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Postcesarean Intrauterine Contraception
Is it safe to insert an IUD immediately following cesarean delivery?
October 19, 2012
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Weight Loss for Overweight Cancer Patients: Benefits Aplenty
Two recent studies determined that losing weight in a sustainable way can reap many benefits for a variety of cancer survivors.
October 17, 2012
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Lacunar Stroke Does Not Justify Long-term Dual Antiplatelet Therapy
Some specific ischemic stroke subtypes, such as lacunar stroke, may not benefit from long-term combination aspirin and clopidogrel therapy.
October 15, 2012
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When Is an IGRA Conversion False Positive?
In Western countries, IGRAs have largely replaced the classic tuberculin skin test for diagnosing latent tuberculosis, but interpreting results can be challenging.
October 12, 2012
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Inky Mycobacteria
When infection develops in a tattoo, consider this unusual cause.
October 10, 2012
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Seeking a Population That Derives a Significant Benefit From Prasugrel
Prasugrel sales are flagging as other antiplatelet agents are gaining. Is there a particular population for whom Prasugrel is superior?
October 08, 2012
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Symptomatic Iron Deficiency Without Anemia
Does iron deficiency cause fatigue in the absence of anemia? If so, can oral iron therapy improve symptoms?
October 05, 2012
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Which Elders With Systolic Hypertension Should We Treat?
Could aggressive treatment of systolic hypertension in frail older patients actually do more harm than good?
October 03, 2012
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When Breast-Conserving Surgery Doesn't Work the First Time
In this alarming study, 20% of women with breast cancer who underwent breast-conserving surgery required re-operation within three months.
October 01, 2012
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PSA Screening and Quality of Life
While recent studies have questioned the value of PSA screening, this study found potential gains in quality-adjusted life-years in those who undergo screening.
September 28, 2012
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Medicaid Expansion Appears to Lower 5-Year Mortality
A new study suggests that the expansion of Medicaid benefits under the Affordable Care Act will benefit even those already enrolled.
September 26, 2012
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Ketamine for Bipolar Depression
Evidence is accumulating for ketamine's acute antidepressant effect in biopolar as well as unipolar depression, but this short-term study did not address the risk for induction of mania and cycling.
September 25, 2012
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Oral Immunotherapy for Egg Allergy Is Effective
The majority of children with egg allergy can be desensitized with oral immunotherapy -- but the challenge is to induce long-lasting tolerance after therapy is discontinued.
September 24, 2012
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Silymarin Is Ineffective for Chronic Hepatitis C Virus Infection
Silymarin is an extract of milk thistle commonly used by patients with liver disease. Does it have any value in treating hepatitis C?
September 21, 2012
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Imaging for PE: Does Practice Meet the New Quality Measure?
Are imaging studies truly necessary for diagnosis of suspected pulmonary embolism in the ED?
September 20, 2012
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Testing Strategies to Rule Out Acute Coronary Syndromes: Which Is Most Efficient?
While this study found that CT angiography for acute chest pain may decrease time in the ER, it does not result in any cost savings--and presents increased radiation risk.
September 19, 2012
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Proton-Pump Inhibitors Raise Risk for C. difficile Infections
In two meta-analyses, PPI use was associated with a significantly increased risk for Clostridium difficile infection.
September 17, 2012
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Must We Stop Prophylactic Aspirin in Patients Who Develop Peptic Ulcers?
This study found that in most cases PPIs heal aspirin-associated ulcers--but it still may be prudent to discontinue aspirin if peptic ulcers develop.
September 14, 2012
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Alcoholic Cirrhosis and Risk for Hepatocellular Carcinoma
Is surveillance for hepatocellular carcinoma necessary for patients with alcoholic cirrhosis?
September 12, 2012
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Prostatectomy vs. Observation for Prostate Cancer: PIVOT
The PIVOT study compared surgery with 'watchful waiting' in patients with localized prostate cancer. How should the results be interpreted?
September 10, 2012
