Primary Care/Hospitalist
RSSArticles
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Implications of COVID-19 for Primary Care
Primary care physicians often are the first to communicate with potential COVID-19 patients. Without definitive testing, it is challenging to reliably provide an accurate differential diagnosis, but there is a developing list of signs and symptoms associated with COVID-19.
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Osilodrostat Tablets (Isturisa)
Osilodrostat should be prescribed to adult patients with Cushing's disease for whom pituitary surgery is not an option or has not been curative.
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Cannabis in the Treatment of Headache and Migraine
The authors of this observational study found nearly a 50% reduction in self-reported headache and migraine severity following use of inhaled medicinal cannabis.
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Warfarin or DOACs for Atrial Fibrillation in Chronic Kidney Disease?
A large outpatient observational study of patients with atrial fibrillation and chronic kidney disease who were anticoagulated revealed that, compared to warfarin, direct oral anticoagulants exhibited less all-cause mortality and major bleeding with at least equivalent efficacy at preventing stroke.
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Anatomic vs. Functional Testing in Older Coronary Artery Disease Patients
An analysis of the PROMISE trial by age showed cardiovascular death or myocardial infarction was predicted by a positive stress test in patients with symptoms suggesting myocardial ischemia who were > age 65 years.
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Pharmacotherapy Considerations for COVID-19
A summary of selected pharmacotherapy options proposed to treat COVID-19.
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Study Examines Failed Self-Managed Abortions in Texas
A recent study revealed that nearly 7% of women seeking abortion services at Texas facilities in 2012 and 2014 reported they had attempted to self-manage their abortion before visiting the clinic. In states like Texas, where most abortion clinics closed because of restrictive state laws, accessing an abortion clinic is challenging. Barriers to safe and legal abortions appeared to be associated with women attempting self-management of abortion.
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Contraceptive Access Issues Require a Different Kind of Understanding
Contraceptive access initiatives often have focused on long-acting contraceptive methods, such as intrauterine devices and implants. These initiatives analyzed provider-level and financial access barriers to contraceptive methods. But this way of thinking has changed. Family planning experts now are examining access issues within a person-centered contraceptive care framework. This framework conceptualizes access according to what individual women want in contraceptives — not just around what they can afford and what is available.
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Rheumatology Association Issues Its First Reproductive Health Guidelines
The 2020 Guideline for the Management of Reproductive Health in Rheumatic and Musculoskeletal Diseases is the first set of evidence-based recommendations regarding contraception and other reproductive health issues from the American College of Rheumatology.
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Title X Final Rule Is Troubling for Providers
The recent Title X changes enacted by the Trump administration are creating major ethical dilemmas and operational challenges for family planning and reproductive health clinics nationwide.