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Predicting Failure to Rescue Using the Modified Frailty Index

Age and ASA status may predict survival after an anastomotic leak following colectomy for colorectal cancer, according to new research. The addition of frailty variables, including the ACS-NSQIP mFI-5, did not significantly improve predictive performance. Older age with ASA III classification were strongly associated with failure to rescue (FTR) in patients who experienced anastomotic leaks….

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FDA Approves Remdesivir, a first for for COVID-19 Treatment

previously authorized for emergency use of remdesivir, as it is now specifically for hospitalized patients with COVID-19. It is recommended for those who require supplemental oxygen, mechanical ventilation, or extracorporeal membrane oxygenation. The FDA has noted that the benefits of remdesivir for treating COVID-19 outweigh any potential risks, making it a valuable addition to the…

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Xipere demonstrates durability, safety in real-world setting

At the Retina Society meeting, Dr. Steven Yeh discussed the use of Xipere for treating noninfectious uveitis-associated macular edema. A study of 750 patients treated with Xipere showed positive results, with only 14% experiencing an elevation in intraocular pressure. Patients who received Xipere did not require rescue therapy, with 88% receiving only a single dose….

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Indian man awakes on funeral pyre

An Indian man was mistakenly declared dead by a doctor and sent to the mortuary to be burned on a funeral pyre after falling sick with an epileptic seizure. Just moments before the pyre was lit, the man, who had speaking and hearing difficulties, began moving and was discovered to be alive. He was rushed…

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New initiative aims to explore diet’s role in lupus care

Lupus Therapeutics, the clinical affiliate of the Lupus Research Alliance, launched the IDEAL Initiative to fund pilot studies examining the impact of diet on lupus management. The initiative aims to fill the gap in well-controlled studies in this area and identify a dietary approach that benefits people with lupus. The research will focus on the…

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First Long-Term Study ID’s Recovery Time for Brain Disorder

Recovery from anti-NMDAR encephalitis can take 3 years or more with lingering memory, language, and emotional problems, affecting young adults primarily. Treatment involves immunotherapy, but despite improvement, many patients still experience long-term cognitive deficits and struggle to return to work. A study found that 34% of patients had continued impairment after 3 years, with memory…

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Enhance Your Practice With Comfort, Stability And Style

Yoga mats are essential for enhancing practice by providing comfort, stability, and safety. A good mat aligns with your practice style and physical needs. Factors to consider when choosing a yoga mat include cushioning, grip, materials, portability, maintenance, and durability. Various options, such as extra-thick mats, non-slip surfaces, and eco-friendly materials are available to suit…

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Just OK Is Not OK

The advertising world has popularized slogans that stick in our minds, even when we forget the product. An editorial by Dr. Frederick L. Greene discusses the decision to change the USMLE Step 1 examination to a pass/fail system in 2022. While the move aims to shift focus from excessive studying to patient interaction, concerns arise…

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Study Bolsters Patient-Controlled Analgesia for Cancer Pain

A study presented at the 2020 ASCO meeting found that IV hydromorphone administered via patient-controlled analgesia provided quicker pain relief and higher patient satisfaction for those with severe cancer pain compared to other pain control methods. This randomized phase 3 study involved 214 patients at 17 sites in China, with a numerical rating scale score…

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Value-Based Care Is a Four Layer Cake — Why Do We Only Focus on The Icing?

The healthcare industry is slowly transitioning from fee-for-service care models to value-based care, but providers and payers continue to struggle with contracting challenges and administrative burdens. Three healthcare experts discussed this issue at a recent panel event, emphasizing the need for clinicians to practice differently in a value-based care environment. Success in value-based care also…

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Dismantling state institutions will be devastating for low income groups that rely on public services to survive – just ask Singapore

Singapore’s health system is praised for its universal coverage and mix of private services. In the US, Trump’s plans threaten civil service protections, with shock nominees for key positions such as attorney-general and director of national intelligence. Singapore’s success in areas like affordable housing, healthcare, and combating addiction can offer lessons for Western countries. The…

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Georgians With Disabilities Are Still Being Institutionalized, Despite Federal Oversight

Lloyd Mills, a 32-year-old with autism, cerebral palsy, and kidney disease, was stuck in a hospital for eight months due to auditory hallucinations and suicidal thoughts. Georgia was sued in 2010 for segregating people with disabilities and mental illnesses, leading to a settlement to improve care services. While improvements have been made, many challenges remain,…

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Despite progress fighting the overdose epidemic, outdated policies are ‘costing lives’

The American Medical Association (AMA) reported a slight decrease in drug overdose deaths in 2023, despite a historic high. Opioid prescriptions have decreased by 51.7% since 2012, but challenges remain in accessing medications for opioid use disorder. The AMA emphasizes the need to remove barriers to medication and enforce parity laws. Recommendations for policymakers include…

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Trump to nominate former Fox News contributor as surgeon general

President-elect Donald Trump announced that medical doctor and former Fox News contributor Janette Nesheiwat will be nominated to be the next surgeon general. The surgeon general is responsible for providing Americans with scientific information to improve health and reduce illness. Nesheiwat, a family and emergency medicine doctor currently serving as medical director at CityMD, is…

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New insights into sleep uncover mechanisms with broad implications for boosting brainpower

A recent study by a team of researchers has uncovered key mechanisms by which nonrapid eye movement (NREM) sleep enhances cognitive performance. The research, published in Science, shows that NREM sleep fosters brain synchronization and enhances information encoding, potentially changing our understanding of how sleep boosts brainpower. The study involved monitoring neural activity in macaques…

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New study challenges the traditional view of gene switches

A recent study challenges the idea that gene switches, or enhancers, have their own isolated location on DNA. Instead, the study suggests that regulatory sequences in the genome may be more complex than previously thought. Enhancers control gene expression, affecting when and where genes are active. The findings have implications for how traits change during…

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Clonazepam Recall Grows Over Dangerous Labelling Error

Endo USA, Inc has expanded its recall of clonazepam orally disintegrating tablets due to a packaging error that could be life-threatening. The company has identified that certain product lots contain cartons printed with incorrect strength and National Drug Code due to an error by a third-party packager. Consuming a higher dose of clonazepam could lead…

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Cardiovascular Fitness May Lower Dementia Risk, Even For Those With Genetic Predisposition, Study Finds

Regular exercise is essential for preventing chronic conditions and slowing cognitive decline. Recent research indicates that cardiovascular fitness, the body’s ability to deliver oxygen to muscles during exercise, may also reduce the risk of dementia. A study on over 60,000 participants found that improved cardiorespiratory fitness is linked to better cognitive performance and a lower…

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Wound Care During COVID-19

Before the COVID-19 pandemic, Dr. John Lantis oversaw a busy vascular surgery department in New York City, seeing 350 patients weekly with vascular issues and performing numerous procedures. When the pandemic hit, elective surgeries were halted, outpatient visits dropped significantly, and Dr. Lantis had to switch to telemedicine to continue caring for patients. Despite challenges,…

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Evidence Grows for Acupuncture Effectiveness In Cancer Survivors

A recent study found that among cancer survivors with chronic musculoskeletal pain, auricular acupuncture was less effective than electroacupuncture at reducing pain. This type of acupuncture, also known as battlefield acupuncture, also had higher rates of discontinuation. Pain is a common and debilitating symptom in cancer survivors, with many patients being undertreated for their pain….

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GLP-1s may curb alcohol consumption in those with obesity

A systematic review published in eClinicalMedicine suggests that some diabetes medications, specifically GLP-1 receptor agonists, could help reduce alcohol consumption and related health problems, especially in individuals with obesity. Studies showed that exenatide reduced alcohol consumption in people with obesity, while dulaglutide increased the likelihood of reduced alcohol consumption. However, further research is needed to…

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Sen. Rand Paul plans to investigate Covid-19 origins| STAT

Sen. Rand Paul plans to use his position as chair of a committee to investigate the origins of Covid-19, with potential implications for the reorganization of the NIH. He is critical of scientists and science agencies, particularly the NIH and Dr. Anthony Fauci, accusing government officials of misleading the public about U.S. funding of research…

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Doctors in Italy strike over pay and lack and investment

Health workers in Rome, including doctors and nurses, went on strike on 20 November to protest proposed changes in the government’s budget. The strike was organized by various trade unions representing different health sectors. The Italian government’s budget for 2025 includes an additional €1.3bn investment in healthcare, on top of the €1.2bn allocated last year….

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Younger patients more affected by neurologic manifestations of long COVID

A study published in the Annals of Neurology found that younger and middle-aged patients are disproportionately affected by neurologic manifestations of postacute sequelae of severe acute respiratory syndrome coronavirus 2 infection (Neuro-PASC). The study included 200 posthospitalization Neuro-PASC patients and 1,100 nonhospitalized Neuro-PASC patients assessed at a Neuro-COVID-19 clinic. Older patients showed higher prevalence of…

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PVI Add-Ons Provide Better Control of Persistent AF

A multicenter randomized trial showed that adding linear ablation and ethanol infusion to pulmonary vein isolation (PVI) led to better management of persistent atrial fibrillation (AF) compared to PVI alone. The trial resulted in a 70.7% freedom from AF recurrences without anti-arrhythmia drugs in patients with the additional treatments, as opposed to 61.5% in the…

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Journal Watch

In this installment of Journal Watch, Dr. Josh Herb discusses two articles on the antibiotic treatment of appendicitis, the timing of endovenous ablation for venous leg ulcers, and incisional hernia repair. The CODA trial compared antibiotics with surgery for appendicitis, finding that antibiotic treatment was noninferior. Another study compared narrow- and extended-spectrum antibiotics for appendicitis,…

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Patients With IBD Face Range of Extraintestinal Cancers

Patients with inflammatory bowel disease have a higher risk of developing various types of cancer outside of the digestive tract, according to a recent meta-analysis. The study found that individuals with IBD are up to 45% more likely to develop malignancies such as bile duct, pulmonary, and hematologic cancers. This contradicts a previous meta-analysis that…

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Wearable Health Tech: Innovations and Impacts on Chronic Disease Management

Wearable health technology has revolutionized healthcare by providing real-time data for chronic disease management. Wearable devices can monitor various health factors such as glucose levels, sleep quality, and heart rate, enabling patients to take control of their health. These devices also help reduce healthcare costs by preventing emergencies and improving overall health outcomes. Challenges with…

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Upcoming events to discuss traffic medicine and medication safety

The next clinical update of the National Office for Traffic Medicine will cover topics such as obstructive sleep apnoea, off-road assessments, and alcohol use disorders. The event, taking place online on November 27, will feature speakers discussing recent developments in these areas. Additionally, the All-Island Medication Safety Conference will be held on November 28-29 in…

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Readers Embrace ‘Going It Alone’ Series on Aging and Chastise Makers of Pulse Oximeters

Various individuals wrote to the “Letters to the Editor” section, sharing personal experiences and opinions on topics related to healthcare, including caring for dementia patients, racial bias in medical technology, fluoride in water, paywalls in accessing health information, and challenges with Medicare plans. The letters expressed concerns about the complexity of caregiving, racial disparities in…

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Name changes for Sjögren’s, axial spondyloarthritis ‘a big deal’ for researchers, patients

Two autoimmune diseases, Sjögren’s syndrome and ankylosing spondylitis, are undergoing name changes to better reflect their seriousness and complexity. Sjögren’s syndrome is now being called Sjögren’s disease to emphasize its systemic nature, while ankylosing spondylitis has been renamed axial spondyloarthritis. These changes aim to promote accurate diagnosis and treatment of patients. The shift in terminology…

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Advances in the management of psoriatic arthritis in adults

Psoriatic arthritis is an inflammatory arthritis affecting 30% of patients with psoriasis. It involves various domains, comorbidities, and extra-musculoskeletal manifestations. Treatment usually starts with NSAIDs and csDMARDs. Biologic and targeted DMARDs are also used, targeting cytokines like TNFα, IL-17, IL-12/23, and IL-23. Non-pharmacologic interventions like education, exercise, and mindfulness are recommended. Clinical assessment tools and…

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Human Cell Atlas leads a new era in precision medicine

The Human Cell Atlas is a global initiative aiming to map human biology using cutting-edge genomics to enhance disease diagnosis and treatment. The project involves diverse scientists and community engagement to ensure equity, diversity, and inclusivity in research practices. The HCA prioritizes ethical sample collection, data sharing, and accountability through its Equity Working Group. The…

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Diet’s Role in Parkinson’s Disease

Interest is growing in the role of nutrition in slowing or preventing neurodegeneration in patients with Parkinson’s disease (PD). John Duda, MD, has highlighted the lack of effective drugs in managing PD symptoms and has emphasized the importance of nutrition, such as the Mediterranean and MIND diets, which have shown an inverse association with PD…

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New Chemical Identified In U.S. Tap Water, Scientists Urge Investigation Into Its Toxicity

Scientists have discovered a new chemical byproduct in tap water treated with chloramine, raising health concerns for over 100 million Americans. This compound, named chloronitramide anion, was found in water systems across seven states. Researchers believe that this byproduct may be contributing to the chronic toxicity of drinking water, potentially increasing the risk of cancer….

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Once Upon a Time in the Coelom (Part 3)

In this content, the focus is on exploring the origins and meanings of words related to the abdomen in an entertaining and informative way. The author takes the reader on a linguistic journey, discussing terms such as stomach, intestine, and organ, tracing their roots back to Latin and Greek origins. Additionally, the content highlights the…

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