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Should COVID Shots for Teens Go to Developing Countries?
https://www.medscape.com/viewarticle/950683

May 5th, 2021 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. U. S The administration announced plans in late April to send 60 million doses of the AstraZeneca vaccine to countries in need. But that won't be enough to help resolve the humanitarian crisis, he says. Spencer is just one of many voices in the public health realm pushing for more international ...

School-Based Asthma Program Improves Care for Kids
https://www.medscape.com/viewarticle/950672

May 5th, 2021 - Asthma care coordination for children can be improved through a school-based asthma program involving the child's school, their family, and clinicians, according to a recent presentation at the annual meeting of the American Academy of Allergy, Asthma, and Immunology, held virtually this year. "Partnerships among schools, families, and clinicians can be powerful agents to improve the recognitio...

Prioritize Goals of Older Patients With Multimorbidities
https://www.medscape.com/viewarticle/950670

May 5th, 2021 - When caring for older adults with multiple chronic conditions, prioritizing patient goals is more effective and efficient than trying to address each condition in isolation, said Mary Tinetti, MD, Gladys Phillips Crofoot Professor of Medicine and Public Health and chief of geriatrics at Yale University, New Haven, Conn. During a virtual presentation at the American College of Physicians annual ...

Vaping Linked to Visual Impairment
https://www.medscape.com/viewarticle/950633

May 5th, 2021 - People who use e-cigarettes have a high rate of visual impairment, researchers say, and that association is independent of and in addition to traditional cigarette use. The statistical correlation doesn't prove that vaping causes visual impairment. But it parallels earlier studies that link tobacco smoking to visual impairment, and vaping to lung damage. And it raises new questions about whethe...

Reduced Kidney Function Tied to Increased Dementia Risk
https://www.medscape.com/viewarticle/950612

May 5th, 2021 - NEW YORK (Reuters Health) - Older adults with reduced kidney function may be an increased risk of developing dementia, according to a large population-based study from Sweden. "Even a mild reduction in kidney function has been linked to an increased risk of cardiovascular disease and infections, and there is growing evidence of a relationship between the kidneys and the brain," Dr. Hong Xu of t...

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...

 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...

Would You Get a Vaccine Passport to Travel?
https://www.medscape.com/viewarticle/950622

May 5th, 2021 - As some companies, venues, and governments form plans to implement "vaccine passports" (and others pledge to prohibit them), individuals may soon face choices about whether to get such proof of vaccination to travel or participate in certain events. What will you do? You must Log In to answer this question

In Interactions With Law Enforcement, Black Males More Likely to Suffer Severe Injury
https://www.medscape.com/viewarticle/950604

May 5th, 2021 - (Reuters Health) - Black males are more likely than whites to be hospitalized with gunshot wounds and other severe injuries suffered during law enforcement interactions, a new study suggests. The analysis of data from the American College of Surgeons Trauma Quality Improvement Program (TQIP) found that the number of white individuals who sustained firearm injuries was about twice that of Black ...

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...

Military Leader Shows Hospitalists a Way Out of Pandemic 'Combat'
https://www.medscape.com/viewarticle/950655

May 5th, 2021 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. Whether they realize it or not, hospitalists treating patients during the COVID-19 pandemic have been in a combat-like situation, with challenges and stresses similar to those faced by soldiers in a war zone. Lt. Gen. Hertling described several issues – mirroring those seen in combat – that clin...

Shorter Tuberculosis Regimen With Moxifloxacin Not Inferior to 6-Month Treatment
https://www.medscape.com/viewarticle/950608

May 5th, 2021 - NEW YORK (Reuters Health) - A new rifapentine-based regimen with moxifloxacin can shorten the treatment time for drug-susceptible pulmonary tuberculosis, the authors behind a new phase-3 test report. "This is the first time in 40 years wherein treatment shortening has been feasible for drug-susceptible TB, so this is a landmark event," coauthor Dr. Payam Nahid, director of the Center for Tuberc...

Majority of Parents Will Wait on Kids' COVID Vaccine
https://www.medscape.com/viewarticle/950697

May 5th, 2021 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. Three-quarters of parents don't plan to vaccinate their kids against COVID-19 when the FDA gives the go-ahead for younger children, according to a new survey. Many said they'd wait a few months, but a full third said they don't plan to vaccinate their kids at all Gretchen Schaeffer's 14-year-old...

Evidence or Anecdote: Clinical Judgment in COVID Care
https://www.medscape.com/viewarticle/950665

May 5th, 2021 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. As the COVID-19 pandemic continues and evidence evolves, clinical judgment is the bottom line for clinical care, according to Adarsh Bhimraj, MD, of the Cleveland Clinic, and James Walter, MD, of Northwestern Medicine, Chicago. In a debate/discussion presented at SHM Converge, the annual confere...

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 ...

Breast Cancer Survivors Have Specific Gynecological Needs
https://www.medscape.com/viewarticle/950630

May 5th, 2021 - Sexual dysfunction is a common problem among breast cancer survivors, but it's also an issue inadequately addressed by either ob/gyns. or hematologists and oncologists, according to Erin Keyser, MD, the program director of the San Antonio Uniformed Services Health Education Consortium. Keyser discussed management of sexual dysfunction and a variety of other issues frequently faced by women who ...

Improving Health Disparities Starts With Acknowledging Structural Racism
https://www.medscape.com/viewarticle/950673

May 5th, 2021 - Earlier this spring, Kimberly D. Manning, MD, FACP, FAAP, was caring for an elderly Black man with multiple comorbidities at Grady Memorial Hospital in Atlanta, assembling an order for medications and a discharge plan. "It was very challenging," Manning, professor of medicine and associate vice chair of diversity, equity, and inclusion at Emory University, Atlanta, recalled during a May 4 sessi...

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 ...

Endoscopic Device Could Expand Treatment for GERD, Reduce PPI Use
https://www.medscape.com/viewarticle/950689

May 5th, 2021 - In patients with proton pump inhibitor (PPI)–dependent gastroesophageal reflux disease (GERD), a procedure known as endoscopic full-thickness plication (EFTP) — performed with the novel GERD-X device — improved both symptoms and quality of life, compared with a sham procedure. It also had few side effects and a short procedure time, according to a new randomized, controlled trial. "It seems lik...