A diabetes transition registry may help adolescents with type 1 diabetes plan and prepare for independent adult care.
School attendance or daycare for immunosuppressed pediatric cancer patients remains a topic of uncertainty for many clinicians.
Colonoscopy is associated with significant reductions in colorectal cancer mortality among veterans and with greater benefit for left-sided cancer than right-sided cancer.
Standardizing postpartum depression screening in the ambulatory pediatric setting coupled with implementing a referral algorithm and referral guide can help more PPD cases be identified, further evaluated, and treated.
Implementing mental health services early on in pediatric oncology patients has significant benefits, as managing such distress before symptom severity worsens creates better short- and long-term outcomes.
Adaption of processes in pediatric pulmonology clinics that may eliminate tobacco use and exposure will help with decreasing medical expenses and hospital admissions for illnesses that can be triggered from smoke exposure.
Hospital notifications are received more quickly by teen patients with STIs as text messages rather than phone calls.
The US opioid crisis is negatively affecting children, and the rate of hospitalization and pediatric intensive care unit admission for pediatric opioid ingestions is increasing.
Increased daily family management, which includes attending to physical, psychological, or social aspects of a child with special healthcare needs, may be negatively associated with quality of life in children with chronic conditions.
Maternal factors, such as age and stress levels, may be linked with infant feeding concerns.
Involvement in aerobic fitness activities helps adolescents and children increase lung volume as adults but does not improve airway caliber.
Two primary care pediatric clinics study the relationship between screen time use and mental health effects on children between 6 and 12 years old.
A higher concentration of plasma vitamin D is correlated with a decreased risk of total cancer.
Transcutaneous electrical nerve stimulation may be ineffective in treating, relieving lower back pain when compared with other nerve stimulation therapies.
NAPNAP will celebrate its 45th anniversary at the organization's National Conference in Chicago from March 19-22, 2018.
A letter from AANP President Joyce Knestrick addresses an in-flight health emergency in which an NP was not permitted to properly treat a passenger in distress.
Compared with opioids, nonopioid treatments may be equally beneficial for patients with chronic back pain or osteoarthritis hip or knee pain.
Hepatitis C virus eradication by direct antiviral agents improves carotid atherosclerosis in patients with advanced fibrosis and compensated cirrhosis.
Alirocumab significantly decreased severe cardiovascular risks in patients with acute coronary syndrome.
Aortic aneurysm risks are significantly elevated in patients taking fluoroquinolone.
Elbasvir and grazoprevir, taken in combination for 12 weeks, successfully treated virologic response in patient with hepatitis C genotype 1b.
Medicare patients with ED visits pertaining to imminent ruptured abdominal aortic aneurysms, stroke, acute myocardial infarctions, or other cardiovascular relating events are very likely to be diagnosed prior to hospital discharge.
Congress signed into law two improvements to Medicare that will impact the physician assistant profession.
For patients with ovarian cancer taking pegylated liposomal doxorubicin who have hand-foot syndrome, frozen gloves and socks is a safe method of treatment.
The American College of Physicians has developed recommendation statements to guide clinicians in selecting targets for pharmacologic treatment of type 2 diabetes.
There is a significant association between varicose veins and an increased risk for deep venous thrombosis and possible associations with pulmonary embolism and peripheral artery disease, though results are still unclear.
Low-risk acute coronary syndrome patients may require fewer referrals for invasive coronary angiography if they had initial noninvasive testing such as stress echocardiography or cardiovascular magnetic resonance.
Many medical schools provide paternity and maternity leaves, though the duration may among schools.
Increasing awareness of and access to newer HIV testing options such as free or reduced price on home and self-tests and couples HIV testing and counseling can facilitate increased levels of consistent testing among young, Black MSM, and transgender women.
Patients with opioid dependence or abuse may exhibit a higher prevalence of asthma compared with the general population.
Prenatal vitamin D is associated with an increased risk for allergic rhinitis in children born to African American women, but not white women.
Researchers examined real-world characteristics of patients receiving albuterol multidose dry powder inhaler or short-acting β2 agonists with short-acting β2 agonists for asthma and chronic obstructive pulmonary disease.
Bacterial vaginosis may cause an increased risk for HIV acquisition in women taking oral or injectable hormonal contraception.
The disease allele may be passed from affected grandmother to granddaughter through the father's inherited genes.
When testing for sensitivity to histamine, larger swelling sizes were recorded for infants with eczema and atopic dermatitis compared with infants without those conditions.
Researchers sought to assess the effect of seasonal dose adjustments on the rate of systemic reactions in pediatric patients receiving standardized allergen subcutaneous immunotherapy.
Researchers assessed whether the administration of dupilumab improves signs and symptoms of atopic dermatitis in patients with or without comorbid asthma.
Children who are exposed to antibiotics earlier in life may have an increased risk for allergic diseases, including asthma, atopic dermatitis, and allergic rhinitis.
Researchers assessed the use of dupilumab in adults with chronic rhinosinusitis and nasal polyps who did not respond to treatment with intranasal corticosteroids.
Intranasal corticosteroids are the current guideline-preferred treatment recommendation for nasal congestion.
Data from the Isle of Wight birth cohort study and the Kuwait University Allergy cross-sectional study were used to assess self-reported acetaminophen use and asthma diagnosis.
A cohort from the CANDLE study was assessed to determine if race plays a role in the protective effect of maternal vitamin D levels on childhood asthma.
Excessive alcohol consumption does not impact the decline of CD4 cell count in patients with HIV who have not undergone antiretroviral treatments.
For major depressive disorder patients in remission, cognitive behavioral therapy is an effective intervention for relapse prevention at either short- or long-term follow-up.
With the rapid rise in technologic advances and the increase in medical specialties in the last half-century, the creation of the medical virtualist could improve care and outcomes and reduce costs.
The American Academy of Pediatrics has updated clinical practice guidelines to assist primary care clinicians in the management of adolescent depression.
An overview of the content at this year's American Academy of Allergy, Asthma & Immunology/World Allergy Organization Joint Congress
Behavioral interventions that include sexual risk reduction combined with alcohol- and cannabis-focused elements are effective at reducing sexually transmitted infection incidence among justice-involved adolescents.
Sertraline and group cognitive behavioral therapy have similar long-term antidepressant effects in the treatment of mild to moderate depression.
Is there a significant difference between low-fat and low-carbohydrate diets on weight loss?
Cesarean delivery is associated with a reduced rate of urinary incontinence and pelvic organ prolapse, but this should be weighed against the association with increased risks for fertility, future pregnancy, and long-term childhood outcome.
HbA1C, diabetes status, and cognitive decline during a span of 10 years were compared using data from the English Longitudinal Study of Ageing.
The risk of invasive pneumococcal disease is correlated with the prescription opioid use.
The Work Group who authored the new recommendations was made up of professionals from academic medicine, federal and state public health agencies, and medical societies.
The new guideline focuses on evidence-based treatments in alcohol use disorder such as pharmacologic treatments, naltrexone, disulfiram, and topiramate.
An inverse relation was observed between epilepsy and cerebral palsy and 5-minute and 10-minute Apgar scores.
The 2017 to 2018 influenza vaccine reduces the chance of getting the disease by about 33%, but is only 25% effective against H3N2, otherwise known as influenza A.
Functional magnetic resonance imaging was used to monitor brain activity in patients with osteoarthritis who were administered either genuine or placebo electroacupuncture.
The use of oral contraceptives did not reduce the risks of breast cancer or colorectal cancer.
The USPSTF has issued an updated recommendation statement on ovarian cancer screening.
Primary gastrinomas of the hepatobiliary tract may occur in patients with Zollinger-Ellison syndrome
Lymph nodes proximal to hepatic or biliary gastrinomas will likely require extraction as many in the surround region will have metastasized.
Past epidemiological investigations resulted in inconsistent reports on the affiliation between antidepressants and the risk of ovarian cancer.
The Advisory Committee on Immunization Practices updated its immunization recommendations for adults.
Patients diagnosed with PFO prior to noncardiac surgery have an elevated ischemic stroke risk.
The ADA's updates include a modified patient-focused care algorithm as well as improved risk management for CVD.
Women with gestational diabetes have a greater risk of developing T2D and cardiovascular events than women who were not previously diagnosed with the disease.
Modulate electrical stimulation of the amygdala may improve declarative memory without provoking any emotional reaction.
The updates contain new or revised ACIP recommendations for poliovirus, influenza, and measles, mumps, and rubella vaccines, as well as a clarification of the recommendations for rotavirus and pneumococcal vaccines.
Among NFL football players who began their careers between 1982 and 1992, career participation in the NFL, compared with limited NFL exposure obtained primarily as an NFL replacement player during a league-wide strike, was not associated with a statistically significant difference in long-term all-cause mortality.
Severe obesity may decline in children enrolled in specialized diet programs.
The investigators studied the association between abdominal fat, inflammation, and fitness by measuring body weight, dimensions, and blood samples.
Patients with chronic HCV with a sustained virologic response were more likely to have a reduced progression of liver fibrosis.
A clinical prediction tool successfully forecasts subarachnoid hemorrhage management from ruptured intracranial aneurysms.
The increased rate of takeout meal consumption was correlated with higher total fat intake and lower intake of vitamin C, iron, and calcium.
Ill-timed administration of benzodiazepine treatment in pediatric patients with refractory convulsive status epilepticus is associated with many short-term adverse events.
The Affordable Care Act is associated with moderate reductions in the cost burden for the lowest-, low-, and middle-income households.
In patients undergoing TAVR or SAVR, approximately 1 in 3 had depressive symptoms at baseline and a higher risk of short-term and midterm mortality.
A significant affiliation between symptoms of anxiety and a decrease in episodic memory was reported in healthy seniors 60 years and older.
A congressionally mandated report has found that e-cigarettes are likely to be far less harmful than conventional cigarettes, although they are not without health risks.
At the 2018 International Stroke Conference in Los Angeles, the AHA/ASA released updated guidelines for the early management of ischemic strokes, which account for 87% of all strokes.
Influenza infections are independently compartmentalized in the upper and lower airways.
Caffeine and its 3 downstream metabolites may be helpful as a biomarker for Parkinson disease.
Duration, more than dosage, may increase the risk of misuse in opioid naïve patients.
Hydrocortisone treatment does not effectively reduce mortality in sepsis.
Herpes zoster subunit vaccine more effective, less expensive than live attenuated herpes zoster vaccine
The adjuvanted herpes zoster subunit vaccine is more effective and less expensive than the live attenuated herpes zoster vaccine at all ages.
Polygenic hazard scores were developed to help predict the age of onset of prostate cancer.
Healthcare organizations are calling on Congress to reverse the new CMS policy that has the potential to jeopardize patient access to Part B drug therapies.
A patient presented with COPD, diabetes, and atrial fibrillation and was found to have a large tattoo across his chest reading, "DO NOT RESUSCITATE," followed by his signature.
Bimodal auditory-somatosensory treatment is noninvasive and showed no side effects.
There is no statistically significant difference in weight loss at 5 years after laparoscopic sleeve gastrectomy vs laparoscopic Roux-en-Y gastric bypass in morbidly obese patients.
The USPSTF has updated its recommendations on screening for idiopathic scoliosis in asymptomatic adolescents.
Use of long-acting bronchodilators is linked to cardiovascular risks in patients with COPD.
Apathy and depressive symptoms are independently associated with incident dementia in community-dwelling older people.
Researchers recommend 7 online tools and mobile apps to help healthcare professionals reduce stress, burnout, depression, and suicidal behaviors.
Use of folic acid or multivitamins during pregnancy is associated with a significantly reduced risk of ASD in offspring.
Increased ibuprofen administration elevates LH and decreases testosterone to LH and inhibin B to FSH ratios in young adult men.
The FDA has approved the Dermapace System for treatment of chronic, full-thickness diabetic foot ulcers.
MEV aortic valve replacement is noninferior to SEV aortic valve replacement in high-risk patients with aortic stenosis.
An outbreak of E. coli O157:H7 have been reported in 13 states in the US as well as Canada.
Addition of a new class of antihypertensive drugs to existing treatment greatly decreases SBP in previously medicated patients with HT.
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Clinical Advisor Articles
- AANP president calls for policy change for in-flight medical emergencies
- A patient is mistakenly told he is dying
- Electronic device screen time may affect mental health of school-aged youths
- Case Study: Chest pain and shortness of breath in a patient with colorectal cancer
- Teens more responsive to STI test results via text message
- Early care transitions beneficial for adolescents with type 1 diabetes
- Pediatric cancer treatment and school attendance: lack of consensus remains
- Colorectal cancer risk in veterans significantly reduced with colonoscopy screening
- Postpartum depression screening effective in the pediatric setting
- Better glycemic control, weight reduction with surgical treatment for youths with T2D, severe obesity