Daily Medical News show

Daily Medical News

Summary: 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.

Podcasts:

 What you should know about celiac disease | File Type: audio/mpeg | Duration: 08:03

Dr. Joseph Murray of the Mayo Clinic points out that you might know as much about celiac as you think (http://bit.ly/2preFr4). Also today, a novel agent shows unprecedented efficacy in psoriasis (http://bit.ly/2MLLE2I), IgA vasculitis may be more common in adults than you think (http://bit.ly/2DeXTFC), and one-step gestational diabetes screening doesn’t improve outcomes (http://bit.ly/2xy7VLM).

 Behavioral intervention in obese adults | File Type: audio/mpeg | Duration: 06:29

The U.S. Preventative Services Task Force advises clinicians to refer or offer intensive behavioral weight-loss interventions to obese adults (http://bit.ly/2DbYO9F). Also today, stop treating gout and start curing it (http://bit.ly/2QIhaBO) the FDA has a new risk evaluation mitigation strategy for immediate-release opioids (http://bit.ly/2Df9AvY), and the United Nations aims to eradicate tuberculosis by the year 2030 (http://bit.ly/2DenEFN).

 Troubling MRI changes and pediatric hypertension | File Type: audio/mpeg | Duration: 07:55

Researchers found evidence of impaired white matter integrity on MRI in a handful of hypertensive children similar to what is found in adults with cognitive impairment from hypertension. Also today, predictors for worse outcomes in low–disease activity RA remain tough to come by, elevated type 2 diabetes risk seen in PsA patients, and new European hypertension guidelines target most adults to less than 130/80 mm Hg.

 Alarming rate of diabetes medication discontinuations | File Type: audio/mpeg | Duration: 06:51

Most patients with type 2 diabetes stop taking their medication within a year, and nearly one-third stop within the first 3 months (http://bit.ly/2QD0U4U). Also today, the FDA approves Ajovy for migraine prevention(http://bit.ly/2Nhbxwq), some teens are using cannabis in their vapor devices (http://bit.ly/2pekqs7), and alpha-blocker use is still common and still risky (http://bit.ly/2No2QAE).

 Urine drugs screens show improper medication use | File Type: audio/mpeg | Duration: 06:13

Urine drugs screens show improper medication use

 Physician burnout singes patient safety | File Type: audio/mpeg | Duration: 06:12

Physician burnout singes patient safety

 Sprain an ankle, get an opioid | File Type: audio/mpeg | Duration: 07:28

Sprain an ankle, get an opioid

 Can tai chi tame seniors' fall risk? | File Type: audio/mpeg | Duration: 06:11

Can tai chi tame seniors' fall risk?

 Colonoscopy: Should 45 be the new 50? | File Type: audio/mpeg | Duration: 09:07

Colonoscopy: Should 45 be the new 50?

 New guidelines on prophylaxis for cancer-related immunosuppression | File Type: audio/mpeg | Duration: 06:21

Fluoroquinolones are recommended for adults with cancer-related immunosuppression. Also today, statins are not preventative in the elderly unless they have diabetes, children born from ART have risk for arterial hypertension, and Supreme Court nominee Judge Kavanaugh testifies on Roe v. Wade.

 Baloxavir, oseltamivir similar for influenza | File Type: audio/mpeg | Duration: 07:47

Single-dose influenza drug baloxavirhas similar efficacy to oseltamivir, according to new data in the New England Journal of Medicine. Also today, the relationship between obstructive sleep apnea and gout, community-based therapy for asthma in African American teens, and the importance of hospital settings for pneumonia.

 Cardiovascular risk with diclofenac | File Type: audio/mpeg | Duration: 08:03

Diclofenac has emerged as a clear culprit in higher risk for adverse cardiovascular events. Also today, the majority of e-cigarette users are under 35 years of age, a hospital dropped length of stay for neonatal abstinence syndrome, and physician groups continue to call for CMS to drop evaluation and management proposal.

 Modest alcohol and NAFLD | File Type: audio/mpeg | Duration: 07:12

Patients with non-alcoholic fatty liver disease who consumed modest quantities of alcohol had significantly less improvement in NASH. Also today, new AGA guidelines on opioid-induced constipation, a self-management intervention for epilepsy improves quality of life, and fewer enrollees reach the Medicare drug donut hole.

 FDA approval for 2 HIV drugs | File Type: audio/mpeg | Duration: 06:48

The FDA approves the once-daily oral drugs Delstrigo and Pifeltro for HIV-1 infection. Also today, emicizumab beats factor VIII prophylaxis by a wide margin, orodental issues are often associated with facial port-wine stains, and epilepsy often accompanies congenital Zika infections.

 Rivaroxaban beats aspirin for VTE | File Type: audio/mpeg | Duration: 08:44

Both low-dose and full-dose rivaroxaban had superior benefit-risk profiles for extended VTE compared with aspirin. Also today, bone biopsy diagnostics for osteomyelitis vary widely, variation in bacterial drug susceptibility are tied to the risk of TB relapse, and CTA cuts MIs in patients with stable chest pain.

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