Primary Care/Hospitalist
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Patients’ Contraceptive Choices Evolve Over Time and Life Needs
Women’s preferences in contraceptive methods can change with time and circumstances in their lives, new research shows. Values and preferences are influenced by the contraceptive method’s effectiveness, access, convenience, side effects, societal norms, and other issues. -
Providers Can Improve Condom Messaging to Patients
Reproductive health providers could help patients better understand their risks of both pregnancy and sexually transmitted infections (STIs) by asking nonjudgmental questions about their sexual activity, and offering testing for STIs and a vaccine for HPV. -
CDC Study Shows Low Condom Use Among LARC Users
Women increasingly are using long-acting reversible contraception (LARC). But LARC users might also be forgoing condoms, the only contraceptive that protects against most sexually transmitted infections, the results of a recent study suggest. -
Pilocarpine Hydrochloride Ophthalmic Solution 1.25% (Vuity)
Pilocarpine ophthalmic solution (OS) can be prescribed to treat presbyopia.
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Intensive Monitoring for Asymptomatic Atrial Fibrillation Did Not Prevent Strokes
Screening with an implantable loop recorder resulted in dramatically higher rates of atrial fibrillation detection and ensuing anticoagulation, but without a significant decrease in risk of stroke or systemic embolism by six years of follow-up.
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Importance of Age in the Application of Coronary Artery Calcium Detection
Using coronary CT strategy as a diagnostic first line in patients with symptoms suggestive of coronary artery obstruction revealed relying on the coronary calcium score alone is inadequate for younger patients with a higher frequency of non-calcified obstructions.
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Reduce the Risk of Autoimmune Disease with Vitamin D, n-3 Fatty Acid Supplements
A randomized, controlled trial that included older adults showed vitamin D3 2,000 units daily or n-3 fatty acids 1,000 mg daily over five years reduced the incidence of autoimmune diseases 25% to 30%.
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Looking Back, COVID-19 Vaccination Woes Were Predictable
Efficacy, protection duration, side effects, and FDA approval factored into decisions about choosing a COVID-19 vaccine.
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Fluvoxamine Reduces the Risk for Hospitalization from COVID-19
Researchers found fluvoxamine (100 mg twice a day for 10 days) lowered the risk for hospitalization among high-risk outpatients diagnosed with COVID-19.
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Is This Wellens’ Syndrome?
The ECG in the figure is from a young adult man known to have a bicuspid aortic valve. He presented to the ED following a presyncopal episode. The patient has not experienced chest pain recently. Does this patient have Wellens’ syndrome?