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Primary Care/Hospitalist

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Articles

  • Herpes Zoster Vaccine: Effective but Underused

    The adjuvanted recombinant herpes zoster vaccine is highly effective in practice, but it is vastly underused.

  • Antibiotics: Less Is Better, Sometimes

    In England, and likely in many other areas of the world, antibiotics are given for longer than necessary. Excessively long durations of antibiotic use do not help patients and risk leading to more resistant infections.

  • Is Empagliflozin Safe in Combination with a Neprilysin Inhibitor for Heart Failure?

    A prespecified subgroup analysis of heart failure patients with reduced ejection fraction who were on neprilysin inhibitors before empagliflozin was administered (vs. those not on neprilysin inhibitors) showed the reduction in mortality and hospital admissions for heart failure was not attenuated by concurrent neprilysin use.

  • Accounting for Patient Preference, Cardiovascular Disease Risk in Statin Therapy

    Researchers weighed patient preferences and risks regarding statin therapy after reviewing 10-year atherosclerotic cardiovascular disease risk scores.

  • Is Metformin a Wonder Drug?

    An analysis of patients taking metformin for diabetes showed they were less likely to report back, knee, neck/shoulder, or multisite musculoskeletal pain.

  • Study Reveals Increased IUD Expulsion Rate After Vaginal Delivery

    Physicians sometimes worry that women who have not given birth will have more difficulty with an intrauterine device, experiencing a higher expulsion rate. But the results of a recent study show that the opposite is true.
  • Ask Women if They Use More than One Contraceptive Method

    Nearly one out of five women used two or more methods of contraception the last time they had sexual intercourse, researchers found. Specifically, 18% of women ages 15 to 44 years who had used some form of contraception at last intercourse said they used two or more methods. Condoms and another method were the most commonly used method among dual users (58%). But women also reported using the withdrawal method, or a long-acting reversible contraceptive and another method that did not include condoms or withdrawal.
  • SAFE Intervention Brings Reproductive Health Services to Women in Treatment

    Women with opioid use disorder may avoid visiting a family planning clinic or seeing a physician for contraceptive care and counseling because of their fear of stigma and judgment. The Sex and Female Empowerment (SAFE) intervention helps this at-risk group receive evidence-based contraceptive information safely and without risk of stigma.
  • Take Practical Actions to Help Employees Cope

    Employers sometimes offer staff tips on self-care to help them cope with stress and prevent depression and other mental health issues. But there also are actions leaders can take to help prevent their staff from becoming burned out or experiencing long-term mental health problems related to the COVID-19 pandemic.
  • Watch Out for Moral Injury and Psychological Distress Among Staff

    Research into psychological distress and mental health issues during crises suggests that the world’s healthcare workers will face challenges through the pandemic and for years afterward. New data from the Centers for Disease Control and Prevention and an online survey revealed that one in 10 respondents seriously considered suicide within the past 30 days, and about one in five essential workers considered the same. Frontline professionals, and other healthcare workers to a lesser extent, are witnessing traumatic events that could lead to moral injury. Nurses and others affected by the pandemic’s trauma need education, coping tools, and therapy to help alleviate the adverse effects.