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INDIANAPOLIS — Two days after her father was admitted to the hospital from his nursing home with methicillin-resistant Staphylococcus aureus (MRSA), a woman presented to urgent care with fever, chills, chest discomfort, body aches, and mild tachycardia. The physician assistant recorded “no wheezing or rhonchi, positive mild congestion” before diagnosing an upper respiratory infection and
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The first prospective study to evaluate the accuracy of a blood test for people being screened for colorectal cancer (CRC) revealed a high sensitivity and specificity. At 90% specificity, the blood assay (Guardant Health) was 100% sensitive for detecting CRC. At 95% specificity, sensitivity was 88%. The blood assay detects circulating tumor DNA from cancer
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ATLANTA — Paclitaxel-coated devices for femoropopliteal artery revascularization were not associated with any excess mortality risk in the latest update from Medicare data. The risk of death from any cause, if anything, trended slightly lower (hazard ratio 0.98, 95% CI 0.96-0.99) with paclitaxel-eluting stents or -coated balloons compared with bare metal stent or percutaneous transluminal
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The first-ever guidelines for interventional cardiologists using percutaneous patent foramen ovale closure recommend expanding the use of the procedure beyond the Food and Drug Administration-approved indication following PFO-associated ischemic stroke, adding clarification about the use of PFO with anticoagulation and hedging against abuse and overuse of the procedure, said the chair of the guideline writing
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Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Center. Misinformation about nirmatrelvir/ritonavir (Paxlovid, Pfizer) for treating mild-to-moderate COVID-19 in patients at high risk for severe disease is feeding misunderstanding among prescribers and patients, two experts from the Infectious Diseases Society of America (IDSA) said on Friday. They briefed reporters on
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Dupilumab (Dupixent) became the first drug approved to treat eosinophilic esophagitis in adults and pediatric patients ages 12 and older weighing at least 40 kg (~88 lb), the FDA announced. Eosinophilic esophagitis is a chronic, progressive disease in which the esophagus becomes inflamed due to a buildup of eosinophils, creating difficulty swallowing and eating. Dupilumab
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The FDA has opened the public comment period for the agency’s proposed ban on menthol cigarettes. Epidemiology and global health professor Rafael Meza studies data modeling in disease prevention and cancer risk. David Mendez, who studies smoking cessation and tobacco control policies, is an associate professor of health management and policy. These University of Michigan
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Patients who self-report as Black or Hispanic appear more likely than White patients to experience occult hypoxemia during anesthesia, a large retrospective cohort study suggests. Dr Matthew Levin “The rate of occult hypoxemia — arterial blood oxygen saturation less than 88% despite a pulse oximetry reading greater than 92% — was significantly higher in patients
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Centers for Disease Control and Prevention (CDC) Director Rochelle Walensky, MD, signed off today on an advisory panel’s recommendation that children ages 5 to 11 years should receive a Pfizer-BioNTech COVID-19 vaccine booster dose at least 5 months after completion of the primary series. The CDC’s Advisory Committee on Immunization Practices (ACIP) voted 11:1 Thursday
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[embedded content] In this video, Mikhail Varshavski, DO — who goes by “Dr. Mike” on social media — watches painful TikTok gym accidents. Following is a transcript of the video (note that errors are possible): Varshavski: We all want to go to the gym and get swole, but how many of us have had accidents
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WIESBADEN, Germany — To differentiate temporary or even long-lasting symptoms, such as in the back, from one of the 100 or so “actual” rheumatologic conditions is not easy, even for specialists. “Inflammatory conditions of the connective tissue, which pervades the body, can be found throughout, in joints, muscles, vessels, organs,” explained Ulf Müller-Ladner, MD, chair
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Gastroenterologists, like many other physicians, fared better financially in 2021 than during the height of the pandemic in 2020, according to the 2022 Medscape Gastroenterology Compensation Report. Gastroenterologists’ average annual income rose from $406,000 in 2020 to $453,000 in 2021 — an increase of 12% over the prior year, second only to otolaryngologists (+13%). “Compensation
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Our profession often sends the message that we are invincible heroes. Here’s my vulnerable and honest admission: I lapped that up. There was something so seductive about denying pesky human requirements, like sleep, regular exercise, and time to decompress. I liked being needed more than I liked having needs. I sublimated mine under my superhero
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Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Center. Regardless of the severity of their initial illness, 89% of people who were hospitalized with COVID-19 had returned to their original work 2 years later, a new study shows. The burden of persistent COVID-19 symptoms appeared to improve over time, but
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Four trained dogs detected people who were positive for SARS-CoV-2 with similar accuracy to PCR tests, according to a randomized trial and real-life study at a busy international airport earlier in the pandemic. In the validation trial, the dogs had 92% accuracy, with 92% sensitivity (95% CI 89-94) and 91% specificity (95% CI 89-93) compared
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Reduced levels of the cholinergic-system enzyme butyrylcholinesterase (BChE) may provide another piece of the puzzle for sudden infant death syndrome (SIDS), preliminary data from Australian researchers suggested. A small case-control study led by Carmel T. Barrington, PhD, a sleep medicine expert and honorary research fellow at the Children”s Hospital at Westmead (Australia), found that measurements
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Calling the death of 75-year-old patient Charlene Murphey a “terrible, terrible mistake,” a Tennessee judge sentenced former nurse RaDonda Vaught, RN, to 3 years of supervised probation on Friday. Before sentencing, a tearful Vaught, 38, asked for leniency and apologized for the first time to the Murphey family. “I’m sorry I haven’t said this sooner.
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