Web Exclusives

Genetic factors affect impact of exercise on type 2 diabetes risk

Genetic factors affect impact of exercise on type 2 diabetes risk

Exercise does not provide its usual benefit against diabetes in patients with high genetic risk for developing type 2 diabetes and insulin resistance.

Opioids too risky for long-term use in chronic-pain patients

Opioids too risky for long-term use in chronic-pain patients

New guidelines offer strategies for clinicians on how to effectively and safely manage opioid prescription use in chronic noncancer pain patients.

Antibiotics linked to increased obesity risk in kids

Antibiotics linked to increased obesity risk in kids

Children aged under 24 months who were prescribed antibiotics were 11% more likely to be obese.

IUDs, contraceptive implants recommended for teenage girls

IUDs, contraceptive implants recommended for teenage girls

IUDs and contraceptive implants are more reliable compared with condoms and should be the first type of contraception pediatricians recommend for non-abstinent teenage girls.

Ultrasound accurate in confirming carpal tunnel syndrome

Ultrasound accurate in confirming carpal tunnel syndrome

Compared with electrodiagnostic testing, ultrasound was more accurate in diagnosing carpal tunnel syndrome.

Stress triggers worse outcomes in obese

Stress triggers worse outcomes in obese

Overweight and obese participants subjected to a stressful situation exhibited greater levels of IL-6 compared with normal-weight participants.

Half of HIV-positive men who have sex with men aren't receiving antiretroviral therapy

Half of HIV-positive men who have sex with men aren't receiving antiretroviral therapy

Younger men and minority males were at highest-risk of not getting HIV-related treatment.

Early arthritis impacts work productivity

Early arthritis impacts work productivity

The mean number of days on permanent disability tripled from 10 to 33 in patients diagnosed with early arthritis in the workforce.

Can working longer hours at certain jobs increase type 2 diabetes risk?

Can working longer hours at certain jobs increase type 2 diabetes risk?

Diabetes risk is almost 30% higher for people working long hours doing manual labor or other low socioeconomic status jobs.

Nearly 5% of young women have chlamydia

Nearly 5% of young women have chlamydia

Many cases of chlamydia go unreported, according to the CDC.

Psoriasis patients on TNF-alpha blockers not at risk for cardiovascular disease

Psoriasis patients on TNF-alpha blockers not at risk for cardiovascular disease

Treatment with TNF-alpha inhibitors demonstrated no increased risk of major cardiac events.

Enterovirus D68 has spread to more than half of United States

Enterovirus D68 has spread to more than half of United States

Officials say 29 states and the District of Columbia are now affected.

Lung cancer test unreliable in regions with endemic infectious lung disease

Lung cancer test unreliable in regions with endemic infectious lung disease

FDG-PET imaging demonstrated a 16% lower average specificity in diagnosing lung cancer in regions were lung infections were more common.

Primary-care providers key in preventing sexually transmitted infections

Primary-care providers key in preventing sexually transmitted infections

USPSTF recommends that providers offer behavioral interventions to patients at high risk for contracting sexually transmitted infections.

Five healthy habits may prevent 79% of heart attacks in men

Five healthy habits may prevent 79% of heart attacks in men

Initial myocardial infarctions could be prevented in four out of five male patients with a proper combination of healthy lifestyle choices.

Parents use online-ratings systems to help choose a pediatrician

Parents use online-ratings systems to help choose a pediatrician

Survey respondents were more likely to use a recommended pediatrician who also had positive online ratings.

Maternal iron intake linked to autism risk in children

Maternal iron intake linked to autism risk in children

Mothers aged 35 years and older with low iron intake were at a fivefold greater risk of having a child diagnosed with autism spectrum disorder.

Administer PCV13, PPSV23 to protect against pneumococcal disease

Administer PCV13, PPSV23 to protect against pneumococcal disease

Give the 13-valent pneumococcal conjugate vaccine along with the 23-valent pneumococcal polysaccharide vaccine to all patients aged 65 years and older.

Reducing cost of low-calorie foods encourages fruit, veggie intake

Reducing cost of low-calorie foods encourages fruit, veggie intake

Discounting the price of low-calorie foods such as fruits and vegetables increased the likelihood of purchasing more healthful options in low-income families.

Primary-care providers can help identify intimate-partner violence

Primary-care providers can help identify intimate-partner violence

More than half of the male survey respondents who reported violence against their spouse or partner had at least one routine health visit within the past year.

Urge all patients to get flu vaccine

Urge all patients to get flu vaccine

Flu-related complications last year caused more than 100 deaths in children and most of whom were not vaccinated.

New psoriatic arthritis patients switch treatments often

New psoriatic arthritis patients switch treatments often

Disease-modifying antirheumatic drug treatments are often discontinued, changed, or added-on to in patients with psoriatic arthritis.

High-fat dairy products cut type 2 diabetes risk

High-fat dairy products cut type 2 diabetes risk

Incidence of type 2 diabetes was lower in patients who reported higher intakes of high-fat dairy compared with patients who reported lower intake.

Insulin pumps decrease mortality, cardiovascular disease risk

Insulin pumps decrease mortality, cardiovascular disease risk

Compared with multiple daily injections, patients who used continuous subcutaneous insulin infusion (CSII) had a lower likelihood of developing cardiovascular disease.

Surgeon's 'cognitive bias' responsible for deadly medical error

Surgeon's 'cognitive bias' responsible for deadly medical error

After a surgeon administered a dye that resulted in the death of a patient, cognitive bias was found to be the cause of the deadly hospital error.

Teenage drug use on the decline

Teenage drug use on the decline

A federal report revealed the number of teens reporting illicit drug use fell in 2013.

Fitness delays age-related hypertension in males

Fitness delays age-related hypertension in males

Male patients who reported a high level of cardiorespiratory fitness postponed increases in age-related diastolic and systolic blood pressure levels.

Antimicrobials commonly prescribed for acute respiratory tract infections

Antimicrobials commonly prescribed for acute respiratory tract infections

Antimicrobial agents were prescribed in 56.9% of acute respiratory tract infections encounters, representing an estimated 11.4 million potentially preventable antimicrobial prescriptions.

HPV knowledge doesn't predict vaccine compliance

HPV knowledge doesn't predict vaccine compliance

After surveying low-income communities, researchers found that human papillomavirus knowledge did not sway vaccination compliance.

What's in a name? PAs thrive in the United Kingdom

What's in a name? PAs thrive in the United Kingdom

U.K. physician associates in high demand, face similar challenges as U.S. counterparts.

Poverty linked to increased respiratory-related hospitalizations

Poverty linked to increased respiratory-related hospitalizations

Low income patients had nearly three times the odds of hospitalization compared with high income patients.

Cesarean risk higher with low-delivery-volume obstetricians

Cesarean risk higher with low-delivery-volume obstetricians

The odds of cesarean delivery were two-fold higher for patients whose obstetricians performed fewer than 60 deliveries per year.

Debate heats up over proposed California medical malpractice changes

Debate heats up over proposed California medical malpractice changes

Initial public support of Proposition 46 in California has diminished as voters express unhappiness with the ballot's increase in non-economic damages.

Young adults uninformed about opioid abuse risks

Young adults uninformed about opioid abuse risks

Researchers found that young people were unaware about the risks associated with prescription opioid abuse and call for better outreach strategies and overdose prevention programs.

Clinician-assisted interventions better for weight loss

Clinician-assisted interventions better for weight loss

Interventions that included a clinician component appeared to promote more weight loss compared with fully automated interventions.

Prediabetes linked to increased cancer risk

Prediabetes linked to increased cancer risk

Significantly different risks of site-specific cancer were seen, with the highest risk for liver, endometrial, and stomach/colorectal cancer.

Novel weight-loss medication approved by the FDA

Novel weight-loss medication approved by the FDA

Results showed that patients who took Contrave had an average weight loss of 4.1% more compared with patients who were assigned placebo.

Dementia patients often prescribed questionable medications

Dementia patients often prescribed questionable medications

Many nursing home residents incur substantial costs associated with questionable medication prescriptions.

Stopping selective serotonin reuptake inhibitors does not cut miscarriage risk

Stopping selective serotonin reuptake inhibitors does not cut miscarriage risk

Increased miscarriage risk has been observed in both female patients who have been exposed to selective serotonin reuptake inhibitors (SSRIs) and patients who discontinued use.

Enterovirus D68 spreads in midwest United States

Enterovirus D68 spreads in midwest United States

Clinicians should be aware that although the EV-D68 strain may present and behave similar to other enteroviruses, its clinical manifestations are unique.

Stepwise glucocorticoid withdrawal OK for COPD

Stepwise glucocorticoid withdrawal OK for COPD

The risk of moderate or severe exacerbations was similar among patients who discontinued inhaled glucocorticoids and those who continued glucocorticoid therapy.

Nine facts about medical malpractice every health-care provider should know

Nine facts about medical malpractice every health-care provider should know

New York Law School publishes an update on the state of medical malpractice information in the United States.

Clinical associates bridge health disparities in South Africa

Clinical associates bridge health disparities in South Africa

American physician assistant and nurse practitioner programs could benefit from hands-on learning style of their South African counterparts.

Could nail involvement predict psoriatic arthritis?

Could nail involvement predict psoriatic arthritis?

In-patient treatment and nail involvement were the strongest predictors of future PsA.

Excessive health precautions unhelpful in fighting Ebola

Excessive health precautions unhelpful in fighting Ebola

Ebola is transmitted through contact with infected patients' secretions, making complete respiratory protection fruitless and such efforts potentially hindering treatment.

Abdominal fat tied to increased hypertension risk

Abdominal fat tied to increased hypertension risk

Visceral adipose tissue was significantly associated with hypertension development, but not lower-body fat and subcutaneous adipose tissue.

Physical activity tied to lower heart-failure risk

Physical activity tied to lower heart-failure risk

Leisure-time physical activity was inversely related to risk of developing heart failure in this study from Circulation: Heart Failure.

Personalized letters increase mammography screening rates

Personalized letters increase mammography screening rates

Patients overdue for screening were more likely to return for a mammogram after their family health-care provider sent personalized letter and postcard reminders.

High potassium intake lowers stroke, mortality risk

High potassium intake lowers stroke, mortality risk

The association between ischemic stroke risk and potassium intake was strongest in nonhypertensive senior female patients.

Influenza vaccine effective in HIV pregnancy

Influenza vaccine effective in HIV pregnancy

Pregnant women with HIV experienced partial protection from the flu when given the trivalent inactivated influenza vaccine.

Dietary salt linked to an increase in multiple sclerosis activity

Dietary salt linked to an increase in multiple sclerosis activity

Patients with multiple sclerosis who had high levels of sodium intake were 3.4 times more likely to develop a new lesion.

Antidrug antibodies impact adalimumab treatment outcomes in psoriatic arthritis

Antidrug antibodies impact adalimumab treatment outcomes in psoriatic arthritis

Determining the ideal blood serum level could translate to improved outcomes for patients with PsA.

Marijuana withdrawal may identify substance-dependence in teens

Marijuana withdrawal may identify substance-dependence in teens

Adolescents reporting withdrawal and a drug problem improved at a greater rate compared with those who did not.

Childhood adiposity linked to gestational diabetes, hyperglycemia exposure in utero

Childhood adiposity linked to gestational diabetes, hyperglycemia exposure in utero

Girls whose mothers had both gestational diabetes and high BMI had the highest odds of having a BMI ≥85th percentile.

Can a 'soda tax' cut down child obesity?

Can a 'soda tax' cut down child obesity?

An excise tax on sugar-sweetened beverages such as soda is the most effective way to racial disparities in the prevalence of childhood obesity.

Long-term use of sulfonylureas ups coronary heart disease risk

Long-term use of sulfonylureas ups coronary heart disease risk

Women who manage their type 2 diabetes using sulfonylureas are at increased risk of developing coronary heart disease (CHD).

Post-concussion, look for physical regression in high-school athletes

Post-concussion, look for physical regression in high-school athletes

Teen athletes who have re-entered athletics following a concussion are reported regressing abilities in their physical abilities.

Birth control pill as effective as antibiotics for acne management

Birth control pill as effective as antibiotics for acne management

Although antibiotics may be superior at three months, oral contraceptive pills s are equivalent to antibiotics at six months in reducing acne.

Aspirin after anticoagulation lowers recurrent venous thromboembolism risk

Aspirin after anticoagulation lowers recurrent venous thromboembolism risk

After a first unprovoked venous thromboembolism, aspirin following anticoagulation treatment reduced VTE occurrence.

California gears up for medical malpractice ballot initiative

California gears up for medical malpractice ballot initiative

Troy and Alana Pack Patient Safety Act would require drug testing for physicians and an increase in malpractice caps.

Self-monitoring, self-titrating hypertension meds benefit high-risk patients

Self-monitoring, self-titrating hypertension meds benefit high-risk patients

Coupling self-monitoring with self-titration of antihypertensives resulted in lower systolic blood pressure at 12 months, compared with usual care.

Obese kids more prone to bullying

Obese kids more prone to bullying

Obese and overweight children are more likely to be involved in bullying, both as victim and perpetrator.

Is medical marijuana reducing opioid overdose mortality?

Is medical marijuana reducing opioid overdose mortality?

States that have enacted medical cannabis laws have seen an overall 24.8% mean drop in state-level opioid overdose mortality rates.

Offer behavioral counseling for obese, overweight patients with CVD risk

Offer behavioral counseling for obese, overweight patients with CVD risk

The USPSTF recommends primary-care providers refer or offer behavioral counseling for obese patients at risk of cardiovascular disease.

Intensive lifestyle intervention cuts type 2 diabetes costs

Intensive lifestyle intervention cuts type 2 diabetes costs

Encouraging intensive lifestyle interventions for patients with type 2 diabetes provides saves more in health care costs than education and support alone.

Food allergy more common in urban youth

Food allergy more common in urban youth

After examining immunoglobulin E levels to milk, egg, and peanut, researchers found that food allergy incidence is extremely high among inner-city kids.

Hydrocodone painkillers face increased federal restriction

Hydrocodone painkillers face increased federal restriction

Following a spike in hydrocodone painkillers addiction, the federal government is restricting access to the opiate.

Weight-loss benefits extend to psoriatic arthritis

Weight-loss benefits extend to psoriatic arthritis

Losing weight while taking biologics for psoriatic arthritis (PsA) resulted in greater symptom improvement among obese/overweight compared than no weight loss.

Genomic test differentiates between psoriasis, eczema

Genomic test differentiates between psoriasis, eczema

The test identified whether all patients in the study had either dermatologic condition correctly.

Psoriatic Arthritis Forum calls for better comorbidity screening

Psoriatic Arthritis Forum calls for better comorbidity screening

Rheumatologists, dermatologists, and patient representatives collaborated to draft these first-ever guidelines.

New blood test may aid type1 diabetes diagnosis

New blood test may aid type1 diabetes diagnosis

The Zinc Transporter 8 Autoantibody (ZnT8Ab, Kronus) ELISA Assay detects the presence of an autoantibody that distinguishes type 1 diabetes from other forms of the disease in some patients.

Asthma mortality rate highest in older women

Asthma mortality rate highest in older women

Risk for osteoporosis, glaucoma, cataracts, and adrenal suppression elevated among women with asthma aged 65 years and older.

Secondhand smoke ups asthma, rhinitis, eczema risks through adolescence

Secondhand smoke ups asthma, rhinitis, eczema risks through adolescence

In utero, infant exposure to tobacco smoke has been linked to increased to asthma, rhinitis risk in early childhood and eczema in later life.

Teen birth rates dropped 57% from 1991 to 2012

Teen birth rates dropped 57% from 1991 to 2012

Behavioral changes in sexual activity and contraceptive use have contributed to the overall drop in teen pregnancies.

Metabolic benefits of fenofibrate greater for women

Metabolic benefits of fenofibrate greater for women

Lipoprotein improvements from fenofibrate greater for women than men; CVD event reduction similar.

HPV vaccine safe for teens, provides long-term benefits

HPV vaccine safe for teens, provides long-term benefits

Vaccination-induced anti-HPV response persists through 96 months for all HPV vaccine types.

Alabama widow awarded $4M for undiagnosed heart attack

Alabama widow awarded $4M for undiagnosed heart attack

A widow received the highest malpractice award in an Alabama county's history after her husband's heart attack was misdiagnosed.

Discussing direct benefits increases parents' intent to vaccinate

Discussing direct benefits increases parents' intent to vaccinate

Emphasizing only societal benefits of MMR vaccine does not increase intention of parents to vaccinate.

Cancer drug may restore hair in alopecia patients

Cancer drug may restore hair in alopecia patients

Bone marrow cancer drug ruxolitinib appears to restore hair in patients with alopecia areata.

Chemicals found in plastics, household products reduce testosterone

Chemicals found in plastics, household products reduce testosterone

Chemicals found in many household products may reduce androgen levels in both sexes.

Stay alert for malnutrition in older patients

Stay alert for malnutrition in older patients

Sixty percent of older patients presenting to emergency department are malnourished or at risk.

Pediatric stroke risk increases with infection

Pediatric stroke risk increases with infection

Greatest association was seen for infections in three days prior to stroke.

CVD risks hit blacks, females harder

CVD risks hit blacks, females harder

Cutting traditional risk factors could eliminate significant amount of cardiovascular disease

High-dose flu shot better for seniors

High-dose flu shot better for seniors

A high-dose trivalent vaccine demonstrated improved protection for seniors against flu than the standard-dose vaccine.

Rapid HIV screening in ED setting accurate, feasible

Rapid HIV screening in ED setting accurate, feasible

Program serves as model for delivering public health measure in acute care setting.

Are PAs and NPs undergoing enough dermatologic training?

Are PAs and NPs undergoing enough dermatologic training?

NPs and PAs are independently performing 2.6 million dermatologic procedures in the United States.

High-dose aspirin still prescribed after myocardial infarction

High-dose aspirin still prescribed after myocardial infarction

Although data suggests low-dose aspirin offers similar results without the risk of bleeding, high-dose aspirin is still more commonly prescribed.

Does lowering sodium intake benefit or hurt CVD risk?

Does lowering sodium intake benefit or hurt CVD risk?

Three studies provide further evidence for complex link between sodium intake, cardiac health.

People with diabetes now live with disease longer

People with diabetes now live with disease longer

The number of years spent living with diabetes increased by 156% in men and by 70% in women from 1986 to 2011.

Psoriatic arthritis outcomes worse with smoking

Psoriatic arthritis outcomes worse with smoking

Worse patient-reported outcomes, shorter treatment adherence, and poorer response to treatment among smokers.

Home colorectal cancer test approved

Home colorectal cancer test approved

Cologuard, a noninvasive home-test, has been approved by the FDA to screen for colorectal cancer.

What do disease-control specialists pack to fight Ebola?

What do disease-control specialists pack to fight Ebola?

CDC disease control specialist Rebecca Merrill shares what she's packing on her trip to fight Ebola in West Africa.

Impact location does not affect concussion outcomes

Impact location does not affect concussion outcomes

Impact location in football accidents was not associated with the number of symptoms reported, prevalence of reported symptoms, or symptom resolution time.

Depression Tx risks, benefits unclear for pregnant patients

Depression Tx risks, benefits unclear for pregnant patients

Indirect evidence suggested future studies should focus on congenital anomalies, autism spectrum, and attention deficit disorders in offspring.

Medical errors in Massachusetts hospitals increased 70% from last year

Medical errors in Massachusetts hospitals increased 70% from last year

In 2012, Massachusetts implemented legislation that requires more thorough reporting of medical errors, which may explain the state-wide increase in errors.

Multiple measurements more accurately predicts pain

Multiple measurements more accurately predicts pain

Fluctuating nature of low back pain suggests measuring outcomes more frequently may aid prediction.

Telemedicine in primary care

Telemedicine in primary care

Doctors need to invest in appropriate equipment, consider operation issues, legal issues.

Early dermatologic follow-up benefits psoriasis

Early dermatologic follow-up benefits psoriasis

Only about 20% of patients with psoriasis were seen by their health-care provider for follow up within one to two weeks after an initial visit.

CDC: Breast, cervical cancer screenings benefit millions

CDC: Breast, cervical cancer screenings benefit millions

More than 4 million female patients have been screened for breast and cervical cancer since the creation of the program.

Obstetrical complications vary fivefold across U.S. hospitals

Obstetrical complications vary fivefold across U.S. hospitals

Clinicians and policy makers should develop quality metrics to improve obstetrical outcomes.