Clinical
RSSArticles
-
Declining Pregnancy Among U.S. Teens Partly Due to Contraceptive Changes
Pregnancies and births in young people, ages 14 to 18 years, have declined dramatically in recent years when compared to decades past, new research shows. Researchers studied data from 2007 to 2017 and found that delays in first sexual intercourse contributed the most to the trend of declining births over this decade. But declines in the number of sexual partners and changes in contraceptive use — including use of long-acting reversible contraception — also contributed to the trend.
-
Self-Administered Depo-Provera Improves Use and Efficacy
Depo-Provera is a convenient option for patients who want a contraceptive that is both effective and can last for several months. But one drawback is that it requires a clinic visit for an injection. This is where an option to self-administer Depo could improve access to and continuation of the contraceptive.
-
Providers Can Take Action to Help Prevent Doxing
Increasingly, doctors who provide abortion care are being harassed and vilified through doxing — the online dissemination of their personal information. From July to December 2018, researchers studied a sample of documents posted on an anti-abortion website and found a large percentage of photographs, home addresses, bankruptcy documents, and other personal information.
-
Abortion Providers and Patients Under Threat of Privacy Breaches
Reproductive health providers and people seeking abortion care need only look at the not-so-distant past in the United States to predict a future in which their privacy is in legal and physical jeopardy. Physicians who perform legal abortions also face privacy breaches that place the providers and families at risk from doxing, threats, and other harms.
-
Contraceptive Simulation Can Teach IUD Insertion, Extraction, and Counseling
Family planning staff could learn a lot about contraceptive patient care from realistic simulation sessions. Researchers found positive changes in clinicians’ knowledge and confidence when they practiced inserting IUDs, removing them, and counseling patients in a realistic family planning simulation.
-
Levonorgestrel IUDs Are Safe and Effective for Eight Years of Use
Two of the most popular hormonal IUDs can be used for eight years, which can make them an even better option for women seeking long-term, highly effective contraception.
-
Those Anterior T Waves
The ECG in the figure was obtained from a man in his 60s who was seen in the field for new chest pain. How might one interpret this tracing?
-
Smallpox and Monkeypox Vaccine, Live, Non-Replicating (Jynneos)
Jynneos can be administered to prevent smallpox and monkeypox in adults age 18 years and older who are at high risk for contracting the infections.
-
Cirrhosis and Infections
Infections in patients with cirrhosis are frequent and potentially lethal, with pneumonia associated with the highest risk for mortality.
-
Measure Stroke Risk with Asymptomatic Severe Carotid Artery Stenosis
A community-based, retrospective, observational study of patients with asymptomatic severe carotid artery stenoses showed the crude stroke risk over five years was about 5%. Patients whose stenoses progress to high grade or start at that severity were at the highest risk for stroke.