Methanol Toxicity Can Result From Occupational Exposure

Case report describes patient with symptoms that began two weeks after new job at propane company

WHO: ‘Dramatic Resurgence’ of Measles Occurring in Europe

Four European countries have lost their status as having eliminated measles

Seniors With Dementia at Home Have More Medical Needs

Older adults living at home also more likely to be members of disadvantaged populations

Hospital Program Does Not Cut Mortality for Acute Kidney Injury

But drop in hospital length of stay, improvement in metrics seen

Simple Tweaks Retrain Night Owls’ Internal Clocks

Nonpharmacological, practical interventions tied to improvements in mental well-being, performance

Science Not Yet Advanced Enough for Genetic Editing of Embryos: Expert Panel

However, panel has not taken a position on whether genetic editing of embryos is ethical

Knee, Hip Arthritis Increase Risk for Social Isolation in Elderly

Findings based on multicountry, European study

More Mental Health Visits Tied to Lower Rates of Youth Suicide

Youth suicide risk highest with epilepsy, depression, schizophrenia, substance use, bipolar disorder

ACC: Increase Seen in Death Rates Due to Hypertension-Related CVD

2007 to 2017 saw increase in death rates in rural and urban populations, for all age groups, both sexes

Exposure to Metals, Pesticides Tied to CVD in Hispanics/Latinos

Prevalence ratio for any cardiovascular disease was 2.18 for those working with pesticides

Percutaneous Cryoablation Treats Early-Stage Kidney Cancer

10-year disease-specific survival 94 percent; 10-year risk for hemodialysis only 2.3 percent

Rates of Joint Surgery Higher With Psoriatic Arthritis

After 15 years of follow-up, 29 percent of psoriatic arthritis patients had received surgery

Aneurysm Diameter, Intraluminal Thrombus Predict AAA Growth

Small, medium abdominal aortic aneurysms with ILT grew 1.9- and 1.2-fold faster, respectively, than those without ILT

Vitamin D Supplement No Benefit in Pediatric Persistent Asthma

No improvement seen compared with placebo in children with asthma and low vitamin D levels

Suicide Rates Increasing for Male, Female Youths in U.S.

Adjusted suicide mortality rates increased from 1.7 to 4.2 per 100,000 female youths from 1999 to 2017

Updated Recommendations, Levels of Care Categorized for Pediatric ICUs

Three levels of care include community-based, tertiary, and quaternary or specialized PICUs

ACC: Robust Evidence Lacking for Many Cardiovascular Guidelines

Few recommendations in cardiovascular society guidelines supported by evidence from multiple RCTs

Brain Changes Differ for β-Amyloid, Cerebrovascular Burden

β-amyloid, cerebrovascular burden have divergent effects on brain functional network changes

November 2019 Briefing – Ophthalmology

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

Melanoma Survival Varies Among U.S. States

Worse survival in states with more physicians; higher death rates in states with lower incidence

Decision Regret Increased for Those Who Choose Dialysis to Please Others

Dialysis decision regret less likely for those who discuss prognosis with doctors, complete living will

CD8+ T Cell Composition Tied to Risk for Kidney Transplant Failure

CD8+ T cell composition at one year after transplant may identify those at higher risk for graft failure

Chloroquine COVID-19 Trial Stopped After Patient Deaths

Some patients taking a higher dose developed serious heart rhythm disorders, resulting in 11 deaths

Many Experience Improvement in Sex Life After Bariatric Surgery

About half of those reporting dissatisfaction at preop saw clinically meaningful improvement

Some Doctors Endorse Thyroid Ultrasonography Unnecessarily

Some endorse for patient request, abnormal thyroid function test result, positive thyroid antibody test

Dr. Stephen Hahn Nominated to Head FDA

Hahn is chief medical executive of The University of Texas MD Anderson Cancer Center in Houston

GERD Associated With Chronic Temporomandibular Disorder

Somatization, anxiety, and undermined sleep moderately mediated correlation between GERD, TMD

February 2019 Briefing – Nursing

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

AAN: No Increased MS Relapse Risk in Postpartum Period

Annual relapse rate 0.39 before pregnancy, dropped during pregnancy, rebounded by four to six months

AI Model Using Chest X-Ray May Predict 12-Year Lung Cancer Risk

CXR-LC model had better discrimination than CMS eligibility, similar performance to PLCO Model 2012

July 2020 Briefing – Internal Medicine

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for July 2020. This roundup includes the...

Children’s Vaccine Patterns Mainly Classified as Recommended

23 percent of children's vaccination patterns classified as alternate, with limited shots, skipping series

Health Care Screening Practices Impact Skin Cancer Diagnosis

Likelihood of being diagnosed with skin cancer increased for those undergoing health care screening

Hydrocortisone Early After Septic Shock Onset May Aid Outcomes

Days alive and free from vasopressors greater for initiation within 24 hours versus >48 hours

AAAAI: Egg Oral Immunotherapy Shows Sustained Benefit in Children

All children with sustained unresponsiveness ingested concentrated and baked egg

Subtle Cognitive Difficulties May Predict Amyloidosis

Individuals with objectively-defined SCD have faster amyloid accumulation, entorhinal cortical thinning

USPSTF Recommends Behavioral Counseling for STI Prevention

Behavioral counseling linked to reduction in odds of STI and with reduction in sexual risk behaviors

Bans on Flavored Electronic Cigarettes Continue

Los Angeles also banning flavored tobacco products, chewing tobacco, and menthol cigarettes

New York City Measles Outbreak Cases Reach 121

No deaths have occurred, but eight people have been hospitalized and one child ended up in ICU

Asthma Tied to Longer COVID-19 Intubation Time

However, asthma not associated with higher rates of acute respiratory distress syndrome, death

Excess Mortality Observed for Older Adults With BP Below 130/80 mm Hg

Mortality risk lower for SBPs of 150 to 159 mm Hg versus 130 to 139 mm Hg for nonfrail, frail elderly

Hearing Loss Linked to Postural Instability in Older Adults

Findings seen for patients 40 years and older, even when hearing loss is only on one side

Kidney Donation Linked to Increased Hypertension Risk

Mean eGFR increased for Caucasian and African-American kidney donors, plateaued after incident HTN

Vitamin D Supplementation Offers No Benefit for Critically Ill

Among critically ill patients with vitamin D deficiency, supplementation did not improve 90-day mortality

Sleep Problems in Infancy May Be Tied to Autism Diagnosis

Findings seen among children at risk for autism due to having a sibling with the condition

MASCC/ISOO Update Guidelines for Management of Mucositis

Topics include basic oral care, photobiomodulation therapy, cryotherapy, natural interventions

Dementia Common in Down Syndrome Patients Aged ≥55

Dementia incidence 102 cases per 1,000 person-years for individuals aged 55 years or older

Opt-Out Universal Hep C Screening in Emergency Dept Is Useful

47.8 percent of cases reactive to HIV antibody were among those born after 1965

Sepsis Common in Terminal Hospitalizations, Discharges

Most common underlying causes of death in sepsis are solid and hematologic cancers, chronic heart disease

Patterns of Inpatient Opioid Use Linked to Long-Term Use

Outpatient use at 90 days was seen for 5.9 and 3.0 percent of patients with and without inpatient use

March 2019 Briefing – Internal Medicine

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

Malnutrition Ups Risk of Postop Issues in Pediatric Crohn Disease

In propensity-matched analysis, mild, severe malnutrition linked to elevated odds of complications

2007 to 2017 Saw Decline in Number of U.S. Pathologists

At the same time, the cancer-related diagnostic workload rose 42 percent per pathologist

Capping Work Hours in Residency Does Not Impact Outcomes Later

No differences seen in post-training patient mortality, readmissions, or costs of care

Rate of Ordering Cancer Screening Tests Decreases During Clinic Day

Rate of patient completion of cancer screening tests also decreases with appointment later in the day

Oliceridine Studied for IV Pain Relief After Abdominoplasty

Findings published from phase III trial of patients with moderate-to-severe acute postoperative pain

Risk for Liver Cancer Down With Low-Dose Aspirin in Hepatitis B, C

Risk for 10-year liver-related mortality also lower among aspirin users with chronic hepatitis B or C

Physician’s Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of...

n-3 PUFAs Do Not Lower Risk for Early Preterm Delivery

Maternal supplementation with n-3 long-chain polyunsaturated fatty acids did not lower risk

Rate of Vaping Has Doubled Since 2017 Among U.S. Adolescents

In eighth, 10th, 12th grade, there were increases in students who had ever vaped, daily vaping

Teen Transgender Access to Pubertal Suppression Lowers Suicidality

Findings based on large survey of transgender young adults

FDA: Men Should Be Included in Breast Cancer Clinical Trials

Draft guidance that men be included in breast cancer trials issued by the FDA on Aug. 26

NIH Launches $500 Million Contest to Produce Best COVID-19 Test

Goal is to make millions of tests available to Americans each week by end of summer

Psychoeducational Intervention of Little Benefit in Breast Cancer

However, patients said that psychoeducational group study was important intervention for their life

Americans Borrowed $88 Billion in Past Year to Pay for Health Care

Many do not seek treatment for health issues due to cost or reduce spending to pay for health care

Many Long-Term Breast Cancer Survivors Die From Other Causes

Number of breast cancer deaths decreased as more years passed after breast cancer diagnosis

Costs Higher for Those With Comorbid Noncommunicable Diseases

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

Spironolactone Not Tied to Breast Cancer Recurrence

Drug can be used for alopecia treatment in breast cancer survivors

Risk for Conversion of MS Varies With Different Therapies

Lower risk for conversion for initial treatment with fingolimod, alemtuzumab, or natalizumab

SAVED Score Can Predict Risk for VTE in Multiple Myeloma

Score outperforms current NCCN guidelines for MM patients receiving immunomodulatory therapy

Secondary Prevention Guideline Adherence Cuts Death Post-AMI

Mortality significantly lower with each additional guideline recommendation achieved

American College of Physicians, April 11-13

The American College of Physicians Internal Medicine Meeting 2019 The annual meeting of the American College of Physicians (ACP) was held from April 11 to...

Girls May Receive First Autism Diagnosis Later Than Boys

Neurological, developmental, psychiatric disorders common in those with autism spectrum disorder

Nonsmoker Mortality Showcases Harm of Secondhand Smoke

One nonsmoker dies from secondhand tobacco smoke exposure for every 52 smokers

Poor Sleep Quality Linked to Greater Food Intake, Worse Diet

Poorer sleep quality linked to lower unsaturated fat intake and higher food weight, added sugar intake

Cases of Serious Vaping-Linked Lung Injury Now Top 1,000

New England Journal of Medicine article presents lung histopathology findings from recent cases

Poverty Ups Risk for Amputation After Knee Replacement

No racial or sex disparities seen for risk for amputation after periprosthetic joint infections

Depression, Substance Use Increasing in Former Smokers

2005 to 2016 saw increase in prevalence of major depression; marijuana use increased from 2002 to 2016

SABCS: Addition of Tucatinib Ups Survival in HER2+ Metastatic Breast Cancer

In heavily pretreated patients, adding tucatinib versus placebo improves overall, progression-free survival

CDC: E. Coli Outbreak Linked to Romaine Lettuce Is Over

25 people were hospitalized, including two who developed kidney failure; no deaths reported

COVID-19 Antibodies Detected in Maternity Care Workers in U.K.

Among frontline obstetric workers, one of six were seropositive; one-third of those were asymptomatic

USPSTF Notes Evidence Lacking for BP Screening in Children

None of the studies reviewed directly assessed health benefits or harms of screening, impact of treatment

Racial/Ethnic Disparities Seen in Economic Burden Due to Cancer Deaths

Non-Hispanic blacks have higher age-standardized PYLL, lost earning rates than whites for 13 of 19 sites

Infant Suffocation Deaths in Bed Increased From 1996 to 2016

Rates higher for non-Hispanic black infants versus whites, although risk factors the same

FDA Reports Cases of Seizures Among Young Vapers

Agency review revealed 35 reported cases of seizures following use of e-cigarettes since 2010

Anxiety With Type 2 Diabetes Tied to High-Cost Health Care Use

Anxiety and type 2 diabetes related to frequent visits to ED, high costs but not total hospitalization costs

Physicians Unaware of Breast Density Laws, Cancer Risk

Half of physicians unaware of increased breast cancer risk among women with dense breasts

Rituximab + Chemo Ups Survival in Pediatric B-Cell Non-Hodgkin Lymphoma

Event-free survival significantly longer for children, teens with high-grade, high-risk disease

ADA 2019 Standards of Care Emphasize Patient-Centered Care

Updates include use of SGLT-2 inhibitors and GLP-1 receptor agonists for T2DM, CVD; endorsed by ACC

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

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

More Than Half of U.S. Adults Have Medical Financial Hardship

Hardship in material, psychological, behavioral domains more likely for those age 18 to 64 versus ≥65

Lasting Drop Seen in CRC Incidence, Death After Negative Colonoscopy

Reductions only seen for 10.1 to 17.4 years of follow-up after high-quality colonoscopy

October 2019 Briefing – Geriatrics

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

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

Higher Intake of Linoleic Acid May Reduce Type 2 Diabetes Risk

Risk down particularly when linoleic acids replace saturated fats, trans fats, or carbohydrates

Effect of Fluoxetine on Repetitive Behaviors in ASD Youth Unclear

Interpretation of results limited by high dropout rate, null findings of prespecified analyses

Adult Smoking, Cessation Tied to Smoking Intensity in Adolescence

Prevalence of daily smoking in 20s, 40s correlated with degree of smoking during adolescence

Estimated U.K. Incidence Rate of Lyme Disease 12.1 per 100,000

If increase continues, more than 8,000 cases expected in United Kingdom by end of 2019

National Dietary Guideline Adherence Lowers Cardiovascular Risk

2015 to 2020 Dietary Guidelines for Americans performed similar to other dietary indices

Genetically Predicted BMI Increases Rheumatoid Arthritis Risk

Effect consistent across sensitivity analyses and comparable for men and women

Significant Number of Referred Patients Misdiagnosed With MS

At MS referral centers, almost one in five new patients have been incorrectly diagnosed with the disease

Occupational Use of Disinfectants May Up Risk for Developing COPD

Findings seen in longitudinal study of U.S. female nurses who cleaned surfaces, medical instruments

Topical Immunotx for Actinic Keratosis May Prevent Cancer

Fewer patients treated with calcipotriol plus 5-FU developed SCC on treated face, scalp within three years

FDA Gives First Ebola Vaccine for Adults the Green Light

Ervebo shown to be highly effective in preventing infection in people exposed to the virus

Anosmia in COVID-19 Linked to Lower Risk for Admission

Pulmonary infiltrates and/or pleural effusion on chest radiograph may increase risk for admission

February 2019 Briefing – Neurology

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

In 2015 to 2016, 45.8 Percent of U.S. Population Used Rx Drugs

Prescription drug use increased with age, reaching 85.0 percent for those aged 60 years and older

April 2019 Briefing – Nursing

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

Physician Burnout Rate Increased From 2014 to 2017

Early-career physicians most susceptible to burnout; late-career physicians less vulnerable

Family History of Dementia Tied to Early Memory Deficits

Reduced paired-associates learning performance observed long before typical onset of Alzheimer disease

Protocolized Sepsis Care Lowers Sepsis Mortality in NY State

Compared with control states, decrease in sepsis mortality greater after implementation of regulations

January 2020 Briefing – Radiology

Here are what the editors at HealthDay consider to be the most important developments in Radiology for January 2020. This roundup includes the latest...

Cardiac Injury Linked to Increased Mortality in COVID-19

More hospitalized patients with cardiac injury required noninvasive or invasive mechanical ventilation

Severe Maternal Complication Risk Four Times Higher With Twins

Cesarean delivery accounts for one-fifth of the risk of severe acute maternal morbidity

Outpatient Service Receipt Down After Medicaid Disenrollment

Decrease in likelihood of receiving any outpatient service among adults with mental health disorders

Massachusetts Passes Bill to Ban All Flavored Vaping Products

Bill would also put 75 percent excise tax on vaping products

Long-Term Incidence of A-Fib Increased in Women With Breast Cancer

Women younger than 60 years have increased short-term, longer-term risk

High Alcohol Consumption May Be Causally Tied to Stroke, PAD

Some evidence of positive link seen for genetically predicted alcohol consumption with CAD, a-fib, AAA

Clinical Score Predicts Poor Pain Control After Spine Surgery

Prediction model based on seven variables, including younger age, preoperative daily opioid use

High-Intensity Surveillance of Colorectal Adenomas Modeled

Model shows high-intensity surveillance could provide modest, clinically relevant benefits at acceptable cost

February 2020 Briefing – Dermatology

Here are what the editors at HealthDay consider to be the most important developments in Dermatology for February 2020. This roundup includes the latest...

Poll: Most Americans Do Not Trust Trump’s COVID-19 Vaccine Comments

More than half of adults say they do not trust the president's vaccine comments

North Carolina Outbreak of Legionnaires’ Traced to Hot Tub Display

Walking by display of hot tubs is likely source of disease, state health officials say

Americans’ Protein-Rich Diets May Up Heart Disease Risk

Findings may have important public health implications for chronic disease prevention

Consuming Ultraprocessed Food May Up Risk for Type 2 Diabetes

Significant links persisted after adjustment for markers of nutritional quality, metabolic comorbidities

Offers of Viable Deceased Donor Kidneys Frequently Refused

Eighty-four percent of kidneys declined on behalf of at least one candidate before being accepted

Online Symptom Self-Management + Telehealth Aids Pain, Mood

Collaborative care led by a nurse-physician team with web-based self-management better than self-management alone

Hospital Infection Control Can Prevent COVID-19 Transmission

No nosocomial transmission of COVID-19 seen in Hong Kong hospital using infection control measures

Mortality Up for Rural Versus Urban Stroke Patients

Rural patients have lower use of intravenous thrombolysis and endovascular therapy

Depression at Time of Diagnosis May Worsen Survival in Blood Cancers

Risk for death higher even with depression remission versus never experiencing depression

Safe Infant Sleep Practices Suboptimal Across the U.S.

Receipt of provider advice on safe sleep practices varies but is associated with increased practice use

CRP-Guided Testing Cuts Antibiotic Use in COPD Exacerbations

Lower percentage of patients reported antibiotic use, received antibiotic prescriptions

Typical Chest CT Findings Help Screen for Coronavirus Infection

Architectural distortion, traction bronchiectasis, CT involvement score aid in assessing disease severity

Minority of Teens Receive Health Care Transition Planning

Adolescents with anxiety, depression more likely to receive recommended transition care planning

Pregnant Women With Depression More Likely to Use Cannabis

Authors call for education about risks, similar to efforts to stem tobacco use during pregnancy

Late-Life Depression Severity Varies by Race, Ethnicity

Differences identified in depression severity, symptom burden, and depression care

Financial Toxicity Common in Patients With Multiple Sclerosis

Many MS patients report lifestyle-altering behaviors or care nonadherence due to financial burden

Radiologists Performing More Paracenteses, Thoracenteses

2004 to 2016 saw increase in paracentesis, thoracentesis procedures performed by radiologists

More Aggressive Tx Needed for Familial Hypercholesterolemia

Even with care in specialty clinics, LDL cholesterol levels remain above targets for most patients

August 2019 Briefing – Dermatology

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

Altered Gut Microbiome Seen in Patients With Active Lupus

Patients with lupus had fivefold greater representation of Ruminococcus gnavus

AACR: High BMI Before 50 Raising Pancreatic Cancer Mortality

Twenty-eight percent of pancreatic cancer deaths due to higher BMI in those born in 1970 to 1974

National Health Spending Expected to Increase Through 2028

National health expenditures expected to represent 19.7 percent of gross domestic product by 2028

Recovery Protocol Cuts Opioid Use After Elective Neurosurgery

Cohort study shows reduced opioid use for patients having elective spine and peripheral nerve surgery

ACEIs/ARBs Not Linked to Severity or Mortality of COVID-19

Percentage of patients with hypertension taking ACEIs/ARBs similar for survivors, nonsurvivors

Oculomotor Response to Head Impacts Studied in Youth Football

Near point of convergence measured in players during a single high school football season

Reconstructive Surgery International Trips Are Cost Effective and Sustainable

Benefits greatest for cancer-related conditions, cleft lip/palate, and hand conditions

Claims-Based Frailty Index Can Improve Cost Prediction

Addition of frailty index to CMS-HCC model improves cost prediction over CMS-HCC model alone

Medicaid Expansion Has Positive Effect on Diabetes Management

Substantial improvements reported in states that expanded Medicaid with large diabetes populations

Luspatercept Mitigates Anemia in Lower-Risk Myelodysplastic Syndromes

Transfusion burden reduced in patients with lower-risk myelodysplastic syndromes with ring sideroblasts

ESC Guidelines Updated for Supraventricular Tachycardia

Catheter ablation recommended, should be considered for many patients with SVT

Cinnamon Supplementation May Improve Blood Glucose Control

Findings support research on whether cinnamon can slow progression of prediabetes to type 2 diabetes

Serious Misdiagnosis-Related Harms Mostly Due to ‘Big Three’

Vascular events, infections, cancers account for 74.1 percent of high-severity misdiagnosis-related harms

CDC: United States Set to Break Measles Cases Record

Number so far this year stands at 626, just 41 short of the 2014 record

Young Adults Using Juul More Than Non-Pod-Based E-Cigarettes

Fifty-eight percent of respondents reported using pods because they are easy to hide

May 2019 Briefing – Gastroenterology

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

Maltreatment in Childhood Ups Risk for Physical Pain in Young Women

Higher risk for pain particularly seen for teen girls who experience posttraumatic stress

Hysterectomy Tied to Long-Term Risk for Depression, Anxiety

Findings particularly strong with hysterectomy at younger age, even with ovarian conservation

Past-Year Methamphetamine Use 6.6 Per 1,000 in 2015 to 2018

Odds ratios for past-year use up for men, those with co-occurring substance use and mental illness

Rate of Opioid Rx Stable After Pediatric Outpatient Surgery

However, maximum available take-home dose steadily declined from 2013 to 2017

February 2019 Briefing – Infectious Disease

Here are what the editors at HealthDay consider to be the most important developments in Infectious Disease for February 2019. This roundup includes the...

Dupixent Approved for Chronic Rhinosinusitis With Nasal Polyps

Clinical trials showed reduced nasal polyp size, congestion with Dupixent versus placebo

August 2020 Briefing – Neurology

Here are what the editors at HealthDay consider to be the most important developments in Neurology for August 2020. This roundup includes the latest...

Physician’s Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of...

Employers Can Refuse to Provide Birth Control Coverage: U.S Supreme Court

Lower courts had previously blocked changes to a requirement in the Affordable Care Act

Symptomatic COVID-19 Infection Fatality Rate 1.3 Percent in U.S.

County-specific infection fatality rates for symptomatic cases varied from 0.5 to 3.6 percent

Head, Facial Injuries From Motorized Scooters on the Rise

Many patients experiencing traumatic injuries not wearing appropriate helmets

Whole-Fat Milk Consumption Tied to Lower Odds of Child Obesity

Meta-analysis: Odds of overweight or obesity lower for children drinking whole-fat versus reduced-fat milk

Vitamin D Tied to Back Problems in Postmenopausal Women

Serum vitamin D concentration <10 ng/mL may be marker of back pain, lumbar disc degeneration

ACS: Outcomes Worse With Delay in Performing Cholecystectomy

Poorer outcomes seen if surgery delayed for more than 72 hours after admission for acute cholecystitis

Machine Learning May Be Faster for Cardiac MRI Scan Analysis

Scan:rescan precision similar when measured by an expert, trained junior clinician, automated CNN

Low Fitness, Obesity Linked to Later Disability Pension

Being moderately or highly fit as teen linked to lower risk for later receipt of disability pension in men

Function, Cognition, Psych Well-Being Linked to Postop Death

Risk for one-year mortality rises with increasing risk factors among older adults undergoing major surgery

Steroid May Reduce COVID-19 Death Risk by Up to One-Third

Dexamethasone appears promising for patients with severe illness

Acetaminophen Safe as First-Line Analgesic for Most Older Adults

But there may be a higher stroke risk in elderly patients with diabetes taking the drug

Brain Recovery After Concussion Lags Symptom Resolution

MRI shows that different physiologic aspects of the brain vary in concussion recovery time

Effects of Omega-3 Fish Oil Mixed for ADHD Symptoms in Youth

Supplements may not improve cognitive symptoms in youth who have high endogenous EPA levels

Breast Cancer Mortality Rate Continues to Decline in the U.S.

Pace of decline slowed from 1.9 percent during 1998 to 2011 to 1.3 percent during 2011 to 2017

Cardiac-Specific Comorbidity Index Beats Generic Indexes

Cardiac-specific index outperforms other indexes for predicting in-hospital mortality, length of stay

Use of PPIs Tied to Cognitive Issues in Breast Cancer Survivors

Concentration, memory problems reported in breast cancer patients at different stages of survivorship

Partnership Would Bypass Drug Industry to Sell COVID-19 Vaccine

Vaccine could be sold without profits or licensing fees in Britain and low- and middle-income countries

Small Increase Seen in Risk for Subdeltoid Bursitis With Flu Shot

Attributable risk was 7.78 additional cases of subdeltoid bursitis per million persons vaccinated

Certain Opioids Less Effective With SSRI Antidepressants

Surgical patients on SSRIs + prodrug opioids had higher postsurgical pain 8 weeks postdischarge

Oscillometric Devices Offer More Accurate Way to Measure BP

Validated oscillometric devices may provide more accurate BP measurement in office setting

IDSA Issues Rapid Guidelines for Treatment of COVID-19

Expert panel urges that treatments for COVID-19 be given in the context of clinical trials

Rivaroxaban Does Not Reduce VTE Incidence in High-Risk Cancer Patients

Primary end point occurred in lower percentage of patients in 180-day period; difference not significant

Abnormal Liver Tests Common in Hospitalized COVID-19 Patients

Abnormal liver tests linked to severe COVID-19, including ICU admission, mechanical ventilation, death

Antibiotic Use Tied to Higher Risk for Rheumatoid Arthritis

Findings show a dose- or frequency-dependent association; all antibiotic classes linked to higher odds for RA

February 2020 Briefing – HIV & AIDS

Here are what the editors at HealthDay consider to be the most important developments in HIV & AIDS for February 2020. This roundup includes...

Greater Long-Term Decline in Stroke Seen Among Older Adults

Continued focus on prevention efforts needed to lower risk for midlife ischemic strokes

2014 to 2018 Saw Decrease in Twin Birth Rate in U.S.

Four percent decrease to 32.6 twins per 1,000 total births marked lowest rate in more than a decade

Continuing Annual Breast Cancer Screening No Benefit in Over-75s

No significant reductions found in eight-year breast cancer mortality for continuing versus stopping screening

Users of Flavored E-Cigarettes Report Greater Satisfaction

Flavor is common reason for vaping initiation, more likely to motivate adults aged 18 to 24 years to start

Mild Congenital Heart Defects Tied to CVD Events

Lower-complexity ACHD associated with increased CVD risk regardless of conventional risk factors

PCPs Feel Unprepared in Providing Dementia Care

27 percent report being sometimes or never comfortable with patient questions

Breast Cancer Mortality Decreased With Mammography From Age 40

Breast cancer mortality significantly dropped at 10 years of follow-up, attenuated after 10 years

Radiation Oncology Clinic Visits Down Due to COVID-19

Patient volume decreased despite vast majority of practices adopting enhanced safety practices

ACP: Medicare for All Needed to Fix ‘Ill’ U.S. Health Care System

American College of Physicians has endorsed two proposals being discussed by Democratic presidential candidates

December 2019 Briefing – Emergency Medicine

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

New Opioid Rx Rules Coming for U.S. Employees’ Health Plans

New Federal Employee Health Benefits Program rules are meant to prevent overprescribing