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Thank You, Molly Brewer; Welcome Melissa Moffitt
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Progesterone: Not a Treatment for Threatened Abortion
Investigators of this well-designed, randomized, controlled trial conclusively demonstrated that progesterone supplementation does not reduce the risk of early pregnancy loss in women who experience first trimester bleeding.
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Should Antibiotic Prophylaxis Be Used for Surgical Treatment of Early Pregnancy Loss?
In this randomized, controlled trial of more than 3,000 women in developing countries with incomplete or missed abortion at less than 22 weeks’ gestation, antibiotic prophylaxis prior to uterine evacuation reduced infection rates when a strict definition for pelvic infection was used, but not when a more expanded definition was used.
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Behavioral Interventions for Menopausal-Related Insomnia Improve Depression
In a randomized, controlled trial comparing the behavioral interventions cognitive behavioral therapy for insomnia (CBTI) and sleep reduction therapy (SRT) to a control intervention of sleep hygiene education, investigators found CBTI and SRT therapy improved insomnia and depressive symptoms in postmenopausal women with menopausal-related insomnia.
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Changes in Cervical Cancer Staging
This paper is an epidemiologic validation of recent changes in cervical cancer staging.
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An Update on Physical Abuse of Children
Approximately one in five children evaluated in the emergency department is physically abused. Emergency physicians have a responsibility to consider abuse in the differential of every injured child. Although there is increasing awareness of the emergency physician’s role in diagnosing abuse, emergency physicians frequently fail to recognize the more subtle presentations of abuse. This article reviews the identification, evaluation, and management of a child with possible physical abuse.
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Third-Party Social Determinants of Health Data Can Help Improve Quality of Care
Healthcare providers are increasingly focusing on social determinants of health to improve quality of care and outcomes, and many are finding that data from third parties can be key to the success of those programs.
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Quick Wins: Blood Draws, Infection Rates, Sepsis
University of Pittsburgh Medical Center has had success with several quick wins through the kind of quality improvement effort that yields meaningful change without requiring a lot of time, money, or effort.