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Recurrent peptic ulcer bleeding was increased in patients with known cardiovascular or cerebrovascular disease when daily low-dose aspirin was continued along with proton-pump inhibitors, but overall mortality was significantly less during the 8-week follow-up.
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Intensive lipid lowering with statin therapy (atorvastatin 80 mg) in patients presenting with acute coronary syndromes (ACS) resulted in improved outcomes compared to treatment with moderate lipid lowering (pravastatin 40 mg) in the PROVE-IT TIMI-22 study (Cannon et al. N Engl J Med. 2004;350:1495-1504), which included patients treated conservatively, as well as those treated with percutaneous coronary intervention (PCI).
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In the past nine months, the world has witnessed the outbreak of not one but two waves of pandemic influenza due to a new virus of swine origin. World public health authorities moved quickly to contain what appeared initially to be the severe pandemic that had been anticipated for so long.
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Your clinic has distributed brochures on contraceptive methods, put up posters in the waiting room and exam rooms, and passed out printed information along with pill packs.
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How often do you include counseling on long-acting reversible contraceptives in your discussions of birth controls? Look for new opportunities, according to a recent presentation by Michael Policar, MD, MPH, medical director of the University of California San Francisco/Family PACT Program Support and Evaluation in Sacramento.
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Clinicians are familiar with use of dedicated emergency contraceptive (EC) products such as Plan B One-Step (Teva Pharmaceuticals USA) and Next Choice (Watson Pharmaceuticals), as well as the EC use of the copper T380A intrauterine device (ParaGard IUD, Duramed Pharmaceuticals).
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Flip through your patient files from the last week. If you see heavy menstrual bleeding checked several times in your charts, there's a good reason: One-third of all women report such bleeding at some point during their lives.
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Shannon is a 15-year-old patient who is sexually active. She has previously used oral contraceptives, but Shannon experienced an unplanned pregnancy when she missed several days of pills in her pill pack and failed to come in for emergency contraception. What birth control methods can you offer?
