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Commentary: Menstruation, sleep, and visual disturbances in migraine, October 2022
https://www.mdedge.com/migraine-icymi/article/258412/headache-migraine/commentary-menstruation-sleep-and-visual
Thomas Berk, MD

Oct 4th, 2022 - Women experience three times more migraine than men, and menstrual migraine specifically is a common subtype of migraine in women. Even women who do not have exclusively menstrual-related attacks can still have significant hormonal triggers of their migraine.

Infections Reported After Single Dose of Monkeypox Vaccine
https://www.clinicaladvisor.com/home/topics/infectious-diseases-information-center/infections-reported-after-single-dose-monkeypox-vaccine/
Clinical Advisor

Oct 4th, 2022 - HealthDay News — Most cases of monkeypox that occur after vaccination with the modified Vaccinia Ankara-Bavarian Nordic vaccine (MVA-BN) occur within 14 days of receipt of the first dose, according to a research letter published online in the Journal of the American Medical Association. Aniruddha Hazra, MD, from Howard Brown Health in Chicago, and colleagues describe monkeypox infections after ...

Turned away from urgent care – and toward a big ER bill
https://www.mdedge.com/familymedicine/article/258397/business-medicine/turned-away-urgent-care-and-toward-big-er-bill
MDedge Family Medicine; Sam Whitehead, Kaiser Health News

Oct 4th, 2022 - Frankie Cook remembers last year’s car crash only in flashes. She was driving a friend home from high school on a winding road outside Rome, Ga.

Pulmonary Rehabilitation for COPD Has Greater Effect Coupled With Triple Therapy
https://www.pulmonologyadvisor.com/home/topics/copd/pulmonary-rehabilitation-for-copd-has-greater-effect-coupled-with-triple-therapy/
Pulmonology Advisor

Oct 4th, 2022 - Pulmonary rehabilitation (PR) significantly benefits patients with chronic obstructive pulmonary disease (COPD). Moreover, those receiving inhaled triple therapy (TT) experienced greater benefits in exercise tolerance with pulmonary rehabilitation than those not using TT. These are among study findings published in Respiratory Medicine. Investigators assessed the effects of inpatient PR in pati...

Is Biopsychosocial Rehabilitation Beneficial in Relieving Pain in Osteoarthritis?
https://www.rheumatologyadvisor.com/home/topics/osteoarthritis/is-biopsychosocial-rehabilitation-beneficial-in-relieving-pain-in-osteoarthritis/
Rheumatology Advisor

Oct 4th, 2022 - Biopsychosocial rehabilitation has a statistically significant but clinically small beneficial effect on pain outcomes, without causing harm, in patients with osteoarthritis (OA) and inflammatory arthritis, according to study findings published in Arthritis Care & Research (Hoboken). Researchers conducted a systematic review and meta-analysis of MEDLINE, Embase, PsycInfo, CINAHL, and Cochrane C...

Visual Impairments May Accompany Reduced Hand Grip Strength
https://www.rheumatologyadvisor.com/home/general-rheumatology/reduced-hand-grip-strength-correlates-to-visual-impairments/
Rheumatology Advisor

Oct 4th, 2022 - Reduced hand grip strength (HGS) is significantly associated with visual impairment, as well as shorter axial length, thinner peripapillary retinal nerve fiber layer, lower intraocular pressure (IOP), and a higher prevalence of diabetic retinopathy, according to the study published in British Journal of Ophthalmology. HGS may provide clinical insight to ophthalmologists on their patient’s gener...

Naloxone Outreach Program Incorporating Pharmacy-Based Student Interns Found Feasible
https://www.rheumatologyadvisor.com/home/topics/practice-management/hospital-program-incorporates-student-interns-into-naloxone-outreach/
Rheumatology Advisor

Oct 4th, 2022 - A study incorporating pharmacy student interns into naloxone outreach was found to be feasible, and the program had a high naloxone acceptance rate, according to research published in the Journal of Pain & Palliative Care Pharmacotherapy. This study was conducted at the William S. Middleton Memorial Veterans Hospital, in Madison, Wisconsin. Incoming third-year pharmacy student interns (n=4) wer...

Few Patients With Alopecia Areata Are Willing to Undergo Treatment
https://www.dermatologyadvisor.com/home/topics/general-dermatology/few-patients-with-alopecia-areata-willing-to-undergo-treatment/
Dermatology Advisor

Oct 4th, 2022 - Most patients with alopecia areata (AA) reported that severe health risks are not acceptable when undergoing treatment, and stinging/burning is the only risk that most would tolerate, according to findings from a study published in the Archives of Dermatological Research. Investigators sought to characterize the willingness of patients with AA to undergo treatment via a secondary data analysis ...

Tralokinumab Promising for Long-Term Treatment of Atopic Dermatitis
https://www.dermatologyadvisor.com/home/topics/dermatitis/tralokinumab-promising-for-long-term-treatment-of-atopic-dermatitis/
Dermatology Advisor

Oct 4th, 2022 - Tralokinumab, a monoclonal antibody which inhibits interleukin (IL)-13, was well-tolerated and effective for atopic dermatitis (AD), controlling signs and symptoms during 2 years in adults with moderate to severe AD, according to data from a post hoc interim analysis from the ongoing, open-label, 5-year extension trial ECZTEND published in the Journal of the American Academy of Dermatology. Pat...

Device-Measured Physical Activity and Possible Association with Heart Failure
https://www.dermatologyadvisor.com/home/topics/general-medicine/device-measured-physical-activity-and-possible-association-with-heart-failure/
Dermatology Advisor

Oct 4th, 2022 - Reduced risk for heart failure (HF) is associated with device-measured physical activity, especially moderate-intensity physical activity, according to study findings published in Circulation. Researchers sought to evaluate the dose-response relationship between device-measured physical activity and HF stratified by physical activity intensity. They conducted a prospective cohort study that inc...

The hunt for N-acetylcysteine: Medicine or dietary supplement?
https://www.mdedge.com/psychiatry/article/258393/obsessive-compulsive-disorder/hunt-n-acetylcysteine-medicine-or-dietary
Dinah Miller, MD

Oct 4th, 2022 - Medicine or dietary supplement? N-acetylcysteine (NAC) is marketed as both and in 2021, the supplement abruptly became difficult to find, causing distress to people who had been using it for a variety of conditions. The story behind its disappearance is one of a cat-and-mouse chase between manufacturers, advocacy agencies, and the Food and Drug Administration.

Subcutaneous Immunotherapy Safe, Effective in Pediatric Allergic Rhinitis/Asthma
https://www.pulmonologyadvisor.com/home/topics/asthma/subcutaneous-immunotherapy-safe-effective-in-pediatric-allergic-rhinitis-asthma/
Pulmonology Advisor

Oct 4th, 2022 - Subcutaneous immunotherapy (SCIT) for children with allergic rhinitis and/or asthma safely and effectively improves nasal symptoms and asthma after 1 year of treatment, according to study findings published in International Journal of Pediatric Otorhinolaryngology. Subcutaneous immunotherapy sometimes needs to be curtailed due to adverse reactions (ARs) in patients. Investigators aimed to quant...

Nodular Liver a Marker for Worse Outcomes in Cystic Fibrosis Liver Disease
https://www.pulmonologyadvisor.com/home/topics/obstructive-lung-disease/nodular-liver-a-marker-for-worse-outcomes-in-cystic-fibrosis-liver-disease/
Pulmonology Advisor

Oct 4th, 2022 - Among children with cystic fibrosis (CF) liver disease (CFLD), those with nodular liver (NOD) have more liver-related complications than those without, according to study findings published in the Journal of Cystic Fibrosis. The Prediction by Ultrasound of the Risk of Hepatic Cirrhosis (PUSH) study enrolled children (N=166) aged 3 to 12 years with CF between 2010 and 2013. In this 9-year longit...

Had my patient come in today, we may have had other options
https://www.mdedge.com/hematology-oncology/article/258391/lung-cancer/had-my-patient-come-today-we-may-have-had-other
Joan H. Schiller, MD

Oct 4th, 2022 - Decades ago I saw a patient with non–small cell lung cancer (NSCLC) whose tumor was sent out for next-generation sequencing only to find a HER2 mutation. What to do? Had my patient come in today, we may have had other options.

Inhaled, Systemic Glucocorticoid Use May Affect White Matter Integrity
https://www.pulmonologyadvisor.com/home/general-pulmonology/inhaled-systemic-glucocorticoid-use-white-matter-integrity/
Pulmonology Advisor

Oct 4th, 2022 - Systemic and inhaled glucocorticoids may have detriments to white matter integrity, according to study findings published in BMJ Open. Glucocorticoids are the most prescribed medications on the market. These drugs have been associated with adverse effects to metabolic, cardiovascular, and musculoskeletal systems as well as causing neuropsychiatric symptoms. To evaluate the effects of glucocorti...

Atrial Fibrillation and Cardio-Embolic Stroke Affect Post-Stroke Delirium Risk
https://www.thecardiologyadvisor.com/home/topics/arrhythmia/atrial-fibrillation-and-cardio-embolic-stroke-affect-post-stroke-delirium-risk/
Cardiology Advisor

Oct 4th, 2022 - Atrial fibrillation (AF) and cardio-embolic stroke may contribute to an increased risk for post-stroke delirium, according to study findings published in World Neurosurgery. Investigators in China sought to determine if an association exists between AF and cardio-embolic stroke and post-stroke delirium. They conducted a systematic review and meta-analysis that included 18 observational studies ...

Myocardial Perfusion Does Not Differ Between Patients With Untreated RA and Healthy Individuals
https://www.thecardiologyadvisor.com/general-cardiology/myocardial-perfusion-does-not-differ-between-patients-with-untreated-ra-and-healthy-individuals/
Cardiology Advisor

Oct 4th, 2022 - Myocardial perfusion values did not differ between treatment-naive patients with early rheumatoid arthritis (RA) and healthy control participants, according to study findings published in Arthritis & Rheumatology. Patients with RA demonstrate an increased risk of developing coronary artery disease, secondary to inflammation, resulting in myocardial microvascular dysfunction. Researchers at Biom...

Chlorhexidine in Alcohol, Olanexidine Favored for Preventing Surgical Site Infections
https://www.thecardiologyadvisor.com/home/topics/prevention/chlorhexidine-in-alcohol-olanexidine-favored-for-preventing-surgical-site-infections/
Cardiology Advisor

Oct 4th, 2022 - Preoperative skin preparation with either chlorhexidine in alcohol or olanexidine is the most effective for preventing surgical site infections (SSIs), according to results of a systematic review and meta-analysis published in The Lancet Microbe. Researchers from Amsterdam University Medical Center in the Netherlands searched publication databases through November 2021 for studies of that asses...

Cutaneous Eruption in an Immunocompromised Patient
https://www.mdedge.com/dermatology/article/258385/infectious-diseases/cutaneous-eruption-immunocompromised-patient
Hesham Alshaikh, MD, Ahmad Aleisa, MD et. al.

Oct 4th, 2022 - The Diagnosis: Secondary Syphilis Histopathology revealed a lichenoid interface dermatitis with psoriasiform hyperplasia (Figure 1A). A single spirochete was identified using immunohistochemical staining (Figure 1B).

PSMA PET/CT Lymph Node Staging Can Predict Prostate Cancer Surgery Outcomes
https://www.endocrinologyadvisor.com/home/topics/general-endocrinology/psma-pet-ct-lymph-node-staging-can-predict-prostate-cancer-surgery-outcomes/
Endocrinology Advisor

Oct 4th, 2022 - Patients with prostate cancer who have pelvic lymph node metastases visualized on preoperative PSMA PET/CT staging (prostate-specific membrane antigen positron emission tomography/computed tomography) have a significantly higher risk for biochemical disease progression after robot-assisted radical prostatectomy (RARP) compared with those without pelvic lymph node metastases on imaging, recent s...