Articles Tagged With:
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Ethical Concerns if Researchers Fail to Meet Recruitment Targets
Under-enrollment in clinical trials raises ethical issues, including inconclusive results and wasted participant risk. Strategies such as research navigators and extended-hour recruitment improve enrollment and diversity, ensuring trials answer critical questions and uphold obligations to participants and society.
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New Approaches to Improve Medical Trainees’ Ethical Confidence
Medical trainees often lack confidence in applying ethical principles. Programs such as RISE use case-based learning, role-play, and simulations to build skills. Tools such as Pedi-EPAT assess ethical reasoning, emphasizing structured feedback and practice to prepare clinicians for complex decisions.
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Clinicians Increasingly Face Legal Barriers to Prescribing Abortion Medication
Both the war on drugs and anti-abortion laws facilitate economic exploitation of marginalized communities, and healthcare providers also are at risk of legal repercussions and/or of having their patients’ medical data used to support criminal investigations, a new paper says.
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Family Planning Empowerment Varies by Community, Nation, and Culture
Evidence has found that education and family planning provide long-term benefits to maternal and child health outcomes and the largest returns on investment. But there are fewer data on how much family planning contributes to women’s empowerment and greater agency.
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Location May Affect Patients’ Requests for Sexual Health Testing
A new study that looks at how state-level confidentiality mandates affect human immunodeficiency virus/sexually transmitted infection testing among high school students found that youth were more likely to be tested in states with confidentiality mandates.
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New Guidelines for HPV Testing of Self-Collected Vaginal Specimens for Cervical Cancer Screening
This article outlines national consensus guidelines for the use of human papillomavirus (HPV) testing of self-collected vaginal specimens for cervical cancer screening.
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Opportunistic Salpingectomy in Patients with High-Grade Serous Ovarian Carcinoma
Of 650 patients diagnosed with high-grade serous ovarian cancer between 2014 and 2021, 56.5% underwent a prior abdominal or pelvic surgery with opportunity to undergo risk-reducing opportunistic salpingectomy with a median time between ovarian cancer diagnosis and prior surgery of 30.0 years (interquartile range, 19.4 to 37.7 years).
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Counseling About Postpartum Contraception Can Be Improved
New research suggests clinicians can do a better job of counseling patients on the risks and benefits of postpartum contraception, including permanent contraception procedures. One paper finds that postpartum decision-making is an ongoing process, and providers can support mothers’ individual preferences and personal factors related to social, economic, and historical forces that affect their decision-making.
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The Role of Doula Support in Reducing Cesarean Delivery Rates
Professional intrapartum doula support is associated with a clinically meaningful reduction in cesarean deliveries and operative vaginal births without adverse effects on neonatal Apgar scores. Although heterogeneity and possible publication bias temper certainty, the consistency of benefit across randomized controlled trials and high-quality observational studies supports doulas as a promising and focused strategy to improve intrapartum outcomes.
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The Effect of Criminalizing Illicit Drug Use in Pregnancy
In this observational study of three states, punitive prenatal drug use policies were associated with 4,396.29 fewer births per 100,000 patients receiving any prenatal care (95% confidence interval [CI], -6,176.07, -2,616.51) and 1,847.99 fewer facility-based deliveries (95% CI, -3,688.29, -7.69).