Primary Care/Hospitalist
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Surgical Approaches to Decompression in Degenerative Lumbar Spondylolisthesis
For patients with symptomatic lumbar stenosis and single-level spondylolisthesis who were refractory to conservative treatment, there was no significant difference between outcomes in those who underwent decompression surgery with instrumented fusion vs. decompression surgery without fusion.
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Homelessness and COVID-19
Extra screening in care for homeless persons can help solve many problems, including the administration of COVID-19 vaccination to this vulnerable population.
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Slow, Steady, and Synchronized Wins the Race
In patients with atrial fibrillation and heart failure, definitive rate control via atrioventricular junction ablation and biventricular pacing resulted in a significant reduction in all-cause mortality vs. pharmacologic rate control.
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Resistance Erodes Standard Treatment for Pneumonia
These data suggest community-acquired pneumonia CAP therapy may no longer be relevant for many patients with CAP, and the required use of the current CAP bundle with limited antibacterial therapy choices should be re-assessed.
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Overdiagnosis of Chronic Kidney Disease in the Elderly
Older patients experience a physiological decline in estimated glomerular filtration rate. However, if the same levels are used to define chronic kidney disease for all adults, older patients not at a higher risk for kidney failure might still be classified with the disease.
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College Students Need Better STI, Sexual Violence Education
Nearly two-thirds of college students reported having experienced sexual and/or physical violence at some time in their lives, according to the results of a new study. -
Better Education on Sexually Transmitted Infections Is Needed
A small study of women who responded to a study recruitment flier that offered a free, rapid HIV test revealed the participants knew very little about sexually transmitted infections. -
Pandemic Unlikely to Have Stopped Trend of Rising STDs, Researchers Suggest
The 2019 STD Surveillance Report noted annual cases of STDs in the United States reached an all-time high in 2019 for the sixth consecutive year. In 2019, there were 2.5 million reported cases of chlamydia, gonorrhea, and syphilis, and a nearly 30% increase in reportable STDs between 2015 and 2019. Data from 2020 showed a similar trend of high STD cases in the first 11 weeks of 2020, but reported cases were much lower than 2019 cases for a week in April 2020. -
Community Health Centers Rarely Offer One-Year Supply of Oral Contraceptives
States and community health centers could do a better job of removing access barriers to oral contraceptives, according to the results of a new study. Only a small percentage of states and community health centers provide patients with a one-year supply of oral contraceptives on site. -
Studies Show the Benefits of School-Based Contraceptive Counseling
The results of two recent studies suggest benefits for adolescents who receive contraceptive services through school-based health centers in Oregon. Contraceptive Technology Update asked lead author Emily R. Boniface, MPH, research associate in Oregon Health and Science University’s department of obstetrics and gynecology, to answer questions about the new research.