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According to this pharmacokinetic study, the cyclic use of 20 mcg ethinyl estradiol oral contraceptives is problematic for obese women. Ovarian activity was better suppressed with continuous use (omitting the hormone-free interval) of the same dose oral contraceptive or increasing to a higher dose 30 mcg ethinyl estradiol oral contraceptive
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A large prospective cohort study of perineal talc use demonstrated no increased risk of ovarian cancer overall or within any histological subtype. In addition, no association with talc application method was observed.
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A recent study in patients with fibroids has correlated the size, location, and number of fibroids with the rate of preterm birth, postpartum hemorrhage, need for cesarean section, and fetal size findings that can be useful in counseling patients with fibroids.
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Transitions of care have been a bugaboo of medicine for years. And the problem isn’t getting easier. With accountable care organizations and the increased emphasis on various spokes of the healthcare wheel being able to talk clearly across the radius to each other, it has become more and more important to find simple, proven ways to ensure that handing a patient from one part of the system to the other happens quickly, yet with all the pertinent information.
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It’s one of those cases where the focus is distinctly on the cup half-full: More than 1,200 hospitals, or just about 37% of those accredited by The Joint Commission, achieved Top Performer status on 2013 accountability measure data. That’s an increase of more than 11% from last year. This is good. But it still means that just about two-thirds of the hospitals The Joint Commission accredits don’t meet that mark.
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If you look at the previous iterations of ECRI Institute’s top 10 tech hazards lists, you will see some items that seem to make the list every year.
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There is nobody who walks the path to the NIST Malcolm Baldrige Quality Excellence award and calls it a sprint. It is something deliberately undertaken with some knowledge that it will be a matter of years before you have any real chance of being one of the organizations named a winner.
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