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Gut microbiome influences response to methotrexate in new-onset RA patients
The study’s “results open the possibility to rationally design microbiome-modulating strategies to improve oral absorption of MTX and its...
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Endocrine societies push back on discriminatory transgender health policies
Recent proposed legislation that would limit access to medical care for transgender and gender-diverse individuals sparked a call for evidence-...
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Bias against hiring hospitalists trained in family medicine still persists
“Truly, the best candidate for the position, regardless of background and training, is what you want."
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An alternative path to recertification
Recertification by the National Board of Physicians and Surgeons will include physicians who were initially board certified with UCNS in certain...
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Use long-acting second-generation antipsychotics ‘as early as possible’ in psychosis
LAIs and clozapine are vastly underused after discharge, said Dr. Henry A. Nasrallah. “I really encourage everybody to use them ... as early as...
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Distinguish ‘sleepiness’ from ‘fatigue’ to help diagnose hypersomnia
“A lot of clinicians don’t really clarify whether a patient is truly sleepy or just fatigued,” said Dr. Ruth M. Benca.
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Choosing pharmacotherapy for bipolar disorder requires a risk-benefit analysis
Some patients with bipolar disorder may demonstrate symptoms of anxiety that aren’t part of the DSM-5 criteria for an anxiety disorder, said Dr....
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Let side effects guide treatment choice for refractory OCD
“I wouldn’t call somebody medication resistant unless they’ve tried clomipramine at some point,” said Dr. Wayne K. Goodman.
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Decide ADHD pharmacotherapy based on medication onset, duration of action
It is important for clinicians to remember that stimulants improve adherence, social interactions, and academic efficiency, said Dr. Jeffrey R....
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HIT-6 may help track meaningful change in chronic migraine
Specific HIT-6 thresholds could be used as a benchmark to help clinicians and researchers detect clinically meaningful change in individual...
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Endometriosis, surgical approach impact risk of bowel injury in hysterectomy
Women with endometriosis most frequently had bowel injury, but it also occurred in women with uterine leiomyomas, pain, menstrual disorders, and...
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Enhanced recovery program improves outcomes after cesarean delivery
ERAS improves outcomes after cesarean including use of opioids, length of stay, and costs.
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Shingrix effective in older adults with preexisting immune-mediated disorders
The most common immune-mediated disorders in two phase 3 clinical trials of the vaccine were psoriasis, spondyloarthropathy, rheumatoid arthritis...
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Nearly half of brachial plexus injury cases occur without shoulder dystocia
The two complications, which appear to be unrelated, also appear to be unrelated to clinician experience.