Primary Care/Hospitalist
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Fitness and Cognition in the Elderly
Peak levels of cardiorespiratory fitness are positively correlated with enhanced cognitive function among older adults.
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The Efficacy of Spironolactone for the Treatment of Drug-resistant Hypertension
Compared to selected other hypotensive drugs, spironolactone was found to be the most effective drug addition for resistant hypertension when added to previous angiotensin-converting enzyme inhibitor/angiotensin II receptor blocker, calcium channel blocker, and thiazide therapy.
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Welcome Back, Saturated Fat
It has become apparent that clinicians have been giving wrong dietary advice to patients for many decades. The low-fat and non-fat food industry was a mistake.
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Screening for Ovarian Cancer: Helpful or Harmful?
Ovarian cancer has the highest mortality of any of the gynecologic cancers. Due to the poor prognosis associated with this disease, researchers have been searching for 50 years for an early detection tool.
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A Low-Dose Estrogen Capsule Examined as Possibility for Vaginal Atrophy
About 32 million postmenopausal women in the United States are affected by vulvar and vaginal atrophy, which can cause painful sexual activity and urination, as well as vaginal dryness, itching, and irritation. Recent data presented at ENDO 2016, the annual meeting of the Endocrine Society, suggests an investigational low-dose vaginal estrogen capsule may help relieve such symptoms.
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Medicaid Pushes Forward on Family Planning
With the end of the Obama administration rapidly approaching, federal agencies have stepped up their efforts to finalize long-brewing regulations and guidance. CMS has been particularly active. In April 2016, the agency issued three documents that all have considerable importance for family planning services and providers under Medicaid.
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Data Suggest Hormonal Therapy Doesn’t Increase VTE Risk in Women on Anticoagulant Therapy
Women on anticoagulant therapy can take estrogen-containing contraception or hormone therapy without an increased risk of blood clots or uterine bleeding, findings from a recent study suggest.
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Update on Contraceptive Implant — What Family Planners Need to Know
The contraceptive implant Nexplanon (Merck, Whitehouse Station, NJ) offers top-tier effectiveness against unintended pregnancy. How can you identify appropriate candidates, present counseling tips on the contraceptive and noncontraceptive benefits, and recognize and treat side effects and rare complications?
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Success with Teen Pregnancy Rate, But There Is More Work Left to Do
Just-published data indicate that births among Hispanic and black teens have dropped by almost half since 2006, which mirrors a substantial national decline. Births to all American teenagers have dropped more than 40% within the past decade.
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Cardiovascular Events Associated with Masked Hypertension and White-coat Hypertension
Analysis from the Dallas Heart Study consisting of 3027 adults revealed that both white-coat hypertension and masked hypertension were independently associated with increased cardiovascular events, and, therefore, home blood pressure monitoring is recommended for U.S. adults, whether symptomatic or asymptomatic.