Articles Tagged With:
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Case management program produces dramatic results
A case management program for a large health system has produced dramatically improved healthcare and cost savings results.
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ED Evaluation and Management of Mammalian Bites, and Snake and Spider Envenomations
As a consequence of their playful and curious nature, children not uncommonly present to the ED with bite injuries; in fact, more than half of bite victims in the ED are children. Although envenomations are infrequent, the relatively high dose of venom per body weight in a young child can lead to significant effects. This article will discuss the key clinical features and management of bites from dogs, cats, and humans, as well as envenomations from snakes and spiders. Although not exhaustive, this review will provide a framework for the care of children who have sustained a bite or possible envenomation.
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Immediate Postpartum IUD Insertion: Ready for Prime Time?
It is no secret that long-acting reversible contraception, such as intrauterine devices and implants, are among the most effective methods.
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Screening for Fetal Chromosome Abnormalities: What Combination Makes the Most Sense?
Recent studies using data from the California Prenatal Screening Program show that standard screening protocols, which combine first trimester ultrasound and biochemistry with second trimester biochemistry, has a very acceptable detection rate and outperforms NIPT in cost-effectiveness in low-risk patients.
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Urinary Urge Incontinence and Pelvic Floor Physical Therapy
Pelvic floor physical therapy with myofascial release techniques improves urinary symptoms and provides an alternate option to medications and more invasive therapies.
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Should Postmenopausal Women Be Encouraged to Take Calcium?
A systematic review of randomized, controlled trials of calcium supplementation found only small non-progressive increases in bone mineral density. This supports the clinical conclusion that supplementation alone is insufficient to prevent fracture risk.
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Should We Remove Every Woman’s Fallopian Tubes?
This article discusses the role of salpingectomy for the prevention of ovarian and fallopian tube cancer.
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Left Ventricular Assist Devices for Ambulatory Heart Failure: Weighing the Risks and Benefits
Recent data support the use of the HeartMate II left ventricular assist devices in functionally limited, non-inotrope-dependent heart failure patients who have poor quality of life and meet FDA criteria for destination therapy LVAD.
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Utility of Non-traditional Risk Factors
Adding additional risk factors not in the pooled risk equation to low-risk subjects identified a sub-group with an observed event rate > 7.5% who may warrant statin therapy.
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Temporal Relationship Between Atrial Fibrillation and Ischemic Stroke?
Multiple hours of atrial fibrillation had a strong but transient effect raising stroke risk, suggesting that a strategy of intermittent targeted usage of rapidly acting anticoagulants might merit further consideration by a randomized trial.