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Daily Medical News

Author: MDedge

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The latest clinical medicine and health policy news for healthcare professionals, delivered each weekday by host Nick Andrews and MDedge editors. The information in this podcast is provided for informational and educational purposes only.
201 Episodes
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Today's top story in medicine: Systolic, diastolic BP each tied to adverse CV outcomes Diastolic hypertension can't be ignored, investigator says, though systolic ultimately has a larger impact. Source: The New England Journal of Medicine:  Other top news: Drug overdose deaths decline in 2018 Drop of 4.2% from 2017 shows "we're beginning to win the fight against" opioid use disorder and addiction, said HHS Secretary Alex Azar. iPledge fetal exposure to isotretinoin continues The number of pregnancies has declined, but pregnancy, abortions, and fetal defects linked with isotretinoin exposure are still happening. Little association found between in utero H1N1 vaccine and 5-year health outcomes A weak but significant association was observed for asthma. Acne before puberty: When to treat, when to worry Watch out for "masqueraders" and signs of hormone trouble. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.
Today's top story: Vaping device marketers take aim at youth through social media by Therese Broden More than one-third of JUUL-related posts contained overt promotional content that highlighted ways to obtain products at reduced costs. Source: Tobacco Control doi: 10.1136/tobaccocontrol-2018-054824 Today's top headlines: Title X grantees are told to stop abortion referrals immediately; Wen removed from Planned Parenthood Recipients of the federal funds said that the changes threaten to decrease access to family planning services. A plurality of migraineurs seek care from primary care physicians Care for migraineurs varies according to the provider consulted, and migraine care overall is generally suboptimal. Racial, ethnic minorities often don't practice sun protective behaviors Cultural beliefs, stigma, and personal preferences may affect behaviors. Flurry of new anti-IL-17 monoclonal antibodies show efficacy in axSpA Trial data with three new anti–interleukin-17 receptor monoclonal antibodies in axial spondyloarthritis are positive. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.
Today's top story: Can mindfulness-based cognitive therapy treat migraine? by Jake Remaly Mindfulness-based cognitive therapy that is tailored for migraine may reduce migraine-related disability, even as the number of headache days and pain intensity remain unchanged, according to data presented at the annual meeting of the American Headache Society.  Interviewee: Elizabeth Seng, PhD.   Other top stories: Measles cases have slowed but not stopped New cases still are being diagnosed, but California was officially removed from the outbreak list this week.  Stillbirth linked to nearly five-fold increase in maternal morbidity risk Severe maternal morbidity is almost five times more common in women who have had a stillbirth than in women who have not.  Gaps persist in patient-provider survivorship communication There has been little to no recent improvement in the large share of cancer patients who are not receiving detailed information about survivorship care.  FDA pushes more diversity in clinical trials in draft guidance Officials at the FDA have issued draft guidance aimed at increasing the diversity of clinical trial populations. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.    
The top story in medicine: The costs and benefits of SGLT2 inhibitors & GLP-1 RAsby Randy Dotinga and Katie Lennon The price tags on these drugs are the biggest barriers to their use. Other top news in medicine: Almost half of sudden cardiac deaths linked to prior silent MI Prior silent MIs were detected in nearly half of sudden cardiac deaths in people with no coronary artery disease. Opioid use is common among migraineurs who take prescription medication Despite recommendations against it, opioid use is common among migraineurs. BMI screening trigger for type 2 diabetes is unreliable for at-risk black, Hispanic adults One risk factor should trigger screening in individuals of normal weight. Noninvasive prenatal test may detect sickle cell disease Early data for a noninvasive prenatal test show that it could have the potential to accurately detect sickle cell disease. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.
Today's top story: Value-based metrics gain ground in physicians employment contracts by Gregory Twachtman Of 70% of health care recruitment searches that offered a production bonus, 56% featured a bonus based at least in part on quality metrics.  Source: Merritt Hawkins 2019 report. Top headlines in medical news: Low-fat dairy associated with decreased risk of type 2 diabetes Is it an indicator of healthy living, or a true effect? Thelarche and menarche are associated with increased prevalence of migraine The association suggests that earlier exposure to estrogen might increase the risk of migraine in adolescent girls. Patient with COPD at heightened risk for community-acquired pneumonia requiring hospitalization COPD patients were about 18 times more likely to develop community-acquired pneumonia requiring hospitalization. A third of serious malpractice claims due to diagnostic error Diagnosis errors are a top cause for medical malpractice cases associated with patient death or permanent disability. Other Links: Today's edition is brought to you by GAME Prospectives in Rheumatic Diseases, Sept 20, 21 in Vegas. Postcall Podcast Blood & Cancer Dermatology Weekly Cardiocast Psychcast You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.
The top story in medicine: Type 2 diabetes is particularly devastating in adolescents by M. Alexander Otto Type 2 diabetes is much more aggressive in adolescents than in adults, but how to best address it is uncertain.  Other top news from MDedge: Higher omega-3 fatty acid levels cut heart failure risk A large, multi-ethnic cohort study shows that higher levels of EPA were associated with a significantly reduced risk of heart failure. Risk of atrial fibrillation tenfold higher in cancer patients A diagnosis of cancer is associated with a tenfold higher risk of atrial fibrillation, compared to the general population. Opioid exposure leads to poor perinatal and postnatal outcomes Data from women at increased risk for opioid abuse show need for long-term support for mothers and children. CRP testing reduced antibiotic prescribing in patients COPD exacerbation Fewer prescriptions, less reported antibiotic use, with no evidence of harm or reduced quality of life, according to PACE investigators. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.    
The top story in medicine: Misguided fear is keeping benzodiazepines from elderly by M. Alexander Otto Benzodiazepines are "wonderful" for geriatric anxiety and anxiety-related insomnia, according to Dr. Carl Salzman of Harvard Medical School. This report comes from the 2019 annual meeting of the American Psychiatric Association.  Other top stories in Medicine: Industry payments influence prescription choices New research shows a link between industry payments by drug manufacturers to physicians and prescribing patterns for certain medications. Parent education improves pediatric influenza vaccination rates Use of an educational handout before seeing a health care professional improved rates of pediatric influenza vaccination by the end of the season. Court halts rule required drug list pricing in advertising A judge noted that the court understands what HHS wanted to do – but that it’s up to Congress to enact such a requirement. CDC: Look for early symptoms of acute flaccid myelitis, report suspected cases The average age of a patient diagnosed with AFM is 5 years. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.  
Today's top story: Acne in women: What new insights tell us by Randy Dotinga When it comes to acne in adult women, look past the jawline, beyond traditional medications, and toward greater control, according to Linda F. Stein Gold, MD, director of dermatology research at Henry Ford Hospital in Detroit. Her comments come from her talk at the Skin Disease Education Foundation's Women & Pediatric Dermatology Seminar in California.    Other top stories in medicine: Cancer deaths cost over $94 billion in lost earning in 2015 FDA warning letters fall on Trump's watch Lupus pregnancy outcomes show marked improvement in past 20 years The 10 commandments of internships You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.        
Today's top story: Racial, age disparities confirmed in triple-negative breast cancer by Susan London The odds of triple negative breast cancer are elevated for minority women and younger women, according to the results of a nationwide cross-sectional cohort study of more than 1 million breast cancer cases.  These data were published in Cancer (Scott LC et al. Cancer. 2019 Jul 8. doi: 10.1002/cncr.32207).  Other top stories from MDedge: Metformin linked to lower dementia risk in African Americans Mindfulness may reduce anxiety, depression in relapse prevention Most patients hospitalized with pneumonia found to receive excessive antibiotics Acquired MMR immunity doesn't last to age 1 year You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.
Today's top story: Some burnout factors are within a physician's control by Kari Oakes Self-care is one of the elements that can defend against physician burnout, according to Carol Burke, MD, speaking at the 2019 annual Digestive Disease Week. Dr. Burke dives into the importance of sleep, exercise, and practice changes for combating burnout.  The top stories from MDedge: The FDA has revised its guidance on fish consumption The FDA has revised its 2017 guidance to promote healthy intake and safer choices for children and women who are pregnant, nursing, or might become pregnant. LAIV doesn't up asthmatic children's risk of lower respiratory events This study finds LAIV as safe as IIV for children and adolescents with asthma or recurrent wheezing No increased risk of psychiatric problems tied to isotretinoin Isotretinoin patients may be vulnerable to psychiatric problems, but data don't support a causal relationship. Sleepiest OSA patients have worse CV outcomes The findings suggest that excessively sleepy OSA patients are more likely to benefit from CPAP therapy in preventing CV disease. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.      
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