The American College of Physicians (ACP) developed these rapid practice points addressing the comparative effectiveness and harms of trivalent (3 different influenza viruses or viral proteins) and quadrivalent (4 different influenza viruses or viral proteins) influenza vaccines in adults aged 18 years or older who are not pregnant or immunocompromised. These practice points do not address adults aged 18 years or older who are pregnant or immunocompromised.

Seasonal influenza is a contagious viral respiratory illness that causes yearly epidemics.

There is limited evidence of the strategies to mitigate burnout among all health care professionals (HCPs).

Sepsis is the leading cause of death worldwide. Mortality has improved in the past few decades but remains high, and survivors frequently have long-term complications. Initial diagnostic evaluation focuses on risk stratification and source and pathogen identification. Treatment includes intravenous fluids, vasopressors, steroids if shock is present, antimicrobial therapy targeting the most likely source of infection, and source control. Patients with shock or high-risk organ failure syndromes should be admitted early to an intensive care unit. After initial antimicrobials and resuscitation, care should focus on antimicrobial deescalation, volume management, and high-quality supportive care. Shared decision making about goals of care and transitions is important to support survivors after discharge.

A potential long-term complication of living kidney donation in male donors is scrotal swelling on the same side as the nephrectomy, and some undergo surgery to relieve discomfort from the fluid collection. The long-term risk for this outcome attributable to donation is unknown.

Health care systems are investing significant resources in social needs screening and intervention programs.

GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text].

GIM/FP/GP: [Formula: see text] Oncology: [Formula: see text] Hematology: [Formula: see text].

GIM/FP/GP: [Formula: see text] Geriatrics: [Formula: see text] Public Health: [Formula: see text].

Perinatal depression can have a deleterious impact on mothers and infants.

GIM/FP/GP: [Formula: see text].

Emergency Med: [Formula: see text] GIM/FP/GP: [Formula: see text] Neurology: [Formula: see text].

GIM/FP/GP: [Formula: see text] Endocrinology: [Formula: see text].

GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text] Hematology: [Formula: see text].

GIM/FP/GP: [Formula: see text] Cardiology: [Formula: see text] Public Health: [Formula: see text].

Data extraction is a critical but error-prone and labor-intensive task in evidence synthesis. Unlike other artificial intelligence (AI) technologies, large language models (LLMs) do not require labeled training data for data extraction.

GIM/FP/GP: [Formula: see text] Nephrology: [Formula: see text].

Urinary albumin-creatinine ratio (UACR) and urinary protein-creatinine ratio (UPCR) are both used in clinical practice to diagnose and monitor chronic kidney disease (CKD). Which measure exhibits stronger associations with clinical outcomes and whether this varies by patient characteristics are unknown.

Safe and reliable venous access is critical for high-quality cancer care. Patients with both solid and hematologic cancers require vascular access devices (VADs) for systemic chemotherapies and for supportive treatments, including blood products, antimicrobials, antiemetics, and fluids. However, VADs are associated with serious complications, including bloodstream infection and venous thromboembolism. Evidence-based guidance could maximize benefits and reduce risks in the selection and management of VADs in patients with cancer. The authors convened a 9-member international multidisciplinary panel and used the RAND/UCLA Appropriateness Method to develop recommendations for VAD selection, insertion, and management in patients with cancer. A literature review informed the development of clinical scenarios, which were rated by the panel for appropriateness based on cancer type, treatment indication, urgency, comorbidities, and anticipated duration of use. Of 1422 scenarios, 502 (35%) were rated as appropriate, 400 (28%) were rated as neutral/uncertain, and 520 (37%) were rated as inappropriate. Appropriateness of VAD selection varied by type of cancer, treatment urgency, and planned dwell time. For patients with acute hematologic cancers requiring urgent chemotherapy, placement of a double-lumen peripherally inserted central catheter (PICC) or a tunneled central venous catheter (CVC) was rated as appropriate, regardless of treatment intensity or infusate characteristics. For patients with malignant solid tumors, a single-lumen tunneled CVC or implanted port was rated as appropriate for delivering chemotherapy, regardless of treatment intensity, urgency, or duration. In patients with advanced chronic kidney disease, coordination of care with a nephrologist to ensure vein preservation in the context of cancer prognosis was recommended. By developing comprehensive, evidence-informed expert recommendations, the Michigan Appropriateness Guide for Intravenous Catheters in Adult Patients With Cancer (MAGIC-ONC) aims to improve clinical care, reduce complications, support quality improvement efforts, and advance the safety of vascular access for patients with cancer.

GIM/FP/GP: [Formula: see text] Public Health: [Formula: see text].