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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.
205 Episodes
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ISCHEMIA trial hailed as practice changing By Bruce Jancin The largest-ever RCT of initial invasive versus conservative management of stable ischemic heart disease makes waves.   You can take the MDedge Podcasts survey by clicking here.   Other news: Feds propose new price transparency rules in health care The goal of the proposal is to give consumers enough information to shop around for medical services.   Most charity assistance programs do not cover prescriptions for uninsured patients Cancer or cancer-related treatments were covered by 41% of programs, and 34% provided assistance for genetic or rare diseases.   DAPA-HF: Dapagliflozin’s HFrEF efficacy confirmed in nondiabetics Further analyses from the DAPA-HF trial showed dapagliflozin cut death and heart failure events in HFrEF patients with no diabetes.   Suicide screening crucial in pediatric medical settings Screening can take as little as 20 seconds.   You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.    
Are you operating in the black when it comes to vaccine administration? By Doug Brunk   Follow these tips to ensure your practice isn’t losing money on vaccine delivery.   *  *  *   You can take the MDedge Podcasts survey by clicking here. *  *  *   Other news:   FDA panel supports Vascepa expanded indication for CVD reduction Icosapent ethyl (Vascepa), purified eicosapentaenoic acid, got unanimous support from an FDA panel for a new indication of reducing CVD events.   Vaping-linked lung injury: 2,172 cases, 42 deaths Forty-two deaths from EVALI have been confirmed in 24 states and the District of Columbia.   Open enrollment 2020: HealthCare.gov activity down from last year Nevada opened its own exchange this year and moved off the federal system.   Survey asks adults: How likely are you to develop dementia? Adults are worried about dementia and will do anything to prevent it. Except talk to their doctor.   You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.
ATTEST: AFib ablation slows progression to persistence By Mitchel Zoler   AFib ablation cut the rate of paroxysmal to persistent arrhythmia progression by 89%, compared with medical management.   You can take the MDedge Podcasts survey by clicking here.   Other stories:   FDA panel rejects new empagliflozin indication for type 1 diabetes Panelists voted 14-2 against the application and criticized the limited data supporting the application.   ACP recommends ways to address rising drug prices One of the College’s suggestions is for the Medicare Part D low-income subsidy program to be modified.   Drug spending driving up Part B premiums and deductibles The standard premium will climb 6.7% in 2020.   Methotrexate affected joint erosions, not pain, in patients with erosive hand OA The results were observed for 10 mg methotrexate per week at 3 months and 12 months.   You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.
Kratom: Botanical with opiate-like effects increasingly blamed for liver injury By Will Pass   Kratom-associated liver damage involves a mixed pattern of hepatocellular and cholestatic injury.   You can take the MDedge Podcasts survey by clicking here.   DACA lands before Supreme Court Physician organizations argue that access to health care would be demeaned if DACA-affected doctors and trainees were forced to leave the U.S.   Reappraise standard treatment of comorbid insomnia/depression Should you focus on treating the depression before tackling the insomnia?   Fentanyl-related deaths show strong regional pattern Overdose death rates for cocaine, heroin, and fentanyl are high in the East and low in the West.   Even low-dose steroids increase DMARD infection risk Concomitant use of low-dose steroids increases the risk of serious infections with antirheumatic drugs.   You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.  
Tide beginning to turn on vaccine hesitancy By Doug Brunk   Pushback against antivaccination campaigns and advocates is stronger than ever. You can take the MDedge Podcasts survey by clicking here.   Other news: Low LDL-C and blood pressure can reduce lifetime risk of CVD by 80% The effects were seen in those with genetic variants linked with low LDL cholesterol and systolic blood pressure.   Statins in children cut long-term CVD risk in familial hypercholesterolemia There were no cardiovascular-related deaths and one event in treated patients who were followed for 20 years.   Expert reviews strategies for diagnosing, treating onychomycosis There is no such thing as a classical presentation of onychomycosis.   Small nodules, big problems: AI's role in thyroid nodule diagnosis A novel algorithm for benign thyroid nodules showed good sensitivity and specificity.   You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.
CDC identifies probable culprit in vaping lung injuries By Therese Borden   In addition, obtaining vaping devices from informal sources, such as from a dealer, off the street, or from a friend, was more likely to be linked to EVALI.   You can take the MDedge Podcasts survey by clicking here.   CDC identifies probable culprit in vaping lung injuriesCannabis use or abuse among the young was associated with adverse cardiovascular consequences in two studies.   Patients taking TNF inhibitors can safely receive Zostavax Investigators found no confirmed varicella infection cases at 6 weeks.   Daily aspirin might cut risk of fibrosis progression in NAFLD The researchers did not find a similar protective effect for NSAIDs other than aspirin.   Medicare beneficiaries pay most for Alzheimer’s Long-term care takes a toll on beneficiaries with Alzheimer’s and Parkinson’s disease. . You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.
Court strikes down Trump’s conscience rule By Alicia Gallegos The measure would have allowed clinicians to refuse to provide medical care to patients for religious or moral reasons.   *  *  *   You can take the MDedge Podcasts survey by clicking here.   *  *  * Other Stories:   Vitamin D, omega-3 fatty acids do not preserve kidney function in type 2 diabetes After 5 years of follow-up, the supplements showed no significant difference in change in eGFR, compared with placebo.   Mandatory OSA treatment for truckers lowers insurance costs Treated truckers saw health care savings that could help offset the costs of obstructive sleep apnea programs.   Hepatitis C vaccine alters viral trajectory, but fails in chronic infection protection First-ever randomized study does suggest changes in peak HCV RNA and an HCV RNA change after infection.   Lung cancer on the decline, but still higher among men than women CDC stresses universal screening for smoking and other lung cancer risk factors.   You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.
Cardiometabolic risk burden is high in patients under 50 with type 2 diabetes By Sara Freeman   Younger people with type 2 diabetes need a more focused treatment strategy, irrespective of cardiometabolic risk.   You can take the MDedge Podcasts survey by clicking here.   Other News: Probiotics with Lactobacillus reduce loss in spine BMD for postmenopausal women Twelve months of the probiotics treatment prevented bone mineral density loss in the lumbar spine when compared with placebo.   Insomnia symptoms increase likelihood of stroke and heart disease A positive dose-response relationship exists between the number of insomnia symptoms and the risk of cardiocerebral vascular disease.   More evidence that statins reduce hepatocellular carcinoma risk The largest-ever meta-analysis shows a 43% relative risk reduction in HCC.   Ketoacidosis is on the rise in children with type 1 diabetes Data highlight an increase in prevalence at diagnosis, but certain factors may help identify those most at risk.   You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.
ACP: Low-risk adults aged 50-75 should undergo regular screening for colorectal cancer By Michele Sullivan   New guidance statement says the best test is the one that patients and clinicians agree fits individual needs.   Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019    Other News: Requests for crowd diagnoses of STDs common on social media Researchers assessed a subsite forum on Reddit relating to sexually transmitted diseases.   Previously healthy patients hospitalized for sepsis show increased mortality U.S. patients hospitalized with community-acquired sepsis had higher mortality when they had no other comorbidities.   Court blocks immigration health insurance rule A district judge has temporarily blocked an order by President Trump that would make health insurance or the ability to pay a requirement for immigrants seeking U.S. visas.   Families face challenges of gene therapy Patients and manufacturers continue on a learning curve to improve trial designs and patient experiences.   You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.  
MIPS, E/M changes highlight 2020 Medicare fee schedule  By Gregory Twachtman   Changes will be in performance year 2021, which will affect payment in 2023.     Other news:   Signs of adult diabetes apparent in very young children Disturbed HDL cholesterol metabolism may be one of the earliest features of type 2 diabetes.   Body weight influences SGLT2-inhibitor effects in type 1 diabetes Patients with a high body mass index gain the most benefit from sodium-glucose cotransporter 2 inhibitors added to insulin.   President to nominate oncologist to lead FDA President Trump has indicated his intent to nominate Stephen Hahn, MD, as FDA Commissioner.   Measles causes B-cell changes, leading to ‘immune amnesia’ This leads to an increase in secondary infections after a bout of measles.     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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