Browse Primary Care/Hospitalist Articles by Topic

Pioglitazone Improves Fibrosis Scores in Nonalcoholic Steatohepatitis Patients With and Without Diabetes

In a meta-analysis of eight studies (five pioglitazone, three rosiglitazone) involving 516 patients with biopsy-proven nonalcoholic steatohepatitis, pioglitazone was found to improve fibrosis between six and 24 months.

Can Magnesium Cure Nocturnal Leg Cramps?

A small randomized, double-blind, placebo-controlled trial demonstrated that oral magnesium oxide was not superior to placebo for older adults suffering from nocturnal leg cramps.

Screening, Anticipatory Guidance Needed to Address Teen Sexual Assault

Teens are more likely to delay medical care and less likely to press charges.

Minimally Invasive Uterine Fibroid Treatment Underutilized

Use rates particularly low in small and rural hospitals, according to a recent report.

More Research Needed on Benefits, Harms of Screening Pelvic Exams

According to one expert: “At this time, there simply is not enough evidence to determine the benefits and harms of using pelvic exams to screen for conditions other than cervical cancer, chlamydia, and gonorrhea.”

Check Birth Control Start After Ulipristal Acetate

Results of recent study lead manufacturer of important drug to update its recommendations.

New Estimates Show Drop in Annual HIV Infections

Still, much work remains as agencies push for wider access to key resources.

Implement Resources for Immediate Postpartum LARC to Cut Unintended Pregnancy

Many women engage in unprotected sex before six-week postpartum visit.

High-sensitivity Cardiac Troponin

In patients with new-onset chest pain without ECG evidence of an ST-elevation myocardial infarction, conversion to the use of a high-sensitivity troponin T assay with three-hour retesting in three hospitals was compared to maintaining the fourth-generation troponin T assay with six-hour retesting in three other hospitals. The use of high-sensitivity troponin T resulted in lower ED length of stay and costs, without increasing the use of coronary angiography or stress testing.

Hyperoxia in ICU Patients May Cause Harm

Patients randomized to maintain oxygen saturation between 94-98% experienced better outcomes than patients allowed to receive partial pressure of oxygen > 150 mmHg.