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Kratom Alert: FDA Concerns
Kratom, a plant that is banned in some countries, is available in the United States and has some safety concerns, mostly related to its opioid-like effects.
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Orofacial, Eye, and Ear Trauma
Facial trauma is uncommon in children. However, the unique features of these injuries, as well as the assessment and management considerations to minimize radiation exposure and ensure optimal cosmetic outcome, require an awareness of the diagnostic and therapeutic approach in pediatric patients. The authors provide an overview of orofacial, eye, and ear trauma in children.
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Prevalence of Cognitive Impairment in Older Women With Pelvic Floor Disorders
Mild cognitive impairment and early dementia are prevalent in women seeking care for pelvic floor disorders.
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Oxytocin Discontinuation
A recent meta-analysis of randomized, clinical trials has shown that discontinuing oxytocin infusion once active labor has been attained in inductions and augmentations of labor will result in a reduction of cesarean delivery and tachysystole, but an increase in the length of labor.
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Which Antibiotics Are Safe in the First Trimester of Pregnancy?
A total of 7.2% of pregnant women were diagnosed with a urinary tract infection, and of these, 69% filled an antibiotic prescription. The most common antibiotics prescribed in the first trimester were nitrofurantoin, ciprofloxacin, cephalexin, and trimethoprim-sulfamethoxazole.
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Fetal Fibronectin: Its Role in Threatened Preterm Labor
A recent letter to the editor disputes the conclusion of an earlier study that fetal fibronectin is of little value in threatened preterm labor, despite other studies suggesting that when used in conjunction with cervical length measurements, it can diminish unnecessary hospitalizations appreciably.
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PAs Provide More Patient Contact, Reduce LOS, and Maintain Quality
Physician assistants have helped one hospital improve care in its observation unit without increasing costs, partly by providing more contact with patients than physicians can. The hospital also has optimized its observation unit model.
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ED-based Intervention Connects Frequent Users With Program to Address Underlying Needs
A new program at Grady Memorial Hospital in Atlanta seeks to short-circuit the cycle of frequent ED care so that patients with complex conditions are connected with the help they need without continually sapping emergency medicine resources.
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App Pushes Patient Education to New Level
Not so long ago, case managers relied primarily on paper brochures and tip sheets when supplementing in-person patient education. Many might still use paper in addition to web-based information, but the newest frontier involves apps that bring education to a patient’s fingertips at precisely the moment he or she needs it.
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Take It From Survivors: Here’s What to Do When Disaster Strikes
Case manager leaders found that preparing staff to be mobilized or available via phone was crucial during Hurricane Harvey.