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Many women may experience excessive menstrual bleeding, but for those with extreme menstrual bleeding (menorrhagia), such blood loss often interferes with daily activities and can lead to anemia. Defined as total menstrual blood loss of more than 80 ml/cycle, menorrhagia affects 15%-20% of American women.As a clinician, you may opt to treat menorrhagia with nonsteroidal anti-inflammatory drugs, progestins, or oral contraceptives. However, if these approaches prove ineffective, women may seek endometrial resection or ablation or undergo a hysterectomy
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Review the contraceptive options you currently discuss with your female patients. Where does natural family planning enter into the conversation? You may want to include a discussion of the Standard Days Method (SDM). Defined as a fertility-awareness-based method, the SDM is appropriate for women with regular menstrual cycles between 26 and 32 days long. It identifies days 8-19 of the menstrual cycle as the fertile window the days when pregnancy is very likely.
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An infant with a moderate fever dies of septic shock after being left in the waiting room for hours. Could this unthinkable scenario happen at your ED?
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Its a task you may perform several times in a single day, but if you dont take a childs temperature correctly, the results can be devastating.
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Over a two-year period, a 39-year-old woman came to Richmond-based Virginia Commonwealth University Medical Centers ED more than 100 times for treatment of migraines, and each time she insisted that specific narcotics be given, reports Denise Sullivan-Wade, BSN, RN, the EDs case manager.
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President George W. Bush, who says he has political capital from his reelection victory over Sen. John Kerry (D-MA) that he intends to spend, will use some of that capital to push for limits to jury awards in medical malpractice cases.
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A Commonwealth Fund study reports that while community health centers deliver primary health care to much of New York Citys low income population, the design and delivery of health care services at the centers can be made more patient-friendly.
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In the face of a bioterrorism attack or even a major flu outbreak, state, county, and local health departments will be expected to act quickly to bring vaccinations and other medical care to all who need it. Now, those agencies have help coming in the form of RealOpt, a software program created by a Georgia Tech professor.