Integration of Opioid, Infectious Disease Treatment Needed

Integration of Opioid, Infectious Disease Treatment Needed

Expert panel recommends 5 action steps for treating opioid abuse and its intersecting epidemics.

TBI Linked to Increased Suicide Risk

TBI Linked to Increased Suicide Risk

Increased suicide risk with one, two, and three or more medical contacts for traumatic brain injury.

Triple Combo Blood Pressure Pill Can Improve BP Control

Triple Combo Blood Pressure Pill Can Improve BP Control

Proportion achieving target BP increased with use of triple combo pill vs usual care at 6 months.

Intervention Cuts Risk for HIV in Young Transgender Women

Intervention Cuts Risk for HIV in Young Transgender Women

Intervention group had greater reduction in condomless sex acts vs standard of care group.

AAP Provides Safety Precautions to Prevent Drowning

AAP Provides Safety Precautions to Prevent Drowning

Drowning is leading cause of unintentional injury-related death for children aged 1 to 4 years.

In Shocking Opposition, Trump Administration Denies Decades of Breastfeeding Research

In Shocking Opposition, Trump Administration Denies Decades of Breastfeeding Research

In a move that shocked world health officials, the Trump administration indicated its opposition to a resolution intended to encourage breastfeeding among new mothers

Characteristics of Menstrual Cycle Associated With Early Natural Menopause

Characteristics of Menstrual Cycle Associated With Early Natural Menopause

Investigators examined the relationship between menstrual cycle characteristics in adolescence and early adulthood and the risk for early natural menopause.

HPV Legislation Doesn't Impact Teen Sexual Behaviors

HPV Legislation Doesn't Impact Teen Sexual Behaviors

No substantive or significant associations between HPV legislation and adolescent sexual behaviors.

Both Abstinence and High Alcohol Use Linked to Dementia

Both Abstinence and High Alcohol Use Linked to Dementia

Increased dementia risk for those with abstinence or with drinking 14 units alcohol/week in midlife.

6 Factors Related to Inclusion in Health Care Workplace Identified

6 Factors Related to Inclusion in Health Care Workplace Identified

Presence of discrimination, the silent witness, effectiveness of leadership can help assess inclusion.

Completing Sepsis Bundle Within an Hour Cuts Pediatric Mortality

Completing Sepsis Bundle Within an Hour Cuts Pediatric Mortality

However, completing individual bundle elements in that timeframe does not reduce pediatric mortality.

Low-Energy Diet Induces Different Effects in Men, Women

Low-Energy Diet Induces Different Effects in Men, Women

Men had larger reductions in metabolic syndrome Z-score, C-peptide, fat mass, heart rate.

Low Literacy Self-Management Program for Chronic Pain May Be Effective

Low Literacy Self-Management Program for Chronic Pain May Be Effective

A low-literacy, pain self-management program delivered one-on-one by a health educator or in groups with lectures from experts over a period of 6 months may improve chronic pain outcomes.

Antibiotics Often Unnecessary for Sacral Pressure Ulcers Complicated by Osteomyelitis

Antibiotics Often Unnecessary for Sacral Pressure Ulcers Complicated by Osteomyelitis

A systematic literature review, published in Clinical Infectious Diseases, found no evidence supporting a benefit to antibacterial therapy for osteomyelitis in patients with stage IV sacral pressure ulcers.

Two-Screen Program More Effective for Identifying Congenital Hypothyroidism

Two-Screen Program More Effective for Identifying Congenital Hypothyroidism

There are 14 states that perform a routine second screening in infants at approximately 2 weeks of age.

Dermatologist Intervention Tied to Better Sun Protection

Dermatologist Intervention Tied to Better Sun Protection

Short intervention associated with more sunscreen use, improved patient satisfaction.

Perspectives on USPSTF AF Screening Recommendation

Perspectives on USPSTF AF Screening Recommendation

Physicians weigh in on the need to develop a screening strategy.

Healthy Lifestyle With Diabetes Cuts Cardiovascular Risk

Healthy Lifestyle With Diabetes Cuts Cardiovascular Risk

Benefit seen for adoption of healthy lifestyle even after T2DM diagnosis made.

Few Older Homeless Adults Make Advance Care Plans

Few Older Homeless Adults Make Advance Care Plans

Most have potential surrogates for decision making but have not discussed or documented ACP wishes.

Insurance Status Tied to Higher Self-Perceived Poor/Fair Health

Insurance Status Tied to Higher Self-Perceived Poor/Fair Health

Underinsured and never insured adults more likely to report poor/fair health.

Low Rates of Syphilis Testing in High-Risk Men Who Are HIV Positive

Low Rates of Syphilis Testing in High-Risk Men Who Are HIV Positive

Close to one-third of sexually active HIV-positive men who have sex with men (MSM) have not received syphilis screening in the past 12 months.

Safety and Immunogenicity of Tdap Vaccine Immunization During Pregnancy

Safety and Immunogenicity of Tdap Vaccine Immunization During Pregnancy

Immunization with Tdap vaccine during pregnancy results in higher levels of antibodies early in infancy but lower levels after the primary vaccine series.

Sufficient Preconception Vitamin D Tied to Lower Miscarriage Risk

Sufficient Preconception Vitamin D Tied to Lower Miscarriage Risk

However, increased vitamin D levels in early pregnancy not correlated with reduced pregnancy loss.

Parental Belief in Religion Lowers Child Suicide Risk

Parental Belief in Religion Lowers Child Suicide Risk

Findings independent of offsprings' views on religious importance.

AHA: A Diverse Diet May Not Promote a Healthy Weight

AHA: A Diverse Diet May Not Promote a Healthy Weight

American Heart Association science advisory recommends healthy eating patterns instead.

AMA Adopts Policy to Advance Gender Equity in Medicine

AMA Adopts Policy to Advance Gender Equity in Medicine

AMA House of Delegates has adopted policy to study, act for, advocate gender equity in medicine.

No Impact on Carotid Artery Intima-Media Thickness Following Cessation of Menopausal Hormone Therapy

No Impact on Carotid Artery Intima-Media Thickness Following Cessation of Menopausal Hormone Therapy

A follow-up study from KEEPS found that cessation of menopausal hormone therapy did not change the expected trajectory of carotid artery intima-media thickness over a 3-year period.

Neurodevelopmental Anomalies, Birth Defects Linked to Zika Identified

Neurodevelopmental Anomalies, Birth Defects Linked to Zika Identified

Many children born to mothers with Zika infection do not undergo all recommended assessments.

CDC: EMS Administration of Naloxone Up From 2012 to 2016

CDC: EMS Administration of Naloxone Up From 2012 to 2016

Monitoring non-fatal overdose events from EMS data may aid in developing emergency response.

Does Bipolar I Disorder Effect the Course of Conduct/Antisocial Personality Disorders in Adolescents?

Does Bipolar I Disorder Effect the Course of Conduct/Antisocial Personality Disorders in Adolescents?

Adolescents with bipolar I disorder whose symptoms are in remission are significantly less likely to experience conduct disorder or antisocial personality disorder.

ADA Releases Updated Guidelines for Managing Pediatric Type 1 Diabetes

ADA Releases Updated Guidelines for Managing Pediatric Type 1 Diabetes

It is critical for us to remember that children are not little adults. Pediatric-onset diabetes is different from adult-onset diabetes due to its distinct epidemiology, pathophysiology, developmental considerations, and response to therapy.

Cardiac Profiles Up With Exercise, Less Sitting in Early Old Age

Cardiac Profiles Up With Exercise, Less Sitting in Early Old Age

Greater light, moderate-to-vigorous intensity activity tied to more favorable profile in adults age 60 to 64.

Review Addresses Nutritional Hype for Popular Foods

Review Addresses Nutritional Hype for Popular Foods

Legumes, coffee, tea tied to cardiovascular benefits; added sugars, energy drinks linked to harmful effects.

Parental Depression Ups Odds of Child Use of Health Services

Parental Depression Ups Odds of Child Use of Health Services

Findings seen across spectrum of care -- outpatient, emergency department, inpatient.

FDA: Improper Use of Rupture of Membranes Tests Linked to Fetal Deaths

FDA: Improper Use of Rupture of Membranes Tests Linked to Fetal Deaths

ROM tests are used to aid in diagnosing ruptured membranes in pregnant women through analysis of vaginal secretions.

Vaccinations Begin in Congo Ebola Outbreak

Vaccinations Begin in Congo Ebola Outbreak

First to be vaccinated will be health workers, contacts of confirmed Ebola patients.

HIV, Syphilis Screening Low With ED-Diagnosed PID in Adolescents

HIV, Syphilis Screening Low With ED-Diagnosed PID in Adolescents

Findings among teens diagnosed with pelvic inflammatory disease in the emergency department.

American Heart Association Urges Screen Time Limits for Youth

American Heart Association Urges Screen Time Limits for Youth

Increasing screen trends may have negative cardiometabolic impact; panel calls for more research.

Vitamin D Supplementation Does Not Improve Fetal, Infant Growth

Vitamin D Supplementation Does Not Improve Fetal, Infant Growth

Findings based on study of Bangladeshi women and infants, a population with known deficiency.

Proton Pump Inhibitor Treatment and Aspirin Improve Outcomes in Barrett Esophagus

Proton Pump Inhibitor Treatment and Aspirin Improve Outcomes in Barrett Esophagus

High-dose esomeprazole taken in combination with aspirin may safely and effectively improve outcomes in patients with Barrett esophagus.

Antidepressants and Bleeding Risk: What's the Link?

Antidepressants and Bleeding Risk: What's the Link?

Results showed an increased risk of bleeding with SRIs by 1.16-2.36 times with an even higher 3.17- to 10.9-fold risk with concomitant NSAIDs.

USPSTF: Insufficient Evidence to Screen for Atrial Fibrillation

USPSTF: Insufficient Evidence to Screen for Atrial Fibrillation

US Preventive Services Task Force says benefit unclear in asymptomatic, older patients.

Resource Use Greater for More Severe Pediatric Appendicitis

Resource Use Greater for More Severe Pediatric Appendicitis

Findings suggest need for reimbursement to have severity adjustment, especially in underserved areas.

Thyroid Dysfunction Linked to Gestational Diabetes

Thyroid Dysfunction Linked to Gestational Diabetes

fT3 and fT3-to-fT4 ratio correlated positively with gestational diabetes at the first and second trimester.

Food Allergies Linked to Reduced Small Airway Function in Children With Asthma

Food Allergies Linked to Reduced Small Airway Function in Children With Asthma

Children and young adults with asthma and multiple food allergies may be at risk for reduced small airway lung function than children with a single food allergy.

Atopic Dermatitis Associated With Impaired Quality of Life, Overall Health

Atopic Dermatitis Associated With Impaired Quality of Life, Overall Health

Research shows that patients diagnosed with atopic dermatitis experience feelings of dissatisfaction with regard to lifestyle, as well as impaired health and wellness.

Chronic Low Back Pain Levels Vary Between Sex and Race

Chronic Low Back Pain Levels Vary Between Sex and Race

Differences exist in race and gender in patients with chronic lower back pain, especially in pain sensitivity and severity due to aftersensations from mechanical punctuate pain and deep muscle hyperalgesia.

Guidelines for Health Initiative-Faith-Based Organization Partnerships

Guidelines for Health Initiative-Faith-Based Organization Partnerships

Often central to communities, faith-based organizations serve as local touchstones for health initiatives and outreach programs.

Ectopic Lipid Deposition and Insulin Resistance Higher in Postmenopausal Women

Ectopic Lipid Deposition and Insulin Resistance Higher in Postmenopausal Women

The insulin sensitivity in post- and premenopausal women along with lipid deposition in the liver and skeletal muscle was examined.

Elevated Late Mortality Persists After Blood or Marrow Transplant

Elevated Late Mortality Persists After Blood or Marrow Transplant

But in past 3 decades, decrease in late mortality seen among those who underwent BMT in childhood.

New Tick Species Spreading in the United States

New Tick Species Spreading in the United States

Asian longhorned tick currently considered a greater threat to livestock than to humans.

Antirheumatic Medication Management for Orthopedic Surgery: An Interdisciplinary Perspective

Antirheumatic Medication Management for Orthopedic Surgery: An Interdisciplinary Perspective

A rheumatologist and orthopedic surgeon provide an interdisciplinary perspective on the perioperative management of antirheumatic medications in patients undergoing elective orthopedic surgery.

Good Outcomes for HCV-Negative Recipients of HCV Kidneys

Good Outcomes for HCV-Negative Recipients of HCV Kidneys

All 20 recipients experienced HCV cure, good quality of life, excellent renal function.

Chronic Cough in Interstitial Lung Disease: More Clinical Trials Needed

Chronic Cough in Interstitial Lung Disease: More Clinical Trials Needed

An expert panel developed suggestions for chronic cough management in interstitial lung disease, but more clinical trials are needed to establish recommendations.

International PCOS Network Issues New Guidelines for Management and Diagnosis of PCOS

International PCOS Network Issues New Guidelines for Management and Diagnosis of PCOS

International evidence-based guidelines include 166 recommendations and practice points to improve health outcomes of women with PCOS.

'Good' Cholesterol May Not Be So in Postmenopausal Women

'Good' Cholesterol May Not Be So in Postmenopausal Women

High total HDL cholesterol in postmenopausal women may mask heart disease risk.

Fewer Cervical Spine Injuries Seen With Motorcycle Helmet Use

Fewer Cervical Spine Injuries Seen With Motorcycle Helmet Use

Findings based on analysis of motorcycle accident victims by helmet use.

Effect of Esomeprazole on Prolonging Gestation in Preterm Preeclampsia

Effect of Esomeprazole on Prolonging Gestation in Preterm Preeclampsia

As there is currently no treatment option available to slow the progression of preeclampsia, clinicians assess esomeprazole, a proton pump inhibitor, as a therapeutic candidate for this challenging condition.

Low-Carb Diet May Reduce HbA1c More Than Low-Fat Diet in T2D

Low-Carb Diet May Reduce HbA1c More Than Low-Fat Diet in T2D

Investigators compared low-carbohydrate with low-fat diet on glucose control and other metabolic and anthropometric variables in T2D.

Severe Asthma Risk Increased From Aspergillus fumigatus Sensitization

Severe Asthma Risk Increased From Aspergillus fumigatus Sensitization

Sensitization to Aspergillus fumigatus increased the risk for severe asthma.

Majority of Patients With Liver Metastases From Colorectal Cancer Eligible for Laparoscopy

Majority of Patients With Liver Metastases From Colorectal Cancer Eligible for Laparoscopy

In high-volume centers, patients with liver metastases from colorectal cancer may often be eligible for minimally invasive liver surgery via laparoscopy, thereby reducing potential morbidity risks associated with open surgery.

Some Bacteria Now More Tolerant of Alcohol-Based Sanitizers

Some Bacteria Now More Tolerant of Alcohol-Based Sanitizers

Enterococci bacteria surviving exposure for longer periods of time.

Daily BCX7353 Cuts Rate of Hereditary Angioedema Attacks

Daily BCX7353 Cuts Rate of Hereditary Angioedema Attacks

Oral administration of BCX7353 at dose of 125 mg results in lower rate of attacks vs placebo.

Ethical Guidelines for Living Donor Transplantation

Ethical Guidelines for Living Donor Transplantation

The Belmont Report provides an appropriate framework for living donor organ transplantation.

10 Things Your Patients Need to Know About Hand, Foot, and Mouth Disease

10 Things Your Patients Need to Know About Hand, Foot, and Mouth Disease

Hand, foot, and mouth disease is a mild viral infection common in children. Here are 10 things your patients need to know about this ailment.

Combined Meningococcal-Tdap Vaccine May Increase Adolescent Vaccination Coverage

Combined Meningococcal-Tdap Vaccine May Increase Adolescent Vaccination Coverage

For adolescents and young adults, the co-administration of quadrivalent meningococcal conjugate vaccine with incorporated tetanus toxoid with diphtheria-tetanus-acellular pertussis vaccine is noninferior to isolated vaccination and does not compromise immunity.

Doctors Can Help Children, Teens Adhere to Eczema Treatment Plan

Doctors Can Help Children, Teens Adhere to Eczema Treatment Plan

Aids include simplifying treatment, creating reminders, sharing success stories.

FAST Scores for Functioning Are Meaningful for Recovery in Bipolar Disorder

FAST Scores for Functioning Are Meaningful for Recovery in Bipolar Disorder

There is no distinct cut off for the Functional Assessment Short Test between none, mind, moderate, and severe functional impairment.

Rifampin Similar to Isoniazid for Preventing Active Tuberculosis

Rifampin Similar to Isoniazid for Preventing Active Tuberculosis

Rifampin has significantly higher rate of treatment completion, fewer drug-related adverse events.

New Ebola Outbreak in Congo

New Ebola Outbreak in Congo

Currently, 26 suspected cases of Ebola, including 20 deaths.

TGFB1 Mutation Ups Radiation-Induced Breast Fibrosis Risk

TGFB1 Mutation Ups Radiation-Induced Breast Fibrosis Risk

C-509T allele and postoperative cosmetic surgery significantly linked to breast fibrosis risk.

Heat-Stable Carbetocin Safe Alternative to Oxytocin for Postpartum Hemorrhage Prevention

Heat-Stable Carbetocin Safe Alternative to Oxytocin for Postpartum Hemorrhage Prevention

Heat-stable carbetocin — an analog of oxytocin — was found to be noninferior to oxytocin in preventing hemorrhage associated with vaginal birth and may be beneficial in low- and middle-income countries.

Asthma Hospitalization Risk in Children From Grass, Weed, and Other Pollens

Asthma Hospitalization Risk in Children From Grass, Weed, and Other Pollens

Grass, other weeds, and unclassified pollen were significantly associated with increased risk for asthma hospitalization in young children.

Food Addiction Phenotype in Obesity Associated With Higher Risk for Mood, Anxiety Disorders

Food Addiction Phenotype in Obesity Associated With Higher Risk for Mood, Anxiety Disorders

The researchers noted that these findings highlight the complexity of obesity as a disease that shares a common etiology with some psychiatric and addictive disorders.

AHA Introduces Heart Failure Certification Program

AHA Introduces Heart Failure Certification Program

Program for heart failure management and implementation of clinical practice guidelines.

Hepatic Markers Linked to Early Predictors of Type 2 Diabetes Risk in Women

Hepatic Markers Linked to Early Predictors of Type 2 Diabetes Risk in Women

Circulating hepatic markers may predict the risk for diabetes in women.

Ultrasound Beneficial for Diagnosing Pure Clear Cell Carcinoma of the Ovary

Ultrasound Beneficial for Diagnosing Pure Clear Cell Carcinoma of the Ovary

In a multicenter study, researchers used high-quality ultrasound imaging to identify characteristics of pure ovarian clear cell carcinoma.

FDA Approves FreeStyle Libre 14 Day Flash Glucose Monitoring System

FDA Approves FreeStyle Libre 14 Day Flash Glucose Monitoring System

The new Flash Glucose Monitoring System enables patients to wear the sensor for up to 14 days compared with the existing FreeStyle Libre System that was approved for 10-day wear.

Pediatric Ward Noise at Night Exceeds Recommended Levels

Pediatric Ward Noise at Night Exceeds Recommended Levels

Poorer quality sleep for children, parents attributed to high levels of noise.

FDA Warns of the Dangers of 'Vaginal Rejuvenation'

FDA Warns of the Dangers of 'Vaginal Rejuvenation'

Numerous cases of vaginal burns or scarring have been linked to the procedures.

Once-Monthly Perseris Approved for the Treatment of Schizophrenia

Once-Monthly Perseris Approved for the Treatment of Schizophrenia

Perseris, an atypical antipsychotic, has an extended-release delivery system that releases sustained levels of risperidone over 1 month.

More Preventive Care Guidelines Linked to Less Preventive Care Utilization

More Preventive Care Guidelines Linked to Less Preventive Care Utilization

An increase in guideline-recommended preventive services may be associated with a decrease in patient utilization of each suggested service, which may have a negative impact on patient life expectancy or quality of life.

Combination Therapies for Low Back Pain, Sciatica May Not Have Added Benefit

Combination Therapies for Low Back Pain, Sciatica May Not Have Added Benefit

There is a lack of evidence supporting the benefits of combination drug therapy over monotherapy for the management of low back pain and sciatica.

EULAR Releases 2018 Guideline on Physical Activity in Inflammatory Arthritis, Osteoarthritis

EULAR Releases 2018 Guideline on Physical Activity in Inflammatory Arthritis, Osteoarthritis

The European League Against Rheumatism has issued their 2018 recommendations for physical activity in patients with inflammatory arthritis and osteoarthritis.

Wide Variations in Opioid Prescribing Practices for Surgical Procedures

Wide Variations in Opioid Prescribing Practices for Surgical Procedures

Variation exists in opioid prescribing practices among clinicians in single-hospital systems, which prompts concern about the potential for opioid overprescribing.

Outpatient Opioid Prescriptions for Children Often Filled

Outpatient Opioid Prescriptions for Children Often Filled

Cumulative incidence of opioid-related adverse events was 38.3 per 100,000 prescriptions.

Higher Risk of In Situ Breast CA, Ovarian Tumors With Fertility Treatment

Higher Risk of In Situ Breast CA, Ovarian Tumors With Fertility Treatment

No increased risk of corpus uteri, invasive breast cancer for women undergoing assisted reproduction.

Quality of Life Maintained With Niraparib for Ovarian Cancer

Quality of Life Maintained With Niraparib for Ovarian Cancer

The ENGOT-OV16/NOVA trial showed improvements in progression-free survival in patients with ovarian cancer with and without the germline BRCA mutation.

FDA to Review Novel Opioid Analgesic for Chronic Low Back Pain

FDA to Review Novel Opioid Analgesic for Chronic Low Back Pain

This novel agent has low permeability across the blood-brain barrier, which slows its rate of entry into the brain and reduces dopamine release.

Increased Levels of Human Herpesvirus Identified in Alzheimer's

Increased Levels of Human Herpesvirus Identified in Alzheimer's

Disruption of molecular, genetic, clinical networks by human herpesvirus in brains of subjects with AD.

Infective Endocarditis More Common with Valve Issues

Infective Endocarditis More Common with Valve Issues

Antibiotic prophylaxis should be reconsidered with bicuspid aortic valve, mitral valve prolapse.

Aspirin, Non-Aspirin NSAID Use May Improve Survival Outcomes in Ovarian Cancer

Aspirin, Non-Aspirin NSAID Use May Improve Survival Outcomes in Ovarian Cancer

Previous studies have suggested that analgesic medicine use may have a protective effect for patients with ovarian cancer.

Nemolizumab Effective for Moderate, Severe Atopic Dermatitis Inadequately Controlled With Topical Therapy

Nemolizumab Effective for Moderate, Severe Atopic Dermatitis Inadequately Controlled With Topical Therapy

For patients with moderate to severe atopic dermatitis inadequately controlled with topical therapies, the anti-IL-31 receptor A humanized monoclonal antibody nemolizumab may provide benefit.

Independent Relationship Between CV Mortality, Oxidative DNA Damage in Type 2 Diabetes

Independent Relationship Between CV Mortality, Oxidative DNA Damage in Type 2 Diabetes

This represents the prospective study confirming an independent relationship between cardiovascular mortality and oxidative DNA damage in type 2 diabetes.

WIC Program Enrollment Linked to Declining Pediatric Obesity

WIC Program Enrollment Linked to Declining Pediatric Obesity

Childhood obesity continues to be a public health issue that requires improved policies and interventions at both the individual and population level.

2002 to 2014 Saw Hike in AMI Rate in Pregnancy, Puerperium

2002 to 2014 Saw Hike in AMI Rate in Pregnancy, Puerperium

Rate of acute myocardial infarction one per 12,400 for those hospitalized during pregnancy, puerperium.

Rotavirus Vaccination Linked to Decrease in Hospitalizations

Rotavirus Vaccination Linked to Decrease in Hospitalizations

A significant decline in rotavirus disease-associated hospitalization, emergency department visits, and physician office visits was demonstrated in children younger than 5 years following implementation of the rotavirus vaccine.

Link for Asbestos-Free Talcum Powder, Cancer Not Clear

Link for Asbestos-Free Talcum Powder, Cancer Not Clear

Studies conducted in people have mixed results, with some indication of increased risk of ovarian cancer.

Use of 2017 ACC/AHA Guidelines Would Increase HTN Prevalence

Use of 2017 ACC/AHA Guidelines Would Increase HTN Prevalence

Adoption of the guidelines would label more than half of 45- to 75-year-olds as having hypertension.

Guidelines for ART Updated for Those With or at Risk for HIV

Guidelines for ART Updated for Those With or at Risk for HIV

ART recommended for almost all HIV-infected; should be initiated as soon as possible post diagnosis.

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