Patient Motivation for Presenting to Emergency Department for Vaginal Bleeding in Early Pregnancy (VBEP)
Vaginal bleeding in early pregnancy (VBEP) is a common presentation to the emergency department. Between 1993 and 2003, there were greater than 500,000 emergency department (ED) visits per year in the United States. Within the first trimester , 20- 40 % of women experience an episode of vaginal bleeding.Persistent bleeding is associated with negative outcomes including spontaneous abortion, low birth weight, stillbirth, prenatal death, and premature birth.[1,2]
This article describes details of each stage of the mission and includes a discussion of key aspects of logistics and patient care posed by such evacuations. PMID: 31977424 [PubMed - in process]
This article explores the factors that contribute to polypharmacy and discusses its negative physiological, psychological, and economic effects. It also describes strategies for reducing polypharmacy, including both "explicit" approaches, which are grounded in the findings of literature reviews and expert opinion, and "implicit" approaches, which are based on the provider's interpretation of clinical data and the patient's medication regimen. PMID: 31977416 [PubMed - in process]
This article describes key characteristics of nonpermanent contraceptive methods, including mechanism of action, correct use, failure rates with perfect and typical use, contraindications, benefits, side effects, discontinuation procedures, and innovations in the field. We also discuss how contraceptive care is related to nursing ethics and health inequities. PMID: 31977414 [PubMed - in process]
Authors: PMID: 31977405 [PubMed - in process]
Publication date: Available online 24 January 2020Source: The American Journal of SurgeryAuthor(s): Jason M. Bowie, Richard Y. Calvo, Vishal Bansal, Lyndsey E. Wessels, William J. Butler, C. Beth Sise, Jennifer G. Shaw, Michael J. SiseAbstractBackgroundComplicated gallstone disease (CGD) is a common condition requiring intervention during pregnancy to avert adverse birth outcomes (ABO).MethodsCohort study using the California OSHPD 2007–2014 database. Records of pregnant patients were analyzed for gallbladder calculus within four months of delivery. Biliary system interventions were evaluated as the primary exposure....
ConclusionsThis is the largest series to date reporting>30-day follow-up for patients undergoing venous ablation procedures while receiving anticoagulation and the longest follow-up reported of any series. Durability, safety, and efficacy of vein ablation in patients receiving anticoagulation are comparable to those in control patients. Anticoagulation should not be considered a contraindication to endothermal ablation of the GSV or SSV for symptomatic venous reflux.
“Although the United States leads the world in health care spending, it fares far worse than its peers on coverage and most dimensions of value. Cost and coverage are intertwined. Many Americans cannot afford health insurance, and even those with insurance face substantial cost-related barriers to care. Employer-sponsored insurance is less prevalent and more expensive than in the past, and in response, deductibles have grown and benefits have been cut. The long-term solvency of U.S. public... ACP Endorses Single-Payer system
CONCLUSION: Regardless of COS protocols, FET could be performed immediately after a freeze-all strategy for delaying FET failed to improve reproductive and neonatal outcomes. PMID: 31924215 [PubMed - in process]
CONCLUSIONS: There is insufficient evidence to demonstrate benefit or harm of using anticoagulants with or without ASA versus ASA alone in people with aPL antibodies and a history of recurrent pregnancy loss and with no such history; ASA versus placebo in people with aPL antibodies; and ASA with LMWH versus placebo or IVIG, and ASA with high-dose LMWH versus ASA with low-dose LMWH or UFH, in women with aPL antibodies and a history of recurrent pregnancy loss, for the primary prevention of thrombotic events. In a mixed population of people with a history of previous pregnancy loss and without such a history treated with ant...
Kim Kardashian wants to have a third baby. “I’m going to try to have one more baby,” Kardashian says in a new promo for an upcoming episode of “Keeping Up with the Kardashians.” But a third baby could be very risky for the reality TV star, who revealed in an episode last fall that she had experienced a serious complication involving her placenta during both of her first two pregnancies. [9 Uncommon Conditions That Pregnancy May Bring] “I want my kids to have siblings, but the doctors don’t feel like it’s safe for me,” Kardashian says in the new clip. “I don&rsquo...