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Home Oral Factor Xa Inhibitor Treatment for Pulmonary Embolism
Low-risk pulmonary embolus patients discharged in < 48 hours on rivaroxaban recorded a nominal three-month rate of recurrent emboli or major bleeding, suggesting such patients do not need to be hospitalized for treatment of pulmonary emboli.
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Rivaroxaban After Transcatheter Aortic Valve Replacement
In this randomized trial of post-transcatheter aortic valve replacement patients without a separate indication for anticoagulation, a rivaroxaban-based approach was associated with a higher risk of death and thromboembolic complications compared with dual antiplatelet therapy.
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Heart Rate and Diastolic Blood Pressure in Chronic Aortic Regurgitation Patients
A retrospective observational study of patients with moderate to severe aortic regurgitation showed the independent predictive value of diastolic blood pressure and resting heart rate for all-cause mortality under medical management.
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Long-Lasting, Woman-Controlled Contraception Is Here
Annovera is designed for 21 days of continuous use, followed by a seven-day ring-free interval, during which the ring is removed, washed, and stored. Unlike other products, the same ring is used for subsequent cycles for an entire year (13 cycles total).
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Adverse Perinatal Outcomes Related to Intrahepatic Cholestasis of Pregnancy
While a diagnosis of intrahepatic cholestasis of pregnancy is associated with an increased risk for stillbirth, preterm birth, and neonatal respiratory issues, consensus on management within the obstetrics community has not been reached.
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Are We Doing Too Many Unnecessary Pelvic Exams and Pap Tests in Young Women?
In this cross-sectional national survey, the authors estimated that 23% of women aged 15 to 20 years had received a bimanual pelvic exam, of which half (54%) were deemed potentially unnecessary, and 19% of the population received a Pap test, of which 72% were potentially unnecessary.
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Knowledge of Pelvic Floor Disorders Among Pregnant and Postpartum Women
Pregnant and postpartum patients lack knowledge about urinary incontinence and prolapse.
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Baby-Friendly Policies May Be Ineffective in Improving Breastfeeding Outcomes in the United States
Data analysis from the 2018 Centers for Disease Control and Prevention Breastfeeding Report Card failed to show improvements in breastfeeding outcomes in Baby-Friendly facilities over statewide breastfeeding initiation programs.
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Causation Difficult for Plaintiff in ED Malpractice Claim
Generally, plaintiff attorneys find some aspect of care that was arguably beneath the standard of care. Likewise, they can show the ED provider was acting in the scope of his or her employment. However, causation often is a difficult problem.
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Problematic Hospital Policies Can Be Used Against ED Defendants
Policies should be viewed as general guidelines, always leaving ample room for individual physician discretion. There cannot be a one-size-fits-all approach, even for patients with the same diagnosis.