Mdedge Daily News

Federal officials are looking to expand the number of services that qualify for telemedicine payment. Also today, new PET imaging agent shows loss of synaptic density in Alzheimer’s brains, fecal transplantation suggests efficacy in IBS, and SGLT-2 inhibitor shows lower mortality and cardiovascular risk than DPP-4 inhibitor for type 2 diabetes.

Patients with HIV are living longer which means that physicians often need to factor diabetes into care strategy Also today, better communication between ICU staff and family may improve end-of-life choices, randomized clinical trials for probiotics often lack adequate safety data, and early data suggest that intranasal naloxone is promising for hypoglycemia-associated autonomic failure (HAAF).

Antibiotic prescription rates were at least twice as high in urgent care and retail clinics than at emergency departments and medical offices. Also today, overdoses from a fentanyl analog nearly doubled, a device impresses for chronic cluster headaches, and the immunogenicity of two-dose Gardasil 9 persists at 36 months,

Sweeping reductions in documentation requirements headline a new Medicare fee schedule proposal. Also today, spironolactone is safe and effective for acne in adolescent females, for smokers, the ends may not justify the ENDS (electronic nicotine delivery system), and the rare diabetes diagnosis that thrills patients.

Adoption of the new ACC/AHA hypertension guidelines would suddenly lead to 15 million more Americans and about 125 million more Chinese with hypertension. Also today, in virto fertilization and cancer risk, depression screening rates are improving, but are still not great, and the relationship between temperature, pollution and lupus flares.

Previous rulings by President Trump’s Supreme Court nominee could provide insight into the fate of the Affordable Care Act should Judge Brett M. Kavanaugh be confirmed. Also today, OnabutolinumtoxinA crushes topiramate in chronic migraine PRO benefits, antiamyloid antibody slowed Alzheimer’s progression while also clearing brain amyloid, and the USPSTF says that nontraditional CVD risk factors are not ready for primetime.

The first-ever recommendations for managing Sjogren’s Syndrome will divide the treatment targets into sicca syndrome and systemic manifestations. Also today, more than 16% of ED sepsis patients are discharged, female authorship trends in academic gastroenterology over 40 years, and the CMS holds ACA risk adjustment payments following a legal ruling.

Multiple studies based on phase 3 clinical trials of the investigational drug solriamfetol have found that it may be effective for improving next-day wakefulness and work productivity in people with narcolepsy and obstructive sleep apnea, and that the drug can maintain its effect throughout the day as well as for up to 6 months. Also today, ankylosing spondylitis progression slowed when NSAIDs were added to TNFi, chronic kidney disease more common among patients with type 2 diabetes, laws that promote drug price transparency gain ground.

New research debunks three migraine trigger myths. Also today, the relationship between migraines and menopause, the FDA recommends pooled Zika testing of blood donations, and ICD use drops in hospitals named in a federal lawsuit.

From family practice news, women who received only a primary HPV test were 58% less likely to develop grade 3 or worse cervical intraepithelial neoplasia by 48 months than women who had the traditional pap cytology screen. Oral tecovirimat for smallpox shows efficacy in animals and safety in humans, low platelets are linked to pregnancy complications, and four new and emerging alternatives to continuous positive airway pressure are on the horizon.

Hospitals in and around St. Louis have seen a dramatic decrease in the incidence of hypoglycemia due to a new alert system. Also today, women have a higher risk for diabetes if they work more hours, the FDA reverses the warning on asthma medications that contain long-acting beta agonists, and transgender men are in need of counseling for contraceptive and reproductive choices.

The advisory committee on Immunization Practices voted to approve recommendations for the use of Anthrax Vaccine Adsorbed (AVA) in post-exposure prophylaxis (PEP) in the event of a wide-area release of Bacillus anthracis spores. Also today, the FDA approves topical anticholinergic for primary axillary hyperhidrosis, a shortage of ob.gyns. looms, and more Americans missed care in 2017 as a result of cost.

Since 2000, Medicare beneficiaries are less likely to die in hospitals and are more likely to die in their homes or in community healthcare facilities. Also today, heart failure leads to a poor prognosis for patients with rheumatoid arthritis, The Supreme Court supports anti-abortion centers in free speech case, and when confronted with contact dermatitis in toddlers, consider the potty seat.

Less than 30% of veterans who are on medication-assisted treatment for opioids have not been diagnosed with opioid use disorder and only 7% who have OUD initiated medication-assisted treatment. Also today, Buprenorphine endangers the lives and health of children, cocaine use is declining among young adults, and smoking cigarettes is an epidemic among patients with hepatitis C virus.

Opioids cannot be justified for the routine treatment for musculoskeletal pain because risks outweigh benefits. Also today, intensive treatment for type 2 diabetes pays off in the long run, diabetes patients are being pushed into high-deductible insurance plans, and obesity didn’t just happen overnight.

The FDA approved cannabidiol oral solution for the treatment of two rare pediatric seizure disorders. Also today, it’s a good idea to urge expectant parents to have a prenatal pediatrician visit, the Trump administration proposes changes to HHS and the FDA (view the complete proposal here), and after being approved for adults, the Eversense continuous glucose monitoring system is safe, durable, and accurate in children.

Nearly 25% of patients with diabetes use less insulin than prescribed because they can’t afford it. Also today, switching back to human insulin is a viable way to save money, tackling maternal obesity might prevent later CVD in offspring, and new research provides evidence of a link between diabetes and autism spectrum disorder.

A new study finds that two nearly ubiquitous herpes viruses, HHV-6a and HHV-7, are abundant in the brains of people with Alzheimer’s disease. Also today, midlife retinopathy predicts ischemic stroke, fingernails may hold a clue for relapsing scabies, and canakinumab cuts gout attacks by nearly half.

Is galectin-3 a post-MI prognostic biomarker for out times? Also today, postmenopausal estrogen use is down since 2006, watching for substance abuse risks among reservists who have never been deployed, and do free meals for physicians affect opioid prescribing?

The exogenous boosting hypothesis predicted that pediatric universal varicella vaccination would fuel a rise in adult herpes zoster cases. However, in the U.S., the 20-year experience has delivered just the opposite effect. Also today, in type 2 diabetes, healthy lifestyle lowers CVD risk and mortality, antipsychotics linked to increased body fat and insulin resistance in children, and maternal use of pot and tobacco may boost birth defect risk.