Articles Tagged With:
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Pharmacists Increasingly Prescribe Hormonal Contraception
Increasing evidence shows that pharmacists are capable of prescribing hormonal contraception and even prescribing abortion medication in states with laws protecting women’s access to abortion care.
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Contraceptives Can Be Used to Prevent Cancer, Help with Multiple Medical Conditions
Contraceptives can help patients who are experiencing other conditions, including menstrual pain, endometriosis, heavy menstrual bleeding, menopause, and disabilities.
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Airway Management in Trauma
Rapid assessment and management of the airway in trauma patients is critical, and timely, decisive, and skillful intervention often can make the difference between life and death. Every emergency medicine physician must have an escalating stepwise approach to securing even the most difficult airway. The authors comprehensively review the initial airway assessment, basic and advanced methods and techniques for establishing a definitive airway through endotracheal intubation and surgical airways, airway adjuncts, medications selection, and strategies to address specific factors that complicate airway management in trauma.
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Managing Pediatric Bone Infections
Pediatric osteoarticular infections may be subtle in their presentation, and clinicians must have a high degree of suspicion to make a timely diagnosis and institute appropriate therapy. The authors provide the essential information clinicians require to understand the presentation, diagnostic evaluation, and management of bone and joint infections in this population.
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Tirzepatide Injection (Zepbound) for Obstructive Sleep Apnea
The U.S. Food and Drug Administration has approved tirzepatide for the treatment of moderate-to-severe sleep apnea in adults with obesity.
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Clostridioides difficile: Reduced Susceptibility to Vancomycin?
Many sites have been reluctant to prescribe fidaxomicin as the first-line agent, despite fairly robust evidence indicating its efficacy relative to vancomycin in preventing recurrences. We still cannot predict who will do well with vancomycin and which patients are likely to relapse or to do more poorly. The gradual emergence of Clostridioides difficile with reduced vancomycin susceptibility may contribute to adverse outcomes when using this agent.
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Antiplatelet Therapy for Coronary Stent Patients Undergoing Noncardiac Surgery
A larger randomized controlled trial of aspirin monotherapy vs. no antiplatelet therapy in patients more than one year post-drug-eluting coronary stent placement failed to show a difference in ischemic outcomes or major bleeding, but minor bleeding was more common in the aspirin group.
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Arrhythmias in the Holiday Heart Syndrome
A small study of continuous electrocardiogram and breath alcohol concentration in young volunteers during acute excessive alcohol consumption has shown that heart rate and ventricular premature beats increased during the drinking period. During recovery (six to 19 hours), significant arrhythmias such as atrial fibrillation occurred in 5% of the subjects. The observed changes in heart rate variability and breath alcohol concentration suggest that these effects are the result of increased sympathetic nervous system activity associated with excessive blood alcohol concentrations.
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Reduced Control and Workplace Burnout
This cross-sectional study of more than 2,000 physicians from diverse healthcare organizations found that reduced control over specific aspects of practice — such as patient load, clinical hours, and overall workload — was significantly associated with not only higher levels of burnout, but also increased intentions to reduce clinical hours or leave practice altogether.
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Unhurried Patient Care
Unhurried conversations during patient encounters can improve outcomes for patients and enhance career satisfaction of physicians. Specific communication strategies can foster unhurried conversations without adding undue time to clinical care.