Web Exclusives

CDC urges rapid antiviral treatment of very ill and high-risk suspect influenza patients

CDC urges rapid antiviral treatment of very ill and high-risk suspect influenza patients

Cases of both influenza A and influenza B have been reported since October 2015.

CBT, antidepressants equally effective in treating major depressive disorder, per ACP guideline

CBT, antidepressants equally effective in treating major depressive disorder, per ACP guideline

Moderate-quality evidence shows that both methods are efficacious in treating MDD.

Inappropriate antibiotic prescribing in primary care: the effect of behavioral interventions

Inappropriate antibiotic prescribing in primary care: the effect of behavioral interventions

In outpatient primary care settings, various behavioral interventions can reduce the rate of inappropriate antibiotic prescribing practices.

Minimal benzodiazepine use associated with slightly higher risk of dementia

Minimal benzodiazepine use associated with slightly higher risk of dementia

Patients administered low doses of benzodiazepines have an elevated risk of dementia and Alzheimer's disease compared with patients who received higher doses.

Prenatal steroids reduce respiratory complications in late preterm infants

Prenatal steroids reduce respiratory complications in late preterm infants

Administering steroids to pregnant women likely to give birth before 37 weeks can reduce infants' risk of respiratory complications.

How effective are smoking cessation medications?

How effective are smoking cessation medications?

Study results showed no significant difference based on the type of smoking cessation option they were given.

Tdap vaccine moderately effective for 1 year after vaccination

Tdap vaccine moderately effective for 1 year after vaccination

The Tdap vaccine for adolescents provides moderate protection for 1 year after vaccination, after which efficacy declines.

Predicting neurodevelopmental outcomes in children with very low birth weight

Predicting neurodevelopmental outcomes in children with very low birth weight

Four main factors can be used to predict potential neurodevelopmental delays in children born prematurely.

Kidney stones becoming more common among youth, women, African Americans

Kidney stones becoming more common among youth, women, African Americans

The annual incidence of kidney stones has increased 16% between 1997 and 2012

2016 Recommended adult immunization schedule published by ACIP

2016 Recommended adult immunization schedule published by ACIP

The ACIP has released the Recommended Adult Immunization Schedule: United States, 2016, available from the Annals of Internal Medicine and the CDC.

Potato consumption pre-pregnancy linked to diabetes

Potato consumption pre-pregnancy linked to diabetes

Eating more potatoes before pregnancy may be associated with greater risk of gestational diabetes mellitus,

2016 Child and adolescent immunization schedules available

2016 Child and adolescent immunization schedules available

The American Academy of Pediatrics has approved the 2016 immunization schedule for children and adolescents.

How effective is aggressive end-of-life cancer care?

How effective is aggressive end-of-life cancer care?

Families of patients who receive aggressive end-of-life medical care do not perceive the care as high-quality.

AHA checklist score may predict heart failure

AHA checklist score may predict heart failure

A one-point increase in the American Heart Association's Life's Simple 7 checklist correlated to a 23% lower risk of developing heart failure.

Increasing weight loss linked to mild cognitive impairment in older adults

Increasing weight loss linked to mild cognitive impairment in older adults

People who lose greater amounts of weight per decade later in life have an increased risk of mild cognitive impairment.

Epinephrine use for food
 allergies

Epinephrine use for food
 allergies

Health care providers should increase efforts to show parents of children with food allergies when and how to use an epinephrine auto-injector.

FDA approves Zepatier for hepatitis C genotypes 1 and 4

FDA approves Zepatier for hepatitis C genotypes 1 and 4

Zepatier has been approved by the FDA to treat hepatitis C virus genotypes 1 and 4 infections in adult patients.

Tips for avoiding allergic 
reactions to nickel

Tips for avoiding allergic 
reactions to nickel

The American Academy of Dermatology has released recommendations on avoiding an allergic reaction to nickel.

Hematuria evaluation guidelines issued by ACP

Hematuria evaluation guidelines issued by ACP

The ACP has released clinical guidelines for the evaluation of hematuria and referral practices.

Pediatric pancreatitis associated with repeat hospitalizations, high costs

Pediatric pancreatitis associated with repeat hospitalizations, high costs

Children with recurrent acute or chronic pancreatitis are likely to have high healthcare costs and a high risk for repeat hospitalization.

Pre-procedural fasting length often exceeds guidelines in cirrhosis patients

Pre-procedural fasting length often exceeds guidelines in cirrhosis patients

97% of surveyed patients were malnourished after a pre-operation period of fasting.

USPSTF recommends screening all adults for depression

USPSTF recommends screening all adults for depression

The USPSTF has updated its 2009 depression screening guidelines, now recommending that all adults be screened for depression.

Few nurses compliant with bloodborne pathogen precautions

Few nurses compliant with bloodborne pathogen precautions

Fewer than 20% of surveyed nurses report total adherence to the standard precautions meant to prevent bloodborne pathogen transmission.

House calls from PAs reduce hospital readmissions after cardiac surgery

House calls from PAs reduce hospital readmissions after cardiac surgery

After adult cardiac surgery, patients are less likely to be readmitted to the hospital if they receive house calls from PAs.

Colorectal cancer diagnoses increase in patients younger than age 50

Colorectal cancer diagnoses increase in patients younger than age 50

Nearly 15% of colorectal cancer patients were diagnosed before age 50.

Clinicians encouraged to screen for hepatitis C based on birth year

Clinicians encouraged to screen for hepatitis C based on birth year

Only 8.3% of eligible patients at 14 health centers were screened for hepatitis C based on guidelines presented in 2013.

USPSTF issues final updated mammography screening guidelines

USPSTF issues final updated mammography screening guidelines

In an update to its 2009 recommendations, the U.S. Preventive Services Task Force has presented its final guidelines on mammography screening for breast cancer.

mTOR inhibition improves corticosteroid sensitivity in COPD patients

mTOR inhibition improves corticosteroid sensitivity in COPD patients

mTOR inhibition via rapamycin restores corticosteroid sensitivity in patients with COPD.

Women with atrial fibrillation have higher risk of CVD, mortality compared with men

Women with atrial fibrillation have higher risk of CVD, mortality compared with men

Women with atrial fibrillation are at higher risk for cardiovascular disease, stroke, and death.

Zika virus guidelines for pregnant women issued by CDC

Zika virus guidelines for pregnant women issued by CDC

As the mosquito-borne Zika virus spreads throughout the Americas, the CDC has issued a series of interim guidelines for clinicians treating patients who may have been exposed.

CDC, ACP issue guidelines for appropriate antibiotic use for acute respiratory tract infection in adults

CDC, ACP issue guidelines for appropriate antibiotic use for acute respiratory tract infection in adults

Reducing inappropriate antibiotic prescribing will improve the quality of patient care, decrease healthcare costs, and preserve the effectiveness of antibiotics.

Aspirin use pre-stroke reduces stroke severity

Aspirin use pre-stroke reduces stroke severity

Stroke severity was reduced in aspirin users with large artery atherosclerosis.

When can a car crash be considered medical malpractice?

When can a car crash be considered medical malpractice?

A patient got into a car accident after clinicians failed to warn her of the side effects of the drugs they administered to her.

More life-threatening scope-related infections than previously thought

More life-threatening scope-related infections than previously thought

A US Senate Committee report shows higher numbers of life-threatening duodenoscpe infections between 2012 and 2015.

Medical malpractice claims against anesthesiologists decreasing

Medical malpractice claims against anesthesiologists decreasing

The number of medical malpractice claims made against anesthesiologists has significantly decreased since 2005.

Constipation: Diagnosis and treatment overview

Constipation: Diagnosis and treatment overview

Strong evidence for efficacy has been established for stimulant and osmotic laxatives, new intestinal secretagogues, and peripherally restricted μ-opiate receptor antagonists, according to a review in JAMA.

No benefit to delaying next pregnancy attempt after early loss

No benefit to delaying next pregnancy attempt after early loss

Couples conceiving within the 0- to 3-month interval are more likely to achieve live birth.

Online risk calculator predicts kidney failure odds in chronic kidney disease patients

Online risk calculator predicts kidney failure odds in chronic kidney disease patients

A new online risk calculation tool predicts kidney failure odds in patients with chronic kidney disease.

Influenza vaccine may reduce all-cause mortality rates in patients with heart failure

Influenza vaccine may reduce all-cause mortality rates in patients with heart failure

Patients with heart failure who receive the influenza vaccine may have a lower risk for all-cause mortality compared with those who do not get the vaccine.

Patients with allergic rhinitis likely to develop asthma, mental health comorbidities

Patients with allergic rhinitis likely to develop asthma, mental health comorbidities

Patients with prevalent allergic rhinitis are 3 times more likely to develop asthma or mental health related comorbidities.

Blood test may improve advanced melanoma tracking

Blood test may improve advanced melanoma tracking

A new blood test assesses levels of circulating tumor DNA (ctDNA) in patients with unresectable stage IIIC/IV melanoma.

Updated dietary guidelines focus on healthy eating patterns, disease prevention

Updated dietary guidelines focus on healthy eating patterns, disease prevention

HHS and USDA have released the latest edition of dietary guidelines for Americans that focus on healthy eating patterns and preventing chronic diseases.

Statin plus niacin reduces apoB-48 concentration in type 2 diabetes

Statin plus niacin reduces apoB-48 concentration in type 2 diabetes

A statin plus extended-release niacin reduces apoB-48 concentrations in patients with type 2 diabetes, compared with a statin alone.

Blood test can predict absence of preeclampsia onset during pregnancy

Blood test can predict absence of preeclampsia onset during pregnancy

A blood test can predict the short-term absence of preeclampsia in pregnant women with suspected preeclampsia.

Initiating alpha-blocker therapy linked to higher risk of stroke in men

Initiating alpha-blocker therapy linked to higher risk of stroke in men

Investigators found an increased risk of ischemic stroke among all patients within 21 days following initiation of alpha-blocker therapy.

Ventricle pacing reduces heart failure in chronic kidney disease patients

Ventricle pacing reduces heart failure in chronic kidney disease patients

Researchers found a 15% to 20% reduction in the risk of hospitalization for or death from heart failure in patients who received cardiac resynchronization therapy with defibrillator (CRT-D).

Primary care providers often yield to patient requests for unnecessary referrals

Primary care providers often yield to patient requests for unnecessary referrals

More than half of primary care providers report making unnecessary referrals to specialists, and more than a third prescribe brand-name drugs when asked by patients.

Decrease in mortality for patients with rheumatoid arthritis

Decrease in mortality for patients with rheumatoid arthritis

Due to improved treatment options, rheumatoid arthritis mortality rates have decreased since 2000.

Monitoring is advised for adults born preterm

Monitoring is advised for adults born preterm

Premature birth has been associated with a number of adverse health conditions.

Shingles increases stroke, MI risk in elderly

Shingles increases stroke, MI risk in elderly

Risk of stroke and myocardial infarction may be more than double in the first week following a shingles diagnosis in elderly patients.

Better prenatal care, breastfeeding help lower the rate of SIDS

Better prenatal care, breastfeeding help lower the rate of SIDS

Better pre- and neonatal care, highere rates of breast feeding, and lower rates of smoking during pregnancy have contributed to overall lower rates of infant mortality.

Gastric bypass surgery improves patient well-being, though symptom prevalence, hospitalization rate high afterward

Gastric bypass surgery improves patient well-being, though symptom prevalence, hospitalization rate high afterward

About 90% of patients who undergo gastric bypass surgery experience 1 or more related symptoms afterward.

High vitamin D doses may increase fall risk in elderly

High vitamin D doses may increase fall risk in elderly

High monthly doses of vitamin D do not improve lower extremity function and may increase fall risk in the elderly.

Could Denmark be the blueprint for an American medical malpractice overhaul?

Could Denmark be the blueprint for an American medical malpractice overhaul?

Denmark's compensation-based medical malpractice program has several features that could benefit the current malpractice system in the United States.

Oregon becomes first state to offer birth control without a prescription

Oregon becomes first state to offer birth control without a prescription

Starting January 1, the state of Oregon no longer requires a prescription for birth control for women 18 years of age and older.

Diagnostic factors help patients avoid confirmatory prostate biopsy

Diagnostic factors help patients avoid confirmatory prostate biopsy

The analysis of diagnostic characteristics may predict the result of a confirmatory biopsy.

False-positive mammograms and breast cancer risk

False-positive mammograms and breast cancer risk

False-positive results on a screening mammogram are associated with a greater risk of developing breast cancer in the 10 years following the result.

Evidence lacking to assess benefits/harm of visual skin cancer screening

Evidence lacking to assess benefits/harm of visual skin cancer screening

The USPTF has determined that there is insufficient evidence for the harms and benefits of visual skin cancer screening.

Guidelines for hematologic malignancies in pregnancy

Guidelines for hematologic malignancies in pregnancy

New guidelines have been developed for the diagnosis and treatment of hematologic malignancies during pregnancy.

Rheumatoid arthritis disease activity improvement with bariatric surgery

Rheumatoid arthritis disease activity improvement with bariatric surgery

Research has shown a positive correlation between bariatric surgery-associated weight loss and decreased rheumatoid arthritis disease activity.

Prostate cancer treatment linked to Alzheimer's risk

Prostate cancer treatment linked to Alzheimer's risk

Patients treated with androgen deprivation therapy had a 1.88-times increased rate of developing Alzheimer's disease.

Ultrasound, mammograms have similar breast cancer detection rates

Ultrasound, mammograms have similar breast cancer detection rates

A new study of women with at least 2 risk factors for breast cancer found that ultrasound and mammography have similar breast cancer detection rates.

Restricting sodium may be detrimental in chronic heart failure

Restricting sodium may be detrimental in chronic heart failure

Chronic heart failure patients who restrict sodium intake may have an increased risk of death or hospitalization.

ACOG issues new recommendations for cervical cancer screening

ACOG issues new recommendations for cervical cancer screening

The ACOG issued new guidelines for cervical cancer screening, recommending that screening start at age 21.

Hypertension treatment reduces cardiovascular risk regardless of starting blood pressure

Hypertension treatment reduces cardiovascular risk regardless of starting blood pressure

Treating hypertension can reduce the risk of major cardiovascular disease events regardless of blood pressure at the start of treatment.

Patients with RA display lower disease activity at NP, PA-staffed practices

Patients with RA display lower disease activity at NP, PA-staffed practices

Patients with rheumatoid arthritis who are treated at practices with NPs and PAs exhibited lower disease activity over 2 years.

FDA approves Uptravi for the treatment of pulmonary arterial hypertension

FDA approves Uptravi for the treatment of pulmonary arterial hypertension

The FDA has approved Uptravi (selexipag) for the treatment of pulmonary arterial hypertension in adult patients.

Intranasal glucagon effectively treats type 1 diabetes

Intranasal glucagon effectively treats type 1 diabetes

Intranasal glucagon is noninferior to intramuscular glucagon in adults with type 1 diabetes.

Periodontal disease associated with elevated breast cancer risk

Periodontal disease associated with elevated breast cancer risk

Postmenopausal women especially former smokers who quit within the last 20 years have an increased risk of postmenopausal breast cancer associated with periodontal disease.

Affordable Care Act improves access to care and affordability for adults

Affordable Care Act improves access to care and affordability for adults

Despite progress, gaps still exist in access to care and affordability for low-income adults.

Depression on the rise in residents and interns

Depression on the rise in residents and interns

Nearly 30% of medical residents and interns reported suffering from depression or depressive symptoms.

Pay-for-performance measures beneficial for patients in primary care

Pay-for-performance measures beneficial for patients in primary care

Pay-for-performance (P4P) measures have had a measured positive effect on both clinician behavior and patient outcomes.

African American women least likely to benefit from neoadjuvant breast cancer treatment

African American women least likely to benefit from neoadjuvant breast cancer treatment

In a study of over 278,000 patients with stage 1 through stage 3 breast cancer, African American women had the lowest rate of pathologic complete response.

Elevated testosterone, estradiol associated with risk of fibroid development

Elevated testosterone, estradiol associated with risk of fibroid development

Researchers found 512 incident and 478 recurrent fibroid cases in patients with high testosterone and high estradiol.

Taking PrEP before and after sex reduces HIV risk for MSM

Taking PrEP before and after sex reduces HIV risk for MSM

Men who have sex with men can reduce their risk of contracting HIV by taking PrEP before and after sex instead of every day.

Shingles increases stroke, myocardial infarction risk in the elderly

Shingles increases stroke, myocardial infarction risk in the elderly

Stroke risk increased for three months immediately following a shingles diagnosis, with a two-fold risk during the first week.

Which clinicians get sued, and why?

Which clinicians get sued, and why?

Clinicians are more likely to have been sued if they practice in obstetrics/gynecology, surgery, or orthopedics.

Smoking linked to infertility, early menopause

Smoking linked to infertility, early menopause

Researchers confirmed increased risks for infertility and natural menopause before age 50 in women who are either active smokers or regularly exposed to secondhand smoke.

Consumption of salty foods tied to acne vulgaris

Consumption of salty foods tied to acne vulgaris

Researchers at Cairo University studied the relationship between regular consumption of salty and spicy foods and the occurrence of acne vulgaris.

Taking antidepressants during pregnancy may increase autism risk

Taking antidepressants during pregnancy may increase autism risk

The offspring of women who took antidepressants during pregnancy had an 87% increased risk of developing autism.

People with asthma more likely to develop chronic migraine

People with asthma more likely to develop chronic migraine

In a study of 4,446 Americans, more than 5% of people with asthma developed chronic migraine, compared to 2.5% of those without.

Brand-name, generic dermatologic drug prices increasing

Brand-name, generic dermatologic drug prices increasing

Escalating prices were found across all categories of dermatologic drugs, including anti-infective medications and treatments for psoriasis and rosacea.

Patients with type 2 diabetes may undergo unnecessary HbA1c testing

Patients with type 2 diabetes may undergo unnecessary HbA1c testing

More than 60% of the 31,545 patients analyzed between 2001 and 2013 underwent HbA1c at least four times per year.

Radiographs not reliable for detecting hip osteoarthritis

Radiographs not reliable for detecting hip osteoarthritis

In two osteoarthritis studies, radiographs correctly detected hip OA in only a fraction of patients.

Economic and racial barriers impact psoriasis treatment

Economic and racial barriers impact psoriasis treatment

Only 10% of Medicare beneficiaries were receiving biologic treatments for psoriasis.

HIV prophylaxis can prevent transmission to breastfeeding infants

HIV prophylaxis can prevent transmission to breastfeeding infants

Breastfeeding mothers who are HIV-positive can prevent transmission to their infants through a lopinavir-ritonavir or lamivudine regimen.

Cardiovascular risk higher with pediatric allergies

Cardiovascular risk higher with pediatric allergies

Even after adjusting for obesity, researchers discovered that children with allergic diseases may double their risk of hypertension, hyperlipidemia, and other related cardiovascular diseases.

Expiratory snoring may predict pulmonary disorders in patients with sleep disordered breathing

Expiratory snoring may predict pulmonary disorders in patients with sleep disordered breathing

Patients with sleep disordered breathing (SBD) and expiratory snoring had increased odd of exhibiting evidence of lower airway obstruction.

Florida attorney general defends state's medical malpractice limits

Florida attorney general defends state's medical malpractice limits

The attorney general of Florida has filed a brief defending the state's current monetary cap on medical malpractice awards.

AAP guidelines recommend screening children for high cholesterol, depression, HIV

AAP guidelines recommend screening children for high cholesterol, depression, HIV

To combat the stigma associated with selective screening, the American Academy of Pediatrics has called for all children to be screened for high cholesterol, depression, and HIV.

Active surveillance of low-risk prostate cancer patients may not be efficient

Active surveillance of low-risk prostate cancer patients may not be efficient

New research suggests that men with low-risk prostate cancer who undergo choose watchful waiting may not receive timely treatment when compared to those undergoing active treatment.

Few adults taking necessary cholesterol-lowering medications

Few adults taking necessary cholesterol-lowering medications

A CDC team analyzed national data from 2005 through 2014 and discovered that 35% of Americans eligible to take cholesterol-lowering medication were not taking the drugs.

Hospital-acquired conditions have decreased since Affordable Care Act implemented

Hospital-acquired conditions have decreased since Affordable Care Act implemented

Since the start of the Affordable Care Act in 2010, patient deaths due to hospital-acquired infections have dropped by almost 90,000.

Metformin does not improve glycemic control in overweight teens with type 1 diabetes

Metformin does not improve glycemic control in overweight teens with type 1 diabetes

Research shows that adding metformin to insulin therapy will not boost glycemic control in overweight teens with type 1 diabetes.

Researchers link pulse pressure to adverse outcomes in heart failure patients

Researchers link pulse pressure to adverse outcomes in heart failure patients

Researchers have linked pulse pressure to adverse outcomes in heart failure patients with both reduced ejection fraction and preserved ejection fraction.

Death rates increase among middle-aged white Americans

Death rates increase among middle-aged white Americans

Mortality rates among non-Hispanic white men and women have increased significantly between 1999 and 2013.

Drug combos not more effective than naproxen alone for acute low back pain

Drug combos not more effective than naproxen alone for acute low back pain

When compared to naproxen alone, the combination of either cyclobenzaprine or oxycodone/acetaminophene plus naproxen does not as effectively improve acute, nontraumatic lower back pain.

Pediatric pulmonary hypertension guidelines issued

Pediatric pulmonary hypertension guidelines issued

New guidelines released by the American Heart Association and the American Thoracic Society are the first for the diagnosis and treatment of pediatric pulmonary hypertension.

Obesity associated with increased carpal tunnel syndrome risk

Obesity associated with increased carpal tunnel syndrome risk

A meta-analysis from 58 studies found that the risks of carpal tunnel syndrome (CTS) increased 7.4% with each one-unit increase in BMI.

Sign Up for Free e-newsletters