HeyJaredNikki Kean
- Indexed articles, last 90 days
- 10
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- Sep 17, 2026
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- Jul 10, 2026
Latest articles
Intrauterine Mepivacaine Reduces Pain During IUD Placement (opens the original)
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Intrauterine installation of a local anesthetic minutes before intrauterine device (IUD) placement reduces pain during the procedure, “representing a simple approach to improving patient experience,” said the authors of a news study published in JAMA. “Concern about pain during IUD placement is common and reduces selection of an IUD. Reducing procedure-related pain may support informed contraceptive decision-making and patient autonomy and has also been associated with improved patient satisfact
Trauma’s Genetic Imprint on Children Requires Targeted Therapeutic Interventions (opens the original)
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Neurological development in children occurs within the context of relationships. Therefore, to understand childhood behavior and development, one must first comprehend the foundational environment into which the child was born. For example, “stressful experiences [by the mother] during pregnancy can cause epigenetic changes that influence [the child’s ability] to manage stressors later in life,” according to David Thibault, DNP, APRN, FNP-BC, assistant professor at Utah Tech University in St Geo
GLP-1 Receptor Agonist Therapy: Management, Maintenance, and Long-Term Outcomes (opens the original)
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It has been 12 years since the first GLP-1 receptor agonist, liraglutide (Saxenda), was approved as a weight loss medication. This breakthrough was followed in 2021 by the approval of semaglutide (Wegovy) and in 2023 by the approval of tirzepatide (Zepbound), which have transformed obesity treatment. To understand the clinical considerations and nuances of month-to-month patient management, Director of The Clinical Advisor, Nikki Kean, met with Melissa Glassford, DNP, MSN, APRN, FNP-BC, to discu
President Trump Signs Executive Order Calling for Changes to Childhood Immunization Schedule (opens the original)
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On Monday, August 10, President Donald Trump signed an executive order titled “Delivering Gold Standard Childhood Vaccine Recommendations for Americans” to revamp childhood vaccine recommendations, which would reduce and space out the vaccine schedule, including separating the measles, mumps, and rubella (MMR) vaccine into 3 individual shots. President Trump was moved to create the latest executive order after attempts to change the vaccination schedule through Executive Order 14407 were critici
Lifetime Approach to Managing Hypoactive Sexual Desire Disorder (opens the original)
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Sex is an integral part of a person’s life. While much attention has been given to men’s sex lives (think Viagra), growing attention has been given to the healthy sex lives of women across their lifespan. The Clinical Advisor’s Director, Nikki Kean, sat down with Aleece Fosnight, MSPAS, PA-C, during the recent American Academy of Physician Associates (AAPA) annual meeting in New Orleans, Louisiana. Ms Fosnight, the owner of the Fosnight Center for Sexual Health in Asheville, North Carolina, pres
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