Preventive Medicine

USPSTF issues final recommendations for aspirin use to prevent CVD, colorectal cancer

USPSTF issues final recommendations for aspirin use to prevent CVD, colorectal cancer

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The USPSTF concluded that a low-dose aspirin regimen can prevent cardiovascular disease and colorectal cancer in adults aged 50 to 59.

Prediabetes goes untreated in many patients

Prediabetes goes untreated in many patients

Very few patients with glycated hemoglobin levels that indicate prediabetes are being told they have the condition.

USPSTF recommends new screening guidelines for type 2 diabetes

USPSTF recommends new screening guidelines for type 2 diabetes

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Clinicians should screen all asymptomatic, obese adults for abnormal blood glucose levels, says the U.S. Preventative Services Task Force.

The celebrity effect on healthcare

The celebrity effect on healthcare

While having a celebrity spokesperson can benefit a cause, they may also end up spreading misinformation about a particular cause.

Americans' hearts are older than their chronological age

Americans' hearts are older than their chronological age

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Three out of four U.S. adults have a "heart age" that is older than their chronological age, according to a Vital Signs report issued by the CDC.

USPSTF aspirin recommendations vary by age group

USPSTF aspirin recommendations vary by age group

The USPSTF recommends low-dose aspirin for certain adults aged 50 to 69 years.

Inequality kills — but what can providers do about it?

Inequality kills — but what can providers do about it?

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Medical education has failed to address the social causes that may interfere with patients' health.

High water intake may decrease kidney stone risk

High water intake may decrease kidney stone risk

Patients who reported drinking a higher volume of water (at least 2.0 to 2.5 liters per day) were at a reduced risk for recurrent kidney stones.

Type 2 diabetes screening does not improve mortality rates

Type 2 diabetes screening does not improve mortality rates

Treatment of impaired fasting glucose, impaired glucose tolerance can delay progression to diabetes.

Rule out pulmonary embolism by combining Wells rule and D-dimer test

Rule out pulmonary embolism by combining Wells rule and D-dimer test

Combining the Wells rule and a POC yielded a sensitivity and specificity of 94.5% and 51.0%, respectively, which when combined with a quantitative test changed to 98.6% and 47.2%, respectively.

More flexible BP guidelines for coronary artery disease issued

More flexible BP guidelines for coronary artery disease issued

Guidelines reinforce a target blood pressure of less than 140/90 mm Hg for those at risk for heart attack and stroke.

Lung cancer screening may be inadequate

Lung cancer screening may be inadequate

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The current screening criteria for lung cancer may not be sensitive enough to protect people at risk, given the recent decline in smoking rates.

Overimaging is region-based

Overimaging is region-based

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Inappropriate use of imaging was strongly associated with the hospital referral regions in which patients were treated.

Cardiac screening in low-risk adults

Cardiac screening in low-risk adults

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Clinicians should not use resting or stress electrocardiography, stress echocardiography, or stress myocardial perfusion imaging to screen low-risk adults for cardiac disease.

Reduce unnecessary cardiac screening in low-risk patients

Reduce unnecessary cardiac screening in low-risk patients

Within a low-risk population, clinicians should focus on strategies for treating modifiable risk factors and encouraging healthy levels of exercise.

Reducing ethnic disparities in cancer care

Reducing ethnic disparities in cancer care

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Addressing and overcoming barriers would increase the use of preventive health services and decrease mortality rates for the African American community.

Aspirin resistance linked to increased stroke risk

Aspirin resistance linked to increased stroke risk

Patients who are resistant to aspirin may be at risk for larger, more severe strokes.

Providing overdiagnosis information makes women less likely to want mammogram

Providing overdiagnosis information makes women less likely to want mammogram

Compared with women who didn't receive the information, women in the intervention group had less favorable opinions about screening.

Preventing and treating periodontitis

Preventing and treating periodontitis

NPs and PAs must work in collaboration with oral health clinicians to effectively educate patients in the prevention of periodontal disease.

Cultural practices may be driving hepatitis C infection rates in West Africa

Cultural practices may be driving hepatitis C infection rates in West Africa

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Reports that suggest high rates of serologic false positives and low levels of viremia have contributed to uncertainty regarding the burden of active hepatitis C infection.

Does political affiliation affect life span?

Does political affiliation affect life span?

When it came to political ideologies, 30% of conservatives and moderates died compared with 25% of liberals.

Women, providers unhappy with cervical cancer screening changes

Women, providers unhappy with cervical cancer screening changes

Results of a survey revealed that many female patients would be more comfortable with routine Pap and HPV tests to screen for cervical cancer.

Being sedentary may be worse than being obese

Being sedentary may be worse than being obese

Exercise that burns between 90 and 100 calories per day could reduce the risk of early death by 16% to 30%.

Community cardiovascular disease prevention program tied to improved heart health

Community cardiovascular disease prevention program tied to improved heart health

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Improvements in hypertension, cholesterol control, and smoking cessation rates among participants enrolled in a cardiovascular disease prevention program were seen.

Ambulatory BP monitors recommended by USPSTF

Ambulatory BP monitors recommended by USPSTF

Ambulatory blood pressure monitoring does a better job of predicting future events.

Test to predict cardiovascular disease risk gains FDA approval

Test to predict cardiovascular disease risk gains FDA approval

The PLAC test for Lp-PLA2 Activity is intended for patients without a prior history of cardiovascular disease.

Routine ultrasounds for women with dense breasts may not be cost-effective

Routine ultrasounds for women with dense breasts may not be cost-effective

A computer-based simulation demonstrated that routine ultrasounds for patients with dense breasts may not be worth the costs of supplemental examination.

Low-dose aspirin risks negate benefits in women

Low-dose aspirin risks negate benefits in women

Although women who took low-dose aspirin saw a small reduction of CVD and colorectal cancer risk, the risk of gastrointestinal bleeding increased.

Obesity prevention programs influence kids' lipids levels

Obesity prevention programs influence kids' lipids levels

Adiposity and lipid outcomes improved in 15% of obesity prevention programs aimed at children.

Patients may be dismissing cancer symptoms

Patients may be dismissing cancer symptoms

More than 50% of survey respondents reported cancer warning signs, but only 2% considered cancer as a possible cause.

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