Browse Primary Care/Hospitalist Articles by Topic

CABG Wins Again for Multivessel Disease

Fractional flow reserve-guided percutaneous coronary intervention failed to meet noninferiority guidelines vs. coronary artery bypass grafting.

Coronary Calcium Score Zero: Are You Home Free?

Among those with a coronary calcium score of 0 after a median follow-up of 16 years, current cigarette smoking, diabetes, and hypertension were independently associated with the development of atherosclerotic cardiovascular disease.

Doctors Must Act on Risk to Reproductive Rights

The abortion crisis that a family planning physician warned about several years ago is here as state legislatures have passed many laws that would stop abortions and place women at risk of injury or death during pregnancy.

Suggestions for Sexual and Contraceptive Education for People with Disabilities

Clinicians can do more to improve contraceptive and sexual education for patients with disabilities, including youth. A big first step is acknowledging patients are interested in healthy intimate relationships, and sometimes also in preventing pregnancy.

Sex Education, Counseling Needed for Minor Patients with Disabilities

Disparities in contraceptive use between women with and without disabilities are partly due to limited access to formal sex education in communities and schools, researchers suggest. Physicians could fill this gap, but they often are hindered by their own biases that these patients will not have sex.

People with Disabilities Often Left Out of Contraceptive Conversation

Several recent studies revealed that women with disabilities often receive inadequate or no reproductive and sexual health counseling and care, partly because healthcare professionals do not ask.

Study: IUDs Are as Effective as Tubal Ligation — and Safer

Researchers made an astonishing discovery when comparing the safety and effectiveness of IUDs and tubal ligation: The rates of pregnancy were similar, and IUDs were much safer. Instead of finding pregnancy rates on the order of one in every 1,000 or 10,000 tubal ligation procedures, they found a rate of 2.64 per 100 procedures. For placement of levonorgestrel IUDs the rate was lower — 2.4 per 100 procedures.

How Many Leads Are Abnormal?

The figure was obtained after cardiac catheterization for new chest pain. The rhythm is sinus bradycardia at ~50 beats/minute. All intervals are normal. The axis is leftward, but not enough to qualify as a hemiblock. There is no chamber enlargement.

Abrocitinib Tablets/Upadacitinib Extended-Release Tablets (Cibinqo/Rinvoq)

Abrocitinib and upadacitinib can be prescribed to treat adults with refractory, moderate-to-severe atopic dermatitis that is not adequately controlled with other systemic drug products, including biologics, or when using those therapies is inadvisable.

Booster Doses Effective Against Omicron

While vaccination provides protection against infection with omicron variant of SARS-CoV-2, high level protection from a need for hospitalization requires a booster dose.