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  • New research shows value of family planning

    While you might know your work in family planning is important, new research confirms it. Approximately 1.4 million unintended pregnancies and 600,000 abortions are averted each year in the United States each year due to family planning services.
  • Use skills training to boost female condom use

    While female condoms may be a powerful tool in preventing transmission of sexually transmitted diseases (STDs), women need education to use them effectively. Results from a newly published study indicate that skills training can increase female condom use and the overall level of protected sexual acts.
  • Research eyes male circumcision's impact against HIV acquisition

    Just-presented research at the XVII International AIDS Conference in Mexico City indicates that adult male circumcision continues to reduce the risk of acquiring HIV through heterosexual intercourse for at least 3.5 years.
  • Accuracy of the ECG for STEMI

    Although the ECG is key in the triage of suspected ST wave elevation myocardial infarction (STEMI), it is imperfect.
  • Imatinib for Acute Ischemic Stroke

    Blockage of the harmful effects of tissue plasminogen activator by imatinib (Gleevec) might improve ischemic stroke outcomes.
  • Lack of Residual Vein Thrombosis Predicts for Low Risk of Recurrent DVT

    The optimal duration of oral anticoagulation therapy after an initial symptomatic deep venous thrombosis remains unknown. Siragusa et al assessed patients by ultrasonography for the presence of residual vein thrombosis (RVT) after three months of anticoagulation for a DVT. Those with RVT were randomized to 9 additional months of anticoagulation versus discontinuation. Among the 70% with RVT, prolonged anticoagulation showed only a non-significant trend for reducing recurrent DVT. For the 30% without RVT, all of whom stopped anticoagulation after three months, only one of 78 patients (1.3%) developed a recurrent DVT. For select patients, the lack of RVT after initial anticoagulation identifies patients in whom anticoagulation may be safely discontinued. The optimal duration of anticoagulation for higher risk patients, including those with RVT, remains undefined.
  • Improving Appropriate Use of Prophylactic Antibiotics

    In spite of institutional education regarding appropriate use of prophylactic antibiotics, compliance was achieved only when hospital protocols that mandated specific antibiotic use were implemented.
  • Should We Transfuse Patients with Subarachnoid Hemorrhage?

    Although anemia was predictive of adverse outcomes in patients with aneurysmal subarachnoid hemorrhage, red blood cell transfusion was also associated with an increased risk of death, severe disability or delayed infarction. These results call into question the practice of liberal transfusion thresholds in patients with spontaneous subarachnoid hemorrhage.
  • Clinical Briefs in Primary Care Supplement

  • Pharmacology Watch

    Some women with DVT may stop warfarin after six months; Vytorin and cancer; preventing recurrent stroke; and FDA news.