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Practical Recommendations for Minimizing Pain and Anxiety with IUD Insertion

Author/s: Viktoriya Ovsepyan, Petra Kelsey, Ann E Evensen

Background: Intrauterine devices (IUDs) are one of the most effective, long-lasting, and convenient contraceptive methods available in the United States. Unfortunately, the anticipated pain and anxiety associated with an IUD insertion procedure deter many people from using this contraceptive...

Keywords/Tags:
IUD Intrauterine Devices managing pain contraception anxiety

Age-Related Cataract Extraction Is Associated With Decreased Falls, Fractures, and Intracranial Hemorrhages in Older Adults

Author/s: Caitlin M Hackl, Brady P Moore, Imanouel M Samai, Brian R Wong

Background: Cataract extraction with intraocular lens insertion (CEIOL) is among the most frequently performed surgeries in the United States and is indicated for individuals with age-related cataracts causing visual impairment. The association between CEIOL and falls and hip fractures has been...

Keywords/Tags:
age‐related cataracts cataract extraction traumatic injury elderly patients

Active Monitoring With or Without Endocrine Therapy for Low-Risk Ductal Carcinoma In Situ: The COMET Randomized Clinical Trial

Author/s: E. Shelley Hwang, Terry Hyslop, Thomas Lynch, et al.

Importance Active monitoring for low-risk ductal carcinoma in situ (DCIS) of the breast has been proposed as an alternative to guideline-concordant care, but the safety of this approach is unknown.

Objective To compare rates of invasive cancer in patients with low-risk DCIS receiving...

Keywords/Tags:
breast neoplasms Carcinoma breast cancer Ductal Carcinoma In Situ

Effect of gut microbiome modulation on muscle function and cognition: the PROMOTe randomised controlled trial

Author/s: Mary Ni Lochlainn, Ruth C E Bowyer, Janne Marie Moll, María Paz García, Samuel Wadge, Andrei-Florin Baleanu, Ayrun Nessa, Alyce Sheedy, Gulsah Akdag, Deborah Hart, Giulia Raffaele, Paul T Seed, Caroline Murphy, Stephen D R Harridge, Ailsa A Welch, Carolyn Greig, Kevin Whelan, Claire J Steves

Studies suggest that inducing gut microbiota changes may alter both muscle physiology and cognitive behaviour. Gut microbiota may play a role in both anabolic resistance of older muscle, and cognition. In this placebo controlled double blinded randomised controlled trial of 36 twin pairs (72...

Keywords/Tags:
aging cognition dietary supplements Gastrointestinal Microbiome gut microbiome gut health

Canadian guideline for Parkinson disease

Author/s: David Grimes, Megan Fitzpatrick, Joyce Gordon, Janis Miyasaki, Edward A Fon, Michael Schlossmacher, Oksana Suchowersky, Alexander Rajput, Anne Louise Lafontaine, Tiago Mestre, Silke Appel-Cresswell, Suneil K Kalia, Kerrie Schoffer, Mateusz Zurowski, Ronald B Postuma, Sean Udow, Susan Fox, Pauline Barbeau, Brian Hutton

KEY POINTS

This guideline update reflects substantial changes in the literature on diagnosis and treatment of Parkinson disease, and adds information on palliative care.

Impulse control disorders can develop in a person with Parkinson disease who is on any dopaminergic...

Keywords/Tags:
Disease Progression Dopamine Agonists exercise therapy palliative care Parkinson Disease quality of life

Prostate Cancer: A Review

Author/s: Ruben Raychaudhuri, Daniel W Lin, R Bruce Montgomery

Importance: Prostate cancer is the most common nonskin cancer in men in the US, with an estimated 299 010 new cases and 35 250 deaths in 2024. Prostate cancer is the second most common cancer in men worldwide, with 1 466 680 new cases and 396 792 deaths in 2022.

Observations: The most...

Keywords/Tags:
prostate prostate cancer adenocarcinoma

Eating Disorders: A Review

Author/s: Evelyn Attia, B Timothy Walsh

Importance: Eating disorders are characterized by disturbances in eating behavior and occur worldwide, with a lifetime prevalence of 2% to 5%. They are more common among females than males and may be associated with medical and psychiatric complications, impaired functioning, and decreased...

Keywords/Tags:
eating disorder

Male-Partner Treatment to Prevent Recurrence of Bacterial Vaginosis

Author/s: Lenka A Vodstrcil, Erica L Plummer, Christopher K Fairley, Jane S Hocking, Matthew G Law, Kathy Petoumenos, Deborah Bateson, Gerald L Murray, Basil Donovan, Eric P F Chow, Marcus Y Chen, John Kaldor, Catriona S Bradshaw, StepUp Team

Background
Bacterial vaginosis affects one third of reproductive-aged women, and recurrence is common. Evidence of sexual exchange of bacterial vaginosis–associated organisms between partners suggests that male-partner treatment may increase the likelihood of cure.

Methods
...

Keywords/Tags:
vaginosis bacterial vaginosis bacterial imbalance reproductive-aged women sexual partners

Vitiligo

Author/s: Shahnawaz Towheed

No abstract available.
Keywords/Tags:
vitiligo skin pigment

What Parents Need to Know About Knee Pain in Active Children

Author/s: Maria Isabel Angulo, Geisel R Collazo, Lindsay A Thompson

This JAMA Pediatrics Patient Page discusses Osgood-Schlatter disease, a common overuse injury of the knee, in active children.
Keywords/Tags:
Knee pain children

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