The management of patients who are receiving an anticoagulant or antiplatelet drug and require surgery or an invasive procedure is a common clinical problem encountered by a broad spectrum of health care professionals. This review provides an evidence-based but practical approach to common...
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Stress urinary incontinence and synthetic mesh midurethral slings in women
Stress urinary incontinence has a prevalence of 10%–40% and is considered severe in 3%–17% of women worldwide.1 Diagnosis involves demonstrating involuntary urine leakage with increases in intra-abdominal pressure (e.g., exercising, coughing). On history, it is important to differentiate this...
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Comparative Efficacy of Pharmacological Treatments for Acne Vulgaris: A Network Meta-Analysis of 221 Randomized Controlled Trials
PURPOSE Acne is an extremely common skin disease with an estimated global prevalence of 9.4%. We aim to provide comprehensive comparisons of the common pharmacological treatments for acne.
METHODS Randomized controlled trials comparing the efficacy of pharmacological therapies for acne...
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Oral Nonprescription Pain Medications for Adults
Some prescription pain medications prescribed by doctors also include a nonprescription pain medication. Therefore, to avoid taking more than the recommended amount of acetaminophen or an NSAID, it is important to tell your doctor if you are taking over-the-counter pain medications in addition...
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Pelvic organ prolapse
Prolapse is found in 41%–50% of adult females, with symptoms of pelvic pressure and vaginal bulge sensation reported by 3%–6% of adult females. Prolapse is diagnosed and staged with physical examination based on the maximum descent of vaginal tissue (anterior, posterior or apex) on Valsalva...
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What Parents Should Know About Bugs and Bug Repellents
What Parents Should Know About Bugs and Bug Repellents
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Low-Dose Aspirin and the Risk of Stroke and Intracerebral Bleeding in Healthy Older People
Importance Low-dose aspirin has been widely used for primary and secondary prevention of stroke. The balance between potential reduction of ischemic stroke events and increased intracranial bleeding has not been established in older individuals.
Objective To establish the risks of...
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Management of Latent Tuberculosis Infection
In theUS, approximately 13million people have latent tuberculosis infection (LTBI),definedaspeoplewhoareinfectedwithMycobacterium
tuberculosiswho do not have symptoms and do not transmit the disease.Without treatment, approximately 5% to 10% of immunocompetent personswithLTBI develop...
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Demystifying breast cancer
The first question a patient often asks their FP after receiving a diagnosis of breast cancer (BC) is “What will my treatment be?” This article will help FPs answer this complex question by reviewing multimodal therapy for BC, which is contingent on molecular subtype and stage.
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Bempedoic Acid for Primary Prevention of Cardiovascular Events in Statin-Intolerant Patients
Importance: The effects of bempedoic acid on cardiovascular outcomes in statin-intolerant patients without a prior cardiovascular event (primary prevention) have not been fully described.
Objective: To determine the effects of bempedoic acid on cardiovascular outcomes in primary...
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