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Mean rates of inappropriate prescribing by NPs, primary care doctors were 'virtually identical'

Back in those dark early days of my medical career it seemed that inpatients developed atrial fibrillation on a daily basis, and much time was spent stressing about zigzagging INRs. When a patient’s underlying illness improved, often the atrial fibrillation resolved, but patients were still discharged with their yellow books and the promise of a call from the anticoagulation clinic. But does transient atrial fibrillation during a hospital admission need the same management as paroxysmal atrial fibrillation, with lifelong anticoagulation? A new cohort study matched people admitted to hospital...

Nearly 80% of U.S. hospital systems omit abortion information entirely

Rhesus immunoglobulin (Rho(D), anti-D), has been a game changer for Rh negative pregnant women. Since it’s been routinely given in the third trimester and at delivery, maternal sensitisation rates have fallen from 9-10% at each full term pregnancy to 0.2%. But should we also test and give anti-D after first trimester terminations of pregnancy? New technology that allows detection of low but potentially significant levels of exposure to fetal red blood cells (fRBCs) which might cause maternal sensitisation has provided such much needed clarity. In this prospective US study, 99.8% (505/506) of...

Intracytoplasmic sperm injection, in particular, shows risk for major genitourinary abnormalities