About 15,470 results

Street Medicine Reaches People Where They Live

Oct 4th, 2022 - One summer evening, on his regular rounds through the streets of Syracuse, NY, David Lehmann, MD, PharmD, came across an unsheltered man in dirty clothes who seemed to be making his bed each night on the pavement where he stood. An exam in the privacy of the medical van revealed a painful, infected boil on the man's backside. After some coaxing, Lehmann lanced the infected sore, gave medicine a...

Folic Acid Tied to a Reduction in Suicide Attempts

Oct 4th, 2022 - Prescription folic acid, a synthetic form of vitamin B9, may provide a safe and effective approach for decreasing suicidal ideation, new research suggests. After adjusting for multiple factors, results from a large pharmaco-epidemiological study showed taking folic acid was associated with a 44% reduction in suicide events. Dr Robert Gibbons "These results are really putting folic acid squarely...

Online Tool Predicts Complications From Hysterectomy

Oct 4th, 2022 - An online prediction tool provides personalized risk estimates to help clinicians and patients choose between laparoscopic and abdominal surgery for hysterectomy for benign disease. The tool, which integrates 11 routinely available predictors, had "acceptable" predictive ability and "moderate" discrimination. Krupa Madhvani "The overall numbers of hysterectomies are declining, and there are als...

Bupivacaine Now Available for Analgesia After Shoulder Surgery
Rheumatology Advisor

Oct 3rd, 2022 - Posimir® (bupivacaine solution) is now available for postsurgical analgesia for up to 72 hours following arthroscopic subacromial decompression. Posimir is a novel formulation of bupivacaine, an amide local anesthetic, designed to be administered into the subacromial space under direct arthroscopic visualization. The depot product uses a sucrose-based biodegradable matrix (sucrose acetate isobu...

Fast Five Quiz: Monkeypox

Oct 3rd, 2022 - Caused by the same family of viruses (Poxviridae) as the variola virus, monkeypox was discovered in 1958 after outbreaks occurred among research monkeys. It was first identified in humans in 1970. Before the 2022 outbreak, nearly all cases seen outside Africa were linked to the continent via travel or animal export. However, data suggest that men who have sex with men (MSM) account for a sizeab...

Is Medical Cannabis the Answer to the Opioid Crisis?

Oct 3rd, 2022 - Medical cannabis may be an important alternative to opioids for pain management, new research suggests. In a large survey, patients with a variety of ailments, including pain and mental health problems, reported less pain and better functioning, after using medical cannabis — and most were able to stop or cut back on their opioid use. "Some patients wish to move away from opioid-based pain medi...

Turned Away From Urgent Care — And Toward a Big ED Bill

Oct 3rd, 2022 - Russell Cook (left) and his daugher, Frankie. 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, Georgia. She saw standing water from a recent rain. She tried to slow down but lost control of her car on a big curve. "The car flipped about three times," Frankie said. "We spun around and went off the side of...

Sex Differences Seen in Inflammatory Arthritis Healthcare Use

Sep 30th, 2022 - Women with inflammatory arthritis (IA) are more likely to use healthcare services than men, a Canadian study found. The results suggest there are biological differences in disease course and sociocultural differences in healthcare access and patient behavior among the sexes, Sanjana Tarannum said in a presentation at The Lancet Summit: Sex and gender in rheumatology conference in late September...

New Guidance on Acupuncture, Massage, Yoga for Cancer Pain

Sep 28th, 2022 - New guidelines highlight the role that integrative pain management techniques, such as massage, acupuncture, and music therapy, can play in relieving certain types of cancer pain in adults. The recommendations, published earlier this month in the Journal of Clinical Oncology, represent a joint effort between the American Society of Clinical Oncology (ASCO) and the Society of Integrative Oncolog...

Study Identifies Skin Biomarkers That Predict Newborn Eczema Risk

Sep 28th, 2022 - It might be possible to develop a simple test to identify newborn children who are at risk of later developing atopic dermatitis (AD), according to findings from a Danish prospective birth cohort study. In the study, the Barrier Dysfunction in Atopic Newborns Study (BABY), several biomarkers were found in the skin cells of newborns that were predictive not only for having AD but also for having...

COVID Vaccine Linked to Temporary Change in Menstrual Cycle: Study

Sep 28th, 2022 - Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center. Some people who have received a COVID-19 vaccine have reported a temporary change in their menstrual cycles, according to a new study published in BMJ Medicine. Vaccinated people had an adjusted increase in menstrual cycle length of less than 1 day with both the first and second vaccine doses. T...

Associations Observed Between Sleep Disorders and RA Disease Activity, Pain
Clinical Advisor

Sep 27th, 2022 - A significant percentage of patients with rheumatoid arthritis (RA) met the criteria for sleep disorders, including obstructive sleep apnea (OSA), restless legs syndrome (RLS), and short sleep, according to results of a study published in Arthritis Care & Research (Hoboken). In addition, RA disease activity and pain were also found to be linked to the sleep conditions. Although poor sleep is of...

PENS Device Cleared to Treat Pain Following Cardiac Surgery
Clinical Pain Advisor

Sep 27th, 2022 - The Food and Drug Administration (FDA) has cleared Primary Relief, a percutaneous electrical neurostimulation (PENS) device, to treat pain following cardiac surgery. Primary Relief is a wearable, battery-operated device that delivers electrical pulses to branches of the cranial nerves on the ear through a wire assembly and stimulation needles. Once activated, the device administers periodic low...

Biogen Agrees to Pay $900M to Settle Physician Kickback Allegations

Sep 27th, 2022 - Pharmaceutical company Biogen, Inc, has agreed to pay $900 million in settlement of allegations involving kickbacks and false Medicare and Medicaid claims. The settlement with federal officials resolves a lawsuit brought by former Biogen employee Michael Bawduniak. In the lawsuit, which was filed in the District of Massachusetts, Bawduniak alleged that from January 1, 2009, through March 18, 20...

Could a Vaccine (and More) Fix the Fentanyl Crisis?

Sep 27th, 2022 - This discussion was recorded on August 31, 2022. This transcript has been edited for clarity. Robert Glatter, MD: Welcome. I'm Dr Robert Glatter, medical advisor for Medscape Emergency Medicine. Today we have Dr Paul Christo, a pain specialist in the Division of Pain Medicine at Johns Hopkins University School of Medicine in Baltimore, Maryland, and host of the national radio show Aches and Gai...

Me, My Spouse, and COVID

Sep 27th, 2022 - I watched you in the garage, with your wipes and your mask, your gloves and bottles of sprays and potions. I admired your fealty to CNN's Dr Sanjay Gupta as he demonstrated the proper technique for disinfecting groceries. I watched sterile protocol being broken and quietly closed the garage door. Dr Alison Heru I listened to your descriptions of the agility of the virus with each exhalation of ...

Postpartum Sexual Enjoyment: Does Mode of Delivery Matter?

Sep 26th, 2022 - For some parents, resuming sexual intimacy after having a baby is a top priority. For others, not so much — and late-night feedings and diaper changes may not be the only hang-ups. Dyspareunia — pain during sex — occurs in a substantial number of women after childbirth, and recent research sheds light on how psychological and biomedical factors relate to this condition. Mode of delivery, for in...

Trivia Quiz: Major Medical Milestones

Sep 26th, 2022 - Important medical inventions and research achievements change the course of history and range from the formidable to the comical. How much do you know about major medical milestones? Test yourself with this quick trivia quiz.

Epidural Steroid Injections for Pain Likely Have Limited Efficacy Among Older Adults
Clinical Advisor

Sep 23rd, 2022 - Older adults reported long-term improvement following epidural steroid injections for a new episode of back pain; however, the improvement was likely not related to the effect of the injections, according to the results of a study published in the European Journal of Pain. A team of investigators enrolled patients presenting to Kaiser Permanente Northern California, Henry Ford Health System, an...

Gastro Case Challenge: Pain, Vomiting in a 48-Year-Old on Levothyroxine, Metformin

Sep 23rd, 2022 - Editor's Note: The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please ...