Moloney BOGOTA (Thomson Reuters Foundation) - Armed with a mobile app, Glenis Barragan has been knocking from door to door in the poor neighbourhoods of Colombia's northern city of Cucuta

OxyContin maker Purdue Pharma files for bankruptcy protection

By Mike Spector NEW YORK (Reuters) - OxyContin maker Purdue Pharma LP filed for bankruptcy protection Sunday night, succumbing to pressure from more than 2,600 lawsuits alleging the company helped

AstraZeneca's Farxiga granted fast track status for heart failure treatment

By Reuters Staff (Reuters) - AstraZeneca Plc said on Monday the U.S. Food and Drug Administration (FDA) had granted Fast Track designation for the development of its diabetes drug Farxiga (

Tanzania's Zanzibar begins to register traditional healers

By Nicky Woo ZANZIBAR CITY, Tanzania (Reuters) - Zanzibar's traditional healers with their toolkits of herbs, holy scriptures and massages are being registered by authorities keen to regulate the

New York to ban flavored e-cigarettes after illnesses, deaths

By Reuters Staff NEW YORK (Reuters) - New York Governor Andrew Cuomo on Sunday announced a ban on all flavored e-cigarettes besides tobacco and menthol in response to a recent nationwide spate of

Three dead, hundreds ill in Spain listeria outbreak - WHO

By Reuters Staff LONDON (Reuters) - Three people have died and at least 222 have been infected in Spain's largest ever outbreak of listeria, the World Health Organization (WHO) said on Monday. The

Virtual reality helps kids getting X-rays

By Carolyn Crist (Reuters Health) - A virtual reality program with cartoon characters may reduce children's fear before imaging procedures, a South Korean study suggests. Compared to verbal

EXPLAINER-One possible culprit in vaping lung illnesses: 'Dank Vapes'

By Chris Kirkham and Jeffrey Dastin (Reuters) - As U.S health officials scramble to identify the root cause of hundreds of severe lung illnesses tied to vaping, one possible culprit identified so far

First peanut allergy therapy gets backing from U.S. regulators' expert advisers

By Tamara Mathias and Saumya Joseph (Reuters) - A U.S. Food and Drug Administration advisory panel on Friday recommended approving the first therapy for peanut allergies, which affect over 1.6 million

UPDATE 3-U.S and European regulators reviewing safety of heartburn drugs like Zantac

(Adds details from interview with Valisure CEO) By Michael Erman Sept 13 (Reuters) - U.S. and European drug regulators said on Friday they are reviewing the safety of the widely taken heartburn drug

U.S and European regulators reviewing safety of heartburn drugs like Zantac

By Michael Erman (Reuters) - U.S. and European drug regulators said on Friday they are reviewing the safety of the widely taken heartburn drug ranitidine, commonly known by the brand name Zantac,

PTSD linked to increased risk of ovarian cancer

By Lisa Rapaport (Reuters Health) - Women who exhibit many classic symptoms of post-traumatic stress disorder (PTSD) may be much more likely to develop ovarian cancer than their counterparts who don't

Long-term pentosan polysulfate sodium use associated with vision-threatening maculopathy

By Marilynn Larkin NEW YORK (Reuters Health) - Long-term use of the interstitial cystitis drug pentosan polysulfate sodium (PPS) is associated with a vision-threatening pigmentary maculopathy, a case

Novel replacement device brings relief in severe mitral annular calcification

By Marilynn Larkin NEW YORK (Reuters Health) - A novel transcatheter mitral valve replacement (TMVR) system improved mitral regurgitation (MR) and symptoms in patients with severe mitral annular

UPDATE 2-U.S and European regulators reviewing safety of heartburn drugs like Zantac

(Adds Sanofi statement, paragraph 5) By Michael Erman Sept 13 (Reuters) - U.S. and European drug regulators said on Friday they are reviewing the safety of the widely taken heartburn drug ranitidine,

More evidence links dog ownership to better heart health

By Saumya Joseph (Reuters Health) - No one can say if it's the walks or the unconditional love, but there's something about owning a dog that goes hand in hand with better heart health, suggests a

Blonanserin patch improves symptoms in acute schizophrenia

By Scott Baltic NEW YORK (Reuters Health) - Use of a transdermal patch to administer the second-generation anti-psychotic blonanserin improves both positive and negative symptoms of acute

UPDATE 1-U.S and European regulators reviewing safety of heartburn drugs like Zantac

(Adds details throughout; changes story title) By Michael Erman Sept 13 (Reuters) - U.S. and European drug regulators said on Friday they are reviewing the safety of the widely taken heartburn drug

CORRECTED-U.S. FDA flags probable cancer-causing impurity in common heartburn drugs

(Corrects first paragraph to remove mention of Sanofi as FDA did not disclose which versions of drug contain the impurity) Sept 13 (Reuters) - The U.S. Food and Drug Administration said on Friday that

Adrenal vein sampling underused in primary aldosteronism

By Will Boggs MD NEW YORK (Reuters Health) - Adrenal vein sampling (AVS) is associated with significant clinical benefits in patients with primary aldosteronism, but its use is suboptimal, according

Sepsis-alert system in the ED may cut racial disparity in pediatric sepsis recognition

By Will Boggs MD NEW YORK (Reuters Health) - A pediatric emergency department (ED) electronic sepsis alert system may reduce racial disparities in sepsis recognition, new findings hint. In adult

E-scooter injuries rising, often involve drugs or alcohol

By Carolyn Crist (Reuters Health) - As the popularity of electric scooters increases, so do injuries sending users to the hospital, a U.S. study suggests. Those injured riders are most often young men

Gaps in cancer patients' understanding of genomic testing

By Megan Brooks NEW YORK (Reuters Health) - Most cancer patients who participate in biomarker-driven clinical trials don't understand the genomic test results they get, according to a pilot study

Opioid prescribing after surgery much more common in U.S., Canada

By Will Boggs MD NEW YORK (Reuters Health) - Opioid prescribing after surgery is much more common in the United States and Canada than in Sweden, researchers report. "The most surprising result of

U.S. FDA flags probable cancer-causing impurity in common heartburn drugs

By Reuters Staff (Reuters) - The U.S. Food and Drug Administration said on Friday that some medicines containing ranitidine, including Sanofi SA's Zantac, had traces of a probable cancer-causing

U.S. FDA flags probable cancer-causing impurity in common heartburn drugs

Sept 13 (Reuters) - The U.S. Food and Drug Administration said on Friday that some medicines containing ranitidine, including Sanofi SA's Zantac, had traces of a probable cancer-causing impurity

EXCLUSIVE-While battling opioid crisis, U.S. government weighed using fentanyl for executions

By Jonathan Allen NEW YORK (Reuters) - The U.S. Department of Justice examined using fentanyl in lethal injections as it prepared last year to resume executing condemned prisoners, a then untested use

Biogen scraps two late-stage Alzheimer's trials

By Reuters Staff (Reuters) - Biogen Inc and partner Eisai Co Ltd said on Friday they would abandon two late-stage trials testing experimental Alzheimer's treatment elenbecestat, months after scrapping

Mirikizumab appears effective in moderate to severe ulcerative colitis

By Reuters Staff NEW YORK (Reuters Health) - Mirikizumab may be effective for inducing clinical remission and response and endoscopic improvement in patients with ulcerative colitis (UC), according to

Indonesia to raise cigarette prices by more than a third at start of 2020

By Reuters Staff JAKARTA (Reuters) - Indonesia will raise the minimum price of cigarettes by more than a third from January next year, a finance ministry spokesman said on Friday, as part of the

Kenya becomes 3rd African nation to introduce world's first malaria vaccine

By Reuters Staff NAIROBI (Reuters) - Kenya on Friday added the world's first malaria vaccine to the routine immunization schedule for children under two, becoming the third country in Africa to roll

U.S. cuts vaping-related illness total under refined case definition

By Julie Steenhuysen CHICAGO (Reuters) - U.S. health officials on Thursday cut the number of lung illnesses linked to e-cigarettes and vaping products under investigation to 380 as states began

Suicide rates highest and rising fastest in U.S. rural communities

By Lisa Rapaport (Reuters Health) - Suicide rates are rising across the U.S., especially in rural communities and places with high poverty and a proliferation of gun shops, a new analysis suggests.

Alcohol taxes not close to covering cost of drinking harms in the U.S.

By Linda Carroll (Reuters Health) - The sum total of taxes on alcohol doesn't come close to paying the bills associated with excessive alcohol consumption in the U.S., researchers say. The total

Reuters asks judge to release secret Propecia documents

By Dan Levine SAN FRANCISCO (Reuters) - Reuters asked a U.S. judge on Thursday to unseal documents filed in court regarding potential risks associated with Propecia (finasteride), Merck & Co's popular

US FDA has resources available for gastroenterologists

By Marilynn Larkin NEW YORK (Reuters Health) - Resources from the FDA are available online and gastroenterologists should take advantage of them, according to correspondence in the American Journal of

New initiative improves ED management of diabetic ketoacidosis in kids

By Megan Brooks NEW YORK (Reuters Health) - A quality-improvement initiative has led to faster determination of diabetic ketoacidosis (DKA) in children and fewer unnecessary intravenous placements in

Injured soccer players risk re-injury with too few practices before matches

By Lisa Rapaport (Reuters Health) - Injured soccer players with few practices before they return to competition are more likely to get hurt than those who get in additional training sessions, a recent

Behavior modification program can improve incontinence

By Lisa Rapaport (Reuters Health) – Women with urinary or bowel incontinence who participate in behavior modification programs may experience less severe symptoms and a better quality of life than

New drug reduces attacks of neuromyelitis optica spectrum disorder

By Will Boggs MD NEW YORK (Reuters Health) - The anti-CD19 antibody inebilizumab, an investigation drug, significantly reduces the frequency of attacks of neuromyelitis optica spectrum disorder (NMOSD

Cancer patients use crowdfunding for medical bills, expenses

By Carolyn Crist (Reuters Health) - Even cancer patients who seemingly have health insurance are seeking donations online to help with medical bills, travel, drug costs and sometimes living expenses

Smart-device ECGs show promise for ambulatory monitoring

By Will Boggs MD NEW YORK (Reuters Health) - Smart-device ECGs are likely to play an increasing role in the ambulatory monitoring of atrial fibrillation, QT interval, and other conditions, according

Long-term sublingual immunotherapy ups peanut-allergy reaction threshold

By Anne Harding NEW YORK (Reuters Health) - Long-term peanut sublingual immunotherapy (SLIT) produces "clinically meaningful" desensitization in most children with peanut allergy, according to new

Referrals for autism spectrum disorder lag behind screening

By Will Boggs MD NEW YORK (Reuters Health) - Rates of screening for autism spectrum disorder (ASD) are high in primary pediatric care, but only about a third of children who screen positive are

INTERVIEW-Follow the money to fight human trafficking, top Interpol director says

By Fabio Teixeira RIO DE JANEIRO (Thomson Reuters Foundation) - Countries and companies need to share financial data if they hope to stop human trafficking, connecting governments and companies that

TNF inhibitors do not up risk of serious infection in kids with IBD

By Will Boggs MD NEW YORK (Reuters Health) - The use of tumor necrosis factor (TNF)-alpha inhibitors is not associated with an increased risk of serious infection in children with inflammatory bowel

Australian state provides free tampons to students to tackle taboos

By Beh Lih Yi KUALA LUMPUR (Thomson Reuters Foundation) - Victoria has become the first Australian state to provide free sanitary products in schools, prompting calls from women's rights advocates on

Doctors seldom discuss sleep with their patients

By Scott Baltic NEW YORK (Reuters Health) - Only about a third of individuals appear to ever have discussed sleep with a physician or other healthcare provider, a proportion that has changed little if

Tocagen's brain cancer treatment fails late-stage study, shares slump

By Reuters Staff (Reuters) - Tocagen Inc said on Thursday its experimental treatment did not prove effective in extending life of brain cancer patients in a late-stage study, sending shares down 68%.

Israel's Healthy.io raises $60 mln, gets FDA ok for urine test

By Reuters Staff TEL AVIV (Reuters) - Israel's Healthy.io said on Thursday it raised $60 million in funding and received clearance from the U.S. Food and Drug Administration for its smartphone-based

Gay "chemsex" is fueling urban HIV epidemics, AIDS experts warn

By Kate Kelland LONDON (Reuters) - A surge in "chemsex" parties, where people spend days getting high on drugs and having sex with scores of partners, is re-fueling epidemics of HIV among gay men in

More evidence screening mammograms not needed for many older women

By Lisa Rapaport (Reuters Health) - Screening mammograms don't benefit women aged 75 and older with chronic health problems who are likely to die of causes other than breast cancer, a new study

Sleeping on back may not lead to worse pregnancy outcomes

By Lisa Rapaport (Reuters Health) - Although doctors often tell pregnant women it's safest to sleep on their left side, a new study suggests sleeping in other positions may not be a problem.

High blood pressure in U.S. pregnant women rose sharply over four decades

By Linda Carroll (Reuters Health) - The number of women diagnosed with high blood pressure when they become pregnant or during the first 20 weeks of pregnancy has risen sharply in the U.S. over the

Fish oil study fails to show reduction in premature babies

By Gene Emery (Reuters Health) - A large Australian study is debunking the idea that fish oil capsules can lower the odds of premature delivery or raise the chances of late-pregnancy complications.

Adding metformin to advanced lung cancer therapy may boost survival

By Marilynn Larkin NEW YORK (Reuters Health) - Adding metformin to standard epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitors (TKIs) therapy in patients with advanced lung cancer

UK's worst-case no-deal Brexit plan warns of food shortages, public disorder

By Paul Sandle LONDON (Reuters) - The British government's plans for a no-deal Brexit warn of severe disruption to cross-Channel routes, affecting the supply of medicines and certain types of fresh

UPDATE 4-Purdue Pharma reaches tentative opioid settlement -sources

(Adds comments from plaintiffs' lawyers, Tennessee attorney general) By Mike Spector and Jessica DiNapoli NEW YORK (Reuters) - OxyContin maker Purdue Pharma LP reached a tentative agreement with some

UPDATE 3-Purdue Pharma reaches tentative opioid settlement -sources

(Adds Purdue statement in paragraphs 15-16) By Mike Spector and Jessica DiNapoli NEW YORK (Reuters) - OxyContin maker Purdue Pharma LP reached a tentative agreement with some plaintiffs to resolve

UPDATE 2-Purdue Pharma reaches tentative opioid settlement -sources

(Adds comment from North Carolina attorney general in final two paragraphs) By Mike Spector and Jessica DiNapoli NEW YORK (Reuters) - OxyContin maker Purdue Pharma LP reached a tentative agreement

Canadian court ruling challenges parts of laws for physician-assisted suicide

By Reuters Staff MONTREAL (Reuters) - Two severely ill and handicapped Canadians can ask for immediate help in ending their lives, a court in the province of Quebec ruled on Wednesday, in a judgment

UPDATE 1-Trump administration announces plans to ban flavored e-cigarettes

(Adds details, quotes from White House meeting, PIX available) By Reuters Staff WASHINGTON (Reuters) - The Trump administration announced plans on Wednesday to remove all flavored e-cigarettes from

FACTBOX-Purdue OxyContin settlement would rank among largest in pharma history

By Reuters Staff (Reuters) - OxyContin maker Purdue Pharma LP is nearing a multibillion-dollar partial agreement aimed at settling thousands of lawsuits over its alleged role in the U.S. opioid crisis

UPDATE 1-Purdue Pharma reaches tentative opioid settlement -sources

(Updates with status of settlement negotiations, headline) By Mike Spector and Jessica DiNapoli NEW YORK (Reuters) - OxyContin maker Purdue Pharma LP reached a tentative agreement with some plaintiffs

Some disparities in U.S. hospital care may start in the ambulance

By Lisa Rapaport (Reuters Health) - Even when patients live in the same communities, and close to the same hospitals, there are small racial and ethnic differences in where they're taken by ambulance

High-tech mattresses not much better than foam at preventing pressure ulcers

By Reuters Staff NEW YORK (Reuters Health) - At best, high-tech alternating-pressure mattresses (APM) may offer "small but significant early benefit" in preventing pressure ulcers (PUs) compared with

Oral fluoroquinolones may raise risk of mitral and aortic regurgitation

By Megan Brooks NEW YORK (Reuters Health) - New research suggests that fluoroquinolone (FQ) antibiotics may raise the risk of aortic or mitral regurgitation. This underscores the importance of using

Trump administration announces plans to ban flavored e-cigarettes from market

By Reuters Staff WASHINGTON (Reuters) - U.S. President Donald Trump told reporters on Wednesday that the country has a problem with vaping, and his top health official said the Food and Drug

Ozanimod reduces multiple sclerosis relapses

By Anne Harding NEW YORK (Reuters Health) - In people with relapsing multiple sclerosis (MS), the oral drug ozanimod lowers the risk of relapse compared with interferon beta-1a, according to two new

Budesonide-formoterol inhaler p.r.o. reduces adult asthma exacerbations

By Will Boggs MD NEW YORK (Reuters Health) - As-needed use of a budesonide-formoterol inhaler is more effective than maintenance budesonide plus terbutaline reliever therapy for reducing severe

SGLT2 inhibitors reduce kidney-failure risk in type 2 diabetes

By Will Boggs MD NEW YORK (Reuters Health) - Using SGLT2 inhibitors significantly cuts the risk of kidney failure and acute kidney injury in patients with type 2 diabetes, according to a systematic

EXCLUSIVE-Purdue Pharma nears partial opioid settlement, bankruptcy filing -sources

By Mike Spector and Jessica DiNapoli NEW YORK (Reuters) - OxyContin maker Purdue Pharma LP is nearing a partial agreement to resolve widespread litigation over its alleged role in fueling the U.S.

Film director warns of backlash against U.S. gay conversion bans

By Michael Taylor KUALA LUMPUR (Thomson Reuters Foundation) - An American filmmaker, whose latest LGBT+ documentary looks at so-called gay "conversion therapy," has welcomed moves by U.S. states to

Multidisciplinary ED decision tool curbs strep testing in infants

By Marilynn Larkin NEW YORK (Reuters Health) - Multidisciplinary interventions reduced streptococcal testing by more than half in children under age three in an urban tertiary pediatric emergency

Singaporean robot-designing couple welcomes own human creation

By Travis Teo and Joseph Campbell SINGAPORE (Reuters) - Singaporean robot creator Wong Choon Yue raises his left hand and swipes it past a sensor in a high-five gesture. Halfway across the room, a

Staged strategy can avoid midurethral-sling procedure for many women with pelvic-organ prolapse

By Will Boggs MD NEW YORK (Reuters Health) - A staged strategy for women with pelvic-organ prolapse and stress-urinary incontinence can substantially reduce the need for midurethral sling (MUS)

CORRECTED-Hepatitis B core-related antigen levels linked to liver cancer risk

(Modifies para 13 to remove reference to Korea) By Marilynn Larkin NEW YORK (Reuters Health) - Hepatitis B core-related antigen (HBcrAg) levels are an independent risk factor for liver cancer in

SPECIAL REPORT-Court let Merck hide secrets about baldness drug's risks

By Dan Levine PARK CITY, Utah (Reuters) - By the time Kelly Pfaff got home from driving her son to school that morning, it was too late. Her husband, John, was supposed to be taking their 4-year-old

Humanitarian aid reduces shortages in Venezuela emergency rooms -NGO

By Reuters Staff CARACAS (Reuters) - Humanitarian aid has led to a small improvement in the availability of medical supplies in Venezuelan emergency rooms, although shortages continue to plague public

Dutch doctor acquitted in case of euthanasia of patient with dementia

By Stephanie van den Berg THE HAGUE (Reuters) - A Dutch doctor was acquitted on Wednesday of all charges for the euthanasia of an elderly patient who suffered from dementia. Judges at the Hague

From removing doors to checking sleeves, U.S. schools seek to snuff out vaping

By Gabriella Borter and Matthew Lavietes (Reuters) - Students caught vaping in school can expect a lot more than a warning or detention in one North Texas district starting this fall. They will be

U.S. EPA chief to reduce agency-funded animal testing

By Reuters Staff WASHINGTON, Sept 10 (Reuters) - U.S. Environmental Protection Agency Administrator Andrew Wheeler said Tuesday he was signing a memo to reduce agency-funded animal testing, vowing to

Xeris Pharma's low blood sugar treatment wins FDA approval

By Aakash B (Reuters) - The U.S. Food and Drug Administration has approved Xeris Pharmaceuticals Inc's glucagon therapy that aims to treat hypoglycemia in diabetes patients, the drugmaker said on

Female pediatricians paid 76 cents for every $1 paid to men

By Lisa Rapaport (Reuters Health) - Women in pediatrics still earn less than men even with similar levels of experience and even after accounting for the disproportionate amount of time they devote to

Patients at for-profit dialysis centers less likely to get kidney transplants

By Linda Carroll (Reuters Health) - The likelihood that U.S. patients with renal failure will get a kidney transplant is lower for those who get dialysis at for-profit dialysis centers, a new study

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