Clinical
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‘The World Is Covered by a Thin Layer of Feces’
This study mirrors earlier work in New York City, which found that sand boxes and dog play areas often are contaminated with C. difficile.
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Oral Antibiotics May Increase the Risk for Nephrolithiasis
A case-control study found that receipt of an oral antibiotic in the preceding three to 12 months was associated with nephrolithiasis. The risk persisted up to five years, and younger patients were at increased risk.
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Does Childhood Adversity Affect the Menopausal Transition?
The number and timing of adverse childhood experiences in relation to puberty affect the risk of incident major depressive disorder in menopausal transition.
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Simple Prediction Tool Facilitates Diagnosis of Heart Failure With Preserved Ejection Fraction
In patients with unexplained dyspnea, a score based on six noninvasive criteria can predict the likelihood of heart failure with preserved ejection fraction.
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All About Cesarean Delivery
A collection of articles and letters to the editors suggests that postpartum ultrasound evaluation of uterine wall thickness is of little value in predicting uterine wall complications in subsequent pregnancies, that two-layer closure of the uterus during cesarean delivery probably is better than single-layer closure, and that staple closure of the skin in patients with three or more previous cesarean deliveries is associated with more wound complications than suture closure.
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Is Human Placentophagy Safe? What Patients Should Know
In this cross-sectional study of U.S. women who delivered at home or at a birth center, 30.8% consumed their placenta, and, of those, 58% consumed the placenta in a raw form. The most common reason for consuming placenta was to prevent or treat postpartum depression. There was no association between placentophagy and neonatal hospitalization or death within six weeks of birth.
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Recommendations for Surgical Treatment of Pelvic Organ Prolapse
This is a summary of the 2017 International Consultation on Incontinence recommendations for surgical treatment of pelvic organ prolapse.
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Management of Pain Associated With Intrauterine Device Placement
With long-acting reversible contraceptive methods (intrauterine devices and implants) showing an increased proportion of users each year at the expense of permanent and short-acting hormonal methods, it makes sense to consider how best to improve the IUD placement experience, particularly for young nulliparous women.
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An Uncommon Cause of ST Elevation?
Are the ST-T wave abnormalities seen in the tracing with this article the result of early repolarization? Or is this likely to represent acute pericarditis?
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Amlodipine and Celecoxib Tablets (Consensi)
Consensi is indicated for patients for whom the treatment with amlodipine for hypertension and celecoxib for osteoarthritis is appropriate.