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  • Contraceptive Access Initiative Can Help People in Suburban, Rural Areas

    Indiana has a statewide contraceptive access initiative that works to improve contraceptive access over a large geographic area.

  • Solutions to Ending Barriers to Permanent Contraception

    Among various barriers to permanent contraception, the Medicaid waiting period is one of the chief challenges for the many pregnant women who are receiving Medicaid during their pregnancy. It is a 30-day waiting period that begins when a person signs the Medicaid sterilization form.

  • Bilateral Salpingectomy: The Preferred Method of Permanent Contraception

    Permanent contraception, specifically fallopian tube surgery, is the most common contraception method used both in the United States and throughout the world, and its popularity is growing as more people are choosing this method in the wake of the safe and effective use of bilateral tubal salpingectomy.

  • Managing Pediatric Wounds

    Wounds are a common and critical aspect of emergency medicine practice. Children pose unique challenges, which are comprehensively reviewed by the authors with strategies for optimal management.

  • Tracheostomy Patients in the Emergency Department

    Tracheostomies are prone to complications. Most complications are minor and can be readily treated. Serious and life-threatening complications require prompt recognition and expeditious management.

  • Arrhythmia Recurrence After Catheter Ablation of Atrial Fibrillation

    An integrated nationwide medical and pharmacy claims database analysis of patients with new atrial fibrillation undergoing catheter ablation as first-line therapy has shown that 17% of patients required repeat ablation for recurrent atrial fibrillation despite the frequent use of antiarrhythmic drugs.

  • Ten-Year Outcomes of the SCOT-HEART Study

    The 10-year follow-up of the SCOT-HEART Study of new-onset chest pain patients randomized to standard care vs. the addition of coronary computed tomography angiography (CTA) has shown that coronary heart disease-related death, myocardial infarction, and other adverse cardiovascular outcomes are reduced with CTA use, perhaps because preventive therapy is increased.

  • Apomorphine Hydrochloride Injection (Onapgo)

    The U.S. Food and Drug Administration has approved apomorphine as a constant subcutaneous infusion for the treatment of advanced Parkinson’s disease with persistent motor fluctuations. It is the second subcutaneous infusion for this indication following foscarbidopa/foslevodopa (as Vyalev).

  • Determinants of Long-Term Outcome After Concussion

    This cohort study of U.S. veterans found that mild traumatic brain injuries occurring alongside psychological trauma are associated with long-term post-concussive symptoms and disability. The authors postulate that the traumatic context contributes to the development of post-traumatic stress disorder, which may in turn potentiate long-term sequelae.

  • Gabapentin vs. Duloxetine vs. Falls in Older Adults

    This retrospective study examining fall risk among older adults taking gabapentin compared to duloxetine finds gabapentin users exhibit a markedly lower risk of fall-related visits at six months (hazard ratio = 0.52) yet finds no difference in the incidence of severe falls.