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Does taking isotretinoin worsen a patient’s baseline IBD symptoms?
https://www.mdedge.com/dermatology/article/255034/acne/does-taking-isotretinoin-worsen-patients-baseline-ibd-symptoms
Doug Brunk

May 27th, 2022 - A limited association exists between the use of isotretinoin for severe acne and worsening of a patient’s baseline inflammatory bowel disease, results from a small retrospective study suggests. “Early studies of isotretinoin for use in severe acne suggested the drug may serve as a trigger for new-onset inflammatory bowel disease (IBD),” researchers led by Christina G.

Telemedicine in Cancer Care: Not All Patients Can Access
https://www.medscape.com/viewarticle/974718

May 27th, 2022 - The COVID pandemic pushed telemedicine forward as a safe, accessible, and more widely reimbursed approach to care delivery for patients with cancer, but uptake of telemedicine was plagued by inequities, a retrospective study suggests. Before March 2020, only a very small percentage of patients with cancer used telemedicine services. By November 2021, nearly 16% of patients initiating cancer tre...

ESG's Cardiometabolic Benefits Last 5 Years
https://www.medscape.com/viewarticle/974768

May 27th, 2022 - SAN DIEGO – Endoscopic sleeve gastroplasty (ESG) led to sustained weight loss and a reduction of cardiometabolic syndrome comorbidities at 5 years, according to a new retrospective analysis of prospectively collected data. Dr Donevan Westerveld Improved cardiometabolic outcomes following bariatric surgery have been well documented, but ESG is relatively new, so its outcomes haven't been as well...

Psychological Intervention Looks Promising in Crohn's Disease
https://www.medscape.com/viewarticle/974780

May 27th, 2022 - SAN DIEGO — A combination of cognitive-behavioral therapy and mindfulness meditation could reduce pain and fatigue from Crohn's disease, researchers say. Patients who followed the program not only felt better but were also more often able to show up for work and leisure activities, compared with a control group assigned to a wait list, said Shmuel Odes, MD, a professor of internal medicine at B...

Baby Formula Shortage Highlights Racial Disparities
https://www.medscape.com/viewarticle/974731

May 27th, 2022 - COLUMBIA, Md. (AP) — Capri Isidoro broke down in tears in the office of a lactation consultant. The mother of two had been struggling to breastfeed her 1-month-old daughter ever since she was born, when the hospital gave the baby formula first without consulting her on her desire to breastfeed. Now, with massive safety recall and supply disruptions causing formula shortages across the United St...

Gout App Improves Treat to Target, Reduces Flares
https://www.medscape.com/viewarticle/974721

May 27th, 2022 - Self-management of gout using a smartphone app to record self-test urate levels and flares, and communicate those results to clinicians, could see more patients reaching target urate levels and even reducing flare frequency, a study has found. Writing in The Lancet Rheumatology, Philip Riches, PhD, of the rheumatic disease unit at Western General Hospital in Edinburgh, and coauthors presented t...

Study Addresses Whether Isotretinoin Precipitates IBD Flares
https://www.medscape.com/viewarticle/974735

May 27th, 2022 - A limited association exists between the use of isotretinoin for severe acne and worsening of a patient's baseline inflammatory bowel disease, results from a small retrospective study suggests. "Early studies of isotretinoin for use in severe acne suggested the drug may serve as a trigger for new-onset inflammatory bowel disease (IBD)," researchers led by Christina G. Lopez, MD, of the Lewis Ka...

Betting on 'Golden Age' of Colonoscopies, Private Equity Invests in Gastro Docs
https://www.medscape.com/viewarticle/974747

May 27th, 2022 - Mariel needed a new gastroenterologist. Having just moved back to San Antonio, the 30-something searched for a doctor to manage her Crohn's disease, an inflammatory bowel condition that is successfully managed with medications and lifelong monitoring — including regular colonoscopies. Mariel booked an appointment and learned she would be on the hook for a $1,100 colonoscopy — about three times ...

Patent Foramen Ovale Clinical Practice Guidelines (SCAI, 2022)
https://www.medscape.com/viewarticle/974545

May 27th, 2022 - Clinical practice guidelines on the management of patent foramen ovale (PFO) from the Society for Cardiovascular Angiography and Interventions (SCAI) were published in May 2022 in  JSCAI.[1] In patients aged 18-60 years who have had a PFO-related stroke, PFO closure is strongly recommended instead of antiplatelet therapy alone. For patients aged 60 years and older with a history of PFO-related ...

Hennepin Healthcare investigators study game to help people quit smoking
https://www.eurekalert.org/news-releases/954228

May 27th, 2022 - Minneapolis, Minn. - Hennepin Healthcare Research Institute is testing an innovative way to help people quit smoking – by letting them bet on themselves and win real money. It’s part of a new game called QuitBet and it’s being funded by a National Institutes of Health (NIH) research grant administered by researchers at Hennepin Healthcare. Players commit to quit smoking over four weeks and bet ...

New liver and kidney disease identified
https://www.eurekalert.org/news-releases/954166

May 27th, 2022 - Scientists have identified a new disease in a ground-breaking discovery that could help patients with unexplained liver and kidney problems. Experts at Newcastle University, UK, have established the inherited condition, called TULP3-related ciliopathy that causes kidney and liver failure in children and adults. There are numerous reasons for kidney and liver organ failure, which if left untreat...

Airway injuries ‘devastating’ after battery ingestions: Review
https://www.mdedge.com/pediatrics/article/255004/injuries/airway-injuries-devastating-after-battery-ingestions-review
Marcia Frellick

May 26th, 2022 - Severe airway injuries are a “not infrequent” consequence after children swallow button batteries, which are commonly found in many household electronics, according to a systematic review published online in JAMA Otolaryngology–Head & Neck Surgery. Most literature has focused on esophageal injury, but “the direct apposition of the esophagus to the trachea and recurrent laryngeal nerves also pla.

Gout app improves treat to target, reduces flares
https://www.mdedge.com/rheumatology/article/254981/gout/gout-app-improves-treat-target-reduces-flares
Bianca Nogrady

May 26th, 2022 - Self-management of gout using a smartphone app to record self-test urate levels and flares, and communicate those results to clinicians, could see more patients reaching target urate levels and even reducing flare frequency, a study has found. Writing in The Lancet Rheumatology, Philip Riches, PhD, of the rheumatic disease unit at Western General Hospital in Edinburgh, and coauthors presented t.

Healthy Habits Tied to Lower Dementia Risk in Genetically High-Risk Patients
https://www.medscape.com/viewarticle/974639

May 26th, 2022 - Higher scores regarding seven modifiable cardiovascular and brain health factors are linked to lower dementia risk in middle-aged individuals at high genetic risk for the disorder, new research shows. Investigators found that individuals with the APOE ε4 variant who scored high on the American Heart Association's (AHA 's) Life's Simple 7 (LS7) modifiable health factors had a significantly lower...

Oklahoma Gov. Signs Bill That Bans Nearly All Abortions
https://www.medscape.com/viewarticle/974690

May 26th, 2022 - Oklahoma Gov. Kevin Stitt signed a bill into law on Wednesday that bans almost all abortions in the state, starting at fertilization. The new law is the most restrictive abortion ban in the U.S., making exceptions only when an abortion is necessary to save the mother's life or in cases of rape or incest if they have been reported to police. It takes effect immediately. "From the moment life beg...

Quick Pivot Helped Maintain Standard of Schizophrenia Care During COVID
https://www.medscape.com/viewarticle/974711

May 26th, 2022 - During the COVID-19 pandemic, mental health clinics in the United States successfully upheld the standard of care for patients with schizophrenia using telepsychiatry and long-acting injectable antipsychotics (LAIs), a new survey data show. "Mental health centers rose to the challenge and did what they needed to do for their patients," study investigator Dawn Velligan, PhD, University of Texas ...

Airway Injuries 'Devastating' After Battery Ingestions
https://www.medscape.com/viewarticle/974712

May 26th, 2022 - Severe airway injuries are a "not infrequent" consequence after children swallow button batteries, which are commonly found in many household electronics, according to a systematic review published online in JAMA Otolaryngology–Head & Neck Surgery. Most literature has focused on esophageal injury, but "the direct apposition of the esophagus to the trachea and recurrent laryngeal nerves also pla...

Approaching ASCO 2022: Collaborations in the Management of Bladder Cancer
https://www.medscape.com/viewarticle/974643

May 26th, 2022 - In anticipation of the first in-person ASCO conference since the start of the COVID pandemic, Cheryl Lee, MD, considers several dimensions of the impending meeting, among them updates on novel therapies currently under investigation, and the opportunities such gatherings nurture regarding collaborations, both within the academy and extending outward into community-based organizations and indust...

Very High HDL-C: Too Much of a Good Thing?
https://www.medscape.com/viewarticle/974651

May 26th, 2022 - A new study suggests that very high levels of high-density lipoprotein cholesterol (HCL-C) may be associated with higher mortality risk in patients with coronary artery disease (CAD). Investigators studied close to 10,000 patients with CAD in two separate cohorts. After adjusting for an array of covariates, they found that individuals with HDL-C levels greater than 80 mg/dL had a 96% higher ris...

Improving Cross-Cultural Communication Skills With Patients
https://www.medscape.com/viewarticle/974645

May 26th, 2022 - INDIANAPOLIS ― With a focus on helping fellow practitioners improve their patient-care skills, members of the Diversity, Equity, and Inclusion (DEI) Commission of the American Academy of Physician Associates (AAPA) presented a wide-ranging session on cross-cultural communication at the group's 2022 annual meeting. Robert Lee Wooten Commission chair Robert Lee Wooten, PA-C, noted that cross-cult...