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Phone Apps for Patients With Diabetes

Mar, 26/06/2018 - 02:00
Among approximately 280 commercially available mobile phone apps for self-management of diabetes, only 11 had been studied for effectiveness, and only 5 of those were associated with clinically significant improvement in blood glucose control as measured by hemoglobin A1c tests, according to a recent report by the Agency for Healthcare Research and Quality (AHRQ).

Insect Borne Disease Threat Grows

Mar, 26/06/2018 - 02:00
The United States faces an increasing number of infections caused by mosquito, tick, and flea bites, according to a new CDC report.

Rise in Fall-Related Deaths

Mar, 26/06/2018 - 02:00
The number of US older adults who die as the result of a fall has increased by 31%, from 18?334 in 2007 to 29?668 in 2016, according to a CDC report.

Handwashing 0347

Mar, 26/06/2018 - 02:00
At this time of night, my handsknow what to do, stubbornly,poorly pre-programmedbut compelled and automatic still,with the cold bracing waterand the glop of scented soapunable to break their rhythm,movements purposeful and synchronizednot just the deep creases of the palmsbut the six webs between the eight fingerscounting the thumbs separatelyeach grabbed by the opposing fistbent with friction and twisted firmly,then sliding each cupped palmaround the flesh beneath the shortest fingerssurprisingly cooler than anywhere else,moving down to surround each wristaround and around to a vague spothalfway to the elbowwith an unthinking brushingof fingerpads and thumbs against ten shorn nailsbefore plunging it allunder what is thought to be a glistening absolution,believing that traces of the past can be further diminished,the hands now ready to be dry again, ready to go againno matter what finished at 0344.

Doctors in Congress

Mar, 26/06/2018 - 02:00
In the Seventy-Eighth Congress of the United States there are seven physicians. They include:

Screening for Osteoporosis to Prevent Fractures

Mar, 26/06/2018 - 02:00
This JAMA Patient Page describes the US Preventive Services Task Force recommendations on screening for osteoporosis to prevent fractures.


Mar, 26/06/2018 - 02:00

Highlights for June 19, 2018

Mar, 19/06/2018 - 02:00

The President’s 2018 Plan to Address High Drug Prices

Mar, 19/06/2018 - 02:00
This Viewpoint discusses missed opportunities in the 2018 White House blueprint to reduce prescription drug prices, including a proposal that would require CMS to negotiate prices with manufacturers and that would ban unfair practices companies use to extend brand exclusivity.

Banning Abortion in Cases of Down Syndrome

Mar, 19/06/2018 - 02:00
This Viewpoint discusses legal and ethical issues raised by the 2017 Ohio law prohibiting physicians from performing abortions if the pregnant woman’s decision was influenced by her belief that the fetus has Down syndrome.

Direct-to-Consumer Genetic Testing for BRCA Mutations

Mar, 19/06/2018 - 02:00
This Viewpoint discusses the implications of the US FDA’s 2018 marketing authorization permitting 23and Me to market BRCA mutation testing to the general public, including concern about overtesting, false assurance, and the ability of accessible testing to improve population health outcomes.

Evolving Payer Coverage Policies on Genomic Sequencing Tests

Mar, 19/06/2018 - 02:00
This Viewpoint discusses a 2018 Centers for Medicare & Medicaid Services national coverage determination on next-generation sequencing tests for patients with advanced cancer and suggests ways to ensure appropriate and equitable access to testing, resource efficiency, and improvement in patient and societal outcomes.

The Microbiome and Risk for Atherosclerosis

Mar, 19/06/2018 - 02:00
This Viewpoint discusses the role the human gut microbiome may play in the development and progression of atherosclerosis, both by influencing risk factors and by direct effects on the inflammation and vulnerability of endovascular plaques.

Tension Between Science and Medical Practice

Mar, 19/06/2018 - 02:00
In this narrative medicine essay, an internist speculates about the perfect specialty in moments of confusion over nonspecified illnesses and concludes that all specialties involve scientific imprecision.

Germline Genetic Testing for Pancreatic Ductal Adenocarcinoma at Time of Diagnosis

Mar, 19/06/2018 - 02:00
Recent attention has focused on the hereditary basis of pancreatic ductal adenocarcinoma (PDAC), a fatal cancer with an overall 5-year survival of 8%. For inherited cancer syndromes such as Lynch and hereditary breast and ovarian cancer syndromes, research in the last 20 or more years has culminated in strategies for clinical management, with tailored screening, prophylactic surgery, and targeted therapies aimed at reducing the risk of cancer development or treating cancer in high-risk individuals and their family members. Strategies for identification and management of Lynch syndrome and hereditary breast and ovarian cancer syndrome have been formalized in several clinical guidelines that have been adopted by the medical community.

Association of Stress-Related Disorders With Subsequent Autoimmune Disease

Mar, 19/06/2018 - 02:00
This cohort study uses Swedish national registry data to investigate associations between PTSD, stress reactions, and adjustment disorders and subsequent autoimmune disease.

Association Between Inherited Cancer Predisposition Genetic Mutations and Risk of Pancreatic Cancer

Mar, 19/06/2018 - 02:00
This case-control study uses Mayo Clinic registry data to assess associations between inherited germline mutations in 21 cancer predisposition genes and risk of pancreatic cancer.

Obesity Prevalence by Demographics and Urbanization in US Youth, 2013-2016

Mar, 19/06/2018 - 02:00
This national survey study uses NHANES data to examine trends in obesity and severe obesity among US youth aged 2 to 19 years by sex, age, race and ethnicity, education level, and urbanization from 2013 to 2016.

Obesity Prevalence by Demographic Characteristics and Urbanization Level in US Adults, 2013-2016

Mar, 19/06/2018 - 02:00
This national survey study uses National Health and Nutrition Examination Survey data to examine trends in obesity and severe obesity among adults aged 20 years or older by age, sex, race, ethnicity, education level and urbanization level between 2001 and 2016.

Glycemic Control in Nonpregnant Adults With Type 2 Diabetes

Mar, 19/06/2018 - 02:00
This JAMA Clinical Guidelines Synopsis summarizes the American College of Physicians’ (ACP’s) 2018 guidance statement on hemoglobin A1c goals in nonpregnant adults with type 2 diabetes.

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