Hematology/Oncology
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Transient Ischemic Attacks: A Missed Opportunity
SYNOPSIS: Patients with transient ischemic attacks were not given evidence-based secondary prevention for stroke at discharge from the hospital as often compared to patients with stroke, thus creating a missed opportunity to decrease the incidence of future stroke and cardiovascular disease.
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Does Your Patient Have a Central Venous Catheter?
Central venous catheters (CVCs) are essential to providing optimal care to many hospitalized patients.
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Paradoxical Low-flow, Low-gradient AS
This article originally appeared in the January 2015 issue of Clinical Cardiology Alert. It was peer reviewed by Susan Zhao, MD. Dr. Crawford is Professor of Medicine, Chief of Clinical Cardiology, University of California, San Francisco. He is the editor of Clinical Cardiology Alert. Dr. Zhao is Director, Adult Echocardiography Laboratory, Associate Chief, Division of Cardiology, Department of Medicine, Santa Clara Valley Medical Center. Dr. Crawford and Dr. Zhao report no financial relationships relevant to this field of study.
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Sudden Death Risk: ARBs or ACE Inhibitors & Co-trimoxazole
Older patients using an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker with co-trimoxazole had an increased risk of sudden death.
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Prior Authorization versus Prospective Audit with Provider Feedback: Does the Effectiveness of the Core Antimicrobial Stewardship Strategies Differ?
SYNOPSIS: In a single academic medical center, changing from a strategy of prior authorization to prospective audit with feedback led to significantly increased total antibiotic use and use of agents with a broad spectrum of gram-negative activity.
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Should Long-acting Bronchodilators Be Used in Acute Exacerbations of COPD?
ABSTRACT & COMMENTARY: There's a disappointingly high rate of non-recommended drug administration.
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Clinical Practice Guidelines for Platelet Transfusion
The American Association of Blood Banks has six recommendations of varying strengths based on the availability of quality evidence.
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Use of Cervical Length and Fetal Fibronectin in Preterm Labor
SYNOPSIS: A large 10-center study has validated the concept of screening all patients who are presenting with preterm contractions in the third trimester with cervical length examinations by transvaginal sonography and using fetal fibronectin selectively only in those with cervical lengths between 1.5 and 3.0 cm.
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Does Single or Double Insemination During Ovulation Induction Cycle Increase Pregnancy Rates?
Synopsis: Performing intrauterine insemination with the use of donor sperm twice during a natural or stimulated ovulation induction cycle did not increase pregnancy rates over a single insemination.
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Swedish Case-control Study Sees Increase in DVT Risk with DMPA: Is This Real?
Synopsis: A large case-control study done in Sweden that evaluated thromboembolic complications in users of hormonal contraception found an increased risk in users of depomedroxyprogesterone acetate and the combined pill. Desogestrel-containing oral contraceptives showed an increase in risk relative to levonorgestrel pills.