Paid Family Leave Policies Inadequate for Resident Physicians

Paid Family Leave Policies Inadequate for Resident Physicians

Between 2016 and 2017, the mean paid childbearing leave for faculty physicians at 12 top United States medical schools was just 8.6 weeks.

Testosterone Use Remains High Among Men With Coronary Artery Disease

Testosterone Use Remains High Among Men With Coronary Artery Disease

Despite research suggesting that there may be increased cardiovascular risk from off-label prescription testosterone use, usage in men with coronary artery disease remains higher than in men without coronary artery disease.

FDA Fast-Tracks Novel Oral Antibiotic for C. difficile Infection

FDA Fast-Tracks Novel Oral Antibiotic for C. difficile Infection

The investigational drug is currently in Phase 1 development, with completion expected in the second quarter of 2019.

GI Illness, Hospitalization Increase, Symptom Reports Decrease Among Older Adults

GI Illness, Hospitalization Increase, Symptom Reports Decrease Among Older Adults

The number of enteric infection symptom reports was found to decrease with age, although older adults tend to have more severe illness and require hospitalization.

High Levels of Activity, Motor Ability Linked to Better Cognition

High Levels of Activity, Motor Ability Linked to Better Cognition

Findings seen in older adults; independent correlations remained for those with Alzheimer disease.

Complications Higher Than Expected for Invasive Lung Tests

Complications Higher Than Expected for Invasive Lung Tests

Complication rates for invasive lung diagnostic procedures higher than those seen in clinical trials.

Intermittent Fasts Plus Energy Restriction Best for Weight Loss

Intermittent Fasts Plus Energy Restriction Best for Weight Loss

IF with 70% energy intake has better outcomes vs continuous diet restriction in obese women.

Missed General Practice Appointments Linked To Increased Morbidity, Mortality

Missed General Practice Appointments Linked To Increased Morbidity, Mortality

For patients with both physical and mental health-related long-term conditions, missing healthcare appointments is associated with an increased risk of multimorbidity.

Apraglutide Gets Orphan Drug Designation for Short Bowel Syndrome

Apraglutide Gets Orphan Drug Designation for Short Bowel Syndrome

The Company has already completed a Phase 1 trial of this synthetic glucagon-like peptide (GLP-2) analog.

Components of Ideal Cardiovascular Health Cut Diabetes Risk

Components of Ideal Cardiovascular Health Cut Diabetes Risk

For individuals with normal fasting glucose but not those with impaired fasting glucose, a higher number of ideal cardiovascular health components correlates with a lower risk for diabetes.

Review Shares Best Practices for Evaluating Penicillin Allergy

Review Shares Best Practices for Evaluating Penicillin Allergy

A new review from the American Medical Association addresses best practices for the evaluation and management of reported penicillin allergies.

Giardiasis Linked With Prolonged Alteration of Lymphocytes in Duodenal Mucosa

Giardiasis Linked With Prolonged Alteration of Lymphocytes in Duodenal Mucosa

Chronic infection with Giardia was associated with prolonged alterations in duodenal mucosa lymphocytes.

Prevalence of Anogenital Warts Declining Across Populations

Prevalence of Anogenital Warts Declining Across Populations

The prevalence of anogenital warts has decreased, with significant declines observed in specific populations.

IASP Updates Classification of Chronic Pain

IASP Updates Classification of Chronic Pain

A task force of the International Association for the Study of Pain proposes a classification of chronic pain as either chronic primary or chronic secondary pain, when chronic pain represents the major complaint and when chronic pain is secondary to a chronic disorder, respectively.

Stem Cell Transplant Slows Progression of Multiple Sclerosis

Stem Cell Transplant Slows Progression of Multiple Sclerosis

For patients with relapsing-remitting multiple sclerosis, nonmyeloablative hematopoietic stem cell transplantation is associated with prolonged time to disease progression compared with disease-modifying therapy.

USPSTF Recommends Risk-Reducing Meds for Breast Cancer

USPSTF Recommends Risk-Reducing Meds for Breast Cancer

The USPSTF recommends risk-reducing medications for women at high risk for breast cancer who are at low risk for adverse events, but medications are not recommended for routine use.

Statin Therapy Often Not Initiated Before First Acute Coronary Syndrome Event

Statin Therapy Often Not Initiated Before First Acute Coronary Syndrome Event

Data on adherence to the 2013 ACA/AHA cholesterol guidelines suggest significant underuse of appropriate-intensity statin therapy; however, data for statin use in primary prevention have been limited.

Pain Management Following Reduced Routine Opioid Use After Cesarean Delivery

Pain Management Following Reduced Routine Opioid Use After Cesarean Delivery

Eliminating routine oral opioid prescription following cesarean delivery may reduce opioid consumption without jeopardizing pain control or patient satisfaction.

Effect of Mometasone Furoate and Formoterol on Risk of Serious Asthma Outcomes

Effect of Mometasone Furoate and Formoterol on Risk of Serious Asthma Outcomes

The combined use of mometasone furoate and formoterol in adults and adolescents with persistent asthma may not increase asthma-related adverse events and may reduce the risk of worsening asthma outcomes.

Work Instability Linked to Fatigue, Depression in Ankylosing Spondylitis

Work Instability Linked to Fatigue, Depression in Ankylosing Spondylitis

Fatigue and depressive symptoms had a negative effect on work stability in patients with ankylosing spondylitis.

Opioids Now More Deadly for Americans Than Traffic Accidents

Opioids Now More Deadly for Americans Than Traffic Accidents

Preventable injuries are the third leading cause of death in the United States.

Guideline Issued for Treatment of Mild, Moderate Ulcerative Colitis

Guideline Issued for Treatment of Mild, Moderate Ulcerative Colitis

A new clinical guideline from the American Gastroenterological Association focuses on the medical management of patients with mild-to-moderate ulcerative colitis.

Vitamin D Supplementation Can Help Cut COPD Exacerbations

Vitamin D Supplementation Can Help Cut COPD Exacerbations

Review shows supplementation only effective for baseline vitamin D levels 25 nmol/L.

American College of Physicians Releases 7th Edition of Ethics Manual

American College of Physicians Releases 7th Edition of Ethics Manual

Manual focuses on patient-physician relationship in different scenarios, including telemedicine.

Tuberculosis Detection May Be Affected by Blood Draw Method

Tuberculosis Detection May Be Affected by Blood Draw Method

Tuberculosis screening results may differ depending on blood draw methods.

Peripheral Arterial Disease Diagnosis and Management Updates

Peripheral Arterial Disease Diagnosis and Management Updates

A review of the 2016 American Heart Association and American College of Cardiology guidelines for management and diagnosis of peripheral arterial disease.

Pulsed Ultrasound May Be Effective for the Treatment of Rib Fractures

Pulsed Ultrasound May Be Effective for the Treatment of Rib Fractures

Pulsed ultrasound treatment may represent an effective option for the treatment of stable rib fractures.

Do School Report Cards Serve as a Precipitant to Child Physical Abuse?

Do School Report Cards Serve as a Precipitant to Child Physical Abuse?

Releasing report cards on Fridays may increase the rate of child physical abuse on the following Saturday.

Expanding Pharmacist Practice Scope Could Reduce ED Overcrowding

Expanding Pharmacist Practice Scope Could Reduce ED Overcrowding

Benefits could be seen for frequent complaints like cough, dermatitis, and inflammation of ear, nose, throat.

One in 5 Back Pain Patients Experience Persistent Pain

One in 5 Back Pain Patients Experience Persistent Pain

Significant differences seen in patterns of medication, health care use across back pain trajectories.

Postpartum New-Onset Mental Illness Risk Up With IBD

Postpartum New-Onset Mental Illness Risk Up With IBD

Increased risk for new-onset, postpartum mental illness observed in patients with inflammatory bowel disease.

Anakinra May Be Effective for Treatment of Acute Gout Flares

Anakinra May Be Effective for Treatment of Acute Gout Flares

Researchers evaluated the efficacy and safety of anakinra for the treatment of acute gout flares.

CDC: Flu Cases Hit 7 Million in the United States

CDC: Flu Cases Hit 7 Million in the United States

Half of this number went to a doctor, while 69,000 to 84,000 people have been hospitalized.

Working Group Endorses Patient-Reported Outcome Measure for PsA-Related Quality of Life

Working Group Endorses Patient-Reported Outcome Measure for PsA-Related Quality of Life

The Psoriatic Arthritis Impact of Disease questionnaire was endorsed as a core outcome measure for psoriatic arthritis-specific health-related quality of life.

Croup Symptoms, Hospital Readmissions Reduced With Glucocorticoids

Croup Symptoms, Hospital Readmissions Reduced With Glucocorticoids

Children with croup who were given glucocorticoids had reduced symptoms at 2 through 24 hours.

Adverse Birth Outcomes Up for Women With H1N1 Flu in ICU

Adverse Birth Outcomes Up for Women With H1N1 Flu in ICU

Pregnant women admitted to ICU with flu more likely to deliver preterm infants, low birth-weight infants.

Artificial Intelligence Can Use Routine ECGs to Identify Heart Disease

Artificial Intelligence Can Use Routine ECGs to Identify Heart Disease

Those with positive AI screen 4 times more likely to develop future ventricular dysfunction.

FDA: Chocolates, Candies May Be Contaminated With Hepatitis A

FDA: Chocolates, Candies May Be Contaminated With Hepatitis A

Worker at Bauer's Candies facility in Kentucky tested positive for hepatitis A.

US Food Supply May Be at Risk Due to Government Shutdown

US Food Supply May Be at Risk Due to Government Shutdown

Number of routine food inspections performed by the FDA dropped sharply.

Breast Milk Pasteurization Prevents Postnatal CMV Transmission

Breast Milk Pasteurization Prevents Postnatal CMV Transmission

Short-term pasteurization of breast milk may reduce the incidence of postnatally acquired cytomegalovirus infection through breast milk.

Comparing Osteoporosis Screening, Treatment Strategies in Postmenopausal Women

Comparing Osteoporosis Screening, Treatment Strategies in Postmenopausal Women

The need for effective osteoporosis screening tools and treatment strategies is high, as the current methods have a low sensitivity for determining postmenopausal women at risk for a major osteoporotic fracture.

Use of Diabetes Monitoring Tests in Primary Care Suboptimal

Use of Diabetes Monitoring Tests in Primary Care Suboptimal

Less than 60% of patients with diabetes given HbA1c, lipid profile tests in preceding 12 months.

High Fiber Intake Tied to Lower Risk for Noncommunicable Disease

High Fiber Intake Tied to Lower Risk for Noncommunicable Disease

Reduction in risk for range of critical outcomes greatest for daily dietary fiber intake of 25 to 29 g.

Biosimilar Infliximab CT-P13 Similar to Reference Infliximab for Crohn Disease

Biosimilar Infliximab CT-P13 Similar to Reference Infliximab for Crohn Disease

Patients with Crohn disease were enrolled in a comparative cohort study that analyzed the outcomes of reference product infliximab vs biosimilar treatment.

Pharmacogenomic-Guided Care May Improve Clinical Outcomes in MDD

Pharmacogenomic-Guided Care May Improve Clinical Outcomes in MDD

Weighted and combined multi-gene pharmacogenomic testing significantly increased clinical response and remission rates for patients with major depressive disorder.

Flu Vaccination Safe for Hospitalized Patients

Flu Vaccination Safe for Hospitalized Patients

With vaccination, risks reduced for readmission, outpatient visits, fever, clinical evaluations for infection.

Measles Outbreak in New York State Largest in Recent History

Measles Outbreak in New York State Largest in Recent History

There has been an increase in measles cases across the United States and worldwide.

Smartphone App Can Detect Early Signs of Opioid Overdose

Smartphone App Can Detect Early Signs of Opioid Overdose

App has high sensitivity, specificity for opioid-induced central apnea, respiratory depression.

Fewer Complications Found With Hybrid Surgery for Esophageal Cancer

Fewer Complications Found With Hybrid Surgery for Esophageal Cancer

Incidence of intraoperative, postoperative complications lower in resectable esophageal cancer.

Resistance to Clarithromycin, Metronidazole Affects H pylori Eradication

Resistance to Clarithromycin, Metronidazole Affects H pylori Eradication

Minimum inhibitory concentration levels of resistance to either clarithromycin or metronidazole may play a role in Helicobacter pylori therapy outcome.

Nine Cases of Wound Botulism Identified in Injection Drug Users

Nine Cases of Wound Botulism Identified in Injection Drug Users

All patients used injection drugs; 7 reported using black tar heroin and 6 practiced skin popping.

Nursing Intervention Promotes Better Sleep for Inpatients

Nursing Intervention Promotes Better Sleep for Inpatients

Nighttime room entries reduced in unit where nurses received coaching, integrated SIESTA.

Psychotherapy May Reduce Frequency of Nonepileptic Seizures

Psychotherapy May Reduce Frequency of Nonepileptic Seizures

Adherence to psychotherapy linked to lower seizure frequency, higher quality of life, fewer ED visits.

Greater Walking Frequency, Duration May Reduce Risk for Low Back Pain

Greater Walking Frequency, Duration May Reduce Risk for Low Back Pain

Regular and prolonged walking was found to be associated with a reduced the risk for low back pain in Koreans age >50.

Influenza Seroconversion Risk Factors in Adults Hospitalized for Pneumonia

Influenza Seroconversion Risk Factors in Adults Hospitalized for Pneumonia

Adults hospitalized for pneumonia who received an influenza vaccination during their stay were less likely to seroconvert if they had diabetes, bacterial detection, baseline seropositive titers for influenza B, or influenza vaccination in the previous season.

USPSTF Affirms Guidance for Hep B Screening at First Prenatal Visit

USPSTF Affirms Guidance for Hep B Screening at First Prenatal Visit

Evidence convincing that universal prenatal screening reduces perinatal transmission of HBV.

American Headache Society Releases Position Statement on Novel Preventive and Acute Migraine Treatments

American Headache Society Releases Position Statement on Novel Preventive and Acute Migraine Treatments

The American Headache Society has issued updated guidelines on the use of novel preventive and acute treatments for migraine in adults.

FDA-Approved Wearable Blood Pressure Monitor Now Available

FDA-Approved Wearable Blood Pressure Monitor Now Available

HeartGuide is designed as a wrist watch that uses the oscillometric cuff method, the standard for medical-grade personal blood pressure measurement.

Holiday Weight Gain Reduced Through Informational Intervention

Holiday Weight Gain Reduced Through Informational Intervention

An informational intervention — including weight management and regular self-weighing — can help curb weight gain during the holiday season.

Racial Differences Identified in Some Biomarkers of Alzheimer's Disease

Racial Differences Identified in Some Biomarkers of Alzheimer's Disease

African-Americans have lower mean CSF concentration of total tau, phosphorylated tau181.

Muscle Atrophy Occurs Rapidly in Critically Ill, Ventilated Children

Muscle Atrophy Occurs Rapidly in Critically Ill, Ventilated Children

Forty-seven percent of cohort experienced 11% decrease in diaphragm thickness after 6 days.

Prescription Opioids Up Pneumonia Risk in Patients With, Without HIV

Prescription Opioids Up Pneumonia Risk in Patients With, Without HIV

Risk greatest with higher-dose opioids and opioids with immunosuppressive properties.

Flu Vaccine Cuts Flu-Related Hospitalization in COPD Patients

Flu Vaccine Cuts Flu-Related Hospitalization in COPD Patients

Flu-positive patients have higher crude mortality and critical illness vs flu-negative patients.

Identifying Risk Factors for Cytomegalovirus Antigenemia in Pediatric Patients

Identifying Risk Factors for Cytomegalovirus Antigenemia in Pediatric Patients

Researchers assessed risk factors for cytomegalovirus antigenemia in pediatric patients.

Cognitive Behavior Therapy for Social Activation in Schizophrenia Not Cost-Effective

Cognitive Behavior Therapy for Social Activation in Schizophrenia Not Cost-Effective

Although treatment as usual for psychosis is guideline-congruent and well implemented, there appears to be no added value for adjunct cognitive behavioral therapy for social activation, according to the results of a study from the Netherlands.

AAN Issues Position Statement on Determination of Brain Death

AAN Issues Position Statement on Determination of Brain Death

While evidence-based guidelines exist for the determination of brain death in infants, children, and adults, Nevada is currently the only state to adopt laws that require adherence to these guidelines.

Recent Nasal Preps Less Effective Than Vaccine for Pediatric Influenza

Recent Nasal Preps Less Effective Than Vaccine for Pediatric Influenza

The quadrivalent LAIV4 is less effective than IIV against influenza A/H1N1pdm09 in all pediatric age groups.

Risk for Suicide Increased in Year After Cancer Diagnosis

Risk for Suicide Increased in Year After Cancer Diagnosis

Patients with a cancer diagnosis have an increased risk for suicide during the first year after their diagnosis compared with the general population, with higher suicide rates for cancers with a poor prognosis.

Exercise Can Consistently Lower Blood Pressure

Exercise Can Consistently Lower Blood Pressure

Exercise can consistently yield reductions in blood pressure.

Health Benefits of Nonsugar Sweeteners Uncertain

Health Benefits of Nonsugar Sweeteners Uncertain

There is no compelling evidence to indicate health benefits of nonsugar sweetener use on a range of health outcomes.

Health Experts Review 41 Diets, Rank Best Overall for 2019

Health Experts Review 41 Diets, Rank Best Overall for 2019

An expert panel assessed 41 diets to come up with their final results, examining the evidence behind each diet's claims, the short-term and long-term weight loss associated with the diet, how easy the diet is to follow, how well each diet conforms to current nutrition standards, and its effect on diabetes and cardiovascular disease prevention.

Racial Disparities May Have Widened After Hospital Readmissions Reduction Program Implementation

Racial Disparities May Have Widened After Hospital Readmissions Reduction Program Implementation

Racial disparities may be widening within safety-net hospitals for non-HRRP-targeted conditions.

Psychoeducational Intervention of Little Benefit in Breast Cancer

Psychoeducational Intervention of Little Benefit in Breast Cancer

A psychoeducational intervention does not improve anxiety or body image but is still considered important among women with breast cancer.

Hypertension With Psoriasis Tied to More Cardiac Interventions

Hypertension With Psoriasis Tied to More Cardiac Interventions

In patients with hypertension, psoriasis linked to increased risk for cardiovascular procedures, surgeries.

Patients With Sleep Apnea Have Increased Gout Risk

Patients With Sleep Apnea Have Increased Gout Risk

Among OSA patients, risk for developing gout is highest 1 to 2 years after the index date.

Child Pneumonia Rate Dropped Globally From 2000 to 2015

Child Pneumonia Rate Dropped Globally From 2000 to 2015

Number of clinical pneumonia episodes in children 5 years reduced 22% in developing countries.

School Nutrition Programs Slow BMI Gains in Children

School Nutrition Programs Slow BMI Gains in Children

Promoting healthier eating in middle school more effective than adding physical activity.

In-Hospital Morbidity, Mortality Up With Flu in Heart Failure

In-Hospital Morbidity, Mortality Up With Flu in Heart Failure

Higher incidence seen for in-hospital mortality, acute respiratory failure, acute kidney injury.

Topical Methyl Estradiolpropanoate Safe, Effective for Treating Estrogen-Deficient Skin

Topical Methyl Estradiolpropanoate Safe, Effective for Treating Estrogen-Deficient Skin

A study was conducted to assess the safety, tolerability, and efficacy of methyl estradiolpropanoate, a topical soft estrogen cosmeceutical for the treatment of estrogen-deficient skin.

Reducing Systolic Blood Pressure With Liraglutide: Predictors and Correlates

Reducing Systolic Blood Pressure With Liraglutide: Predictors and Correlates

Patients with type 2 diabetes treated with liraglutide experience a greater reduction in systolic BP if they have lower baseline continuous glucose monitoring values and higher diastolic BP.

Moderate Drinking Not Harmful for Seniors With Heart Failure

Moderate Drinking Not Harmful for Seniors With Heart Failure

Compared with abstinence from alcohol, increased survival seen with moderate drinking.

Many Adults in 50s, Early 60s Worried About Health Insurance

Many Adults in 50s, Early 60s Worried About Health Insurance

More than one-quarter have little or no confidence they can afford health insurance over the next year.

Anemia Criteria Assist Decision on Type of Colorectal Cancer Screen

Anemia Criteria Assist Decision on Type of Colorectal Cancer Screen

Risk for proximal cancers low among patients without broad-definition anemia and/or abdominal mass.

Negative Colonoscopy Findings Linked to Lower Risk of Colorectal Cancer, Related Deaths

Negative Colonoscopy Findings Linked to Lower Risk of Colorectal Cancer, Related Deaths

Compared with unscreened individuals, a colonoscopy with normal findings may be linked to lower risk of colorectal cancer deaths for more than 12 years.

Available Vial Sizes Can Cut Drug Waste in Weight-Based Dosing

Available Vial Sizes Can Cut Drug Waste in Weight-Based Dosing

Vial preparation sizes can be optimized to reduce drug wastage, reduce costs.

Treating Acute Migraine During Pregnancy: The Need for Guidelines

Treating Acute Migraine During Pregnancy: The Need for Guidelines

Pregnant women presenting with migraine to acute care settings were found to be treated with therapeutic agents ranging from safe and effective medications to others with unclear efficacy and potential teratogenicity.

GI Microbiota and Carbapenem-Resistant Pseudomonas aeruginosa Colonization Risk

GI Microbiota and Carbapenem-Resistant Pseudomonas aeruginosa Colonization Risk

Decreases in abundance of several taxa may be linked to increased risk for carbapenem-resistant P aeruginosa colonization-acquisition ICU patients.

Higher Risk for Depression, Anxiety Seen With Cerebral Palsy

Higher Risk for Depression, Anxiety Seen With Cerebral Palsy

Association seen in patients with cerebral palsy without accompanying intellectual disability.

College Students at Increased Risk for SgB Meningococcal Disease

College Students at Increased Risk for SgB Meningococcal Disease

Students, parents, health care providers should be aware of the availability of MenB vaccines.

Kidney Stones Tied to Increased Renal Cell Carcinoma Risk

Kidney Stones Tied to Increased Renal Cell Carcinoma Risk

Risk increased for papillary RCC but not clear-cell RCC; risk for upper tract urothelial carcinoma increased.

Nurse-Led Program in Primary Care Can Improve Detection of Liver Disease

Nurse-Led Program in Primary Care Can Improve Detection of Liver Disease

More incident cases identified in intervention arm with nurse-led primary care-based liver clinics.

Ultrarestrictive Opioid Prescription Protocol May Be Effective for Postoperative Pain Management

Ultrarestrictive Opioid Prescription Protocol May Be Effective for Postoperative Pain Management

Implementation of an ultrarestrictive protocol for opioid prescriptions was found to be associated with reductions in the amount of opioids prescribed after abdominal and gynecologic surgery.

Classical Massage Mitigates CIPN Due to Adjuvant Chemotherapy for Breast Cancer

Classical Massage Mitigates CIPN Due to Adjuvant Chemotherapy for Breast Cancer

Researchers sought to determine if the complementary practice could prevent CIPN in patients receiving adjuvant chemotherapy for breast cancer.

Vitamin D3 Associated With Reductions in Migraine Days Among Migraineurs

Vitamin D3 Associated With Reductions in Migraine Days Among Migraineurs

Vitamin D3 may reduce migraine days in patients who experience frequent migraines.

CDC: 65% of US Women Currently Using Contraceptives

CDC: 65% of US Women Currently Using Contraceptives

Female sterilization is most commonly used method, followed by oral contraceptive pill.

Growth in Use of Telemedicine Seen From 2005 to 2017

Growth in Use of Telemedicine Seen From 2005 to 2017

Significantly faster increase in use of telemental health services seen in counties with no psychiatrists.

CDC: Weight, Waist Size, BMI Increased for Many US Adults

CDC: Weight, Waist Size, BMI Increased for Many US Adults

1999-2000 to 2015-2016 saw increase in mean weight, waist circumference, BMI for many subgroups.

Parkinson Disease Treatment Soon to Be Discontinued

Parkinson Disease Treatment Soon to Be Discontinued

Requip and Requip XL are non-ergot dopamine agonists indicated for the treatment of Parkinson disease.

Effect of Omega-3 Fatty Acid and/or Aspirin on Colorectal Adenoma Prevention

Effect of Omega-3 Fatty Acid and/or Aspirin on Colorectal Adenoma Prevention

The omega-3 polyunsaturated fatty acid eicosapentaenoic acid and aspirin were compared alone and in combination against placebo for the prevention of colorectal cancer.

Number of People With Dementia Rose Twofold From 1990 to 2016

Number of People With Dementia Rose Twofold From 1990 to 2016

Overall, 28.8 million disability-adjusted life years due to dementia; 6.4 million attributed to modifiable risks.

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