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Reproductive Rights in 2017: Follow-up and Call for Advocacy
The Trump administration has made good on a number of promises to roll back reproductive rights. As clinicians, we need to fight back to ensure access for our patients to essential services. This article seeks to document where we stand as of summer 2017, and present opportunities for engagement.
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Is Bariatric Surgery the Antidote for Female-associated Cancers?
This study investigated gastric surgery as a prevention for female-associated cancers. Women with a body mass index of ≥ 38 kg/m2 who had surgery had an average of 28 kg of weight loss compared to the control group. This resulted in a statistically significant decrease in endometrial cancer.
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Video Colposcopy: Does It Reduce Patient Anxiety?
This German randomized, controlled trial of 225 women naïve to colposcopy found that video colposcopy did not reduce patient anxiety during the procedure. However, the authors found that the real-time video feed increased participants’ understanding of their disease.
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17 P vs. Vaginal Progesterone
A recent randomized study suggested that vaginal progesterone is at least as good as, and may be superior to, intramuscular 17 alpha-hydroxy progesterone caproate in preventing recurrent preterm birth, but shortcomings in the study indicate that more investigation is needed.
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Emergency Management of Rabies Exposure
Rabies is an uncommon disease with a very high fatality rate. Recognition of a potential exposure and effective prophylaxis are critical in prevention of this devastating disease. The authors review recognition of suspicious bites/exposures, clinical presentation of rabies, and utilization of effective prevention strategies.
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Observation vs. Surgery for Early Prostate Cancer
Clinicians are now encouraged to inform men 55-69 years of age about the relative risks and benefits of screening, and to individualize based on their informed decision.
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Tamsulosin for Lower Urinary Tract Symptoms in Women
Decades of use of alpha-blockers to treat hypertension in both genders as well as the long-term data of benignity in men reassure clinicians that tamsulosin may be a valuable (though off-label) treatment for lower urinary tract symptoms in women.
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Simplifying Pulmonary Embolism Diagnosis
The consequences of missing pulmonary embolism are grave, and numerous prediction methods have evolved to refine clinicians' ability to properly identify it.
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Updates on Diverticulitis Guidance
Much of the advice about treatment and prevention of diverticulitis and its recurrence has been based on opinion and/or low-quality evidence.
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The Mistaken ‘Penicillin Allergy’ Label
Although they should be applauded for their perspicacity in identifying drug allergies among their patients, the literature suggests clinicians have grossly overestimated the actual prevalence of penicillin allergies.