Primary Care/Hospitalist
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Study Results Highlight Challenge of Ruling out Pregnancy During Contraceptive Counseling
The recommended ways of ruling out patient pregnancy before starting a new contraceptive include a pregnancy test, the date of the patient’s last unprotected sexual intercourse, and the patient’s symptoms. But there often are cases where it is difficult to rule out pregnancy.
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Model Contraceptive Program Increased LARC Access Among Title X Clients
The Affordable Care Act’s contraceptive mandate led to an increase in injectable contraceptives, but did not help improve access to long-acting, reversible contraceptives, research revealed.
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Family Planning Centers Looking for Solutions in a Difficult Era
In recent years, family planning clinics have faced many obstacles to providing contraceptive access to all patients who need it. Access issues worsened under changes to Title X and the Supreme Court’s recent ruling that allows some employers to opt out of providing contraception coverage. Reproductive health experts worry these recent changes — and COVID-19’s effect on access — could result in more unintended pregnancies.
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Supreme Court’s Contraception Ruling Could Affect Women Nationwide
The Affordable Care Act mandated that employers provide contraceptive coverage to workers at no cost. In July, the U.S. Supreme Court allowed a Trump administration regulation to let employers with religious or moral objections opt out of the mandate.
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High Lateral Infarction, or Something Else?
The ECG in the figure was obtained from a man with new onset palpitations. What is the probable cause of his symptoms? Is there high lateral infarction, or is something else accounting for the Q waves in leads I and aVL?
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Fostemsavir Extended-Release Tablets (Rukobia)
Fostemsavir is indicated, with other antiretrovirals, to treat HIV-1 infections in heavily treatment-experienced adults with multidrug-resistant HIV-1 infections who are failing current regimens.
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COVID-19 and Steroids: Is There a Consensus?
A study of adults admitted with COVID-19 pneumonia revealed risk factors associated with developing acute respiratory distress syndrome (ARDS) and progression from ARDS to death included older age, neutrophilia, organ dysfunction, and coagulation derangement.
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Inappropriately Broad Empiric Antibiotics, Higher Mortality, and Community-Onset Sepsis
A retrospective cohort study revealed broad-spectrum antibiotics were unnecessarily prescribed to patients with community-onset sepsis and were associated with worse outcomes and higher mortality.
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Thin Evidence Supporting the Obesity Paradox in STEMI
This largest-to-date analysis of six randomized studies of ST-elevation myocardial infarction revealed no association between body mass index and infarct size, one-year mortality, or heart failure hospitalization.
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