Clinical
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Cirrhosis and Infections
Infections in patients with cirrhosis are frequent and potentially lethal, with pneumonia associated with the highest risk for mortality.
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Influenza Vaccination Reduces the Risk of Major Cardiovascular Events
A meta-analysis of six randomized, controlled trials revealed receipt of influenza vaccination reduced the risk of major cardiovascular events compared to the unvaccinated, with 56 patients needing vaccination to prevent one event. Higher-risk patients had 45% reduced risk.
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Travelers Need Pre-Trip Hepatitis A Vaccination
Hepatitis A continues to be a problem for international travelers in much of the world. More widespread use of hepatitis A vaccine could be warranted.
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Monkeypox in the United States
The first 17 patients in the United States affected by the current monkeypox outbreak are described. Of note is the absence of reported fever in 10, and the frequent presence of lymphadenopathy, as well as of genital and perianal lesions.
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Monkeypox in Europe and North America: What to Expect, What to Do
Data on outcomes of monkeypox cases managed in Europe and North America are limited but provide some clues on epidemiology, clinical manifestations, treatment, and outcome.
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Contraception for Patients with Disabilities
Contraception is an important part of healthcare for patients with disabilities, whether physical or intellectual. In 2018, investigators analyzed 2011-2015 survey data from the National Survey of Family Growth to estimate the use of contraception among women by disability status. These data show that individuals with disabilities may be treated differently than those without disabilities in terms of contraceptive care.
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Pregnant, Influenza-Infected, and Hospitalized
Almost one-third of women ages 15-44 years hospitalized with influenza were pregnant and almost 5% required intensive care.
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Obesity and Time to Pregnancy Among Those Discontinuing Contraception
Among people discontinuing contraception to try to become pregnant, those who were obese had a longer time to pregnancy compared to those who were underweight or optimal weight.
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Supplemental Oxygen Therapy for Category II Fetal Heart Rate Tracings
This study demonstrated a statistically significant change in the use of supplemental oxygen therapy in women with category II fetal heart rate tracings in the absence of maternal hypoxia pre- and post-intervention, with no significant change in maternal or perinatal outcomes.
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Abortion Resources for Patients with Financial and Other Barriers
The following is a list of some nonprofit funds and resources available to pregnant people who live in abortion-ban states and are seeking abortion care that they cannot afford.