Articles Tagged With:
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The Natural History of Aortic Stenosis Revisited
A large multi-institution observational study of patients referred for Doppler echocardiography to assess for aortic stenosis has shown that discrepant measurements are not uncommon. When four-year all-cause untreated mortality is considered, the intermediate grades of aortic stenosis behave like the next highest level stenosis, which suggests that we should consider intervening earlier in moderate to severe stenosis.
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Five-Year TAVR vs. SAVR Data Show Encouraging Results, but Do Not Move the Needle for Clinical Decision-Making
The PARTNER 3 trial randomized low-risk patients to transcatheter aortic valve replacement vs. surgical aortic valve replacement. Five-year data show no significant differences in the composite endpoint of death, stroke, or rehospitalization.
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Superinfection of Hepatitis B and Hepatitis D on the Horizon
Called a satellite virus, hepatitis delta virus (HDV) is making an outsized impact on liver disease and cancer worldwide. HDV only appears alongside a hepatitis B infection, and people living with HIV infection are particularly at risk of the disease.
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Clinicians Should Develop Sexual Health Screening Soft Skills
At a time when STIs are on the rise, all providers need to develop skills in sexual health screening. New research shows these skills are lacking among many physicians, and there are other barriers to screening patients for STI risk factors.
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Time of Day Affects the Probability of Antibiotic Initiation for Hospitalized Patients with Sepsis
In this retrospective cohort study of patients with hospital-onset sepsis, the probability of antibiotic initiation was lowest at shift changes and gradually declined overnight compared to during the day shift.
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CDC Issues New Guidance on Using Doxycycline for PEP
The Centers for Disease Control and Prevention recently published proposed guidelines for the use of doxycycline post-exposure prophylaxis for preventing bacterial sexually transmitted infections.
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Extracorporeal Life Support Does Not Improve Outcomes in Patients with Cardiogenic Shock Receiving Early Revascularization
The use of extracorporeal cardiopulmonary resuscitation (ECPR) in patients with acute myocardial infarction-related cardiogenic shock who underwent early revascularization did not result in improved mortality at 30 days and resulted in more major bleeding and peripheral vascular complications.
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Strike the Balance: Evolving Venous Access Practices in the Intensive Care Unit
This feature offers a focused review of the existing literature on PICC and temporary CVC use in the critically ill for healthcare professionals navigating this rapidly evolving field during their daily clinical activities.
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Incarcerated People Face Nearly Insurmountable Odds of Maintaining Reproductive Autonomy
About one out of six incarcerated pregnant people may need an abortion in the coming years. But their ability to access that care is blocked or nearly blocked in states with abortion bans and major restrictions, according to the authors of a recent study.
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Progestin-Only Birth Control Is Safe for Breastfeeding Mothers
Reproductive health organizations should consider updating contraceptive counseling guidelines for patients who are breastfeeding to reflect that it is safe for them to use progestin-only contraceptive methods, according to the authors of a recent paper.