Primary Care/Hospitalist
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The Time for Contraceptive Revolution Is Now
While the 20th century yielded new contraceptives in the form of pills, rings, patches, intrauterine devices, and implants, it is time for new exploration into further birth control options.
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Can You Interpret This Rhythm?
The long lead II rhythm strip in the figure was obtained from a middle-aged woman with syncope and hypotension. What can you say about the rhythm?
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Minocycline Topical Foam (Amzeeq)
Minocycline topical foam is indicated to treat inflammatory lesions of non-nodular moderate-to-severe acne vulgaris in patients ≥ 9 years of age.
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Anticoagulation Decisions in Atrial Fibrillation
Using the Delphi method of arriving at a consensus among clinicians concerning for which patients with atrial fibrillation should oral anticoagulants be recommended, the risk of stroke, the risk of hemorrhage, and patient-specific factors emerged. Many of these factors are not included in the guidelines and should be studied further.
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Treating Depression in Epilepsy: To Medicate or Not?
Epileptic patients with major depression were randomized to either cognitive behavioral therapy (CBT) or sertraline. Depression and related secondary health outcomes were analyzed in both groups. Sertraline and CBT were found to be equally efficacious with improvement in mood in more than half of patients.
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Optimism Could Increase Odds of ‘Exceptional Longevity’
An analysis of 10-year follow-up data from the Nurses’ Health Study and 30-year follow-up data from the Veteran Affairs Normative Aging Study revealed a significant association between baseline levels of higher optimism and longevity, even when data were adjusted for health behaviors and psychosocial factors.
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The Health Effects of Magnesium: Part 2
Prospective outcomes studies are demonstrating that individuals are not meeting their daily magnesium intake needs and this may be contributing to a number of chronic health conditions including diabetes, hypertension, short sleep, and some pain conditions.
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Childhood Gluten Intake and Risk of Celiac Disease
Data analysis from The Environmental Determinants of Diabetes in the Young (TEDDY) study, to evaluate risk of celiac autoimmunity and celiac disease in children who screened positive for at-risk human leukocyte antigen genotypes, demonstrated increased risk for both outcomes in genetically predisposed children correlating with increasing quantities of daily gluten intake during the first five years of life.
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Eat Nuts, Gain Less Weight
A long-term, large-scale prospective study reveals an association between increased consumption of nuts, decreased weight gain, and decreased risk of obesity.
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Cefiderocol Injection (Fetroja)
Cefiderocol should be prescribed to treat complicated urinary tract infections, including pyelonephritis, in adults ≥ 18 years of age with limited or no alternative treatment options.