About 523,990 results

3 steps to bend the curve of schizophrenia
Henry A. Nasrallah, MD

Jul 1st, 2022 - Schizophrenia is arguably the most serious psychiatric brain syndrome. It disables teens and young adults and robs them of their potential and life dreams.

Smoking cessation: Varenicline and the risk of neuropsychiatric adverse events
Danielle Murray, PharmD, Emily Montgomery, PharmD et. al.

Jul 1st, 2022 - Mr. T, age 34, is a veteran who recently returned to civilian life.

Exocrine Pancreatic Insufficiency: Risk Factors and Management Approaches
Jodie Barkin, MD,, MDedge News

Jul 1st, 2022 - What characteristics or symptoms do you look for to identify patients who are at risk for exocrine pancreatic insufficiency (EPI)? Dr. Barkin: The first thing we have to understand is which patient populations we should consider.

The Role of Bronchoscopic Lung Volume Reduction in COPD
Javier Diaz-Mendoza, MD, FCCP

Jul 1st, 2022 - Patients with chronic obstructive pulmonary disease (COPD) typically have emphysema, which involves destruction of alveoli and reduction of elasticity leading to airflow obstruction, air trapping, and hyperinflation. Over time, these changes cause low respiratory reserve volume and increased residual volume, which cause dyspnea.

Insurer Delays Prior Authorization, Patient Loses Leg and Pelvis, Then Dies

Jul 1st, 2022 - North Carolina patient Kathleen Valentini was referred to an orthopedic surgeon after experiencing excruciating pain in her hip that continued to worsen. When an x-ray failed to reveal the cause, the orthopedic surgeon ordered an MRI to determine the source of Valentini's symptoms. Valentini's insurer, however, denied coverage of the MRI, saying that it was medically unnecessary. Group Health I...

Mistaken Probability, a Prior Authorization Push, and a Busy Weekend Ahead for EDs

Jul 1st, 2022 - Is What You Call Probable…Impossible? Nearly 78% of physicians gave logically impossible answers when asked to estimate the probability of medical events happening, according to research. The mistake, called conjunction fallacy, can lead to serious clinical errors. Famous example: "Linda is 31 years old, single, outspoken, and very bright. She majored in philosophy. As a student, she was deeply...

Fertility rates lower in disadvantaged neighborhoods
Marcia Frellick

Jun 30th, 2022 - A new study ties the odds of conception to the advantages of the neighborhood a woman lives in. In a cohort of more than 6,000 women who were trying to get pregnant without fertility treatments, the probability of conception was reduced 21%-23% per menstrual cycle when comparing the most disadvantaged neighborhoods with the least disadvantaged.

Commentary: Evaluating New Treatments and Cardiovascular Risk in PsA, July 2022
Vinod Chandran, MBBS, MD, DM, PhD

Jun 30th, 2022 - Vinod Chandran, MBBS, MD, DM, PhD Inhibition of the Janus kinase-signal transducer and activator of transcription (JAK-STAT) pathway by JAK inhibitors is efficacious in psoriatic arthritis (PsA). On the basis of the results of the pivotal SELECT-PsA 1 and SELECT-PsA 2 trials, upadacitinib, a selective JAK1 inhibitor, was recently approved for the treatment of PsA.

ASCO outlines optimal treatments for patients with metastatic clear cell renal cell carcinoma
Jim Kling

Jun 30th, 2022 - For the first time, the American Society for Clinical Oncology (ASCO) has released guidelines for the treatment of metastatic clear cell renal cell carcinoma. This year in the U.

Food insecurity drives poor glycemic control
Heidi Splete

Jun 30th, 2022 - People with diabetes who had a poor-quality diet and food insecurity were significantly more likely to have poor glycemic and cholesterol control than were those with a healthier diet and food security, based on data from a national study of more than 2,000 individuals. The American Diabetes Association recommends a high-quality diet for people with diabetes (PWD) to achieve treatment goals; ho.

No More Anonymity for Sperm Donors: Will That Hurt Donations?

Jun 30th, 2022 - This transcript has been edited for clarity. Hi. I'm Art Caplan at the Division of Medical Ethics at NYU's Grossman School of Medicine. I recently had the opportunity to testify in a trial. It was in a rural state, and it involved a doctor who had been taking care of a number of female patients as their ob/gyn probably 25 years ago. Two women, just for fun, signed up for one of the genetic test...

Murder of Physician Raises the Stress Level for All Clinicians

Jun 30th, 2022 - Physician stress — indeed, the stress level for all medical personnel — has reached new heights. As if it weren't enough that doctors work in a profession where it's almost more a question of when they'll be sued than if they'll be sued — where COVID, staff shortages and long hours, and patients frustrated over canceled procedures have caused unrelenting fatigue and stress — they now have to wo...

Updates in Aspirin Use, Aducanumab, and CKD Diagnosis in Geriatric Care

Jun 30th, 2022 - This article originally appeared on MDedge.com. The following highlights are a brief overview of guideline updates, drug approvals, and diagnostics relevant to geriatric medicine from June 2021 to April 2022, some of which were discussed at the American Geriatrics Society conference in May. I selected these topics as they were among the most discussed by my colleagues in geriatric medicine and ...

Mosquitoes Go Viral if They Smell This on You

Jun 30th, 2022 - This transcript has been edited for clarity. Welcome to Impact Factor, your weekly dose of commentary on a new medical study. I'm Dr F. Perry Wilson of the Yale School of Medicine. As the nights get warmer here in Connecticut, I'm spending more and more time at dusk outside with my family. And alongside the ritual of roasting marshmallows for s'mores comes another ritual: complaining about who ...

Americans Look North and South for Abortion Access in Post-Roe World

Jun 30th, 2022 - (Reuters) - Some Americans without access to safe local abortions in the wake of the Supreme Court ruling are looking to the country's northern and southern neighbors for access to reproductive care. While most Americans are likely to first try to access abortion in other states, providers in Mexico and Canada told Reuters they expect some people - especially from border states - will make the ...

Betrayed by a Reactionary SCOTUS

Jun 30th, 2022 - The Supreme Court's decisions this past week have made us all — particularly women — more unsafe. The gun decision, especially on the heels of the Uvalde massacre and the rise in mass shootings, is incomprehensible. I'll address that in another post. But the biggest betrayal for me, and women in this country, is the Supreme Court's overturning Roe v Wade — the focus here. First, these "Justices...

Diabetes Devices May Give Kids Contact Dermatitis

Jun 30th, 2022 - Devices that help children control their diabetes and lead fuller lives may also give them contact dermatitis, report the authors of a new study that calls for mandatory labeling of ingredients for allergy patch testing. "A high share of patients showed positive reactions to isobornyl acrylate adhesive (IBOA) and/or their medical devices (insulin pumps or glucose devices)," the study authors wr...

Roe Cited for Gender-Affirming Surgery Bans, Pediatric Hospitals Have Same Health Outcomes, Cosmeceuticals Sell

Jun 30th, 2022 - Alabama Did What People Predicted It Would Do Alabama cited the US Supreme Court's decision to overturn Roe v. Wade when urging a federal court to cease the block on the state's ban of gender-affirming surgery for transgender children. "No one — adult or child — has a right to transitioning treatments that is deeply rooted in our Nation's history and tradition," said Alabama Attorney General St...

Lawmakers Argue for Changes in Prior Authorization Processes

Jun 30th, 2022 - Republican and Democratic members of the House called for changes in how insurer-run Medicare plans manage the prior authorization process, following testimony from a federal watchdog organization about improper denials of payment for care. About 18% of payment denials in a sample examined by the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) either met M...

What Are the Benefits of a Fourth Vaccination Against COVID?

Jun 30th, 2022 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. The fourth vaccination against COVID-19 is the subject of intense discussion. Immunity against new Omicron variants (currently BA.4 and BA.5) is getting weaker and weaker. Is another vaccination with the available vaccines worth it? For Leif Erik Sander, MD, director of infectious diseases and p...