The Journal of family practice
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Excision is the most effective treatment for thrombosed external hemorrhoids. For prolapsed internal hemorrhoids, the best definitive treatment is traditional hemorrhoidectomy. Of nonoperative techniques, rubber band ligation produces the lowest rate of recurrence.
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Building strong relationships among physicians and staff improves the practice's ability to deal with the uncertainties of a rapidly changing environment. Interacting proactively with the economic, social, political, and cultural environment-the practice landscape-provides opportunities for adaptation and ongoing learning.
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Randomized Controlled Trial Multicenter Study
What's growing on your stethoscope? (And what you can do about it).
Studies have shown that rubbing alcohol pads on stethoscope diaphragms can reduce bacterial colonization, but alcohol pads are used infrequently used and not always available. ⋯ Simultaneously using hand foam to clean hands and stethoscope heads reduces bacterial counts on stethoscopes. Further research is needed to determine whether this intervention can reduce morbidity and mortality associated with bacterial infection.