News

I’m currently reading What Happened to You by Oprah Winfrey and Bruce D. Perry, MD, PhD, and being reminded that I react rather than respond when I am in a trauma activation. When that happens, I don’t have access to higher cortical functions like critical thinking. And as Gabor Maté, MD, would say, I don’t
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The anti-inflammatory agents colchicine and icosapent ethyl (Vascepa; Amarin) failed to provide substantial benefits in separate randomized COVID-19 trials. Both were reported at the European Society of Cardiology (ESC) Congress 2021. The open-label ECLA PHRI COLCOVID trial randomized 1277 hospitalized adults (mean age 62 years) to usual care alone or with colchicine at a loading
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Editor’s note: Find the latest COVID-19 news and guidance in Medscape’s Coronavirus Resource Center. Patients on immunosuppressive or immunomodulatory therapy should receive a third dose of either the Pfizer-BioNTech COVID-19 vaccine or the Moderna COVID-19 vaccine at least 28 days after the second dose of either of these two mRNA vaccines, according to updated recommendations
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Public health authorities have been persuading the general masses to get the COVID-19 booster shots once they have become available. But the guidance has mostly been for those who received the mRNA vaccines from Pfizer and Moderna, leaving recipients of Johnson & Johnson’s Janssen vaccine wondering if they also need the additional dose of the vaccine. 
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A new noninvasive procedure is safe and effective for treating patients with mild Alzheimer’s disease (AD), new research suggests. The approach uses MRI-guided low-intensity focused ultrasound (FUS) and injected microbubbles to temporarily open the blood-brain barrier (BBB). In a small group of patients, the procedure was significantly associated with reduced amyloid plaque and cognitive decline.
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Finerenone (Kerendia) prevents cardiovascular (CV) and some renal events in type 2 diabetes patients with earlier stages of kidney disease, the FIGARO-DKD trial showed. In the trial’s stage 1 to 4 kidney disease patients with moderate-to-severe albuminuria, the nonsteroidal mineralocorticoid receptor antagonist (MRA) reduced the composite of CV death, nonfatal myocardial infarction or stroke, or
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In patients with coronary artery disease scheduled for a percutaneous intervention (PCI), fractional flow reserve (FFR) assessment at the time of angiography significantly improves outcome, but it has no apparent value as a routine study in all CAD patients, according to the randomized RIPCORD 2 trial. When compared to angiography alone in an all comer-strategy,
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The addition of image-guided atrial fibrosis ablation did not significantly reduce the risk of recurrence relative to pulmonary vein isolation (PVI) alone in patients with treatment-resistant atrial fibrillation (AFib), according to results of an intention-to-treat analysis of the randomized DECAAF II trial. However, there was a significant advantage for the addition of image-guided ablation in
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His bundle pacing has now entered guidelines from the European Society of Cardiology (ESC). The update to the cardiac pacing and cardiac resynchronization therapy (CRT) guidelines also brought changes on pacing after syncope or transcatheter aortic valve implantation (TAVI), as well as revisions to recommendations on loop recorders, CRT in heart failure, and implantable device
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New data on using the nonsteroidal mineralocorticoid receptor antagonist (MRA) finerenone to treat patients with type 2 diabetes and chronic kidney disease did more than further confirm this new drug’s efficacy in these patients for slowing progression to end-stage renal disease and reducing hospitalizations for heart failure. It also strengthened the case for clinicians to
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Colonoscopies performed by surgeons and other endoscopists were associated with lower adenoma detection rates compared to those done by gastroenterologists, according to a meta-analysis. In a systematic review of 36 studies, adenoma detection rates during colonoscopy were 19% lower with surgeons (OR 0.81, 95% CI 0.74-0.88) and 9% lower with family physicians, general practitioners, and
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The transition from undergraduate medical education (UME) to graduate medical education (GME) in the United States needs comprehensive reform, says a new report from the Graduate Medical Education Review Committee (UGRC) of the Coalition for Physician Accountability. The 275-page report presents preliminary findings that were released last April and a long list of stakeholder comments.
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The hallmark of Parkinson’s disease is the accompanying motor symptoms, but the condition can bring other challenges. Among those are nonmotor symptoms, including depression, dementia, and even psychosis. Dr Leslie Citrome The culprit is Lewy bodies, which are also responsible for Lewy body dementia. “What we call Lewy body dementia and Parkinson’s disease are caused
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Women in the United States are developing gestational diabetes at a higher rate than a decade ago, and disparities have persisted between White women and women of other races, researchers say. In a study of 12.6 million women who had given birth, the overall age-adjusted prevalence of gestational diabetes increased from 47.6 per 1000 live
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There is still a preponderance of hesitancy among a number of people when it comes to getting the COVID-19 vaccines. Such hesitation has been linked to their belief that the vaccines are not safe and come with far greater risks than getting infected with the novel coronavirus. But experts are speaking up in favor of
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Yesterday I got an email from the Department of Health here in New York City announcing that they are spraying local bodies of water in Brooklyn starting this Thursday, to eliminate mosquitoes carrying West Nile virus. Man, it’s bad enough that we’re dealing with the Delta variant of COVID-19 — now we’ve got to remember
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When you think of “detox,” you might instantly think of juice cleanses, specialty teas or body scrubs. But did you know that your feet can also help with your body’s detoxification? Here’s why you should start using detox foot pads. Are Detox Foot Pads Safe? Detox foot pads help draw out toxins from your feet while you sleep. Rectangular-shape or feet-shaped pads,
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