Clinical
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ECG Review: Why are aVR Waveforms Positive?
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Clinical Briefs
In this section: Are annual physicals worth it?; breakfast might be the most important meal of the day; and evaluating the total knee replacement. -
Insulin Degludec Injection (Tresiba)
Insulin degludec provides an alternative to insulin glargine and insulin detemir as long-acting human insulin analogs.
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Beta-blocker Dose More Important Than Heart Rate in Systolic Heart Failure
In chronic heart failure with reduced ejection fraction, titrating beta-blocker doses may confer a greater benefit than reducing heart rate.
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Using Procalcitonin to Differentiate Bacterial from Viral Meningitis
A meta-analysis based on nine studies found an elevated serum procalcitonin to be an accurate test for differentiating bacterial from viral meningitis in adults.
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Risk of New Onset Diabetes When Blood Pressure Becomes Elevated Over the Usual Measurement
An increase of 20 mmHg in systolic blood pressure was associated with a 58% higher risk of new-onset diabetes mellitus, whereas an increase of 10 mmHg in diastolic blood pressure was associated with a 52% higher risk of developing new-onset diabetes mellitus.
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Congenital syphilis on rise — What you can do
Are you testing your pregnant patients for syphilis at the first prenatal visit and treating them if infected? If not, it’s time to step up your efforts. An analysis from the CDC shows that after years of decline, the number of congenital syphilis cases reported in the United States increased between 2012 and 2014.
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Over-the-counter oral contraception is caught up in politics
Over the past several years, a small cadre of socially conservative policymakers and candidates, often hailing from swing states, have started to promote the idea of moving oral contraceptives over the counter as a supposed compromise in the political fight over contraception and, more broadly, reproductive health.
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Get up to speed on ICD-10 coding for reproductive health services
While the purpose of ICD-10 is to improve clinical communication and accuracy, it will require more precise documentation of clinical care. Clinicians received vital tips on how to integrate the new coding in their family planning practices at the recent Contraceptive Technology Quest for Excellence conference in Atlanta.
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Pills, patches, and rings — What’s the latest on the second-tier methods?
What are the benefits and disadvantages of such second-tier methods as pills, patches, and rings, and which women can safely use them? These Tier 2 methods, designated by their effectiveness ranking as adapted by the World Health Organization, depend on user behavior such as taking a pill every day or changing the patch or the ring on time.