Articles Tagged With: intervention
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A New Intervention Criterion for Ascending Aortic Aneurysm
A large retrospective study from the Yale University Aortic Institute database of unoperated patients with ascending thoracic aneurysms has shown that the risk of an adverse aortic event rises significantly at 5.0 cm to 5.4 cm in maximum diameter and supports moving the guideline for surgical intervention from 5.5 cm to 5.0 cm.
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Multicomponent Intervention for Early Detection and Treatment of Postpartum Hemorrhage: E-MOTIVE
This international, parallel, cluster-randomized trial assigned 80 secondary-level hospitals in four African countries to evaluate a multicomponent intervention for early detection and treatment of postpartum hemorrhage (PPH) vs. usual care following a vaginal birth. The intervention group had 60% less severe PPH cases (> 1 L blood loss) than the usual care cohort.
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Tarlov Cysts of the Lumbosacral Spine
Tarlov cysts (root sleeve cysts) are common incidental findings on magnetic resonance imaging of the lumbosacral spine. However, they rarely are correlated with electrophysiological findings or clinical symptoms. Undertake extreme care and caution before recommending surgical intervention for these common imaging abnormalities.
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More U.S. Trauma Centers Offering Screening, Intervention Programs
Integrated mental health approach includes addressing PTSD, alcohol, opioids, firearms, and suicidal ideation.
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Peer-Led Family Planning Intervention Can Help Women with Substance Use Disorder
Individuals with substance use disorder and higher rates of unintended pregnancies could benefit from a family planning intervention targeted for that population. The peer-led family planning navigation intervention employed women who were successful in connecting with study participants. -
With STDs at an All-Time High, Advocates Push Expedited Partner Therapy
While STD clinics and primary care clinicians detect and treat many of these cases, there is no question EDs play an outsize role in caring for patients with STDs, particularly among disadvantaged populations. However, evidence suggests many EDs are not using all the tools at their disposal to facilitate treatment and curb transmission. -
Hospital-Based Violence Intervention Programs Gain Momentum
As COVID-19 pandemic-related concerns begin to recede, long-standing health issues that were overshadowed during the crisis have re-emerged — in particular, the number of patients presenting to medical facilities with violence-related injuries. -
Management of Heavy Menstrual Bleeding: Levonorgestrel-Releasing Intrauterine System vs. Endometrial Ablation
In this multicenter, randomized, noninferiority trial among patients aged 34 years and older with heavy menstrual bleeding, the levonorgestrel-releasing intrauterine system did not meet the noninferiority threshold when compared to endometrial ablation for mean blood loss at 24 months following intervention. Both interventions did lead to large decreases in blood loss and comparable satisfaction and quality-of-life scores.
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Policies Support Clinicians if Asked to Provide Inappropriate Care
When a family demands possibly inappropriate life-sustaining interventions, clinicians often turn to hospital policies for guidance. The authors of a recent study examined the effectiveness of Yale New Haven Hospital’s Conscientious Practice Policy. A theme emerged, focused on the inconsistent use of the policy. Whether it was used depended mostly on how resistant the family was to limiting interventions.
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Efficacy of the Ross Procedure in Young Adults with Aortic Valve Disease
Young patients who underwent the Ross procedure recorded high rates of survival and low rates of reintervention long term.