Primary Care/Hospitalist
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Physician Training with IUDs Partly Affected by Medicaid Expansion Status
A survey of OB/GYN residents revealed a significant difference in exposure to placement of intrauterine devices (IUDs) based on whether they were working as residents in states that expanded Medicaid vs. states that did not. The responses revealed those who worked in university programs in states that accepted Medicaid expansion inserted more IUDs and received more experience with immediate postpartum IUD training than did those in states that did not expand Medicaid. -
U.S. Teens Less Likely Than Peers in Norway to Use Hormonal Contraceptives
Teen birth rates have fallen in recent years, but the rate in the United States is higher than in other high-income countries, including the Netherlands and all Scandinavian countries. The U.S. teen birth rate is 16.7 births per 1,000 teens — 73% lower than the peak in 1991. In Norway, the teen birth rate is 2.8 births per 1,000 teens. -
Researchers Make Case for Same-Day LARC Access
In recent years, studies have shown the benefits of same-day contraception access. But practice has not always caught up with research. -
Contraceptive Counseling Lacking in Southern Clinics, New Study Shows
Only one in 10 patients who received a recent positive pregnancy test reported their reproductive health provider discussed all pregnancy options at clinics in a Southern publicly funded family planning system, researchers noted. The patients whose providers mentioned all pregnancy options were more likely to rate their counseling as excellent on all items, compared with patients who did not receive information on all options. -
Pandemic Affected Family Planning, Abortions, Contraceptive Counseling
New research highlights the challenges many reproductive health providers and family planning clinics faced during the COVID-19 pandemic. These include discontinuation of services, such as placing long-acting reversible contraception and prescribing emergency contraceptive pills in advance. -
What Is the ‘Bix Rule?’
The ECG in the figure was obtained from a middle-aged man with a history of exertional chest pain and dyspnea. How would one interpret this tracing? Does the red arrow in lead II show a sinus P wave?
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Atogepant Tablets (Qulipta)
Atogepant can be prescribed to prevent episodic migraine in adults.
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Progression of Coronary Calcium on Statin Treatment
In those treated with statins vs. those who were not, statins decreased plaque volume in plaques with little or no calcium (plaque regression) and increased calcium density without changes in plaque volume in calcified plaques (plaque stabilization).
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Adjuvanted Zoster Vaccine: Persistent Protection
The adjuvanted recombinant zoster vaccine efficacy is high and persistent, with apparent plateauing at > 84% four to six years after vaccination.
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First-Line Therapy for Hypertension
When comparing angiotensin-converting enzyme inhibitors and angiotensin receptor blockers (ARBs) to treat hypertension, researchers observed no difference in major cardiovascular events — but a better safety profile for ARBs.