Primary Care/Hospitalist
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Carbohydrates and Insulin Resistance: Pondering Food Quality vs. Quantity
Researchers posit that solving the obesity epidemic is not as simple as eating less and moving more.
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Vitamin D and COVID-19
Low levels of vitamin D are associated with in-hospital mortality in patients with COVID-19, but causality is not yet known.
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Rapid Eye Movement Sleep Duration Is Predictive of Life Expectancy
Total sleep duration declines with older age, as does the fraction of sleep spent in rapid eye movement (REM) sleep. The decline in REM is associated with increasing mortality, but it is unclear if this is a cause or a marker of declining health and declining brain function.
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Cannabis Use and Associated Health Conditions in Primary Care: An EHR Review
This cross-sectional review of 185,565 patients’ medical records revealed documentation of medicinal cannabis use in 2% of the records. Within this subgroup, 44.5% had documentation of one or more health conditions potentially benefitting from treatment with cannabis, 54.4% had documentation of one or more health conditions potentially worsening with cannabis use, and 36.6% had both types of health conditions.
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Hypertension in Adults: An Update
Hypertension remains the leading cause of death and disability-adjusted life years globally, accounting for 10.4 million deaths per year. In the United States, hypertension accounts for more cardiovascular disease deaths than any other modifiable risk factor and is second only to cigarette smoking as a preventable cause of death for any reason.
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Reproductive Health Is Important Among Communities with Opioid Use Disorder
Pregnancy-capable individuals with a history of opioid use disorder (OUD) hold an inherent distrust of the healthcare system. This is one reason why contraceptive counseling could be a challenge for this population. New research through Boston Medical Center shows that individuals with OUD exhibit similarities to individuals with other chronic medical conditions when they are choosing a contraceptive method. -
Research Shows Ultrasound Is Not Necessary for Medication Abortion
Researchers suggest reproductive health providers could offer patients a faster, less expensive medication abortion via telemedicine. Study findings show that omitting the pre-abortion ultrasound does not appear to compromise safety or result in more ongoing pregnancies. -
What Is New in Contraception?
The new editions of Contraceptive Technology and Managing Contraception include important updates to several forms of contraception, including progestin-only pills. -
Title X Program Saved by Biden Administration’s New Final Rule
Title X organizations and other groups praised the Biden administration for reversing the draconian changes to the Title X family planning program that were enacted in 2019 under the Trump administration. -
Effects of Texas Abortion Law Could Ripple Nationwide
The recent Texas law that banned abortions after six weeks gestation was written to be enforced by almost anyone, anywhere in the United States — creating a bounty hunter system. It could turn neighbors against neighbors, family members against family members, and incentivize strangers to spy on women.