Articles Tagged With:
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Is Anticoagulation Necessary for Post-CABG Surgery Atrial Fibrillation?
A meta-analysis of non-randomized trials of oral anticoagulant use for new atrial fibrillation (AF) after coronary artery bypass surgery involving almost 1.7 million patients has shown that AF is frequent, but the incidence of thromboembolism, bleeding, and death are low. Oral anticoagulants, when given, do not significantly affect thromboembolism or mortality rates, but they do increase bleeding.
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Indications for Reduced-Dose Direct Oral Anticoagulants
A subgroup analysis of the ENGAGE-AF TIMI 48 study of edoxaban 60 mg/day vs. 30 mg/day compared to warfarin in patients with atrial fibrillation of the group 80 years of age or older has shown that 30 mg/day results in less major bleeding without a concomitant increase in stroke risk compared to 60 mg/day or warfarin.
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Are Mineralocorticoid Receptor Antagonists Safe in Heart Failure Patients with Renal Dysfunction?
A post hoc analysis of the RALES and EMPHASIS HF trials has shown that, although treatment of heart failure with reduced left ventricular ejection fraction patients with mineralocorticoid receptor antagonists can cause a significant deterioration in renal function, the benefits outweigh the adverse effects and should not lead to automatic therapy discontinuation.
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Neurodevelopmental and Psychiatric Risks in Children of Pregnant Mothers Who Use Cannabis
Although current research has not conclusively established a direct link between prenatal cannabis use and an increased risk of autism spectrum disorder (ASD), psychotic symptoms, anxiety, or depression in offspring, there is evidence suggesting that prenatal cannabis exposure may modestly elevate the risk of attention-deficit/hyperactivity disorder (ADHD). Additionally, children exposed to cannabis in utero may be more likely to use cannabis later in life.
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Evaluating the Effectiveness of Treatment Strategies for Managing Cesarean Scar Ectopic Pregnancies
A review of 460 international cases of cesarean scar pregnancies demonstrated that surgical treatments were extremely effective options, with successful completion in 91.5% (95% confidence interval [CI], 87.8 to 95.2) of suction evacuations and 91.8% (95% CI, 83.8 to 99.9) of surgical excisions compared with a lower success rate for medical options, including local gestational sac injection or systemic methotrexate.
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The Effect of a Full Bladder on Endometrial Biopsy Success in the Office
In this randomized controlled trial of 214 patients, those with a full bladder prior to Pipelle endometrial biopsy had lower first insertion failure rates without the use of a tenaculum (23.4% vs. 42.1%) compared to those with bladder status not taken into account.
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A Tubal Sterilization Knowledge and Decision Aid Support Tool: Does it Make a Difference?
A patient-centered decision aid that improves tubal sterilization knowledge and decision-making quality may be able to fill gaps in counseling and supplement the existing Medicaid sterilization consent process.
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Elder Abuse
Elder abuse is a substantial public health concern with devastating consequences for its victims. The authors highlight the characteristic findings and management strategies to protect our oldest patients.
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Report Shows Problem of Rising Rates of Syphilis Among Service Members
A new report from the Military Health System shows a disturbing trend of increasing rates of syphilis among people serving in the U.S. Armed Forces, including the U.S. Army, Navy, Air Force, and Marine Corps.
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Mobile STI Testing Strategy Can Reach People in Rural Areas and Build Trust in Communities
The resurgence of some sexually transmitted infections (STIs) in recent years is partly because of the lack of resources to provide routine STI testing and treatment in rural areas, where residents may live an hour or two away from the nearest public health department that can offer daily STI services.