Primary Care/Hospitalist
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Newer Guidelines for Influenza Testing This Season
The California Department of Public Health and the CDC have recommended that, regardless of the results of prior rapid influenza testing, empiric therapy with a neuraminidase inhibitor should be administered promptly to patients hospitalized with influenza-like illness or suspected influenza.
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L-methylfolate for Bipolar Disorder
L-methylfolate improves some symptoms in major depression in people with type 1 bipolar disorder.
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Studies Find Cognitive Decline Reversible, Even if Patients Are ApoE4 Positive
Insulin resistance is associated with cognitive decline and Alzheimer’s disease. Patients who are positive for the apolipoprotein E4 gene are at increased risk for Alzheimer’s disease. This risk may be reversed by treating insulin resistance.
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Confidentiality Remains Essential for Young People to Seek Care
Access to confidential care can affect decisions to seek care, willingness to disclose behaviors, and the likelihood of returning for necessary follow-up.
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HIV Is Being Diagnosed Sooner After Infection
New information from the Centers for Disease Control and Prevention indicates the estimated median time from HIV infection to diagnosis improved from three years and seven months in 2011 to three years in 2015.
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Hot Flashes Could Be Precursor of Diabetes, Data Suggest
A just-published analysis of Women’s Health Initiative data indicates that hot flashes, especially when they also include night sweats, may increase the risk of developing diabetes.
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Update Your STI Management Skills
More than 2 million cases of chlamydia, gonorrhea, and syphilis were reported in the United States in 2016, the highest number ever. Most of the new diagnoses were attributed to chlamydia (about 1.6 million), with 470,000 cases of gonorrhea and almost 28,000 cases of primary and secondary syphilis.
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Raise Awareness of Progestin-only Options
Progestin-only contraceptives are safe and offer women flexible, non-estrogenic birth control options. However, use lags behind that of other methods.
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Study Examines Use of Hormonal Contraception and Breast Cancer Risk
Results from a study of 1.8 million Danish women ages 15-49 indicate that the risk of breast cancer is increased among women who currently or recently used contemporary hormonal contraceptives compared to those women who have never used such methods. While the risk increased with longer use, the absolute increases in risk were small.
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Chinese Herbal Medicine in Chronic Hepatitis B Infection
Use of Chinese herbal medicine was associated with a significantly lower risk of developing hepatocellular carcinoma in patients receiving antiviral medication for chronic hepatitis B infection.