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Showing posts from August, 2023

ACR: Rheumatologists Help Reduce ED, Hospitalization Costs

Rheumatologists can save health systems more than $2700 per patient per year, and each can generate $3.5 million in annual billings, according to a white paper from the American College of Rheumatology. Medscape Medical News source https://www.medscape.com/viewarticle/996028?src=rss

Diabetes Drug Class Appears to Reduce Recurrent Gout Flares

Previously associated with a lower incidence of gout, sodium-glucose cotransporter-2 (SGLT2) inhibitors for the first time also appear to reduce gout flare recurrence and excess mortality. Medscape Medical News source https://www.medscape.com/viewarticle/996025?src=rss

These Four GI Conditions May Predict Parkinson's Disease

Dysphagia, gastroparesis, constipation, and irritable bowel syndrome without diarrhea may be early warning signs of Parkinson's disease. Medscape Medical News source https://www.medscape.com/viewarticle/996013?src=rss

One in Five Men Are Carriers of High-Risk HPV

Estimates based on a recent literature review lend further weight to arguments in favor of vaccinating boys against HPV to prevent certain types of cancer. Medscape Medical News source https://www.medscape.com/viewarticle/996020?src=rss

What Emergency Medical Equipment Do You Carry With You?

An emergency can pop up when you least expect it — on the side of the road, in a restaurant, while in line at the store. Do you keep supplies at the ready or stored in your personal vehicle? Medscape Reader Polls source https://www.medscape.com/viewarticle/996019?src=rss

Experts Debate Low-Carb Diets for People With Diabetes

At the recent American Diabetes Association 83rd Scientific Sessions, two experts debated the controversial topic. Medscape Medical News source https://www.medscape.com/viewarticle/995990?src=rss

Delaying Palliative Chemo May Improve QoL When Asymptomatic

This analysis found that for patients with advanced cancer, delaying palliative chemotherapy until symptoms started did not affect overall survival and may have improved quality of life. Medscape Medical News source https://www.medscape.com/viewarticle/995983?src=rss

Financial Toxicity Screening Can Reduce Cancer Cost Burdens

Including routine screening for financial toxicity as part of regular patient monitoring can mitigate financial difficulties among patients undergoing systemic cancer therapy. Medscape Medical News source https://www.medscape.com/viewarticle/995978?src=rss

Probiotics Improve Nonmotor Symptoms of Parkinson's

A four-strain probiotic helped patients with Parkinson's disease and constipation reduce the delay in levodopa treatment effect and improve symptoms such as sleep and fatigue, in a randomized trial. Medscape Medical News source https://www.medscape.com/viewarticle/995973?src=rss

Canada Detects First Case of Coronavirus Variant BA.2.86

Canada has detected its first case of coronavirus infection from the highly mutated BA.2.86 variant of Omicron in a person in British Columbia, health officials said on Tuesday. Reuters Health Information source https://www.medscape.com/s/viewarticle/995965?src=rss

Asia, Africa Bear Brunt of Pollution Health Burden: Research

Despite improvements in China, air pollution across the globe continues to pose the greatest external risk to human health, with countries in Asia and Africa suffering most of the impact. Reuters Health Information source https://www.medscape.com/s/viewarticle/995925?src=rss

FDA Clears New Capabilities for Diabetes App BlueStar

The app-based system can now make insulin dose recommendations based on continuous glucose monitor (CGM) data. Medscape Medical News source https://www.medscape.com/viewarticle/995972?src=rss

Guidelines Call for Shots, Nasal Spray in Naloxone Kits

New Canadian naloxone guidelines incorporate the views of people who buy drugs in the unregulated market, those who have administered overdose medication, and health professionals. Medscape Medical News source https://www.medscape.com/viewarticle/995937?src=rss

Even an Hour's Walk a Week Lowers Risk in Type 2 Diabetes

Leisure time activity equivalent to less than 1.5 hours' walking time per week may be enough to substantially reduce the risk for neuropathy and nephropathy in type 2 diabetes, say Danish researchers. Medscape Medical News source https://www.medscape.com/viewarticle/even-hour-walk-week-lowers-risk-type-2-diabetes-2023a1000k21?src=rss

Rheumatology Trials Seem Vulnerable to Unblinding: Report

Until more is known about the potential for unblinding, clinicians need to keep in mind that patients and physicians could often guess accurately who was getting placebo or active drug. MDedge News source https://www.medscape.com/s/viewarticle/rheumatology-trials-unblinding-seem-vulnerable-2023a1000k1w?src=rss

Nilotinib Linked to Metabolic Syndromes and CVD in CML

Investigators suggest using other TKIs in patients with preexisting diabetes and hyperlipidemia. Medscape Medical News source https://www.medscape.com/viewarticle/995933?src=rss

AI for Polyp Detection: Some Benefit, but Limitations Exist

Using artificial intelligence–driven devices during colonoscopy may aid in detecting small polyps, but not advanced adenomas or colorectal neoplasias. Medscape Medical News source https://www.medscape.com/viewarticle/ai-polyp-detection-some-benefit-limitations-still-exist-2023a1000jyj?src=rss

People With Liver Disease Can Now Take Remdesivir for COVID

The move is important because, previously, some people with liver disease had limited treatment options for severe cases of COVID-19. WebMD Health News source https://www.medscape.com/s/viewarticle/995907?src=rss

Severe COVID May Cause Long-Term Cellular Changes: Study

The changes discovered in this study may point to why some patients experience lasting inflammation and other long COVID symptoms many months after their initial infection has passed. WebMD Health News source https://www.medscape.com/s/viewarticle/995905?src=rss

More Weight Loss Linked With More Benefit in STEP-HFpEF

Prespecified analysis of the STEP-HFpEF trial of semaglutide in people with obesity and heart failure with preserved ejection fraction showed a positive link between weight-loss amounts and outcomes. Medscape Medical News source https://www.medscape.com/viewarticle/995903?src=rss

Number of COVID Long Haulers Could Be Vastly Underestimated

Millions of people with long COVID but no confirmed diagnosis were likely exposed to the virus and should be accepted in COVID clinics and research studies, researchers say. Medscape Medical News source https://www.medscape.com/viewarticle/995895?src=rss

Use of Mental Health Services Soared During Pandemic

In addition, a majority of large employers report in a national survey that they are seeing increased mental health issues among workers due to COVID-19. Medscape Medical News source https://www.medscape.com/viewarticle/995892?src=rss

For accurate blood pressure measurement, cuff size matters

A thought-provoking editorial in the August issue of American Family Physician discussed the reasons for the divergence in treatment guidelines for mild hypertension that followed the publication of the Systolic Blood Pressure Intervention Trial (SPRINT). Dr. Stephen Martin noted that “in SPRINT, blood pressure was measured using ideal techniques that are unlikely to be replicated using standard practice.” These blood pressure (BP) measurement practices, described in a 2018 editorial about the American College of Cardiology/American Heart Association (ACC/AHA) hypertension guideline and reiterated in a clinical review article on home BP monitoring , include using an appropriately sized blood pressure cuff: To determine cuff size, patients should measure their arm circumference at the midpoint of the upper arm. The bladder length should be 75% to 100% of the arm circumference, and bladder width should be 37% to 50% of the arm circumference. Four adult BP cuff sizes are available

Cardiac Arrest Centers No Benefit in OHCA Without STEMI

Patients resuscitated after cardiac arrest without ST elevation had the same survival if they were transported to the nearest hospital emergency department or a cardiac arrest center, in the UK ARREST trial. Medscape Medical News source https://www.medscape.com/viewarticle/995885?src=rss

Pulsed Field Ablation Challenges Conventional Devices in AF

In the ADVENT trial, pulsed field ablation, a new technology for terminating drug-refractory paroxysmal AF, was noninferior to conventional thermal ablation but had potential advantages. Medscape Medical News source https://www.medscape.com/viewarticle/995884?src=rss

Acoramidis Shows Encouraging Results in ATTR Cardiomyopathy

Lead author of the ATTRibute-CM trial says it was "robustly positive," and shows "the tantalizing possibility of genuine clinical improvements" for this progressive and fatal condition. Medscape Medical News source https://www.medscape.com/viewarticle/995883?src=rss

ECMO for Shock in Acute MI Won't Help, May Harm: ECLS-SHOCK

Best to reserve early ECMO for patients with MI-related shock more likely to benefit than be harmed, but ''we need further studies to tell us who they are," experts say. Medscape Medical News source https://www.medscape.com/viewarticle/995882?src=rss

New ESC Guidelines for Infective Endocarditis

Endocarditis can present with many different clinical scenarios, so making the diagnosis can be challenging, says a co-chair of newly issued European guidelines for managing this disease. Medscape Medical News source https://www.medscape.com/viewarticle/995881?src=rss

No Reduction in AF After Noncardiac Surgery With Colchicine: COP-AF

COP-AF trial results showed no significant reduction in co-primary endpoints of clinically important AF or myocardial injury after noncardiac thoracic surgery, although there were positive trends. Medscape Medical News source https://www.medscape.com/viewarticle/995878?src=rss

Traditional Chinese Medicine Improves Outcomes in HFrEF

In the randomized trial QUEST trial, a traditional Chinese medicine called qiliqiangxin provided significant reductions in CV death and hospitalization on top of guideline-directed therapy in HFrEF. Medscape Medical News source https://www.medscape.com/viewarticle/995876?src=rss

FIRE a Win in MI Physiology-Based Complete Revascularization

The trial "should make complete revascularization the standard of care in MI," and advanced age alone "should no longer be considered a contraindication," said an expert. Medscape Medical News source https://www.medscape.com/viewarticle/995875?src=rss

IV Iron Shows Only Modest Benefit in HF: HEART-FID

The largest ever study of IV iron supplementation in patients with heart failure failed to meet a new rigorous definition of significance, and the results were generally regarded as disappointing. Medscape Medical News source https://www.medscape.com/viewarticle/995874?src=rss

Avoid 2 Eye Drop Products, FDA Advises

The FDA is urging the public to avoid buying or using two different kinds of eye drops because of possible bacterial or fungal contamination. WebMD Health News source https://www.medscape.com/s/viewarticle/995852?src=rss

Post SCT, Better Survival in Kids With Healthy Gut Diversity

Pediatric patients receiving a donor stem cell transplant who have healthier pretransplant gut microbiota diversity show improved rates of survival and a lower risk of acute GvHD. MDedge News source https://www.medscape.com/s/viewarticle/995851?src=rss

'Game Changer' Data for Vitamin D in Digestive Tract Cancers

New data reveal that vitamin D supplementation in a subgroup of patients with digestive tract cancer who are p53-immunoreactive may reduce their risk of relapse or death. Medscape Medical News source https://www.medscape.com/viewarticle/995848?src=rss

Wegovy Scores HFpEF Benefits in People With Obesity

In STEP-HFpEF, a prospective, randomized study of adults with HFpEF and obesity, weekly semaglutide weight-loss injections for 1 year led to substantial improvements in physical function and symptoms. Medscape Medical News source https://www.medscape.com/viewarticle/995844?src=rss

FDA Okays First Biosimilar for Multiple Sclerosis

Sandoz's natalizumab-sztn injection (Tyruko) is on par with Biogen's Tysabri (natalizumab) for treatment of relapsing forms of MS, the FDA said in approving the first biosimilar to treat MS. Medscape Medical News source https://www.medscape.com/viewarticle/995845?src=rss

Apple Cider Vinegar, Fenugreek Best Herbal Remedies for T2D

A new analysis found some herbal remedies including apple cider vinegar and fenugreek seeds are better than others at helping to manage type 2 diabetes. Medscape Medical News source https://www.medscape.com/viewarticle/apple-cider-vinegar-fenugreek-best-herbal-remedies-t2d-2023a1000jt0?src=rss

Structural Changes May Separate Axial PsA from axSpA

The debate persists as to whether these conditions are on the same spectrum or should be separated. MDedge News source https://www.medscape.com/s/viewarticle/995842?src=rss

Physical Activity Reduces Anxiety in Patients With Mild IBD

A new meta-analysis found a reduction in anxiety symptoms with physical activity, though health-related quality-of-life measures did not improve. Medscape Medical News source https://www.medscape.com/viewarticle/995836?src=rss

New Trials in Prostate Cancer: Could Your Patient Benefit?

Perhaps one of your patients could benefit from clinical trials that have started recruiting patients with prostate cancer. Medscape Medical News source https://www.medscape.com/viewarticle/995799?src=rss

Are CGRP Medications Effective Against Migraine in Men?

Two neurologists argue that the data do not support the efficacy of calcitonin gene-related peptide (CGRP) medications in men with migraine, but a third neurologist criticizes their reasoning. Medscape Medical News source https://www.medscape.com/viewarticle/995795?src=rss

Back in Business: Primary Care and COVID-19 Prevention

Primary care clinicians were sidelined in vaccine distribution during the height of the COVID-19 pandemic. But now these providers are looking toward resuming their role as a major provider of the shots. Medscape Medical News source https://www.medscape.com/viewarticle/995796?src=rss

Shift Work Associated With Impaired Cognitive Function

In a cross-sectional analysis of a longitudinal study, night and rotating shift work were associated with cognitive impairment, including reduced memory and executive function. Medscape Medical News source https://www.medscape.com/viewarticle/995789?src=rss

Liraglutide Fixes Learning Limit Tied to Insulin Resistance

A single dose of GLP-1 receptor agonist liraglutide produced short-term correction of a deficit in associative learning found in people with insulin insensitivity and obesity in a controlled study. Medscape Medical News source https://www.medscape.com/viewarticle/995790?src=rss

COVID Reinfections in Nursing Home Residents a Surprise

This finding was unexpected. It contradicts a widespread belief that one infection always provides robust protection against the next. Medscape Medical News source https://www.medscape.com/viewarticle/995791?src=rss

Jury Still Out on Stopping GLP-1 RAs Prior to Endoscopy

Five professional gastroenterology organizations caution that more data are needed to understand if and when GLP-1 receptor agonists should be held prior to elective endoscopy. Medscape Medical News source https://www.medscape.com/viewarticle/jury-still-out-stopping-glp-1-receptor-agonists-prior-2023a1000jow?src=rss

Access to Medicare Ups Cancer Screening Rates, Diagnosis

Rates of cancer screening and diagnoses appear to increase in the first year of Medicare coverage, new data show. Medscape Medical News source https://www.medscape.com/viewarticle/995787?src=rss

Poor Sleep and Chronic Pain Prove Pesky Bedfellows

The problems can create a vicious cycle that researchers are trying to understand ― and break. Medscape Medical News source https://www.medscape.com/viewarticle/995753?src=rss

ReCor Renal Denervation System Safe, Effective: FDA Panel

The ReCor renal denervation system for treating refractory hypertension is safe and effective but further study is needed in vulnerable subpopulations, an FDA advisory panel concludes. Medscape Medical News source https://www.medscape.com/viewarticle/995741?src=rss

Risky Drinking Common in Cancer Survivors

More than one third of cancer survivors engage in hazardous drinking, new data show. Here's how oncologists can talk to their patients about alcohol consumption. Medscape Medical News source https://www.medscape.com/viewarticle/995748?src=rss

Albuminuria Testing Underutilized, Crucial in CKD Detection

Despite guidelines recommending albuminuria testing for kidney disease in patients with diabetes and hypertension, the testing rates are low for each. Medscape Medical News source https://www.medscape.com/viewarticle/995740?src=rss

Should Doctors Be Funnier? These MDs Are Real Comedians

Doctors embracing stand-up comedy and funny videos challenge the sober image of medicine — and some are criticized as unprofessional. Their answer? Laugh it off and laugh it up. Medscape Medical News source https://www.medscape.com/viewarticle/994980?src=rss

Lymphoma Specialist to Lead MD Anderson’s Cancer Division

"My research uncovered a series of physicians who served as 'clinical champions' and dramatically sped the process of drug development. This early career research inspired me to become the type of clinical champion that I uncovered." MDedge News source https://www.medscape.com/s/viewarticle/995739?src=rss

Type 1 Diabetes Management Improves as Technology Advances

Significant drops in A1c levels have been seen as technology use moves from continuous glucose monitoring alone to automated insulin delivery systems, yet half still don't achieve <7%. Medscape Medical News source https://www.medscape.com/viewarticle/995738?src=rss

Time to Deterioration: Promising Surrogate Endpoint?

In immune checkpoint inhibitor trials, time to deterioration of physical function appears to be a better surrogate for overall survival than progression-free survival, new data suggest. Medscape Medical News source https://www.medscape.com/viewarticle/time-deterioration-promising-surrogate-endpoint-2023a1000jmg?src=rss

Headpulse Analysis Can Detect Concussion

A digital biomarker derived from cranial accelerometry is noninvasive, easy to use, and promising for return-to-play decisions in sports. Medscape Medical News source https://www.medscape.com/viewarticle/995706?src=rss

Investigation Questions Drug's Approval for Agitation in AD

The agency defended approval of brexpiprazole (Rexulti) for the treatment of agitation, saying the antipsychotic fills an unmet medical need. Medscape Medical News source https://www.medscape.com/viewarticle/995697?src=rss

Neoadj T-VEC May Improve Survival in Resectable Melanoma

Offering talimogene laherparepvec before surgery compared with surgery alone could improve event-free as well as overall survival in patients with advanced resectable melanoma, a new analysis suggests. Medscape Medical News source https://www.medscape.com/viewarticle/neoadjuvant-t-vec-may-improve-survival-resectable-melanoma-2023a1000ji5?src=rss

Can Caffeine Improve Thyroid Function?

Study suggests caffeine consumption has positive effects on those with metabolic disorders, but "further verification needed." Medscape Medical News source https://www.medscape.com/viewarticle/995691?src=rss

Robotic Patients? They're Useful but Have Limitations

Increasingly sophisticated robots mimic various conditions and enable medical students to apply the tools of clinical practice. Nevertheless, their cost has been a subject of criticism. Medscape Medical News source https://www.medscape.com/viewarticle/robotic-patients-they-re-useful-have-limitations-2023a1000jev?src=rss

Battling Pediatric Cancer Outcome Disparities

It's difficult to know whether the girl's death was directly related to her socioeconomic status, but it certainly made all aspects of the child's care more complicated. MDedge News source https://www.medscape.com/s/viewarticle/995690?src=rss

Piroxicam Boosts Levonorgestrel for Emergency Contraception

Adding oral piroxicam to oral levonorgestrel significantly improved the efficacy of emergency contraception on the basis of data from 860 women. MDedge News source https://www.medscape.com/s/viewarticle/piroxicam-boosts-success-levonorgestrel-emergency-2023a1000je7?src=rss

Study Questions if Blue Light Blocking Glasses Really Work

Despite claims by their makers, blue light glasses probably don't reduce eyestrain for people who spend a lot of time looking at computer screens or phones. WebMD Health News source https://www.medscape.com/s/viewarticle/995669?src=rss

CDC Tracking New COVID Strain

"As we learn more about BA.2.86, CDC's advice on protecting yourself from COVID-19 remains the same." WebMD Health News source https://www.medscape.com/s/viewarticle/995668?src=rss

Long COVID Lawsuits Coming, but Not Likely to Succeed

Long COVID lawsuits have started to trickle into the legal system. Here's what you need to know about the claims and their chance of winning. Medscape Medical News source https://www.medscape.com/viewarticle/995665?src=rss

Could a Malpractice Insurer Drop You When You Need It Most?

One insurer refused to defend a physician when he was accused of overprescribing; the situation ruined his career. Medscape Medical News source https://www.medscape.com/viewarticle/994869?src=rss

CDC Alerts Clinicians to Signs of Alpha-Gal Syndrome

The AGA issued a Clinical Practice Update on alpha-gal syndrome. MDedge News source https://www.medscape.com/s/viewarticle/995662?src=rss

Preventing Overdiagnosis: do Americans have too many cancer screening choices?

At the Preventing Overdiagnosis Conference in Copenhagen last week, I joined nearly four hundred like-minded family and subspecialist physicians, health professionals, and researchers who are concerned about reducing the harms to patients of  widening disease definitions and resulting overdiagnosis and overtreatment . After the American Board of Internal Medicine Foundation's discontinuation of logistical support for the Choosing Wisely campaign  and the retirement of JAMA Internal Medicine editor and "Less Is More" champion Rita Redberg (who also attended the conference), it was reassuring to hear that the vital work of doing less to patients and more for them will go on. In addition, the international composition of conference attendees allowed me to learn more about different medical practices in Europe and around the world. Although overuse isn't the only reason that the U.S. spends by far the most per capita of any nation on health care, it does play an imp

Short, Intense Bursts of Effort Reduce the Risk for Cancer

Such activity could be a promising measure for cancer prevention among people who otherwise find it difficult to exercise regularly. Medscape Medical News source https://www.medscape.com/viewarticle/995632?src=rss

Red Cross Set to End Funding at 25 Hospitals in Afghanistan

The International Committee of the Red Cross is likely to end the financial running of 25 Afghan hospitals by the end of August due to funding constraints. Reuters Health Information source https://www.medscape.com/s/viewarticle/995582?src=rss

Firefighters Fight Fat With Mediterranean Diet Adoption

A communal approach to adopting the Mediterranean diet lowered firefighters' risks for cardiovascular disease and cancer and improved their dietary adherence, both at home and work. Medscape Medical News source https://www.medscape.com/viewarticle/firefighters-fight-fat-mediterranean-diet-adoption-2023a1000ja0?src=rss

Real-World Subcutaneous ICD Use: A Hopeful Treatment Option?

Subcutaneous implantable cardioverter-defibrillators have demonstrated promising results but not been widely adopted in Brazil. Medscape Medical News source https://www.medscape.com/viewarticle/995628?src=rss

COVID Hospitalizations Climb for Fourth Straight Week

The CDC now relies on hospitalization data to gauge the current impact of COVID-19. WebMD Health News source https://www.medscape.com/s/viewarticle/995598?src=rss

No Reduction in Cerebral Palsy With Later Prenatal Magnesium

Giving IV magnesium for up to 30 weeks reduces cerebral palsy risk in preterm pregnancies, but treatment at 30 to 34 weeks does not affect risk in these children at 2 years of age. Medscape Medical News source https://www.medscape.com/viewarticle/995596?src=rss

Fed Database of MD Discipline Should Go Public, Group Says

In a new report on medical board sanctions by state, Public Citizen argues for more public access to a confidential federal database of doctor disciplinary actions. Medscape Medical News source https://www.medscape.com/viewarticle/secret-fed-database-md-discipline-should-go-public-group-2023a1000j4v?src=rss

Study Links Preterm Births to Mother's Poor Mental Health

Women with mental health issues are 50% more likely to give birth to a premature infant, according to a new study of 2 million pregnancies in England. WebMD Health News source https://www.medscape.com/s/viewarticle/study-links-preterm-births-mother-s-poor-mental-health-2023a1000j5m?src=rss

US Retailers Lose Their Appetite for SlimFast, Owner Says

Sales of SlimFast plunged further in the 3 months to mid-July, prompting key US retailers to stock fewer of the meal replacement shakes as weight-loss drugs shake up the diet market. Reuters Health Information source https://www.medscape.com/s/viewarticle/995533?src=rss

US Appeals Court Backs Abortion Pill Restrictions

Access to the abortion pill mifepristone must be restricted, a U.S. appeals court ruled on Wednesday, ordering a ban on telemedicine prescriptions and shipments of the drug by mail, though the decision will not immediately take effect. Reuters Health Information source https://www.medscape.com/s/viewarticle/995549?src=rss

FDA Okays First-Ever New Drug for Rare Bone Disorder

The retinoid palovarotene reduces abnormal bone growth in children and adults with fibrodysplasia ossificans progressive. FDA Approvals source https://www.medscape.com/viewarticle/995579?src=rss

At-Home Exercise Improves Healthcare Workers' Mental Health

A 12-week, application-based exercise program reduces depression symptoms, burnout, and absenteeism in healthcare workers, data suggest. Medscape Medical News source https://www.medscape.com/viewarticle/995541?src=rss

YouTube Announces New Policy on Cancer Misinformation

The new policy focuses on content that contradicts health authority guidance, with a special focus on cancer misinformation. Medscape Medical News source https://www.medscape.com/viewarticle/995545?src=rss

On the Trail of a New Vaccine for Lyme Disease

French researchers are targeting tick microbiota so as to indirectly reduce the bacterial load within the vector of Lyme disease. Medscape Medical News source https://www.medscape.com/viewarticle/995543?src=rss

Healthy Babies Can Still Get Very Sick From RSV

The findings show the value of preventing RSV in all newborns, not just those at highest risk, the researchers said. Medscape Medical News source https://www.medscape.com/viewarticle/995540?src=rss

Pig Kidneys Show 'Life-Sustaining' Function in Human

A pair of gene-edited kidneys from a pig has cleared creatinine from the blood and has produced urine after xenotransplantation into a brain-dead patient. Medscape Medical News source https://www.medscape.com/viewarticle/995532?src=rss

Treating Anemia in Patients With HIV Reduces TB Risk

Markers of anemia and systemic inflammation could help identify patients with HIV who are at risk for active tuberculosis and death. Medscape Medical News source https://www.medscape.com/viewarticle/995534?src=rss

New Studies Inform Best Practices for Pelvic Organ Prolapse

"Approximately one in five women will undergo surgery for prolapse and/or urinary incontinence by the age of 80, which is more likely than the risk of developing breast cancer." MDedge News source https://www.medscape.com/s/viewarticle/995530?src=rss

Amazon Pharmacy Automates Insulin Discounts

Amazon.com said on Tuesday its online pharmacy will automatically apply manufacturer-sponsored coupons to more than 15 insulin and diabetes medicines. Reuters Health Information source https://www.medscape.com/s/viewarticle/995468?src=rss

Certain Genes Predict Abdominal Fat Regain After Weight Loss

People with a genetic predisposition for abdominal adiposity regained more weight around their waist after weight loss, but genes associated with high BMI did not predict greater weight regain. Medscape Medical News source https://www.medscape.com/viewarticle/995486?src=rss

Liver Transplant in CRC: Who Might Benefit?

Liver transplant might cure liver metastases in a small subset of patients with CRC but identifying which patients could benefit most remains a challenge. Medscape Medical News source https://www.medscape.com/viewarticle/995479?src=rss

Australian Biotech CSL Sees Upbeat 2024

Australian biotech giant CSL on Tuesday forecast increased earnings in fiscal 2024 for all its segments on strong demand and cost cutting. Reuters Health Information source https://www.medscape.com/s/viewarticle/995464?src=rss

FDA Identifies Respiratory Devices Recall as Most Serious

The FDA on Monday classified the recall of Philips' respiratory machines as its most serious type, as their use could cause serious injuries or death. Reuters Health Information source https://www.medscape.com/s/viewarticle/995463?src=rss

New Zealand Removes Final COVID-19 Restrictions

New Zealand's government will lift all remaining COVID-19 requirements from midnight Tuesday, bringing an end to some of the toughest COVID-19 pandemic rules in the world. Reuters Health Information source https://www.medscape.com/s/viewarticle/995406?src=rss

Docs Using AI? Some Love It, Most Remain Wary

Most medical practices are shying away from tools powered by artificial intelligence, a recent poll shows. Many want more evidence of its accuracy before relying on it. Medscape Medical News source https://www.medscape.com/viewarticle/994892?src=rss

Your Practice Was Bought Out by Private Equity: Now What?

Is your practice or hospital considering a private equity buyout? Learn what's likely to happen and how your work life may change after the deal is done. Medscape Medical News source https://www.medscape.com/viewarticle/995474?src=rss

'Water Fasting' Benefits Don't Last

"I would encourage someone hoping to lose weight to try intermittent fasting instead of water fasting, because there's a lot more data to show it can help with weight management," says a study author. Medscape Medical News source https://www.medscape.com/viewarticle/995473?src=rss

Get out the vote: supporting civic health in primary care

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The national organization Vot-ER has designated August as Civic Health Month , “a time to showcase the link between voting and health and celebrate efforts that ensure each and every voter has the opportunity to support their community’s health at the ballot box.” Partners, including the Association of American Medical Colleges , encourage clinicians and health care organizations to support an inclusive democracy by providing patients with nonpartisan education and voter registration services. A  recent narrative review  in The Milbank Quarterly explored the role of primary care in advancing civic engagement and health equity. Research shows that poorer population health is associated with lower voter turnout, with stronger associations occurring in early adulthood rather than in middle age. On the other hand, voting is associated with positive mental health and health behaviors, and higher levels of individual happiness strongly predict future civic engagement. Similarly, volunt

New Weight Loss Drugs Appeal to Half of US Adults

A survey of more than 1000 random US adults run during July 2023 shows that 49% had at least some interest in taking a safe, effective weight loss drug, or were already using one. Medscape Medical News source https://www.medscape.com/viewarticle/995424?src=rss

US Securities Regulator Probes Illumina Over Grail Deal

The SEC has begun an investigation into Illumina's $7.1 billion acquisition of cancer detection test maker Grail, the gene sequencing company said in a regulatory filing. Reuters Health Information source https://www.medscape.com/s/viewarticle/995375?src=rss

SGLT2 Inhibitors Curb AF Post-Ablation Recurrences in T2D

Retrospective, observational data from more than 13,000 US patients with type 2 diabetes and atrial fibrillation suggest that SGLT2 inhibitor treatment may cut AF recurrences post-ablation. Medscape Medical News source https://www.medscape.com/viewarticle/995415?src=rss

What Happens When a $2 Million Gene Therapy Is Not Enough

Baby Ben Kutschke was diagnosed at 3 months with spinal muscular atrophy, a rare inherited disorder which is the leading genetic cause of death in infancy globally. Reuters Health Information source https://www.medscape.com/s/viewarticle/995404?src=rss

Feds Suspend Research Support at NYSPI

The federal Office for Human Research Protections has taken the unusual step of suspending all federally supported research at the New York State Psychiatric Institute, which is affiliated with Columbia University. Medscape Medical News source https://www.medscape.com/viewarticle/995413?src=rss

A1c Not Linked to Postop Complications in Kids With Diabetes

Findings suggest there is no need to delay elective surgery in order to optimize glycemic control for children with type 1 or type 2 diabetes. Medscape source https://www.medscape.com/s/viewarticle/995373?src=rss

US Supreme Court Halts Purdue Pharma Bankruptcy Settlement

The US Supreme Court on Thursday agreed to hear a challenge by President Joe Biden's administration to the legality of OxyContin maker Purdue Pharma's bankruptcy settlement. Reuters Health Information source https://www.medscape.com/s/viewarticle/995357?src=rss

More Intensive Imaging Follow-Up in Head, Neck Cancer?

Patients with advanced head and neck squamous cell carcinoma demonstrated improved overall survival with intensive post-treatment follow-up monitoring with 18F- FDG-PET/CT vs conventional follow-up. Medscape Medical News source https://www.medscape.com/viewarticle/995372?src=rss

Contraception Talk for Women With Complex Conditions

Use current health and desire for pregnancy to guide contraception discussions in primary care. MDedge News source https://www.medscape.com/s/viewarticle/995354?src=rss

Race-Specific Spirometry: No Benefit in CT, Dyspnea Models

Race-neutral equations reclassified up to 19% of Black patients as having more severe lung disease. Medscape Medical News source https://www.medscape.com/viewarticle/race-specific-spirometry-no-benefit-ct-or-dyspnea-models-2023a1000ikr?src=rss

SpA-Related Diseases Share Gut Microbiota Dysbiosis

Stool samples from patients with spondyloarthritis, acute anterior uveitis, and/or Crohn's disease showed similarly low levels of certain bacteria, compared with samples from control patients. Medscape Medical News source https://www.medscape.com/viewarticle/995352?src=rss

Revised Presentation of Obesity May Reduce Internalized Bias

Treating obesity as a complex medical condition instead of emphasizing personal willpower may enhance self-esteem among patients with obesity and improve the doctor-patient relationship. Medscape Medical News source https://www.medscape.com/viewarticle/995349?src=rss

A1c Not Linked to Postop Complications in Kids With Diabetes

Findings suggest no need to delay elective surgery in order to optimize glycemic control in children with type 1 or type 2 diabetes. Medscape Medical News source https://www.medscape.com/viewarticle/a1c-not-linked-postop-complications-kids-diabetes-2023a1000ig4?src=rss

Medical Treatment for Appendicitis Effective Long-Term

More than 70% of patients who avoided appendectomy in two Swedish clinical trials had successful outcomes over two decades later. Medscape Medical News source https://www.medscape.com/viewarticle/medical-treatment-appendicitis-effective-long-term-2023a1000id5?src=rss

Emergent BioSolutions to Lay Off About 400 Employees

Emergent BioSolutions on Tuesday decided to cut 400 jobs, pivoting its focus on core products such as overdose reversal nasal spray Narcan and anthrax vaccines. Reuters Health Information source https://www.medscape.com/s/viewarticle/995257?src=rss

Argentina Free of Avian Flu After Commercial Farm Outbreaks

Argentina is free of cases of avian flu after the last of 18 outbreaks at commercial farms came to an end, the country's agricultural secretary said on Tuesday. Reuters Health Information source https://www.medscape.com/s/viewarticle/995263?src=rss

Female CRC Survivors May Experience Long-Term GI Symptoms

The majority of older female colorectal cancer survivors experience long-term gastrointestinal symptoms many years after their initial diagnosis and treatment. Medscape Medical News source https://www.medscape.com/viewarticle/995302?src=rss

Sugary Drinks Up Risk for Liver Cancer, Liver Disease Death

Consuming sugar-sweetened drinks, but not artificially sweetened beverages, may be associated with higher rates of liver cancer and death from liver disease, new data show. Medscape Medical Ethics source https://www.medscape.com/viewarticle/995272?src=rss

Epistaxis and Hypertension: Reviewing a Complex Relationship

Serious spontaneous epistaxis may be the presenting sign of underlying true hypertension in about 43% of patients. Medscape Medical News source https://www.medscape.com/viewarticle/epistaxis-and-hypertension-reviewing-complex-relationship-2023a1000i7t?src=rss

Prioritize Nutrients, Limit Ultraprocessed Food in Diabetes

Besides prioritizing a nutritionally balanced eating plan, such as a Mediterranean diet, guidelines for type 2 diabetes should also recommend limiting ultraprocessed foods, say researchers in Italy. Medscape Medical News source https://www.medscape.com/viewarticle/995264?src=rss

'Emerging' Biomarker May Predict MCI Years Before Symptoms

Measuring levels of synaptic protein NPTX2 in cognitively normal adults may help predict onset of mild cognitive impairment years before symptoms emerge. Medscape Medical News source https://www.medscape.com/viewarticle/995265?src=rss

SSc Autoantibody Identified with Link to GI Dysfunction

If validated as a biomarker, anti-gephyrin autoantibodies could help identify patients at higher risk for GI symptoms like constipation. Medscape Medical News source https://www.medscape.com/viewarticle/995259?src=rss

Drug Name Confusion: List of Problem Medications Grows

The Institute for Safe Medication Practices, which is focused on preventing medication errors, added 82 new drug pairs to its list of medicines requiring special safeguards to reduce error risk. Medscape Medical News source https://www.medscape.com/viewarticle/995258?src=rss

How to Keep Your Practice Profitable Despite Staff Shortages

Many practices struggle with staff shortages, which affect billings, patient care, administrative tasks, and revenue issues. There are ways to prevent this. Medscape Medical News source https://www.medscape.com/viewarticle/994875?src=rss

Why 'Help Others' Is Healthy Advice to Give Your Patients

Giving to others isn't just generous -- it's healthy and linked to longer life. Here's what's going on in the body when we help someone. WebMD Health News source https://www.medscape.com/s/viewarticle/995228?src=rss

Treatment Timing Not Linked to Worse Survival in Early CRC

Among patients with early-onset CRC, longer time to treatment from initial symptom presentation was not associated with worse overall survival, new data show. Medscape Medical News source https://www.medscape.com/viewarticle/995225?src=rss

One Size Doesn’t Fit All for BP Measurement

Researchers hope their work empowers patients to select the best cuff sizes for home blood pressure devices. Medscape Medical News source https://www.medscape.com/viewarticle/995216?src=rss

Preterm Birth Rates Higher in Black Patients

Twelve percent of non-Hispanic Black individuals experience preterm birth, nearly double the figure for non-Hispanic Whites, a new study found. Medscape Medical News source https://www.medscape.com/viewarticle/995214?src=rss

Current prescriptions for addressing health-related social needs fall short

According to one recent estimate , cumulative poverty (earning less than 50% of median household income in at least one of the past 10 years) and current poverty are the fourth and seventh leading causes of death in the United States, respectively, on par with obesity and dementia and behind only heart disease, cancer, and tobacco use. The knowledge that financial insecurity and resulting social needs have profound effects on health has inspired organized medicine initiatives aimed at identifying and meeting those needs , such as the American Academy of Family Physicians’ (AAFP) The EveryONE Project . In a 2019 editorial , Dr. Kevin Sherin and colleagues asserted that “family physicians have a leadership role in identifying and addressing issues that affect patients beyond the clinical setting.” They highlighted the AAFP’s Neighborhood Navigator tool (formerly Aunt Bertha/findhelp), which clinicians and primary care teams can use to link patients to available community resources for

Les cultures fongiques dans le cadre de la bronchectasie ne permettent pas de prédire les résultats

La présence d’une culture fongique positive chez les patients atteints de bronchectasie ne semble pas être corrélée à la gravité de la maladie. Univadis source https://www.medscape.com/s/viewarticle/les-cultures-fongiques-dans-le-cadre-de-la-bronchectasie-ne-2023a1000hbk?src=rss

Food Insecurity Linked to More Kids Seeking Mental Health Care

Improving support to food-insecure households could relieve strain on the mental health care system. Medscape Medical News source https://www.medscape.com/viewarticle/995171?src=rss

Results From Halted Islatravir Antiretroviral Trial

Recruitment stopped on the phase 3 trial of the once-daily oral drug islatravir in combination with doravirine, but the study of the investigational new option for HIV continued for the full 48 weeks. Medscape Medical News source https://www.medscape.com/viewarticle/995172?src=rss

Thrombectomy Improves Outcomes in Pediatric Stroke

Compared to medical management alone, mechanical removal of blood clots showed improved clinical outcomes in a pediatric case-control study. Medscape Medical News source https://www.medscape.com/viewarticle/995168?src=rss

Psychiatrists Prescribe Wegovy for Medication-Induced Weight Gain

Psychiatrists are increasingly prescribing the popular weight-loss drug Wegovy to patients who gain weight from medicines used to treat mental disorders, such as schizophrenia or bipolar disorder. Reuters Health Information source https://www.medscape.com/s/viewarticle/995109?src=rss

Higher Occurrence of Kidney Stones With More Added Sugar

Though added sugars have been linked with multiple poor health outcomes, their link with kidney stones has been unclear. MDedge News source https://www.medscape.com/s/viewarticle/995165?src=rss

Disclosure Inaccuracies Common in Top Rheumatology Journals

Nearly 90% of authors with potential conflicts of interest either underreported or did not report disclosures. Medscape Medical News source https://www.medscape.com/viewarticle/995116?src=rss

Study of In Utero Rx of Genetic Skin Disorder Underway

EDA loss or dysfunction precludes binding to its endogenous EDA1 receptor, and downstream development of teeth, hair, nails, and skin adnexae, most notably eccrine glands. MDedge News source https://www.medscape.com/s/viewarticle/995124?src=rss

CVS Health Cuts 5000 Jobs as Part of Restructuring Plan

CVS Health said on Wednesday it has eliminated about 5000 non-customer-facing roles as it seeks to rein in costs after a recent spree of acquisitions. Reuters Health Information source https://www.medscape.com/s/viewarticle/995073?src=rss

Time-Restricted Eating Gains for Weight and Glycemic Control

Evidence accumulates for a consistent benefit from time-restricted eating for weight loss in people with overweight or obesity and for improved glycemic control in people with type 2 diabetes. Medscape Medical News source https://www.medscape.com/viewarticle/995119?src=rss

AI-Supported Breast Screens May Reduce Radiologist Workload

In an interim safety analysis, AI-supported breast cancer screening was accurate and reduced radiologist workload by nearly half. Medscape Medical News source https://www.medscape.com/viewarticle/995081?src=rss

Millions of American Women Lack Access to Maternity Care

Since 2018, American hospitals have closed more than 300 birthing units. Hospitals in almost 10% of counties have lost obstetric services. And the number of "maternity care deserts" has grown by 4%. WebMD Health News source https://www.medscape.com/s/viewarticle/995078?src=rss

FDA, DEA Blame Demand, Drug Makers for ADHD Med Shortage

In a letter to the public the FDA and the DEA contend that unprecedented demand, potential overprescribing, and underproduction are the primary reasons for the national shortage of stimulants to treat ADHD. Medscape Medical News source https://www.medscape.com/viewarticle/995079?src=rss

Medical Crowdfunding for Neurologic Disorders Soars

The number of fundraising campaigns for neurologic disorders on GoFundMe increased from just one in 2011 to 1106 in 2020. Medscape Medical News source https://www.medscape.com/viewarticle/medical-crowdfunding-neurologic-disorders-soars-2023a1000hod?src=rss

Thermo Fisher Settles Henrietta Lacks Lawsuit Over Cell Line

Laboratory equipment maker Thermo Fisher Scientific has settled a lawsuit brought by the estate of Henrietta Lacks, whose cells have fueled biomedical research for decades. Reuters Health Information source https://www.medscape.com/s/viewarticle/995039?src=rss

Oral Tobacco Use Linked to Slower MS Progression

Smoking has been linked to more rapid MS progression and greater disease severity but new data suggest oral tobacco use tied to slower disease progression. Medscape Medical News source https://www.medscape.com/viewarticle/995075?src=rss

Skin Problems Common at Insulin Pump Infusion Sites

Findings suggest allergic sensitization can lead to infusion site failures. Medscape Medical News source https://www.medscape.com/viewarticle/995068?src=rss

Kombucha Benefits Type 2 Diabetes, Study Suggests

The popular fermented tea reduced blood glucose levels, although the study was underpowered for definitive conclusions. Medscape Medical News source https://www.medscape.com/viewarticle/995035?src=rss

Are More Med School Tuition Cuts Likely to Come?

Several medical schools have cut or eliminated tuition costs, at least temporarily. Will this be a growing trend? Medscape Medical News source https://www.medscape.com/viewarticle/994905?src=rss

Variability in Pain Prevalence Tied to Education Disparities

Prevalence of arthritis-related joint pain and educational disparities in such pain vary across US states. Medscape Medical News source https://www.medscape.com/viewarticle/995033?src=rss

Are AI-Powered Skin-Check Tools on the Horizon?

Primary care might be the first setting where AI-driven tools allow for broader access to effective melanoma screening, amid continuing challenges in developing consumer apps for this purpose. Medscape Medical News source https://www.medscape.com/viewarticle/995032?src=rss

Oxycodone Tied to Persistent Use Only After Vaginal Delivery

Initiation of oxycodone vs codeine postpartum is associated with an increased risk of persistent opioid use after vaginal, but not cesarean, delivery. Medscape Medical News source https://www.medscape.com/viewarticle/995031?src=rss

Abbott Ends US Sale, Distribution of Trifecta Aortic Valves

The action follows an FDA letter to professionals in February warning of a potential for structural failure. Medscape Medical News source https://www.medscape.com/viewarticle/995027?src=rss