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Daily Medical News

MDedge

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Daily Medical News
Daily Medical News

Daily Medical News

MDedge

48
Followers
692
Plays
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About Us

The latest clinical medicine and health policy news for healthcare professionals, delivered each weekday by host Nick Andrews and MDedge editors. The information in this podcast is provided for informational and educational purposes only.

Latest Episodes

Vaping-linked lung injuries near 1,500; doctor says nicotine, not flavors, are the problem

Physician: The nicotine, not the flavors, needs regulationby Gregory Twacthman The use of nicotine salt at high concentrations allows nicotine to be absorbed more quickly, according to Dr. Michael B. Siegel. Other News: Global blood supply runs low Worldwide, more than 60% of countries had an inadequate supply of blood to meet the demand for transfusion. Obesity ups type 2 diabetes risk for more than lifestyle, genetics Obesity, more than having a poor lifestyle, significantly raised the odds of developing type 2 diabetes. Guidelines updated for treating community-acquired pneumonia The panel addressed 16 questions in the areas of diagnostic testing, determination of site of care, selection of initial empiric antibiotic therapy, and subsequent management decisions. Vaping-linked lung injuries near 1,500 E-cigarette-linked lung injuries, now called EVALI, occurred in all U.S. states. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.comor following us on...

10 MIN19 h ago
Comments
Vaping-linked lung injuries near 1,500; doctor says nicotine, not flavors, are the problem

Kids face delayed Zika consequences; concussion’s effects linger on MRI

In utero Zika exposure can have delayed consequences By Mitchel Zoler Infants born following in utero Zika virus exposure can appear normal at birth but have neurodevelopmental problems later. Other news: Concussion effects may linger on MRI 1 year after athletes resume play More research is needed to understand the optimal recovery time from a neurobiological perspective. Universal coverage may be possible without increases in national spending The researchers found two health care reform scenarios meeting this criterion that continue to utilize private insurance. Suicide attempts up in black U.S. teens The rate of attempts grew from 1991 to 2017 in black adolescents, but white adolescents are still more likely to kill themselves. Hyperhidrosis treatment options update The best time to apply an antiperspirant is right before bedtime. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.comor following us on Twitter at @MDedgeTweets.

10 MIN3 d ago
Comments
Kids face delayed Zika consequences; concussion’s effects linger on MRI

#MyFirstNameIsDoctor targets gender bias; SSRIs tied to pregnancy loss

#MyFirstNameIsDoctor: Why it matters, and what you can do By Kari Oakes Putting a name to persistent and insidious gender bias helps address the problem, say female physicians. Other news: SSRIs may reduce fecundability, live birth rate in reproductive-age women Women in a subgroup receiving fluoxetine experienced a greater incidence of pregnancy loss than women taking other SSRIs. In methamphetamine use disorder, consider off-label drugs No approved treatments exist, but medications for other conditions might help, said Dr. Larissa J. Mooney. Don’t let knowledge gaps hold back fracture prevention efforts, experts say Experts recommend focusing on what is already known to prevent osteoporotic fractures to avoid inaction. Ankylosing spondylitis, axial PsA may be two different diseases Axial PsA and AS with psoriasis seem to be two different diseases with different genetics, demographics, and disease expression. You can contact the MDedge Daily Medical News by emailing us at podcasts...

9 MIN4 d ago
Comments
#MyFirstNameIsDoctor targets gender bias; SSRIs tied to pregnancy loss

What to tell patients about wildfire smoke; feds reduce the 'kick' in anti-kickback laws

Wildfire smoke impact, part 2: Resources, advice for patients By Doug Brunk What can doctors tell their patients with cardiovascular and pulmonary conditions about the risks of smoke from wildfires? Other news: HHS floats Stark/anti-kickback revisions to support value-based care Health law attorneys say reforms should remove some of the risk in value-based care arrangements that exist under current law. Rivaroxaban trends toward higher thrombotic risk than vitamin K antagonists in APS Patients who took rivaroxaban experienced almost two times as many thrombotic events as patients who took dose-adjusted vitamin K antagonists. Increased Parkinson’s disease risk seen with bipolar disorder People with bipolar disorder may be at increased risk of developing Parkinson’s disease in later life. Changes to public charge rule blocked by courts Courts have temporarily blocked a Trump administration rule that would make it more difficult for immigrants to remain in the United States if they r...

8 MIN5 d ago
Comments
What to tell patients about wildfire smoke; feds reduce the 'kick' in anti-kickback laws

Cannabinoids aren’t ready for osteoarthritis prime time; wasteful health care spending approaches $1 trillion

Cannabinoids, stem cells lack evidence for osteoarthritis, expert says By Jake Remaly The treatments may interest patients, but are unsupported by the literature. Other stories: Wasteful health care spending could reach $935 billion The researchers noted note that administrative complexity was associated with the greatest contribution to waste. Short-term statin use linked to risk of skin and soft tissue infections Use of statins was associated with increased risk of SSTIs at an average of 91, 182, and 365 days. Low-FODMAP diet eases gut symptoms in IBD A 4-week diet low in fermentable carbohydrates eased gut symptoms in people with inflammatory bowel disease. BP screening nearly universal among Medicare enrollees Beneficiary snapshot looks at use of services and other key metrics.

8 MIN6 d ago
Comments
Cannabinoids aren’t ready for osteoarthritis prime time; wasteful health care spending approaches $1 trillion

Suicidality up in blacks, transgender teens

CDC updates guidance on vaping-associated lung injuryby Therese Borden There is new interim guidance from the CDC for patients with vaping-associating lung injury. Other stories: Suicidality risk high in transgender youth, varies by gender identity subtype Transgender adolescents should be screened for suicidality. Suicide attempts up in black U.S. teensThe overall self-reported suicidal behavior is down in U.S. teens, but attempts are up in black adolescents. Valacyclovir safely cut vertical CMV transmission Low-dose azithromycin prophylaxis significantly reduced exacerbations and hospitalizations in patients with primary antibody deficiency. You can contact the Daily Medical News by emailing us at podcasts@mdedge.comor following us on Twitter at @MDedgeTweets.

9 MIN1 w ago
Comments
Suicidality up in blacks, transgender teens

As-needed inhalers work in mild to moderate asthma; California legislates cheaper generics

Trial confirms as-needed inhalers suffice for mild to moderate asthma. By Ted Bosworth. Yet another trial supports as-needed inhaled steroids for mild to moderate asthma California bans “Pay for Delay,” promotes black maternal health, PrEP access. Two laws signed by Gov. Gavin Newsom addressed black maternal health and made PrEP available without a prescription. Firearm-related deaths show recent increase. Mortality from suicides and homicides began to rise in 2015. Lifetime indoor tanning raises risk of cutaneous squamous cell carcinoma. Researchers found a dose-response association between number of indoor tanning sessions and SCC risk in Norwegian women. Influenza vaccination modestly reduces risk of hospitalizations in patients with COPD. Older patients with COPD need more effective influenza vaccines and other preventive strategies. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com, or by following us on Twitter at @MDedgeTweets.

9 MIN1 w ago
Comments
As-needed inhalers work in mild to moderate asthma; California legislates cheaper generics

Ditch CRC screen in low-risk patients; push Tdap and flu shots for pregnant women

New practice guideline: CRC screening isn't necessary for low-risk patients aged 50-75 years By Michele Sullivan For individuals aged 50-79 with no symptoms and an estimated 15-year CRC risk below 3%, no screening is recommended. Too few pregnant women receive both influenza and Tdap vaccines But strong provider recommendations can increase vaccine uptake. Set reasonable expectations for managing refractory rheumatoid arthritis The definition of difficult-to-treat rheumatoid arthritis varies among experts, and the reasons for refractoriness are often unknown. Consider centralized pain in patients with rheumatic disease Every patient with chronic pain should complete a fibromyalgia survey. Intensive cognitive training may be needed for memory gains in multiple sclerosis Patients with MS saw the best results with the most intensive memory strategies. You can contact MDedge Daily Medical News by emailing us at podcasts@mdedge.com,or by following us on Twitter at @MDedgeTweets.

8 MIN1 w ago
Comments
Ditch CRC screen in low-risk patients; push Tdap and flu shots for pregnant women

Is burnout’s burn overstated? Steroids tied to preterm birth risk

Clinician burnout can impact quality of care By Heidi Splete A meta-analysis suggests that burnout may be associated with lower quality of care, but the effect may be less because of study limitations. Corticosteroid use in pregnancy linked to preterm birth Women with rheumatoid arthritis taking oral corticosteroids during pregnancy may be at increased risk of preterm birth. New York declares end to 2018 measles outbreak Reports of unrelated measles cases in the state continue. Hypoxia-related discoveries net Nobel Prize A trio of physician-scientists has won the Nobel Prize for their work, which has implications for the treatment of anemia, cancer, and other diseases. Liraglutide an ‘option’ for treating pediatric type 2 diabetes The ELLIPSE trial shows clinicians aren’t limited to metformin and insulin for children with diabetes. You can contact MDedge Daily Medical News by emailing us at podcasts@mdedge.com,or by following us on Twitter at @MDedgeTweets.

7 MIN1 w ago
Comments
Is burnout’s burn overstated? Steroids tied to preterm birth risk

Think comorbidities in substance use disorder; vaping lung injuries likely chemical pneumonitis

SUDs are almost always comorbid with other disorders By Randy Dotinga It’s crucial to treat the accompanying mental illness that is almost always present. Other news: Histologic analysis of vaping-associated lung injury suggests chemical pneumonitis Foamy macrophages and pneumocyte vacuolization were seen in all cases. Massachusetts tops state vaccination rankings Where did your state finish? Consider cognitive reframing of osteoporosis to improve adherence Counter negative patient perceptions by explaining the risks of not undergoing treatment. Viral cause of acute flaccid myelitis eludes detection Acute flaccid myelitis shows a viral etiology but analysis of specimens from affected individuals fails to identify a single viral cause. You can contact MDedge Daily Medical News by e-mailing us at podcasts@mdedge.com,or by following us on Twitter at @MDedgeTweets.

8 MIN1 w ago
Comments
Think comorbidities in substance use disorder; vaping lung injuries likely chemical pneumonitis

Latest Episodes

Vaping-linked lung injuries near 1,500; doctor says nicotine, not flavors, are the problem

Physician: The nicotine, not the flavors, needs regulationby Gregory Twacthman The use of nicotine salt at high concentrations allows nicotine to be absorbed more quickly, according to Dr. Michael B. Siegel. Other News: Global blood supply runs low Worldwide, more than 60% of countries had an inadequate supply of blood to meet the demand for transfusion. Obesity ups type 2 diabetes risk for more than lifestyle, genetics Obesity, more than having a poor lifestyle, significantly raised the odds of developing type 2 diabetes. Guidelines updated for treating community-acquired pneumonia The panel addressed 16 questions in the areas of diagnostic testing, determination of site of care, selection of initial empiric antibiotic therapy, and subsequent management decisions. Vaping-linked lung injuries near 1,500 E-cigarette-linked lung injuries, now called EVALI, occurred in all U.S. states. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.comor following us on...

10 MIN19 h ago
Comments
Vaping-linked lung injuries near 1,500; doctor says nicotine, not flavors, are the problem

Kids face delayed Zika consequences; concussion’s effects linger on MRI

In utero Zika exposure can have delayed consequences By Mitchel Zoler Infants born following in utero Zika virus exposure can appear normal at birth but have neurodevelopmental problems later. Other news: Concussion effects may linger on MRI 1 year after athletes resume play More research is needed to understand the optimal recovery time from a neurobiological perspective. Universal coverage may be possible without increases in national spending The researchers found two health care reform scenarios meeting this criterion that continue to utilize private insurance. Suicide attempts up in black U.S. teens The rate of attempts grew from 1991 to 2017 in black adolescents, but white adolescents are still more likely to kill themselves. Hyperhidrosis treatment options update The best time to apply an antiperspirant is right before bedtime. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.comor following us on Twitter at @MDedgeTweets.

10 MIN3 d ago
Comments
Kids face delayed Zika consequences; concussion’s effects linger on MRI

#MyFirstNameIsDoctor targets gender bias; SSRIs tied to pregnancy loss

#MyFirstNameIsDoctor: Why it matters, and what you can do By Kari Oakes Putting a name to persistent and insidious gender bias helps address the problem, say female physicians. Other news: SSRIs may reduce fecundability, live birth rate in reproductive-age women Women in a subgroup receiving fluoxetine experienced a greater incidence of pregnancy loss than women taking other SSRIs. In methamphetamine use disorder, consider off-label drugs No approved treatments exist, but medications for other conditions might help, said Dr. Larissa J. Mooney. Don’t let knowledge gaps hold back fracture prevention efforts, experts say Experts recommend focusing on what is already known to prevent osteoporotic fractures to avoid inaction. Ankylosing spondylitis, axial PsA may be two different diseases Axial PsA and AS with psoriasis seem to be two different diseases with different genetics, demographics, and disease expression. You can contact the MDedge Daily Medical News by emailing us at podcasts...

9 MIN4 d ago
Comments
#MyFirstNameIsDoctor targets gender bias; SSRIs tied to pregnancy loss

What to tell patients about wildfire smoke; feds reduce the 'kick' in anti-kickback laws

Wildfire smoke impact, part 2: Resources, advice for patients By Doug Brunk What can doctors tell their patients with cardiovascular and pulmonary conditions about the risks of smoke from wildfires? Other news: HHS floats Stark/anti-kickback revisions to support value-based care Health law attorneys say reforms should remove some of the risk in value-based care arrangements that exist under current law. Rivaroxaban trends toward higher thrombotic risk than vitamin K antagonists in APS Patients who took rivaroxaban experienced almost two times as many thrombotic events as patients who took dose-adjusted vitamin K antagonists. Increased Parkinson’s disease risk seen with bipolar disorder People with bipolar disorder may be at increased risk of developing Parkinson’s disease in later life. Changes to public charge rule blocked by courts Courts have temporarily blocked a Trump administration rule that would make it more difficult for immigrants to remain in the United States if they r...

8 MIN5 d ago
Comments
What to tell patients about wildfire smoke; feds reduce the 'kick' in anti-kickback laws

Cannabinoids aren’t ready for osteoarthritis prime time; wasteful health care spending approaches $1 trillion

Cannabinoids, stem cells lack evidence for osteoarthritis, expert says By Jake Remaly The treatments may interest patients, but are unsupported by the literature. Other stories: Wasteful health care spending could reach $935 billion The researchers noted note that administrative complexity was associated with the greatest contribution to waste. Short-term statin use linked to risk of skin and soft tissue infections Use of statins was associated with increased risk of SSTIs at an average of 91, 182, and 365 days. Low-FODMAP diet eases gut symptoms in IBD A 4-week diet low in fermentable carbohydrates eased gut symptoms in people with inflammatory bowel disease. BP screening nearly universal among Medicare enrollees Beneficiary snapshot looks at use of services and other key metrics.

8 MIN6 d ago
Comments
Cannabinoids aren’t ready for osteoarthritis prime time; wasteful health care spending approaches $1 trillion

Suicidality up in blacks, transgender teens

CDC updates guidance on vaping-associated lung injuryby Therese Borden There is new interim guidance from the CDC for patients with vaping-associating lung injury. Other stories: Suicidality risk high in transgender youth, varies by gender identity subtype Transgender adolescents should be screened for suicidality. Suicide attempts up in black U.S. teensThe overall self-reported suicidal behavior is down in U.S. teens, but attempts are up in black adolescents. Valacyclovir safely cut vertical CMV transmission Low-dose azithromycin prophylaxis significantly reduced exacerbations and hospitalizations in patients with primary antibody deficiency. You can contact the Daily Medical News by emailing us at podcasts@mdedge.comor following us on Twitter at @MDedgeTweets.

9 MIN1 w ago
Comments
Suicidality up in blacks, transgender teens

As-needed inhalers work in mild to moderate asthma; California legislates cheaper generics

Trial confirms as-needed inhalers suffice for mild to moderate asthma. By Ted Bosworth. Yet another trial supports as-needed inhaled steroids for mild to moderate asthma California bans “Pay for Delay,” promotes black maternal health, PrEP access. Two laws signed by Gov. Gavin Newsom addressed black maternal health and made PrEP available without a prescription. Firearm-related deaths show recent increase. Mortality from suicides and homicides began to rise in 2015. Lifetime indoor tanning raises risk of cutaneous squamous cell carcinoma. Researchers found a dose-response association between number of indoor tanning sessions and SCC risk in Norwegian women. Influenza vaccination modestly reduces risk of hospitalizations in patients with COPD. Older patients with COPD need more effective influenza vaccines and other preventive strategies. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com, or by following us on Twitter at @MDedgeTweets.

9 MIN1 w ago
Comments
As-needed inhalers work in mild to moderate asthma; California legislates cheaper generics

Ditch CRC screen in low-risk patients; push Tdap and flu shots for pregnant women

New practice guideline: CRC screening isn't necessary for low-risk patients aged 50-75 years By Michele Sullivan For individuals aged 50-79 with no symptoms and an estimated 15-year CRC risk below 3%, no screening is recommended. Too few pregnant women receive both influenza and Tdap vaccines But strong provider recommendations can increase vaccine uptake. Set reasonable expectations for managing refractory rheumatoid arthritis The definition of difficult-to-treat rheumatoid arthritis varies among experts, and the reasons for refractoriness are often unknown. Consider centralized pain in patients with rheumatic disease Every patient with chronic pain should complete a fibromyalgia survey. Intensive cognitive training may be needed for memory gains in multiple sclerosis Patients with MS saw the best results with the most intensive memory strategies. You can contact MDedge Daily Medical News by emailing us at podcasts@mdedge.com,or by following us on Twitter at @MDedgeTweets.

8 MIN1 w ago
Comments
Ditch CRC screen in low-risk patients; push Tdap and flu shots for pregnant women

Is burnout’s burn overstated? Steroids tied to preterm birth risk

Clinician burnout can impact quality of care By Heidi Splete A meta-analysis suggests that burnout may be associated with lower quality of care, but the effect may be less because of study limitations. Corticosteroid use in pregnancy linked to preterm birth Women with rheumatoid arthritis taking oral corticosteroids during pregnancy may be at increased risk of preterm birth. New York declares end to 2018 measles outbreak Reports of unrelated measles cases in the state continue. Hypoxia-related discoveries net Nobel Prize A trio of physician-scientists has won the Nobel Prize for their work, which has implications for the treatment of anemia, cancer, and other diseases. Liraglutide an ‘option’ for treating pediatric type 2 diabetes The ELLIPSE trial shows clinicians aren’t limited to metformin and insulin for children with diabetes. You can contact MDedge Daily Medical News by emailing us at podcasts@mdedge.com,or by following us on Twitter at @MDedgeTweets.

7 MIN1 w ago
Comments
Is burnout’s burn overstated? Steroids tied to preterm birth risk

Think comorbidities in substance use disorder; vaping lung injuries likely chemical pneumonitis

SUDs are almost always comorbid with other disorders By Randy Dotinga It’s crucial to treat the accompanying mental illness that is almost always present. Other news: Histologic analysis of vaping-associated lung injury suggests chemical pneumonitis Foamy macrophages and pneumocyte vacuolization were seen in all cases. Massachusetts tops state vaccination rankings Where did your state finish? Consider cognitive reframing of osteoporosis to improve adherence Counter negative patient perceptions by explaining the risks of not undergoing treatment. Viral cause of acute flaccid myelitis eludes detection Acute flaccid myelitis shows a viral etiology but analysis of specimens from affected individuals fails to identify a single viral cause. You can contact MDedge Daily Medical News by e-mailing us at podcasts@mdedge.com,or by following us on Twitter at @MDedgeTweets.

8 MIN1 w ago
Comments
Think comorbidities in substance use disorder; vaping lung injuries likely chemical pneumonitis