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Hypertension treatment in older adults: a new clinical practice guideline

Hypertension treatment in older adults: a new clinical practice guideline

The ACP and the AAFP has released a joint recommendation for the pharmacologic treatment of hypertension in adults aged 60 years and older.

Migraine increases stroke risk in surgical patients

Migraine increases stroke risk in surgical patients

Surgical patients with a history of migraine have an increased risk of perioperative ischemic stroke and a higher 30-day hospital readmission rate.

Lithium side effects and management strategies

Lithium side effects and management strategies

The declining rates for lithium use are linked to the burden of side effects and toxicity associated with the drug.

"Weekend warrior" activity reduces all-cause mortality risk

"Weekend warrior" activity reduces all-cause mortality risk

Individuals who perform their physical activity in 1 or 2 sessions during the week can still reduce their risk of mortality.

Depression literacy higher in women and linked to medication adherence

Depression literacy higher in women and linked to medication adherence

Some aspects of depression literacy were lower among patients with depression.

Monitoring asthma control in children: AAP recommendations for clinicians

Monitoring asthma control in children: AAP recommendations for clinicians

Recent advances in measuring asthma control tools have enhanced ongoing assessment and monitoring of asthma.

Drug and alcohol use associated with higher risk of adolescent firearm homicide

Drug and alcohol use associated with higher risk of adolescent firearm homicide

Substance use is associated with an increased risk of adolescent firearm homicide.

USPSTF recommends folic acid for all women who may become pregnant

USPSTF recommends folic acid for all women who may become pregnant

The USPSTF recommends folic acid supplement for all women who are capable of pregnancy or who are planning to become pregnant.

US spending on health care substantially increases, led by diabetes, ischemic heart disease

US spending on health care substantially increases, led by diabetes, ischemic heart disease

Spending on diabetes, IHD, and lower back and neck pain account for the highest amounts of spending by disease category.

NIH releases addendum guidelines to prevent peanut allergies through early introduction

NIH releases addendum guidelines to prevent peanut allergies through early introduction

The NIAID has issued addendum guidelines regarding the early introduction of peanut-containing foods to infants at risk for peanut allergies.

COPD exacerbations reduced with budesonide/formoterol treatment

COPD exacerbations reduced with budesonide/formoterol treatment

Budesonide/formoterol treatment decreased exacerbations in COPD after 3 months.

Patients with chronic diseases are frequently overly optimistic about life expectancy

Patients with chronic diseases are frequently overly optimistic about life expectancy

Self-estimated life expectancy rates may differ from clinician-estimated rates of survival.

Statin prescription rates lower among younger adults with severe dyslipidemia

Statin prescription rates lower among younger adults with severe dyslipidemia

Prescription rates for statins were dependent on age among patients with severe dyslipidemia.

Morning symptoms in COPD linked to limited physical activity

Morning symptoms in COPD linked to limited physical activity

Many patients with COPD report morning symptoms that are negatively associated with physical activity.

Fish oil, aspirin ineffective for reducing arteriovenous fistula failure

Fish oil, aspirin ineffective for reducing arteriovenous fistula failure

The study suggests that neither fish oil nor aspirin can be recommended for the prevention of AVF failure.

Psychiatric, behavioral conditions linked to future long-term opioid use

Psychiatric, behavioral conditions linked to future long-term opioid use

Patients diagnosed with a prior psychiatric condition have increased odds of long-term opioid receipt than patients without these conditions.

Updated guideline for oral pharmacologic treatment of type 2 diabetes

Updated guideline for oral pharmacologic treatment of type 2 diabetes

The ACP has updated the 2012 guideline to provide clinical recommendations of oral pharmacologic treatment of type 2 diabetes.

FDA approves first continuous glucose monitoring system to replace fingerstick test in diabetes

FDA approves first continuous glucose monitoring system to replace fingerstick test in diabetes

The FDA has approved a continuous glucose monitoring system to replace fingerstick blood sugar testing in patients with diabetes.

American Urological Association issues guideline for male urethral stricture

American Urological Association issues guideline for male urethral stricture

The guidelines provide a clinical framework for the diagnosis and treatment of male urethral stricture.

Mortality rates remain high among HIV-positive patients

Mortality rates remain high among HIV-positive patients

The HIV-positive population of the United Kingdom has a higher risk of death than the general population, despite availability of free treatment and care.

In-utero MRI more accurate than ultrasound for diagnosing fetal brain abnormalities

In-utero MRI more accurate than ultrasound for diagnosing fetal brain abnormalities

This finding suggests that any fetus with a suspected brain abnormality on ultrasound should have iuMRI to better inform counseling and management decisions.

"Zombie" outbreak in New York City caused by ultrapotent cannabinoid use

"Zombie" outbreak in New York City caused by ultrapotent cannabinoid use

The potency of synthetic cannabinoids is consistent with strong depressant effects that account for "zombie-like" behavior.

FDA bans powdered surgeon's and patient examination gloves

FDA bans powdered surgeon's and patient examination gloves

The FDA has issued a final ruling to ban powdered surgeon's gloves, powdered patient examination gloves, and absorbable powder for lubricating a surgeon's glove.

USPSTF recommends against routine serologic screening for genital herpes simplex virus

USPSTF recommends against routine serologic screening for genital herpes simplex virus

The USPSTF has released a final recommendation against routine serologic screening for genital herpes simplex virus infection.

Crizanlizumab reduces sickle cell-related pain

Crizanlizumab reduces sickle cell-related pain

Treatment with high-dose crizanlizumab resulted in an annual rate of sickle cell-related pain crises that was 45.3% lower compared with placebo.

Birth defect rate is 6% among US women with possible Zika virus infection

Birth defect rate is 6% among US women with possible Zika virus infection

Birth defects potentially related to Zika virus were identified in 6% of fetuses or infants of women included in the study.

Shared decision making boosts patients' knowledge of acute coronary syndrome risk

Shared decision making boosts patients' knowledge of acute coronary syndrome risk

The use of a decision aid in patients at risk of acute coronary syndrome increased patient knowledge about their risk.

FDA approves Eucrisa for eczema treatment

FDA approves Eucrisa for eczema treatment

In a controlled trial, participants receiving Eucrisa achieved clear or almost clear skin after 28 days of treatment.

FDA issues warning of anesthesia use in children and pregnant women

FDA issues warning of anesthesia use in children and pregnant women

The FDA warns against the repeated or prolonged use of anesthesia in pregnant women and in children younger than 3 years of age.

American Chronic Pain Association issues toolkit for clinicians

American Chronic Pain Association issues toolkit for clinicians

The toolkit will provide healthcare professionals with adequate tools to manage their patients' pain.

Restless legs syndrome: a new practice guideline

Restless legs syndrome: a new practice guideline

Evidence shows strong support for prescribing pramipexole, rotigotine, cabergoline, or gabapentin enacarbil to treat adults with restless legs syndrome symptoms.

Statins may reduce risk of Alzheimer's disease

Statins may reduce risk of Alzheimer's disease

Depending on race, sex, and ethnicity, the right statin type may lower the risk of Alzheimer disease.

CDC: Influenza vaccine rate low this season

CDC: Influenza vaccine rate low this season

Forty percent of people have reported receiving the flu vaccine thus far, including 37% of children.

VA grants veterans direct access to APRN care

VA grants veterans direct access to APRN care

The VA ruled to grant veterans direct access to advanced practice registered nurses who work in the VA healthcare system.

GOLD Report includes updated COPD management recommendations

GOLD Report includes updated COPD management recommendations

The GOLD Report includes a revised definition of COPD and updates guidelines for managing exacerbations.

Psilocybin treatment reduces depression, anxiety in cancer patients

Psilocybin treatment reduces depression, anxiety in cancer patients

Two studies found that psilocybin (magic mushrooms) treatment was effective for anxiety and depression.

Proposing new concepts and definitions in COPD

Proposing new concepts and definitions in COPD

It is important to use the right terminology when discussing medical terms, specifically ones associated with smoke-related respiratory conditions, according to the researchers.

Predicting COPD exacerbation onset with use of physiological parameters

Predicting COPD exacerbation onset with use of physiological parameters

Researchers conducted a systematic review of the effectiveness of monitoring physiological parameters to predict COPD exacerbations.

Integrating nurse practitioners into intensive care units

Integrating nurse practitioners into intensive care units

Ensuring successful integration of nurse practitioners into intensive care units includes orientation programs and leadership teams.

Many patients are not referred for penicillin allergy testing

Many patients are not referred for penicillin allergy testing

Most clinicians noted the need for allergy consultation but had never referred their patients to an allergist.

Report outlines strategy to improve food allergy safety in US

Report outlines strategy to improve food allergy safety in US

The Committee on Food Allergies concluded that the actual prevalence of food allergies is unknown due to misinterpretation of symptoms and lack of simple diagnostic tests.

Life expectancy in United States declined in 2015

Life expectancy in United States declined in 2015

From 2014 to 2015, the age-adjusted death rate for the total US population increased 1.2%.

ADA releases guidelines for psychosocial care for diabetes patients

ADA releases guidelines for psychosocial care for diabetes patients

The position statement provides recommendations for psychosocial assessment and care of individuals with diabetes.

VA offers hepatitis, HIV screening to veterans who received improper dental care

VA offers hepatitis, HIV screening to veterans who received improper dental care

A VA center in Wisconsin is advising veterans to be screened for hepatitis and HIV after receiving care from a dentist who did not follow VA procedures.

Novel method identifies patients with nonalcoholic fatty liver disease

Novel method identifies patients with nonalcoholic fatty liver disease

Researchers described a new method to quantify hepatic fibrogenesis flux rates in the liver tissue and noninvasively in blood.

Electroconvulsive therapy effective for major depressive disorder

Electroconvulsive therapy effective for major depressive disorder

Electroconvulsive therapy is effective for depression in patients with suicidal ideation and resistance to other treatments.

Outpatient program may be effective for pain self-management

Outpatient program may be effective for pain self-management

A program based on cognitive behavioral therapy and physical exercise could improve pain self-management in patients with complex pain.

FDA approves new drug for postmenopausal pain during sex

FDA approves new drug for postmenopausal pain during sex

Intrarosa provides an additional treatment option for women with dyspareunia caused by vulvar and vaginal atrophy.

Depression rate high in patients with mild cognitive impairment

Depression rate high in patients with mild cognitive impairment

About one-third of patients with MCI are also diagnosed with depression.

Testosterone treatment may increase risk of venous thromboembolism

Testosterone treatment may increase risk of venous thromboembolism

Researchers sought to determine the risk of venous thromboembolism associated with use of testosterone treatment.

New clinical trial underway to study efficacy of HIV vaccine

New clinical trial underway to study efficacy of HIV vaccine

The study will be the largest HIV vaccine clinical trial to take place in South Africa.

Smartphone questionnaire effective for monitoring mood instability

Smartphone questionnaire effective for monitoring mood instability

The Mood Zoom questionnaire rates anxiety, elation, sadness, anger, irritability, and energy on a 7-point scale.

AAP recommendations for behavioral and emotional problems in young children

AAP recommendations for behavioral and emotional problems in young children

Most young children with an emotional, behavioral, or relationship problem receive no interventions for their disorder.

Rates and causes of emergency department visits for adverse drug events

Rates and causes of emergency department visits for adverse drug events

Data regarding adverse drug events in the United States could help to focus medication safety initiatives in outpatient settings.

Elevated blood pressure trends have shifted worldwide

Elevated blood pressure trends have shifted worldwide

The prevalence of elevated blood pressure rates shifted from high-income to low- and middle-income countries.

Is vasectomy linked to risk of prostate cancer?

Is vasectomy linked to risk of prostate cancer?

Vasectomy can continue to be a safe method of contraception in men.

Alternative strategies effective for diagnosing gout

Alternative strategies effective for diagnosing gout

Multidimensional algorithms may help clinicians make a provisional diagnosis of gout.

Managing peripheral artery disease: an updated guideline

Managing peripheral artery disease: an updated guideline

The AHA/ACC guideline updates the 2005 recommendations on PAD management.

Calculator predicts success of live birth after in vitro fertilization

Calculator predicts success of live birth after in vitro fertilization

The findings may help couples plan infertility treatments more effectively.

Functional outcomes in septic arthritis after ultrasonography

Functional outcomes in septic arthritis after ultrasonography

Patients with septic arthritis with poor functional outcome who underwent ultrasonography showed decreased synovial thickness at 3 months.

Antenatal antiretroviral therapy reduces early HIV transmission

Antenatal antiretroviral therapy reduces early HIV transmission

Antenatal ART reduces rates of early HIV transmission but may increase risk of adverse maternal and neonatal outcomes.

Smoking more harmful for HIV patients than the virus

Smoking more harmful for HIV patients than the virus

Men and women who quit smoking after entering HIV care at age 40 years gained 5.7 years and 4.6 years of life expectancy, respectively, compared with those who continued to smoke.

Benefits of structured rehabilitation program for hand osteoarthritis

Benefits of structured rehabilitation program for hand osteoarthritis

Patients benefit from non-pharmacological treatment in a structured arthritis rehabilitation program.

Statin and PCSK9 inhibitor combination more effective at lowering cholesterol

Statin and PCSK9 inhibitor combination more effective at lowering cholesterol

PCSK9 inhibition produces incremental benefits on coronary disease progression in patients treated with statins.

USPSTF releases final statin recommendations for CVD prevention

USPSTF releases final statin recommendations for CVD prevention

The task force finalizes recommendations for statin therapy among adults between 40 and 75 years of age.

Consultation rates for symptoms related to inflammatory arthritis increase prior to diagnosis

Consultation rates for symptoms related to inflammatory arthritis increase prior to diagnosis

Consultations for musculoskeletal symptoms and infections increase prior to an inflammatory arthritis diagnosis.

2016 NP Week focuses on increasing access to healthcare

2016 NP Week focuses on increasing access to healthcare

The AANP celebrates National Nurse Practitioner Week from November 13-19, 2016.

Improvement needed in managing COPD in women

Improvement needed in managing COPD in women

The prevalence of COPD globally is increasing more rapidly in women than in men.

High cognitive reserve results in better neurocognitive performance in bipolar disorder

High cognitive reserve results in better neurocognitive performance in bipolar disorder

Cognitive reserve in bipolar patients gives a possible explanation for the differences seen among patients in their ability to perform in neurocognitive tests.

End of daylight saving time may increase depression risk

End of daylight saving time may increase depression risk

The transition to standard time is likely to be associated with a negative psychological effect.

COPD Assessment Test indicates mortality risk in interstitial lung disease

COPD Assessment Test indicates mortality risk in interstitial lung disease

Researchers conducted a study to verify the CAT as a predictor of outcome among patients with interstitial lung disease.

Effects of maternal age on the decline of preterm birth

Effects of maternal age on the decline of preterm birth

The CDC examined the effects of maternal age on the decline of preterm birth in the United States between 2007 and 2014.

USPSTF releases draft recommendation for obesity screening in children and adolescents

USPSTF releases draft recommendation for obesity screening in children and adolescents

The USPSTF recommends that children and adolescents older than age 6 years should be screened for obesity.

Edible seeds becoming major food allergens

Edible seeds becoming major food allergens

The inclusion of seeds in food and food products may be a contributing factor in the increase of seed allergies.

Indoor environmental control strategies to manage asthma in children

Indoor environmental control strategies to manage asthma in children

Strategies include source removal, source control, and asthma education.

More than 1 million people treated with new hepatitis C drugs

More than 1 million people treated with new hepatitis C drugs

The cost of the new hepatitis C drugs in low- and certain middle-income countries is rapidly declining, according to a WHO study.

Excessive energy drink consumption leads to acute hepatitis case

Excessive energy drink consumption leads to acute hepatitis case

A 50-year-old man presents to the emergency department with abdominal pain, nausea, jaundice, and dark urine.

Barriers remain in patients' acceptance of naloxone use in primary care

Barriers remain in patients' acceptance of naloxone use in primary care

Patients would like more thorough conversations with their primary care physician over the use of naloxone.

Comparing treatments for pediatric migraines

Comparing treatments for pediatric migraines

No significant differences were observed among treatments for pediatric migraines.

ADA issues new diabetes guidelines for physical activity and exercise

ADA issues new diabetes guidelines for physical activity and exercise

The ADA releases its first independent recommendations on physical activity and exercise for all patients with diabetes.

Cancer-related deaths attributed to smoking vary across states

Cancer-related deaths attributed to smoking vary across states

Cancer deaths attributed to cigarette smoking are common among the Southern states.

HIV's newly traced origins in US discredit Patient Zero theory

HIV's newly traced origins in US discredit Patient Zero theory

The study debunks the theory that Patient Zero was responsible for the AIDS epidemic in North America.

AAP updates recommendations for SIDS and safe infant sleeping environment

AAP updates recommendations for SIDS and safe infant sleeping environment

A safe sleep environment can prevent suffocation and strangulation, two major causes of sudden infant death.

Increasing recruitment to meet demand for HIV care providers

Increasing recruitment to meet demand for HIV care providers

Speakers at IDWeek 2016 addressed the demand for additional HIV care providers.

DMPA contraceptives linked to increased HIV risk

DMPA contraceptives linked to increased HIV risk

Recent data suggest that use of depot medroxyprogesterone acetate may increase women's HIV acquisition risk.

Long-term oxygen therapy not beneficial for COPD patients with moderate desaturation

Long-term oxygen therapy not beneficial for COPD patients with moderate desaturation

Long-term supplemental oxygen has no benefit in patients with stable COPD and resting or exercise-induced moderate desaturation.

Caffeine does not induce arrhythmias in patients with heart disease

Caffeine does not induce arrhythmias in patients with heart disease

Caffeine consumption in patients with systolic heart failure does not induce arrhythmias both at rest and during physical exercise.

COPD and idiopathic pulmonary fibrosis may have common genetic network

COPD and idiopathic pulmonary fibrosis may have common genetic network

Researchers used integrated genomics to identify convergent transcriptomic pathways in emphysema and IPF.

USPSTF recommends primary care breastfeeding intervention support

USPSTF recommends primary care breastfeeding intervention support

The USPSTF reviewed evidence on the benefits and harms of breastfeeding support interventions.

Omalizumab effective for asthma and overlapping COPD

Omalizumab effective for asthma and overlapping COPD

Omalizumab is useful in the management of severe asthma with overlapping COPD.

Pulmonary embolism common in patients hospitalized for syncope

Pulmonary embolism common in patients hospitalized for syncope

One in 6 patients hospitalized for a first episode of syncope experiences a pulmonary embolism.

Depression may worsen outcomes in patients with chronic stable angina

Depression may worsen outcomes in patients with chronic stable angina

Depression can occur in approximately 1 in 5 patients who have chronic stable angina.

DEA reverses plan to ban potential opioid alternative kratom

DEA reverses plan to ban potential opioid alternative kratom

After public opposition, the DEA has withdrawn its plan to classify the kratom plant as a schedule 1 substance.

Complementary health approaches frequently used for musculoskeletal pain disorders

Complementary health approaches frequently used for musculoskeletal pain disorders

Data from the CDC's National Health Statistics Reports show that more than half of adults in the United States have a musculoskeletal pain disorder.

CDC approves HPV vaccine in 2 doses for preteens

CDC approves HPV vaccine in 2 doses for preteens

Children younger than 15 may be given 2 HPV vaccine doses instead of 3, and the shots should be spaced at least 6 months apart.

New clinical practice guidelines for red blood cell transfusion

New clinical practice guidelines for red blood cell transfusion

The AABB evaluated studies that examined hemoglobin thresholds for red blood cell transfusion and red blood cell storage duration.

Quality of outpatient care not consistently improving

Quality of outpatient care not consistently improving

The quality of clinical outpatient care has not consistently improved throughout the past decade.

Controversy over CDC guidelines on prescribing opioids for chronic pain

Controversy over CDC guidelines on prescribing opioids for chronic pain

Guidelines created in response to the opioid epidemic in the United States have caused controversy in the medical community.

Cervical cancer screening intervals effective beyond 5 years

Cervical cancer screening intervals effective beyond 5 years

Data from the POBASCAM trial support the extension of screening intervals for cervical cancer beyond 5 years.

NSAID use linked to increased risk of heart failure hospitalization

NSAID use linked to increased risk of heart failure hospitalization

Some individual NSAIDs may be linked to increased risk of hospital admission for heart failure.

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