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Cyberattack, Overworked Doctors, Travel Restrictions: COVID-19 Global Weekly Highlights
https://www.medscape.com/viewarticle/950712

May 6th, 2021 - These are the global coronavirus stories you need to know about this week. India reported 3780 deaths on May 5, the highest daily death toll since the beginning of the pandemic. In the past week, India accounted for 46% of total COVID-19 cases and 1 in 4 COVID-19 deaths worldwide. On May 1, India widened its COVID-19 vaccination programme to include all adults aged 18 and over. However, several...

FDA In Brief: FDA Issues Procedural Notice on Potential Plans to Conduct Research About Use of ‘Healthy’ Symbols on Food Products | FDA
https://www.fda.gov/news-events/press-announcements/fda-brief-fda-issues-procedural-notice-potential-plans-conduct-research-about-use-healthy-symbols

May 6th, 2021 - For Immediate Release: May 06, 2021 The following quote is attributed to Conrad Choiniere, Ph.D., director of the Office of Analytics and Outreach, Center for Food Safety and Applied Nutrition "The FDA understands that consumers want healthy choices when it comes to food and nutrition. Today, we are issuing a procedural notice on preliminary consumer research we are planning on the use of symbo...

Web-Based Patient Education Cuts Down Upper GI Endoscopy for Dyspepsia
https://www.medscape.com/viewarticle/950605

May 5th, 2021 - (Reuters Health) - Patients with uninvestigated dyspepsia may be less likely to require an upper gastrointestinal tract endoscopy if they participate in web-based patient education, a small clinical trial suggests. Researchers followed 119 patients with uninvestigated symptoms of dyspepsia who had been referred by general practitioners for an upper gastrointestinal (GI) tract endoscopy without ...

COVID Delay of Treatment of Neovascular Age-Related Macular Degeneration Less Harmful Than Expected
https://www.medscape.com/viewarticle/950709

May 5th, 2021 - Many people with neovascular age-related macular degeneration (nAMD) lost less vision than expected during treatment delays imposed by COVID-19, researchers say. The finding suggests that physicians may be overtreating these patients, said James Talks, MB BChir, a consultant ophthalmologist at the Royal Victoria Infirmary in Newcastle upon Tyne, United Kingdom. But many patients with nAMD decid...

Preventing Endoscopist Injuries Starts With Ergonomics
https://www.medscape.com/viewarticle/950634

May 5th, 2021 - Endoscopists are at high risk of musculoskeletal issues, and a multifaceted strategy is needed to reduce rates of injury, including better body posture and endoscopic suite layout, according to leading experts. Latha Alaparthi, MD, director of committee operations at Gastroenterology Center of Connecticut, Hamden, and assistant clinical professor at Yale University, New Haven, Conn. , noted tha...

No Extra Drop in AF Burden from Postablation Weight-Loss Program: SORT-AF
https://www.medscape.com/viewarticle/950629

May 5th, 2021 - Obesity is well known to promote atrial fibrillation (AF), and catheter ablation can dramatically cut back on AF prevalence. But assigning patients to a structured obesity-reduction program after AF ablation may not enhance the treatment's effect on AF burden, a novel randomized trial suggests. Of 133 patients with symptomatic persistent or paroxysmal AF with a body mass index (BMI) in the 30 t...

Pediatric Cancer Survivors at Risk for Opioid Misuse
https://www.medscape.com/viewarticle/950642

May 5th, 2021 - Survivors of childhood cancers are at increased risk for prescription opioid misuse compared with their peers, a review of a claims database revealed. Among more than 8,000 patients age 21 or younger who had completed treatment for hematologic, central nervous system, bone, or gonadal cancers, survivors were significantly more likely than were their peers to have an opioid prescription, longer ...

 Sleep Disorders Linked to an Increased Risk of Osteoarthritis
https://www.medscape.com/viewarticle/950625

May 5th, 2021 - Takeaway Sleep disorders were significantly associated with an increased risk of osteoarthritis (OA). The association was significant across all sex, age and OA type subgroups, with the exception of patients aged >80 years and those with knee OA. Why this matters Findings highlight the importance of improving the diagnosis and management of sleep disorders to mitigate their potentially deleteri...

CVST With AZ COVID Vaccine: 1 in 40,000 'More Reliable' Estimate
https://www.medscape.com/viewarticle/950646

May 5th, 2021 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. A new study that systematically monitored rates of vascular and thromboembolic events in people receiving the AstraZeneca COVID-19 vaccine has found it to be associated with a rate of cerebral venous sinus thrombosis (CVST) of 1 in 40,000. "Early on, we thought CVST was a very rare occurrence — ...

Dexamethasone for Nausea Does Not Raise Risk of Surgical-Site Infections
https://www.medscape.com/viewarticle/950607

May 5th, 2021 - NEW YORK (Reuters Health) - Fears that dexamethasone may increase the risk of surgical-site infection when given to prevent nausea and vomiting after an operation appear to be unfounded. A new noninferiority study of 8,725 volunteers who received the drug or placebo for their nonurgent, noncardiac surgery found an infection rate of 8. 1% over 30 days with intravenous dexamethasone and 9 More im...

Going Viral: Social Media May Be Increasing Cases of New-Onset Tics
https://www.medscape.com/viewarticle/949882

May 5th, 2021 - This transcript has been edited for clarity. Kathrin LaFaver, MD: Hello. I'm Dr Kathrin LaFaver, a movement disorders specialist at Northwestern University here in Chicago. It is my great pleasure today to interview Dr Tamara Pringsheim on the topic of acute-onset explosive tic-like behaviors. Dr Pringsheim is an associate professor in the Department of Clinical Neurosciences, Psychiatry, Pedia...

Moderna Announces First Data Showing Efficacy of COVID-19 Vaccine Booster in Development
https://www.medscape.com/viewarticle/950650

May 5th, 2021 - Find the latest COVID-19 news and guidance in Medscape's  Coronavirus Resource Center. The Moderna SARS-CoV-2 vaccine booster developed specifically with variant B. 1

New Pediatric Advanced Life Support Guidelines Raise Questions
https://www.medscape.com/viewarticle/950200

May 5th, 2021 - This transcript has been edited for clarity. Robert D. Glatter, MD: Hi. I'm Dr Robert Glatter, medical advisor for Medscape Emergency Medicine. More than 20,000 pediatric cardiac arrests occur annually in the US, but the outcomes for about 7000 annual pediatric out-of-hospital cardiac arrests have remained poor, with no significant improvement for decades in overall survival and neurologically ...

Obesity Is Deadlier in Men With COVID-19 Than in Women
https://www.medscape.com/viewarticle/950662

May 5th, 2021 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. The association between obesity and poor outcomes in COVID-19 are worse in men than women, with increased rates of in-hospital death, shows the largest study to date exploring the different impact of obesity between the sexes on COVID-19.   As a primary outcome, researchers looked at which class...

Pediatric Topics Cross Continuum of COVID-19
https://www.medscape.com/viewarticle/950674

May 5th, 2021 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. A year into the COVID-19 pandemic, it is fair to say that children do transmit the virus, but at lower rates, Philip Zachariah, MD, of Columbia University, New York City, said in a presentation at SHM Converge, the annual conference of the Society of Hospital Medicine. Supportive care remains a ...

Infective Endocarditis With Stroke After TAVR Has 'Dismal' Prognosis
https://www.medscape.com/viewarticle/950702

May 5th, 2021 - Patients who suffer a stroke during hospitalization for infective endocarditis (IE) after transcatheter aortic valve replacement (TAVR) have a dismal prognosis, with more than half dying during the index hospitalization and two thirds within the first year, a new study shows. The study — the first to evaluate stroke as an IE-related complication following TAVR in a large multicenter cohort — is...

COVID-19 Confinement May Have Caused Myopia in Kids
https://www.medscape.com/viewarticle/950711

May 5th, 2021 - The COVID-19 pandemic may have increased the prevalence of myopia by confining young children indoors, researchers say. Spending more time inside focused on computer screens appears to have most affected the eyesight of the youngest school children, said Xuehan Qian, MD, PhD, of Tianjin Medical University Eye Hospital in Tianjin, China. "We should be worried about the eye problems of COVID-19, ...

Ohio Surgeon Who Wrote His Own Colorful Obituary Dead at 48
https://www.medscape.com/viewarticle/950540

May 4th, 2021 - The family of Ohio surgeon Thomas Lee Flanigan, 48, who died last week, made public the obituary he wrote himself, self-eulogizing his "shocking and unexpected, yet fabulous, exit." Flanigan, who referred to himself as the "Ginger God of Surgery and Shenanigans," wrote, "Yes, I have joined the likes of Princess Diana, John Belushi, and Steve Irwin the Crocodile Hunter in leaving while still at ...

In-Hospital Glucose Management Program Gives Dramatic Savings
https://www.medscape.com/viewarticle/950563

May 4th, 2021 - Initiatives targeting hypoglycemia and insulin pen wastage could lead to dramatic cost savings in small community hospitals, new data suggest. The two projects are part of a dedicated inpatient glucose management service led by Mihail ("Misha") Zilbermint, MD, one of the few full-time endocrine hospitalists in the United States and one of even fewer who work at a small community hospital. Regar...

FDA Reviewers: Why We Are Against Approval of Aducanumab for Alzheimer's
https://www.medscape.com/viewarticle/950565

May 4th, 2021 - Three members of a US Food and Drug Administration (FDA) advisory committee are explaining why they do not support approval of the drug aducanumab (Biogen, Eisai) for the treatment of Alzheimer's disease (AD). G. Caleb Alexander, MD, Scott Emerson, MD, PhD, and Aaron Kesselheim, MD, JD, MPH, all serve on the FDA's Peripheral and Central Nervous System Advisory Committee and participated in the ...