Daily Medical News

Postcall Podcast: https://apple.co/2IeKD2y 1) GARFIELD-AF registry: DOACs cut mortality 19% http://bit.ly/2CFwmfe 2) Obesity paradox extends to PE patients http://bit.ly/2yvOILf 3) Adjuvanted flu vaccine reduces hospitalizations in oldest old http://bit.ly/2ITnnHq 4) Third trimester Tdap vaccination raises antibodies in newborns http://bit.ly/2Cb1Jx8

1) Guidelines outlines patient-centered approach to type 2 diabetes. (http://bit.ly/2Przga9) 2) With more mindfulness, menopausal symptoms wane.  (http://bit.ly/2ybN2Hk) 3) Employer health insurance: Deductibles rising faster than wages.  (http://bit.ly/2ybN2Hk) 4) Delayed pushing during labor does not benefit mother or baby.  (http://bit.ly/2QC8sEq)

A holiday from bisphosphonates may help reduce atypical femur fracture risk. Stories. Also today, most dermatologic drugs are safe for breastfeeding mothers, impressive HbA1c and weight control from a new novel drug, and short-term NSAIDs appear safe for high-risk patients.

Half of outpatient antibiotics are prescribed with no infectious disease code: Jeffery Linder, MD, MPH. Also today, how to vaccinate patients who are on biologics, opiate use is tied to hepatitis C risk in youth, and for patients with rosacea, a single treatment may not be enough.

FDA expands approval of 9-valent HPV vaccine to include men and women aged 27 - 45.  http://bit.ly/2zYfcHj Allergen of the year may be closer than you think.  http://bit.ly/2y6FllH Encourage influenza vaccination in pregnant women. http://bit.ly/2NtitBC Sunscreens: Misleading labels, poor performance, and more. http://bit.ly/2y50M6G 

Sexual assault and harassment and the impact they have on women’s health. Also today, experts recommend anti-TNFs to for severe psoriasis in pregnancy, the FDA approves first-of-its-kind lung disease treatment, and do you know what the rive ontological emergencies are?

PCV13 shows moderate overall effectiveness for preventing invasive pneumococcal disease caused by PCV13 vaccine serotypes in adults 65 years and older (http://bit.ly/2QtUXGW). Also today, ED visits that are related to psychiatric complaints are up 20 among elderly (http://bit.ly/2xVmmus), nonobstructive angina should trigger functional testing (http://bit.ly/2Nk6TJk), and antibiotics trigger proteolytic activity that leads to chronic colitis (http://bit.ly/2zP0n9P).

Around one-half of women and one-third of men will eventually develop dementia, stroke, or parkinsonism during their lifetime. Also today, trivalent adjuvant influenza vaccine aIIV3 is safe in elderly adults, pill burden affects the ability to reach systolic BP control, and breast cancer risk in type 2 diabetes related to adiposity.

Using aspirin across the board is not justified based on results of the ASPREE trial as well as on the equivocal results from other recent primary prevention trial. Also today, swings in four metabolic measures predicted death in healthy people, anticoagulation plus single antiplatelet fails noninferiority measure 1 year after stenting, and Behavioral checklist identifies children at risk of depressive and/or anxiety disorders.

Hayden Bosworth, PhD has advice on how to get on top of home BP monitoring and how it can be clinically relevant. Also today, opioid use in osteoarthritis may mean more activity-limiting pain, sulfasalazine is pinpointed as the reason for high triple-therapy discontinuation, and point-of-care test for respiratory viruses lowers antibiotic use.

The National Foundation for Infectious Diseases advocates for vaccination for influenza (http://bit.ly/2N8ZRXE). Also today, the U.S. House and Senate agree on a broad opioid legislation (http://bit.ly/2OQ9lsh), a computerized tool could ease decision-making for lupus (http://bit.ly/2xXRrwA), and a proposed change to Part B drug reimbursement draws more fire from physician organizations (http://bit.ly/2QgYS9T).

America's gabapentin problem

A pediatric psychiatric consult for adolescent and adult ADHD by Sarah E. Guth, MD. Also today, prosthesis-patient mismatch post TAVR ups the risk of death by 19%, residents help to curb the overuse of IV antibiotics in children, and both age and other risk factors ought to guide chlamydia and gonorrhea screening for women infected with HIV.

Ketamine may be helpful in central sensitization pain syndromes. Also today, trifarotene cream for acne meats all endpoints in twin phase 3 trials, the pros and cons of geriatric bypass surgery for patients with type 2 diabetes, and it looks like obesity plays a role in sleep-disordered breathing for pregnant women.

Bleeding from rivaroxaban may help diagnose some GI and GU cancers. Also today, a review by the FDA supports the safety of nuplazid, arthritis is prevalent in older adults with any degree of depression, and growth in overdose deaths is exponential.