Abstract Importance Misrepresentation of symptoms, whether through exaggeration, omission, or fabrication, can represent an important barrier to effective patient-clinician communication and shared decision-making, including in the context of antibiotic treatment. Objective To examine the prevalence, reasons for, and characteristics associated with self-reported misrepresentation of symptoms to obtain antibiotics. Design, Setting, and Participants This survey study recruit

National Contraction in Nursing Home Capacity Harms Elderly Care Transitions A nation-wide drop in licensed nursing facility capacity is creating severe bottlenecks across the U.S. long-term care ecosystem. Recent studies show a 5% decrease in national nursing home capacity over five years, with over 900 facilities closing over the past decade. In New York alone, 24 nursing homes have shut down since 2020, removing over 3,000 available beds from the system. This shrinking sup

Abstract Purpose To determine whether omitting routine indwelling catheterization after ureteroscopic lithotripsy reduces postoperative lower urinary tract symptoms and enhances patient comfort, without compromising safety. Methods In this prospective, multicenter, randomized controlled trial, 180 patients undergoing ureteroscopic lithotripsy from August 2024 to June 2025 at four centers were allocated to either the No-Catheter group (n = 91) or the Catheter group (n = 89). T