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Transvaginal ultrasound is the best diagnostic method for ectopic pregnancy

...ical motion tenderness (SN 45%, SP 91%, LR 4.9), peritoneal findings (SN 23-27%, SP 94-95%, LR 4.2-4.5), adnexal mass (SN 9%, SP 96%, LR 2.4), and adnexal tenderness (SN 61%, SP 65%, LR 1.9) were significant, as each finding increased the likelihood of ectopic pregnancy. Of note, however, normal findings on physical exam did not decrease the likelihood of an ectopic pregnancy. Among diagnostic modalities, transvaginal sonography was the single bes...

Quick Take: Sex-Based Disparities in the Hourly Earnings of Surgeons in the Fee-for-Service System...

1. Female surgeons earn less in a fee-for-service system than their male counterparts despite a lack of differences in hours worked or procedure duration, with the greatest discrepancies found in orthopedic surgery and cardiothoracic surgery. Evidence Rating Level: 2 (Good) Ample medical literature supports sex-based disparities in income across specialties, with surgical specialties demonstrating markedly different earnings between males and fem...

2 Minute MedicineĀ® Medical Journal Power Rankingsā„¢ – Best Medical Journals

...medical reports , we at 2 Minute Medicine® think we have a feeling for the best of the best. As the leading peer-reviewed medical news source for physicians and the public alike, we weigh the quality of the evidence that we cover, rating every article using validated evidence-rating guidelines. There’s more to measuring the Power Rank of a medical jour nal in the digital age however – viewership, engagement (that is, do readers simply read one art...

A physiotherapist-guided session with corticosteroid injection is cost-effective for rotator cuff injuries

...etween corticosteroid injection and no injection (adjusted mean difference -1.11, 99% CI -4.47 to 2.26). This was also the case for most secondary outcomes. There were slight differences in patient-reported global impression of treatment for progressive exercise over 6 and 12 months, and improvement in shoulder pain and function at 8 weeks with corticosteroid injection. Cost-benefit analyses looking at the cost per quality-adjusted life-years (QAL...

Pediatric providers who completed tobacco education program more likely to educate parental smokers about...

...tive reception to this online program could represent progress towards cost-effective, web-based provider education that transcends smoking cessation. Future research could assess the application of this model to other provider-initiated lifestyle interventions for a range of providers, which could help combat other common and costly health problems such as obesity and diabetes. Click to read the study in Pediatrics [/tab] [tab] 1. Online tobacco...

Online modules for pediatricians on human papillomavirus communication strategies linked to increased HPV...

...zation of HPV vaccines like other adolescent immunizations. In this cluster-randomized clinical trial, pediatric primary care practices across the U.S. were recruited to undergo investigation of the effect of asynchronous online modules educating pediatric clinicians on communication strategies for HPV with the goal of enhancing HPV vaccination rates in adolescents. Amongst the 48 randomized clinical practices, missed HPV vaccination opportunity (...

Rates of major CV procedures differ between Medicare Advantage and fee-for-service beneficiaries

...procedure rates were equivalent in Medicare Advantage and Medicine Fee-for-service plans. Evidence Rating Level: 2 (Good) Study Rundown: As healthcare costs in the United States grow rampant and stress the economy, investigations of causes and solutions to the system’s inefficiencies have gained much attention. Since one of the largest sectors of healthcare costs in this country is due to cardiovascular disease and its related procedures, the aut...

Blood pressure control best achieved with a multilevel, multicomponent approach

...t to its patient population demographics. Little data was acquired from low-to-middle income countries (LMICs). As hypertension remains a major contributor to morbidity and mortality within LMICs, better data from these countries will be necessary to evaluate how to best control BP within other settings. One of the strengths of this study lie in its methodology, where no language restrictions were included in the meta-analysis, potentially resulti...

Internet-based cognitive behavioral therapy effective for body dysmorphic disorder

...domized 94 patients with a confirmed diagnosis of BDD to receive either BDD-NET or online supportive therapy for 12 weeks. At the end of the study period, there was a significantly higher number of patients that responded to treatment in the BDD-NET group compared to online supportive therapy. Patients who received BDD-NET demonstrated significant improvement in BDD symptom severity compared to patients who received supportive therapy. Additionall...

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