Primary Care/Hospitalist
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Reducing Barriers to Self-Managed Abortion Care
Self-managed abortion care could be far cheaper and easier to obtain than it is now in the United States, with legal barriers such as state laws banning mail-order abortion pills and the federal rule that still prevents pharmacies from selling mifepristone and misoprostol. -
Self-Managed Abortions Becoming More Important as Post-Roe Era Looms
More states are passing highly restrictive anti-abortion legislation that will lead more people to seek abortions out of state or that are self-managed. Advance provision of medication abortion pills is one way to empower women to make their own decisions in the privacy of their homes.
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The Association Between Cancer Mortality and Physical Activity for Middle-Aged and Older Patients
In a prospective cohort study of 8,002 middle-age and older Black and white adults in the United States, replacing sedentary behavior with physical activity was associated with a lower cancer mortality risk.
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The Effects of Diet, Nutrition, and Weight on Fibromyalgia
A review of evidence for the use of dietary interventions in the treatment of fibromyalgia shows symptom reduction associated with a variety of healthy diets. Weight loss may be key to understanding this connection, but more research is needed.
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How Fast Can You Recognize This Rhythm?
How might the reader interpret the two-lead rhythm strip shown in the figure? Is there AV block? If so, is this complete (i.e., third-degree) AV block?
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Daridorexant Tablets (Quviviq)
Daridorexant can be prescribed to adult patients with insomnia characterized by difficulty with sleep onset and/or sleep maintenance.
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Delaying Antibiotics in Patients with Suspected Infection Increases Risk of Septic Shock
A retrospective cohort study revealed delaying the first dose of antibiotics in patients suspected of presenting with an infection in the ED led to a higher risk of progressing to septic shock and in-hospital mortality. Every hour antibiotics were delayed raised the risk of septic shock by 4%.
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How Certain is a Negative Echocardiogram for Excluding Infective Endocarditis?
Applying the proposed strict negative criteria for infective endocarditis (IE) on the first echocardiogram indicated this approach largely prevented unnecessary repeat tests unless clinically indicated for continued suspicion of IE.
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Yoga for the Mind, Body, and Autonomic Nervous System
Randomization to yoga in addition to standard care to treat vasovagal syncope led to better outcomes than standard care alone, with reductions in syncopal and presyncopal events and improvement in quality of life scores at one year.
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Finding the Most Effective Treatment for Hair Loss in Men
Among three common treatments for male androgenic alopecia, the authors of a meta-analysis found 0.5 mg/day of dutasteride to be the most effective.