OCT Imaging Needle Can Detect Blood Vessels in Neurosurgery

OCT probe integrated into standard brain biopsy needle IDs vessels with high sensitivity, specificity

Increase Seen in Amphetamine, Opioid Use in Pregnant Women

Increase in amphetamine-, opioid-related deliveries disproportionate between rural vs. urban counties

Total Fertility Rates Vary by State

Total fertility rate for U.S. 16 percent less than number needed to replace population

Recent Nasal Preps Less Effective Than Injected Vax for Flu in Kids

Quadrivalent live attenuated flu vaccine less effective than inactivated vaccine for influenza A/H1N1pdm09

Ertugliflozin Seems Safe, Effective for Type 2 Diabetes Treatment

Improvements seen in HbA1c, fasting glucose, body weight, blood pressure over two years

Outcomes of Importance ID’d for Peritoneal Dialysis Patients

PD-related infection, mortality, fatigue are highest-ranked outcomes for patients, caregivers

Low Vitamin D Tied to Risk for Renal Hyperfiltration in Healthy Adults

Severe deficiency linked to increased prevalence of RHF in population with normal renal function

FDA Investigating Paclitaxel-Coated Balloons, Paclitaxel-Eluting Stents

Investigation triggered by meta-analysis showing possible increased mortality in PAD patients at 2 years

No Asthma Benefit Seen With n3PUFA in Overweight Teens

Overweight/obese teens, young adults taking supplements do not have improved asthma control

Likelihood of Engaging in Choking Game Higher in Troubled Teens

History of depression, conduct disorders in teens associated with participating in choking game

Pregnancy-Adapted Algorithm Avoids Diagnostic Imaging for PE

Suspected pulmonary embolism safely ruled out in some pregnant women with diagnostic algorithm

Young Child Goes to ED for Medicine Poisoning Every 10 Minutes

Safe medicine storage in the home needs to begin well before infants are on the move

Stress Test-Based Physiological Age May Be Superior Mortality Predictor

Physiological age based on exercise stress testing performance better predictor than chronological age

Four Million New Peds Asthma Cases Attributed to NO2 Annually

Burden of new pediatric asthma cases accounts for 13 percent of global incidence

Many NPs Unable to Prescribe Meds to Treat Opioid Addiction

Greater practice restrictions lead to lower percentage of NPs with waivers to prescribe buprenorphine

FDA: High Levels of Heavy Metals Found in Kratom Products

Products contain levels of lead and nickel at concentrations that exceed safe daily intake

Considerable Proportion of ICU Admissions May Be Preventable

ICU hospitalizations for ambulatory care-sensitive conditions have decreased during a 10-year period

Care at High-Volume Facility May Cut Mortality in Multiple Myeloma

Mortality did not differ for those treated by NCICCC MM specialists, highest-volume community oncologists

September 2019 Briefing – Ophthalmology

Here are what the editors at HealthDay consider to be the most important developments in Ophthalmology for September 2019. This roundup includes the latest...

Shifting Pattern Seen for Primary Care Office Visits

Primary care physician visits down, but visits to nurse practitioners, physician assistants up

Artificial Intelligence Can Use Routine ECGs to ID Heart Disease

Those with positive AI screen four times more likely to develop future ventricular dysfunction

Obesity Linked to Lower Gray Matter Brain Volume

Combination of overall obesity and central obesity linked to lowest gray matter volume

Rituximab Beneficial in Secondary Progressive MS

Treatment with rituximab linked to lower Expanded Disability Status Scale score, delayed progression

Sex Differences Seen in Pursuit of Interventional Cardiology Career

Factors negatively influencing women are largely related to the culture of the subspecialty

EMS Treatment for Possible Heart Attack Varies by Sex

Women less likely to receive aspirin, resuscitation, ambulance transport with lights and siren

More Than Two-Thirds of Drug OD Deaths in 2017 Involved Opioids

Significant increases seen in death rates involving synthetic opioids in 15 of 20 states from 2013 to 2017

AHA: Nearly Half of U.S. Adults Have Cardiovascular Disease

Forty-six percent of U.S. adults have hypertension

Intensive BP Treatment Does Not Reduce Dementia Risk

But drop seen in risk for MCI and combined rate of cognitive impairment, probable dementia

Texting Intervention Engages Patients After Joint Arthroplasty

Patient outcomes improved compared with traditional perioperative education

Cancer Risk Modestly Elevated With Chronic Kidney Disease

Lower eGFR linked to elevated cancer risk relative to eGFR of 90 to 104 mL/min

Knee Pain Not Tied to Activity Levels in Knee Osteoarthritis

Neither inverted KOOS-pain nor P4 pain scale tied to physical activity

Model Can Predict Survival in Nonmetastatic Prostate Cancer

Model demonstrated good discrimination for 15-year prostate cancer-specific mortality in validation cohorts

STI Incidence Up After Receipt of HIV Preexposure Prophylaxis

Younger age, greater partner number, group sex, but not condom use, linked to increased risk of STI

Seniors Less Likely to Receive or Have Timely PCI for Acute MI

Patients >65 years of age have increased incidence of cardiac arrest, in-hospital mortality

Most Osteoporosis Guidelines Do Not Discuss Patient Choices

When patient beliefs, values, preferences are cited, they are not usually supported by evidence

United States Will Keep Measles Elimination Status

Elimination status can be removed by the WHO when measles has been spreading continuously for a year

Food Insecurity Prevalent Among Medicare Enrollees

Odds of food insecurity up with reporting four or more chronic conditions, depression, anxiety

Targeted Hep C Testing Misses High Number of Cases in Prisons

Findings based on birth cohort, risk-based testing versus opt-out testing in prison system

U.S. Food Supply May Be at Risk Due to Government Shutdown

Number of routine food inspections performed by the FDA dropped sharply

AI Technology IDs Genetic Diseases by Analyzing Facial Photos

DeepGestalt technology better than doctors at identifying a range of genetic syndromes

Functional Milestones Identified for Persons With Down Syndrome

Most maintain personal hygiene by age 13, work independently by 20; 34 percent live independently

Complications Higher Than Expected for Invasive Lung Tests

Complication rates for invasive lung diagnostic procedures higher than those seen in clinical trials

Most Nurses Unsatisfied With Hospitals’ End-of-Life Care

The nurse practice environment was the best predictor of poor-quality end-of-life care

Mandated Neonatal Abstinence Reporting Helps Quantify Cases

Five of six states with mandatory reporting receive case reports within 30 days of diagnosis

Off-Label Uses in Dermatology Often Missing From Compendia

Only 30.7 percent of 238 treatments used to treat 22 dermatologic conditions listed in compendia

Gender Gap Seen in Accessing Alcohol Treatment With Cirrhosis

Women less likely to be treated than men; treatment visit, medication tied to improved one-year outcomes

Measles Outbreak Prompts Public Emergency in Washington State

23 measles cases confirmed and two more suspected cases under investigation

Testosterone Therapy in Hypogonadism Can Prevent Progression to T2DM

Men with prediabetes, hypogonadism achieved normal glucose regulation with TTh

Mumps Causes Quarantine of Over 2,200 Immigrant Detainees

25-day quarantine affects facilities in Pine Prairie, Louisiana, and Aurora, Colorado

Mindfulness Yoga Aids Patients With Parkinson Disease

Effects similar to those of stretching and resistance training for motor dysfunction, mobility

Chloroprocaine Offers Adequate Anesthesia for Knee Arthroscopy

Shorter time to complete recovery from motor blockade seen for chloroprocaine compared with prilocaine

Female Infertility Specialists Make Less Than Male Specialists

Findings remain significant even when accounting for years in practice and type of practice

Mortality Down for Autoantibody-Associated Vasculitides Patients

Average annual decline of 1.6 percent in AAV-related mortality rate seen from 1999 to 2017 in the U.S.

Risk Tool Can Predict Heart Failure in Patients With Diabetes

AI model integrates readily available clinical, laboratory, and electrocardiographic data

September 2019 Briefing – Geriatrics

Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for September 2019. This roundup includes the latest...

Restrictive, Obstructive Lung Disease Linked to Dementia Risk

Associations seen for both Alzheimer's disease-related dementia and cerebrovascular etiologies

For Teen Girls, Depression May Predict Subsequent Alcohol Use

Depression severity predicts increased likelihood of alcohol use; link for reverse pathway inconsistent

Chemo-Radiation Combo Tied to Higher Survival in Peds Hodgkin

Five-year overall survival higher in patients who receive combined tx than those treated with chemo alone

Employment, Earning Losses Noted After Cardiovascular Events

Fewer patients admitted to hospital for MI, cardiac arrest, stroke working at three years postevent

Temporary Impairment in HRQOL After Teen Sports Concussion

Worse cognitive HRQOL and clinically meaningful impairment in school and overall HRQOL observed

Incident Concussion 5.1 Percent Per Season for Youth Football

Risk increased for youth with depression or history of concussion

More Americans Reporting Less Than Six Hours Sleep Per Night

The number of Hispanics, blacks getting short sleep is growing at a fast rate

Variation in Revascularization for Asymptomatic SIHD Unexplained

Consistent benefit observed for patients with stable ischemic heart disease managed by revascularization

Hand Hygiene Compliance Low Among EMS Providers

Use of hand rub or hand wash seen in 3 percent before, 29 percent after patient encounters

2003 to 2015 Saw Increase in Outpatient Benzodiazepine Use

Fourfold increase seen in rate of coprescribing with opioids; twofold increase with other sedating meds

Recommendations Issued for HSCT in Multiple Myeloma

Autologous stem cell transplant remains essential component of MM therapy in eligible patients

Mental Health Issues Have Risen in Teens, Young Adults

Rates of depressive episodes, serious psychological distress, suicide-related outcomes have increased

Tramadol May Up Mortality Risk in Osteoarthritis Patients

Findings for those initially prescribed tramadol compared with commonly prescribed NSAIDs

Inflammatory Arthritis Linked to Sexual Dysfunction

Themes of impaired sexual function, compromised intimate relationships ID'd in studies of IA patients

Early T2DM Diagnosis Linked to Increased Cardiovascular Risk

Highest excess risk for mortality, CV mortality, heart failure, CHD seen for T2DM patients diagnosed before 40

Drop Seen in Preinvasive Cervical Disease With HPV Vaccination

Vaccine effectiveness increased for immunization at younger age

Medicaid Pays 75 Percent of What Medicare Pays for Spine Surgeries

Study authors report differences in reimbursement for certain procedures may impact access to care

Smartphone-Operated One-Lead ECG Detects A-Fib, Flutter

High sensitivity, specificity demonstrated for atrial arrhythmia

Uptitration of Drugs Varies With Target Dosage in Chronic HF

When target is higher versus lower dosage, uptitration stops further from recommended dosage

Impact of Fructose Varies With Energy Control, Food Source

Harmful effects for sugar-sweetened beverages when excess energy from sugar added to diet

Statin Therapy Reduces Risk for Diabetic Retinopathy in T2DM

Reduced risk, slowed progression of retinopathy for Taiwanese patients with type 2 diabetes, dyslipidemia

Fewer Than 5 Percent of Thyroid Surgery Patients Readmitted

Majority of readmissions occur within seven days of discharge and one-fourth within two days

Screening Donated Blood for Zika Not Cost-Effective

Universal mini-pool nucleic acid testing only during high mosquito activity cost-effective in Puerto Rico

Personalized Tx May Extend Life in CKD With Small Renal Tumors

Routine partial nephrectomy yielded longest life expectancy in patients with normal renal function

HPV Ups Cervical Cancer Risk, Even With No Cellular Signs

HPV-16/18 confers strong future risk, particularly in women younger than 30 years

Delayed School Start Shows Benefits for Teens

Longer sleep time tied to better grades, some improvements in attendance

Fruit, Vegetable Intake Very Low in Hemodialysis Population

Higher consumption of fruit and vegetables linked to lower risk for all-cause, non-CVD mortality

NOACs Recommended as First-Line Prevention of Stroke in A-Fib

Updated guidelines also emphasize weight loss for overweight, obese patients with atrial fibrillation

Suicide Incidence Up in Autism Spectrum Disorder 2013 to 2017

Difference driven by suicide among women, which was more than threefold higher

ACC: Dietary Cholesterol Ups Cardiovascular Disease Risk

Findings show dose-response increase in risk for cardiovascular disease, all-cause mortality

AAOS: Underweight Status Increases Shoulder Arthroplasty Complications

Physicians, health care systems should pay more attention to this 'extremely at-risk population'

Waiting Room Tool Aids Patient-Physician Communication

Tool helps patients to prepare questions and prioritize concerns prior to seeing primary care doctor

Complication Rates Low for High-Volume Pediatric Thyroid Surgery

Low complication rates for surgical management of pediatric thyroid disease at high-volume center

Ten Infant Deaths Linked to Fisher-Price Rock ‘n Play Sleepers

All infants died after rolling from their back to their stomach or side while unrestrained

Computer Model Predicts Risk for Ventricular Arrhythmia in ARVC

Clinical benefit of model was superior to current consensus-based ICD placement algorithm

Three-Drug Single Inhaler Treats Uncontrolled Asthma in Adults

Findings seen in two large international clinical trials comparing three-drug inhaler to two-drug inhaler

September 2019 Briefing – Pediatrics

Here are what the editors at HealthDay consider to be the most important developments in Pediatrics for September 2019. This roundup includes the latest...

New BP Goals Could Prevent 3 Million CVD Events Over 10 Years

Maintaining ACC/AHA goals would result in fewer events than current BP levels, prior guideline goals

Flu Vaccination Safe for Hospitalized Patients

With vaccination, risks reduced for readmission, outpatient visits, fever, clinical evaluations for infection

Costs Higher for Those With Comorbid Noncommunicable Diseases

Health expenditure greater for person with two diseases simultaneously than for the diseases separately

In-Hospital Morbidity, Mortality Up With Flu in Heart Failure

Higher incidence seen for in-hospital mortality, acute respiratory failure, acute kidney injury

Low-Income Women Lack Menstrual Hygiene Supplies

One in five low-income women in St. Louis cannot afford products on a monthly basis

Appalachia, Western States Have Highest Hep C Prevalence

Nine states account for more than 50 percent of all hepatitis C virus infections

Medication Treatment for Substance Abuse Up in Facilities

2007 to 2016 saw increase in use of medication treatment, reaching 36.1 percent in 2016

ASA: Flu-Like Illness Linked to Increased Risk for Stroke

Second study shows patients more likely to have ILI within 30 days preceding cervical artery dissection

Bone Health in Older Adults Not Improved by High-Dose Vitamin D

25(OH)D concentration increases with supplements, but no difference in BMD changes among three doses

Fried Chicken, Fish Linked to All-Cause, Cardiovascular Death

For postmenopausal women, mortality risk increased with one serving fried chicken/fish per week

Guidelines Developed for Polymyxin Antibiotic Use

Polymyxin B recommended for routine use in invasive infections; colistin preferred for lower UTI

Short Regimen Noninferior for Rifampin-Resistant Tuberculosis

Short regimen of nine to 11 months noninferior to 20-month regimen following WHO guidelines

CDC: Prevalence of Autism at Age 4 Years Increasing

Frequency of co-occurring intellectual disabilities higher among children aged 4 years than 8 years

FDA Approves Osteoporosis Tx for High-Risk Postmenopausal Women

Boxed warning states increased risks for cardiovascular death, stroke, heart attack

Calcium Intake Tied to Lower Rate of Late AMD

Patients encouraged to continue taking calcium if needed for other indications

Increasing Intake of Any Sugary Drink Ups Diabetes Risk

Substituting one sugary drink daily with one water, coffee, or tea lowers risk

Ligelizumab Safely, Effectively Treats Hives

Doses of 72 mg or 240 mg tied to complete control of symptoms after 12-week trial

September 2019 Briefing – Pulmonology

Here are what the editors at HealthDay consider to be the most important developments in Pulmonology for September 2019. This roundup includes the latest...

Overlapping Orthopedic Surgery Noninferior for Patient Safety

Reduced odds of perioperative complications seen for overlapping surgery versus nonoverlapping surgery

Bone Indices on CT Scan Predict Fracture Risk in Older Adults

Peripheral CT indices address risk for fracture contributed by changes in bone microarchitecture

Increase in Brand-Name Drug Cost Mainly Due to Existing Drugs

Rising costs of oral, injectable generic and specialty drugs mostly driven by new product entry

Meta-Analysis: Botulinum A Tops Placebo for Chronic Migraine

Frequency of chronic migraines significantly reduced after three months; QoL improved

Prevalence of Knee OA Lower With Menopausal Hormone Therapy

Odds ratio for knee osteoarthritis was 0.7 in MHT group versus non-MHT group in multivariable model

CDC: Weight, Waist Size, BMI Increased for Many U.S. Adults

1999-2000 to 2015-2016 saw increase in mean weight, waist circumference, BMI for many subgroups

Opioid Prescribing Patterns Vary for Pediatric Patients

Geographic region, race, age, payment method associated with differences in opioid prescribing

Oral Hepatoselective Glucokinase Activator Promising in T2DM

Clinically significant and sustained reduction in glycated hemoglobin was observed with TTP399

Aerobic Exercise Tied to Better Cognition at All Ages

Effect seen as young as 20 years, although the effect is greater with increasing age

Home-Based Program Achieves Hypertension Control

Program uses Bluetooth-enabled monitoring, patient coaching by nurse practitioners and pharmacists

Sugary Drinks Tied to Cardiovascular Disease Mortality

Comparing extreme categories of consumption, SSB linked to increased CVD mortality, cancer mortality

AAP: Nasal Spray Vaccine Against Flu Acceptable in 2019 to 2020

Based on current data, AAP Board of Directors says either injection or nasal spray vaccination OK

Four-to-Seven-Day Opioid Rx Likely Sufficient for Acute Pain Treatment

No more than one in five patients who filled an opioid analgesic prescription obtained a refill

Myoelectric Computer Interface Beneficial for Stroke Survivors

MyoCI well tolerated, can reduce abnormal coactivation in stroke survivors with arm impairment

Model Can Predict Sepsis Risk for Emergency Medical Admissions

Computer-aided National Early Warning Score model makes use of data already collected by clinicians

CDC: Violence Against Seniors on Rise, Especially Among Men

Nonfatal assault rate increased 75.4 percent among men from 2002 to 2016

Hepatitis C Virus Infection Rates Up for Women Giving Birth

Rates of HCV infection are much higher among women with opioid use disorder

Johnson & Johnson Settles Opioid Suit With Two Ohio Counties

Drug maker agrees to pay Cuyahoga and Summit counties $10 million without admitting liability

September 2019 Briefing – Emergency Medicine

Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for September 2019. This roundup includes the...

Core Language Skill Stable From Infancy to Adolescence

Consistency in core language skill is stable through childhood in typically, atypically developing children

Drug Repurposing May Provide More Psychiatric Tx Options

Three drug classes tied to lower rates of self-harm and psychiatric stays with serious mental illness

Smartphone App Can Detect Early Signs of Opioid Overdose

App has high sensitivity, specificity for opioid-induced central apnea, respiratory depression

Rx Opioids Up Pneumonia Risk in Patients With, Without HIV

Risk greatest with higher-dose opioids and opioids with immunosuppressive properties

Coronary Artery Calcium May Help Predict CVD in South Asians

CAC incidence similar in South Asian men versus white, black, Latino men; higher than Chinese

FDA Approves Drugs for Treatment of Two Rare Blood Diseases

Elzonris approved to treat BPDCN; Ultomiris approved for paroxysmal nocturnal hemoglobinuria

Review Highlights Lack of Tx Options for Prurigo Nodularis

Researchers call for more randomized controlled trials to investigate systemic treatments

Symptom Combos Suggesting Laryngeal Cancer Identified

10 features of laryngeal cancer with which patients presented in year before diagnosis identified

Depressive Symptoms Higher During Internal Medicine Internship

Faculty feedback, learning experience in inpatient rotations, work hours tied to change in symptoms

Cognitive Scores After Kidney Transplant Tied to Frailty

Cognitive function first improved then declined 1 to 4 years after transplant in frail recipients

ACC: Antibacterial Envelope Can Reduce CIED Infections

Incidence of major cardiac implantable electronic device infections significantly lower with envelope

Average of 283,000 Children Have Sports-Related TBIs/Year

From 2010 to 2016, average of 283,000 children sought care in EDs for SRR-TBIs

CDC: 228 Measles Cases Already in 2019

Number of cases in the United States so far this year getting close to the total number for all of 2018

Caregiving for Older Cancer Patients Takes Emotional Toll

Poorer patient health tied to higher levels of caregiver distress among informal caregivers

Telemedicine Leads to More Antibiotic Rx for Pediatric Respiratory Infection

More antibiotics prescribed with less guideline-concordant antibiotic management versus other settings

FDA Issues Warning on E-Cigarette Liquids Resembling Cough Syrup

Products have labeling, advertising that imitate prescription cough syrup products

Changes in Air Pollution Levels May Affect Risk for Preterm Birth

For second pregnancy, risk higher among low-risk women with high, persistent air pollution exposure

September 2019 Briefing – Dermatology

Here are what the editors at HealthDay consider to be the most important developments in Dermatology for September 2019. This roundup includes the latest...

Risk of Sudden Death in Epilepsy Can Decline Over Time

Those with a low risk for SUDEP generally remain in this categorization during three years of tracking

Less Deep Sleep in Elderly Tied to Alzheimer Disease Markers

Poor-quality sleep in later life could be a noninvasive marker for deteriorating brain health

Racial Differences ID’d in Some Biomarkers of Alzheimer’s Disease

African-Americans have lower mean CSF concentration of total tau, phosphorylated tau181

Sex Differences ID’d in Response to Glioblastoma Treatment

Standard therapy more effective for female versus male patients with glioblastoma

High Levels of Activity, Motor Ability Linked to Better Cognition

Findings seen in older adults; independent correlations remained for those with Alzheimer disease

Complications, Costs Up With Cardiac Sx in Opioid Use Disorder

No increased risk of mortality, but increase in incidence of major complications

FDA Panel Has Tie Vote on New Type 1 Diabetes Drug

Zynquista is a once-daily pill meant to help type 1 diabetes patients manage their blood glucose levels

FDA Receives an ‘F’ in Tobacco Prevention Report Card

American Lung Association releases State of Tobacco Control 2019 report

Adverse Birth Outcomes Up With Medically Assisted Reproduction

But risks are mainly attributable to factors other than medically assisted reproductive treatment

Time to Breast Cancer Surgery Delayed for Non-Hispanic Blacks

Racial differences in TTS did not explain racial differences in overall survival with breast-conserving sx

Less Invasive Method Safely IDs Epilepsy Surgical Candidates

Stereoelectroencephalography has better outcomes than subdural electrode implants in some cases

Head of National Cancer Institute Named Acting FDA Commissioner

Current commissioner, Scott Gottlieb, will be stepping down in April

Older Adults With Hearing Loss Have Lower Patient Activation

Even those with 'a little trouble' hearing have higher risk for low activation than those with 'no trouble'

Dietary Supplement Use Not Linked to Mortality Benefits

Excess calcium intake may increase risk for cancer death; link related to supplemental calcium intake

No Benefit Seen With Rituximab for Chronic Fatigue Syndrome

B-cell depletion using several rituximab infusions over 12 months not linked to clinical improvement

Indoor Tanning May Up Risk for Squamous Cell Carcinoma

Dose-response association found between indoor tanning and SCC risk among women

Hyperemesis Gravidarum Linked to Autism Spectrum Disorder

Rates of ASD increased for children exposed to HG in utero; risk up for boys, girls, whites, Hispanics

September 2019 Briefing – Cardiology

Here are what the editors at HealthDay consider to be the most important developments in Cardiology for September 2019. This roundup includes the latest...

Hospitalization for Upper GI Bleed Highest With Rivaroxaban

Upper gastrointestinal bleeding hospitalization risk lower for anticoagulant tx with PPI cotherapy

Presence of Antiphospholipid Antibodies Tied to First-Time MI

With validation, findings may impact management, outcomes of high-risk patients

No Increased Fall Risk With HTN Treatment in Older Women

Lower incidence rate ratios found for women with treated controlled hypertension, treated uncontrolled HTN

Exercise Can Consistently Lower Blood Pressure

Reductions in BP from exercise comparable but not as great as from medications

Hemochromatosis Mutation Linked to Other Morbidity

Higher rates of at least one incident-linked condition seen in men, women with HFE p.C282Y homozygosity

Mental, Behavior, Developmental Disorders Up With Low-Income

Children in lower- versus higher-income households more often diagnosed with MBDDs

Elevated Risk for Lung CA in Lung Transplant Recipients Explored

13-fold increased risk found in native lung for those receiving single lung transplant

Mandibular Contour Surgery Training System Beneficial

Improvements in clinical surgery time, accuracy with use of intraoral MCS training system

Prophylaxis for Gonococcal Eye Infections in Newborns Advised

USPSTF reaffirms use of antibiotic ointment to prevent gonococcal ophthalmia neonatorum

Psychopathology in Adulthood Up With Child Lead Exposure

Higher childhood blood lead levels linked to increase in general psychopathology

Antiepileptic Drugs Not Tied to Dementia Risk

No increased overall risk found, but levetiracetam generic brands tied to higher dementia risk

Intervention Promotes Better Conversations With Cancer Patients

But communication quality-improvement intervention does not improve patient outcomes

Parent Perception of E-Cig Safety Varies With Smoking Habits

Most who smoke cigarettes and e-cigs have smoke-free home policies; fewer have vape-free policies

Review Links Adverse Events to Use of Herbal Meds in Pregnancy

Increased odds of preterm birth with almond oil; oral raspberry leaf linked to cesarean delivery

Variation ID’d in Rate of Sexual Onset Before 13 Among Boys

Likelihood of reporting sexual intercourse before 13 lower for boys whose mothers have college degree

Older Patients With Vision Loss Have Higher Hospital Use, Costs

Similar findings seen among patients with commercial insurance

Food Insecurity Linked to Chronic Disease in Young Adults

Second study shows food insecurity linked to mental health problems, poorer sleep outcomes

Monitoring HTN Med Adherence Does Not Improve BP Control

Text messaging and remote monitoring can aid adherence but not blood pressure control

Asthma-Related ED Use Up for Children With Anxiety, Depression

Children with asthma and anxiety, depression, or both have increased rates of asthma-linked ED use

CDC: Acute Flaccid Myelitis Cases Appear to Have Peaked for 2018

As of Nov. 30, 134 cases of AFM have been confirmed in 33 states

Persistent Opioid Use High in Head, Neck Cancer Patients

Opioid use before treatment, tobacco use are risk factors for ongoing opioid use

Fewer Complications Found With Hybrid Surgery for Esophageal Cancer

Incidence of intraoperative, postoperative complications lower in resectable esophageal cancer

School Nutrition Programs Slow BMI Gains in Children

Promoting healthier eating in middle school more effective than adding physical activity

Dermatologists’ Rx for Antibiotics Dropped From 2008 to 2016

However, rising use of antibiotics after dermatologic surgical visits is concerning

Drug Use-Associated Infective Endocarditis Up 2007 to 2017

More than 12-fold increase in DUA-IE hospitalizations and valve surgeries during 2007 to 2017

Having Children Tied to Higher Risk for Cardiovascular Disease

Significant link identified, with nonlinear J-shaped dose-response relationship for increasing parity

FDA Approves First Generic Version of Advair for Asthma, COPD

Medication approved to treat children aged 4 or older with asthma, adults with asthma or COPD

Few Patients With Type 1 Diabetes Meeting HbA1c Goals

Glycemic control not better in 2010 to 2018, despite more use of insulin pumps, continuous monitoring

Oncologists Have Low Awareness of LGBTQ Issues

However, oncologists overwhelmingly interested in learning more

Machine-Learning Models Allow Early Detection of Sepsis in NICU

Models using EHR data from infants in NICU can detect sepsis hours before clinical signs are apparent

CDC: 2000 to 2017 Saw Increase in Mortality Due to Dementia

Age-adjusted death rate was 66.7 deaths per 100,000 U.S. population in 2017

Diet Quality in Midlife Not Linked to Later Risk for Dementia

No significant difference in incidence rates for dementia according to measures of diet quality

2000 to 2015 Saw Increase in Liver Cancer Mortality

Increase generally steeper in less educated women; confined to men with ≤15 years education

First Two-Drug Regimen Approved for HIV-1 Treatment

Dovato indicated for use in patients with no history of antiretroviral treatment

Back Sleeping in Late Pregnancy Linked to Lower Birth Weight

Authors say this is a modifiable risk and campaigns should target third-trimester side sleeping