September 2019 Briefing – Pathology

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

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

September 2019 Briefing – OBGYN & Women’s Health

Here are what the editors at HealthDay consider to be the most important developments in OBGYN & Women's Health for September 2019. This roundup...

September 2019 Briefing – Radiology

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

Uptitration of Drugs Varies With Target Dosage in Chronic HF

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

September 2019 Briefing – Hematology & Oncology

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

September 2019 Briefing – Anesthesiology

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

Food Insecurity Prevalent Among Medicare Enrollees

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

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...

September 2019 Briefing – Cosmetic Surgery

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

Marine Omega-3 Supplements May Lower CVD Risk

Updated meta-analysis shows lower risks for MI, CHD death, total CHD, CVD death, total CVD

September 2019 Briefing – Orthopedics

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

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...

Decrease in Stroke Incidence Continued Through 2017 in ARIC

Decrease in stroke rates for 1987 to 2011 extended to 2017; decrease seen across decades, sex, race

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...

September 2019 Briefing – Pain Management

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

Glycemic Control Worse Than Thought in Adults With T1DM

Rates of both acute and chronic complications significantly increase with increasing HbA1c

September 2019 Briefing – Psychiatry

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

September 2019 Briefing – Pharmacy

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

September 2019 Briefing – Allergy

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

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...

Juul Halts Funding for San Francisco Vaping Ballot Initiative

News comes as Nebraska sees first vaping-related death; U.S. total now 15

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...

September 2019 Briefing – Rheumatology

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

FDA: Pacemakers, Insulin Pumps Could Be Hacking Targets

Cyberattackers could take control of a medical device and cause it not to work properly or at all

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...

September 2019 Briefing – Surgery

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

Some Nutritional Supplements May Aid Mental Health Conditions

Nutrient supplements had good safety profiles, no known contraindications with psychiatric medications

September 2019 Briefing – Diabetes & Endocrinology

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

September 2019 Briefing – Urology

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

USPSTF Finds Evidence Lacking to Prevent Illicit Drug Use in Youth

Evidence insufficient to recommend primary care interventions to prevent, cut drug use in youth

September 2019 Briefing – Family Practice

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

September 2019 Briefing – Internal Medicine

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

No Benefit Found for High-Dose Vitamin C Infusions in Sepsis, ARDS

No differences seen versus placebo in organ dysfunction scores, biomarkers of inflammation or vascular injury

September 2019 Briefing – Gastroenterology

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

September 2019 Briefing – Critical Care

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

Panel Votes Yes to Current Level of Red, Processed Meat Intake

Weak recommendations with low-certainty evidence based on five systematic reviews

Nintedanib Slows Fibrosing Interstitial Lung Disease

Nintedanib linked to lower rate of decline in forced vital capacity versus placebo in phase 3 trial

Nivolumab Therapy Prolongs Survival in Advanced Melanoma

Overall survival at five years longer with nivolumab + ipilimumab, nivolumab alone versus ipilimumab

Low Cancer Suspicion Tied to Delay in CRC Referral in Primary Care

Presentation without alarm symptoms linked to long duration to referral in multivariable analysis

Childhood Secondhand Smoke Tied to Later Atrial Fibrillation

Each pack/day increase in parental smoking ups offspring risk by 18 percent

Adverse Outcomes Up for Vaginal Birth After Previous C-Section

However, women with planned VBAC more likely to breastfeed at birth, discharge, and six to eight weeks

Most Severe Forms of Mental Illness Lead to Highest CVD Risk

Findings seen in both male and female veterans with psychotic disorders such as schizophrenia

Heart Disease May Up Risk for Allopurinol-Linked Cutaneous AEs

Risk for hospital admission increased for allopurinol-associated severe cutaneous adverse reactions

Recommendations Updated for Management of Pediatric ADHD

Recommendations include screening for comorbid conditions, understanding ADHD is chronic condition

Rivaroxaban Cuts Recurrent Blood Clots in Obese Patients

Patients on rivaroxaban also have lower health care resource utilization than those on warfarin

Crude Incidence of Candidemia 8.7 Per 100,000 in 2012 to 2016

Incidence highest in older adults (≥65 years); higher for men than women, blacks versus nonblacks

Washington State Bans Sale of Flavored Electronic Cigarettes

Sale of all flavored e-cigarettes will stop for 120 days; ban can be extended after 120 days

CDC Says People Can Contract Tuberculosis From Deer

Anyone working closely with animals that might carry the infection should be screened for tuberculosis

CVS Halts Sales of OTC Zantac

Tests have found low levels of the nitrosamine impurity NDMA in some ranitidine products

Eight Touchpoints May Predict Opioid Overdoses

These factors identify more than half of opioid overdose decedents and may represent prevention opportunities

2009 to 2017 Saw Pediatric Developmental Disability Increase

Significant increases in prevalence of any developmental disability and in ADHD, ASD, intellectual disability

Sports Specialization Ups Injury Risk, Especially in Girls

Volume of vigorous activity is a strong predictor of injuries for both boys and girls

Less Bleeding With Ticagrelor Alone in High-Risk Patients

Less bleeding with ticagrelor alone versus ticagrelor plus aspirin for patients after PCI

Outcomes Similar With Hip Arthroplasty, Hemiarthroplasty

Incidence of secondary hip procedure within 24 months of follow-up did not differ between groups

ASCO: More Than One in Five Millennials Use E-Cigarettes

Most adults agree e-cigarettes cause cancer while more Millennials, Gen Z believe them to be harmless

DPP4 Inhibitors Do Not Up Risk of Inflammatory Bowel Disease

Findings based on comparison to sulfonylureas, thiazolidinediones

Mental Health Service Use Up After Bariatric Surgery

Deliberate self-harm presentations to an ED increased fivefold after bariatric surgery

Preemptive Kidney Transplants Up After KAS Implementation

However, disparities persist, with recipients more likely to be white, female, have private insurance

SBRT Shortens Tx for Prostate Cancer Without Greater Toxicity

Ultra-hypofractionated stereotactic body radiotherapy cuts treatment from two months to two weeks

Psoriasis Tied to High BMI, Low Meat Intake in Japanese Study

Meat, fish intake patterns among psoriasis patients in Japan opposite of those in Western countries

Recommendations Developed for Evaluating Chronic Diarrhea

AGA recommends fecal calprotectin, lactoferrin for screening for inflammatory bowel disease

Infectious Disease Consultation May Lower Candida Mortality

Mortality at 90 days lower in patients with candida bloodstream infection who receive an ID consult

Cases of Legionnaires’ Disease Tied to NC State Fair Rise to 25

Health authorities are looking at airborne droplets from water rides as a possible source of the outbreak

CDC: THC May Be to Blame for Most Vaping-Related Illnesses

However, nicotine-containing vaping products without THC cannot be ruled out as potential cause of harm

Average Annual Premium for Workers Increased in 2019

Average annual premium increased to $7,188 for single coverage, $20,576 for family coverage

More Than 800 Cases of Vaping-Linked Illness Reported in 46 States

U.S. Centers for Disease Control and Prevention also reports 12 confirmed deaths in 10 states

Serum IL-35 Levels Tied to Bone Loss With Rheumatoid Arthritis

Low BMD, high bone metabolism, low vitamin D also seen in postmenopausal rheumatoid arthritis patients

Many Systemic Lupus Erythematosus Patients Use Opioids

Among SLE patients, likelihood of prescription opioids up for those using emergency department

Oral Health Symptoms in Seniors Associated With Cognitive Decline

Findings seen in a large study of community-dwelling Chinese American older adults

Pediatric Heart Allocation Policy No Better for Waitlist Mortality

Current allocation policy has increased congenital heart disease status 1A representation

Severe Adverse Cardiovascular Events Associated With Ibrutinib

Risk up for severe, sometimes fatal, events, including supraventricular arrhythmias, CNS events

Blast Count Prognostic for CML Presenting in Advanced Phase

Mortality risk significantly higher for patients with 20 to 29 percent versus less than 20 percent blasts

Mohs Micrographic Surgery May Up Survival in Stage I Melanoma

Survival modestly improved compared with traditional surgery with wide margin excision

Primary Care Use Aids Patients With Diabetes and Coexisting Psych Disorders

More primary care for patients with mental health, substance use disorders may affect diabetes severity

Walking Speed Predicts Return to Work for Younger Stroke Patients

For younger adults who have had stroke, a threshold of 0.93 m/s can identify those who return to work

Deep Learning Models Classify Disease From Medical Imaging

In meta-analysis, sensitivity, specificity comparable for deep learning models and health care professionals

Telecontraception Seems a Promising Option for Patients

Adherence to guidelines high for patients with medical contraindications to oral contraceptives

Prostate Cancer Risk Higher in Men Receiving Fertility Treatment

Men who undergo assisted reproduction have higher risk for prostate cancer, early-onset disease

American Society for Radiation Oncology, Sept. 15-18

The 61st Annual Meeting of the American Society for Radiation Oncology The annual meeting of the American Society for Radiation Oncology was held from Sept....

ACA Provided Care to 1.9 Million People With Diabetes

Adjusted uninsured rates down 17 percent for people with undiagnosed diabetes after ACA

E-Cigarette Maker Juul Stops All Advertising, Replaces CEO

Vaping products maker also said it will not fight a proposed nationwide ban on flavored e-cigarettes

American Academy of Otolaryngology, Sept. 15-18

The 123rd American Academy of Otolaryngology-Head and Neck Surgery Foundation Annual Meeting and OTO Experience The annual meeting of the American Academy of Otolaryngology-Head and...

Step-Up Strategy May Differ in Black Children With Asthma

Poorly controlled asthma in black children may respond to increased dose of inhaled glucocorticoid

Vedolizumab Beats Adalimumab for Ulcerative Colitis Remissions

But not for corticosteroid-free clinical remission; also, ustekinumab superior to placebo

ACOG Updates Guidance on OTC Contraception Access

Over-the-counter hormonal contraception access recommended with no age restrictions

Woman’s Face Transplant Failing After Six Years

Since the transplant in February 2013, patient has had repeated rejection episodes

Quality of Carbohydrates, Protein Has Improved in U.S. Diet

1999 to 2016 saw drop in percent of energy intake from low-quality carbs, increase from high-quality carbs

Racial/Ethnic Disparities in Mortality Persist in the U.S.

Increase in disparities in child mortality due to increased mortality in blacks

Teens Not Receiving Evidence-Based Treatment Options to Quit Smoking

95 percent of teens with nicotine use disorder and Medicaid coverage get no counseling or pharmaceutical treatment

Healthy Dietary Patterns Linked to Lower Incidence of CKD

Reduction seen in incidence of chronic kidney disease, albuminuria; no significant link found for drop in GFR

Risk for Developing Idiopathic Pulmonary Fibrosis Up in IBD

Incidence of IPF significantly higher in patients with Crohn disease than in controls

Exposure to Pesticides Tied to Cardiovascular Disease Incidence

Correlation still significant after adjustment for other cardiovascular disease risk factors

CDC: Infant Outcomes Worst for Those Born in the Delta

Infants born in the Delta more likely to be born preterm, have low birth weight, die in first year of life

Incidence of Hodgkin Lymphoma Up in Least Deprived Areas

Linear trend found toward increasing Hodgkin lymphoma incidence with decreasing deprivation

Nut Consumption Tied to Less Annual Weight Gain, Obesity

Findings seen for increased consumption of total nuts as well as walnuts, other tree nuts, peanuts

Machine Learning May Be Faster for Cardiac MRI Scan Analysis

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

More Blood Pressure Drugs Recalled

Some lots of losartan contaminated with the cancer-causing chemical N-methylnitrosobutyric acid

Vaping-Related Death in Kansas Brings National Total to Nine

In all, 530 people have possible or confirmed lung injuries from the vaping-linked lung illness

Exposure to Insecticide Might Explain ‘Sonic Attack’ in Cuba

Examination of 26 Canadian diplomats found traces of cholinesterase-inhibiting insecticides

USPSTF Urges Asymptomatic Bacteriuria Screening in Pregnancy

No net benefit seen for screening, treatment of asymptomatic bacteriuria for nonpregnant adults

Vasomotor Symptoms in Women Tied to Higher Risk for CVD Events

Frequent baseline VMS linked to higher risk for later CVD events; more visits also linked to CVD events

Vitamin D Deficiency Linked to Increased Mortality

Association strongest in younger and middle-aged groups and for diabetes-related deaths

Behavioral Treatment Helps Reduce Insomnia in Cancer Survivors

Insomnia Severity Index scores improved for many cancer survivors with single sleep education session

Girls Take Longer to Recover From Concussion Than Boys

Sex difference in concussion recovery may be explained by delay in seeking specialty care

E-Cig Use Up in Young Adults, Stable or Down in Older Adults

46.2 percent increase seen in current e-cigarette use among young adults from 2017 to 2018

Percentage of Women in Internal Med Residencies Increasing

But percentage of women entering nine subspecialty fields decreased; lowest increase seen in cardiology

For Seniors With T2DM, Insulin Use Up With Poor Health

Individuals with poor and intermediate versus good health more likely to continue insulin use

Hurricanes Up Mortality Risk for Seniors With Diabetes

In the first month after Katrina and Rita, all-cause mortality spiked 40 percent among seniors with diabetes

Timely Palliative Care After Lung Cancer Diagnosis May Up Survival

Palliative care at 31 to 365 days after diagnosis of advanced lung cancer linked to improved survival

Polysomnographic Thresholds of Limited Use in Pediatric OSA

Polysomnographic resolution accounted for small proportion of change in symptoms, quality of life

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

Connecticut Sees First Death This Year From Mosquito-Borne EEE

Cases have also been reported in Massachusetts, Michigan, and Rhode Island

Women, Minorities Underrepresented in Cardiology Workforce

Women making gains in pediatric cardiology, but number of minorities remain low in adult, pediatric practice

Protected Health Info Breaches Compromise Sensitive Data

Most hospital data breaches include demographic or financial information that could be used for identity theft

High-Intensity Surveillance of Colorectal Adenomas Modeled

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

Guideline Updated for Prevention, Management of Hep C in CKD

32 key recommendations focus on prevention, diagnosis, treatment, management of hepatitis C virus

Dapagliflozin Lowers Risk for Worsening Heart Failure

Findings seen among patients with heart failure, reduced ejection fraction, irrespective of diabetes

ASTRO: NSAIDs May Offer Benefit to Head & Neck Cancer Patients

Benefit not significant for aspirin use in patients with non-small cell lung cancer undergoing SBRT

Higher Mortality Seen for Male Breast Cancer Patients

Clinical characteristics, undertreatment correlated with 63.3 percent excess mortality rate for men

Exercise May Slow Brain Deterioration in Alzheimer Disease

Findings did not differ between aerobic exercise and stretching and toning

Higher Fat Mass May Up Risk for Major Adverse CV Events in T2DM

However, increasing lean body mass does not appear to have a protective effect

Emergency Departments Need to Up HIV Testing, Linkage to Care

Just under half of HIV-positive patients in South African emergency departments virally suppressed

More Aggressive Tx Needed for Familial Hypercholesterolemia

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

CDC: Asthma Visit Rates Decreased From 2001 to 2016

Asthma education and asthma action plans provided in 21.4 and 9.9 percent of asthma visits, respectively

Rate of Opioid Rx Increasing for Incisional Ocular Surgery

Odds for filling opioid prescriptions highest for surgery in 2014, 2015, 2016 versus 2000-2001

Marijuana Use Common Among Adults With Medical Conditions

Prevalence of marijuana use decreases with increasing age

Racial/Ethnic Disparities Seen in PrEP Awareness, Discussions

Black and Hispanic men who have sex with men less likely to be aware, have discussed PrEP than whites

Sertraline Does Not Reduce Depressive Symptoms by Week 6

Improvements seen in anxiety symptoms, mental health-related QoL, not depressive symptoms

11 Percent of Cancers Detected Via Emergency Department Visit

Patients with ED-mediated diagnoses more likely to be unmarried, Hispanic or black, in lowest income quartile

Colorectal Cancer Mortality Disparities Vary Across U.S. Cities

Racial disparities in 25 of 30 cities examined; highest disparity in Washington, D.C., lowest in Philadelphia

Liver Transplants Rarely Performed for Unauthorized Immigrants

Unauthorized immigrant status linked to similar risks for graft failure, death versus U.S. citizens/residents

Pediatricians Can Play Role in Cutting Sugary Drink Intake

Policy recommendations include approaches to increase drink price, reduction of marketing to children

Vaping-Linked Lung Illness Claims Eighth Life

Patient first suffered from shortness of breath, which rapidly progressed to acute respiratory distress syndrome

SGLT2 Inhibitors Linked to Lower Risk for Heart Failure

Risk lower for HF, but not major CV events, compared with new users of DPP4 inhibitors

Multifaceted Home-Based PT Does Not Aid Walking After Hip Fracture

Findings based on intervention designed to help older persons recovering from hip fracture

Cardiovascular Disease Risk Underestimated in Patients With Mental Illness

Severe mental illness should be included in cardiovascular assessment tools, authors say

Kidney Donation Linked to Increased Hypertension Risk

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

Vaginal Mesh Hysteropexy No Better for Uterovaginal Prolapse

No significantly lower composite prolapse outcome found for vaginal hysteropexy versus vaginal hysterectomy

Few Trauma Patients Assessed for Effects of PTSD, Acute Stress

Most adult, pediatric centers do not have assessment, educational protocols

Skipping Cancer Referral Appointments Linked to Earlier Death

U.K. study reveals that more than 5 percent of patients skip their urgent referral appointment

Increasing DTP3 Coverage Tied to Drop in Diphtheria Cases in Under 15s

In countries with higher case counts, 66 percent of case-patients were unvaccinated, 63 percent <15

Many Hospitals, Practices Not Screening for Social Needs

Screening for all five social needs reported for 24.4 percent of hospitals, 15.6 percent of practices

Medical Students Not Ready to Provide Nutritional Care

Findings consistent regardless of country of training, year of medical education

CDC: Cases of Vaping-Linked Lung Illness Rise to 530 Across 38 States

FDA currently analyzing more than 150 vaping product samples tied to these cases

Maker Halts Distribution of Generic Zantac Due to Possible Carcinogen

Preliminary tests revealed low levels of the nitrosamine impurity NDMA in some ranitidine products

House Speaker Unveils Plan to Lower Drug Costs

Plan would allow Medicare to negotiate prices for high-cost drugs

Cognitive Therapy by Phone, Web May Ease Irritable Bowel Symptoms

Mean IBS Symptom Severity Score reduced for telephone-, web-CBT versus treatment as usual

Rates of Diabetes Higher at Lower BMIs Among Minorities

At normal body weight, rates for diabetes three times higher in Hawaiians, Pacific Islanders

CDC: Valley Fever Cases Increased From 2014 to 2017

Most cases reported from Arizona and California; in 2017, incidence in Arizona was 101 per 100,000

Linagliptin Noninferior for CV Risk in Early Type 2 Diabetes

Linagliptin compared with glimepiride for risk for major cardiovascular events in T2DM with elevated CV risk

CV Risk Lower With Metformin in T2DM + Reduced Kidney Function

Risk for major adverse cardiovascular events reduced with metformin compared with a sulfonylurea

ASTRO Issues Guideline for Radiation Tx in Pancreatic Cancer

Evidence reviewed for radiation therapy in adjuvant, neoadjuvant, definitive, and palliative settings

Frailty Assessment May Aid Liver Transplant Evaluation

Frailty assessment may help identify patients at higher risk for death on the wait-list

Pharmacist in ED Cuts Time to Tx to Reverse Anticoagulation

Time to 4F-PCC shorter for patients who have life-threatening bleeding, need urgent procedures

Hysterectomy Tied to Long-Term Risk for Depression, Anxiety

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

Many Older Patients With AML Not Receiving Active Treatment

No active treatment more likely with older age, lower household income, unmarried status, comorbidities

Aortic, Mitral Regurgitation Risk Up With Fluoroquinolone Use

Risk significantly increased for current use and recent use, but not past use within 61 to 365 days

Nonphysician Providers Rarely Interpret Diagnostic Images

Radiography and fluoroscopy were most common NPP-billed imaging services over all years

2002 to 2016 Saw Rise in Drug Abuse-Linked Infective Endocarditis

Patients were younger, more often white men, poorer, and had fewer comorbidities

Electronic Nose Analysis May Predict Response to Anti-PD-1 Therapy in NSCLC

Initial breath analysis predicts individual treatment response to anti-PD-1 therapy at three months

New York State Institutes Ban on Flavored E-Cigarettes

Stores have two weeks to clear their shelves of the products

Polypill Strategy Promising in Socioeconomically Vulnerable

Greater reductions in systolic blood pressure, LDL cholesterol levels with polypill in minority population

Seniors Should Undergo Annual Cognitive Health Assessment

After MCI diagnosis, patients should be counseled on treatment options; support needed for partners

12.6 Million in U.S. Could Benefit From Tx to Prevent Active TB

Revised NHANES-based estimate for prevalence of latent TB infection excludes those who report prior tx

Physical Therapy and Surgery Reduce Mixed Urinary Incontinence Symptoms

However, reduction in symptoms from addition of physical therapy may not be clinically important

Anemia in Early Pregnancy May Harm Child Neurodevelopment

Odds for ASD, ADHD, intellectual disability increased with anemia diagnosed during first 30 weeks

Diabetes Distress Common at Large Midwestern University

Findings based on survey of university-affiliated students, staff with either type 1 or type 2 diabetes

Four Modifiable Risk Factors Tied to Hyperuricemia

Public health efforts to promote healthy diet and prevent obesity might cut gout cases, authors say

Migraines Linked to Higher Risk for Dementia, Alzheimer Disease

However, no link seen between migraines and vascular dementia

Combo Antithrombotic Therapy Increases Bleeding Risk

Greatest risk seen in first year of treatment, but benefits of combo therapy continue after one year

Off-Label Ordering of Systemic Drugs Up for Children

Over time, off-label orders have increased for antihistamines, several psychotropics

Screening for Breast Cancer in Men Has Increased Over Time

Risk higher for older age, Ashkenazi descent, genetic mutations, and personal, first-degree family hx

Initiating Empirical Tx for Sepsis Reduces Blood Culture Sensitivity

12 percent difference seen in proportion of positive blood cultures before and after antimicrobial therapy

Headache From Epidural for Labor May Up Subdural Hematoma Risk

Presumed postdural puncture headache tied to greater risk for intracranial subdural hematoma

High-Risk Antibiotic Use Linked to Hospital-Associated C. Difficile

High-risk antibiotic use independently predicts hospital-related Clostridioides difficile infection

Gaps in Physician Knowledge, Management of Prediabetes ID’d

Primary care doctors have limited knowledge about screening, management for prediabetes

Men Less Knowledgeable About HPV, HPV Vaccination

Most men and women did not know anal, penile, and oral cancers are caused by HPV

Vaping-Linked Lung Illness Claims Seventh Victim

According to CDC, 380 people in 36 states have come down with the vaping-related sickness

Stepwise Approach Effective for Primary Care Dementia Screening

Stepwise screening starts with single question on subjective memory loss

Pharmaceutical Treatments for Opioid Abuse May Benefit Teens

However, evidence is limited on efficacy, safety of medications for opioid use disorder in teens

Pulegone Levels in Mint, Menthol E-Cigarettes May Be Unsafe

Exposure levels higher than those found in combustible menthol cigarettes

Patients With Rheumatic Disease Often Have Trouble Accessing Care

Access issues include getting specialty appointments and affording treatment

Prenatal, Postnatal Exposures Tied to Blood Pressure in Children

Chemical, environmental, meteorological factors may impact systolic, diastolic BP

Biopsychosocial Frailty Measure Predicts Risk for Dementia

Model of physical, psychological, and social elements predicts three- and seven-year dementia risk

ED Openings, Closures May Affect Tx, Outcomes for Acute MI

ED closures can negatively affect heart attack care at bystander hospitals at near or full capacity

Tablet App Seems Reliable, Fast for Cognitive Assessment in MS

Excellent agreement seen between iCAMS tablet application and paper version of the cognitive assessment

Remote, Postpartum BP Checks Feasible in Women With HTN

Study demonstrates high compliance, retention, and patient satisfaction with the program

Primary Care Faces Challenges in Caring for Kidney Disease

Lack of knowledge, time, clinical support tools are barriers cited by primary care providers

Delaying Treatment Worsens Head, Neck Cancer Outcomes

Findings show that survival declines, recurrence increases with delays of more than 60 days

Donepezil Ups Risk for Hospital Admission for Rhabdomyolysis

Donepezil linked to increased risk for admission with rhabdomyolysis versus rivastigmine, galantamine

Room for Improvement Found in HPV Vaccine Delivery Practices

Physicians not strongly recommending vaccine, not using presumptive style linked to refusal or deferral

Acetaminophen in Pregnancy May Affect Childhood Behavior

12 variables, mainly features of hyperactive or attentive behavior, tied to acetaminophen use

New York State to Ban Flavored E-Cigarettes

Governor says flavored e-cigarettes account for 68 percent of those sold in New York

Purdue Files for Bankruptcy Over Opioid Crisis Suits

Currently, there are more than 2,600 pending federal and state lawsuits lodged against Purdue

No New U.S. Measles Cases Reported Last Week

Measles outbreaks are usually said to be over after 42 days without a new infection

Optimized AED Placement Might Improve Cardiac Arrest Outcomes

Better access to automated external defibrillators could up coverage for out-of-hospital cardiac arrest

Aspirin for Primary Prevention May Offer Net Benefit for Some

Subgroups with net benefit had higher baseline CVD risk, higher levels of most established CVD risk factors

Continued Use Low Three Months After ED Opioid Rx for Acute Pain

Few report using opioids for reason other than pain three months after receiving opioid Rx

Medicaid Expansion Increases Access to Kidney Transplants

Increases in Medicaid-covered preemptive kidney transplants greater in Medicaid expansion states