Clinical
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Liletta: A New LNG-IUS Option
Initial clinical results with a new 52 mg levonorgestrel intrauterine system recently introduced to the market and approved for three years of use are similar to those seen with the existing system.
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Non-medically Indicated Inductions of Labor
A recent study in patients having non-medically indicated inductions of labor has shown that this option is associated with higher cesarean section rate at 38 and 40 weeks, but not, interestingly, at 39 weeks, at which time there was a lower rate of peripartum infections, fewer newborn special care unit admissions, but longer labors. However, these data do not speak for empiric induction of labor at 39 weeks without medical indication.
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Why Aren’t Women Using Contraception?
ABSTRACT & COMMENTARY: This cross-sectional study highlights new risk factors for nonuse of contraception among women at risk for unintended pregnancy.
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Antral Follicle Count Does Not Predict Pregnancy During Unstimulated Donor Insemination Cycles
Early follicular phase antral follicle count as a method of analyzing ovarian reserve is not helpful in predicting subsequent pregnancy in women with normal cycles.
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Progesterone and Indomethacin and PTL
One recent study has questioned the efficacy of the ability of 17 alpha-hydroxyprogesterone caproate to prevent preterm birth, and the other suggests that indomethacin, used to stop preterm labor, may have unwanted neonatal consequences.
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Beta-blocker, Shmeta-blocker…Or Are There Important Differences?
Whether clinicians should choose pharmacotherapy based on central BP effects has not been confirmed, although hypertension guidelines throughout the world have increasingly recognized the inadequacy of traditional beta-blockers in comparison to most other classes of agents and relegated them to a lower position on the therapeutic ladder.
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Initial Orthostatic Hypotension: An Under-Recognized Form of Orthostatic Hypotension
Initial orthostatic hypotension represents a population at risk for falls, which may be missed with traditional methods of orthostatic BP measurement.
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Delay in Diagnosis of Hepatocellular Carcinoma
Diagnostic delays are common among patients with hepatocellular carcinoma. -
A Glimmer of Hope for Beta-Blockers in Heart Failure from Diastolic Dysfunction
Because these data are observational in nature, they cannot definitively establish whether beta-blocker treatment reduces mortality in d-CHF, but they provide strong impetus to perform a large randomized trial to ultimately answer the question. -
Left Atrial Appendage Closure: Another Possible Interventional Fix for Atrial Fibrillation
Left atrial appendage closure may be another reasonable option for reduction of stroke risk in atrial fibrillation.