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September 2020 Briefing - Internal Medicine

Last Updated: October 01, 2020.

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for September 2020. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Recent Increase Seen in COVID-19 Incidence Among 18- to 22-Year-Olds

WEDNESDAY, Sept. 30, 2020 (HealthDay News) -- During Aug. 2 to Sept. 5, 2020, there was a 55.1 percent increase in the weekly incidence of COVID-19 nationally among young adults aged 18 to 22 years, according to research published in the Sept. 29 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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COVID-19-Related Hospital Death Up With Psychiatric Diagnosis

WEDNESDAY, Sept. 30, 2020 (HealthDay News) -- Patients with any prior psychiatric diagnosis have an increased risk for COVID-19-related hospital death, according to a research letter published online Sept. 30 in JAMA Network Open.

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High-Risk Patients Not Aware of Needed Colonoscopy Intervals

WEDNESDAY, Sept. 30, 2020 (HealthDay News) -- Many patients with biopsy-confirmed advanced colorectal polyps are unaware of their need for repeat colonoscopy as well as the proper surveillance interval, according to a study recently published in the Journal of Gastroenterology and Digestive Systems.

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COVID-19 Tests for Return to Work May Delay Health Workers

WEDNESDAY, Sept. 30, 2020 (HealthDay News) -- Health care workers (HCWs) diagnosed with COVID-19 can have a prolonged recovery of viral RNA, which can delay return to work (RTW), according to research published online Aug. 26 in Infection Control & Hospital Epidemiology.

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Review IDs Dietary Factors Linked to Lower CRC Incidence

WEDNESDAY, Sept. 30, 2020 (HealthDay News) -- Decreased colorectal cancer (CRC) incidence is seen in association with use of aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), magnesium, folate, and high consumption of fruits and vegetables, fiber, and dairy products, according to an umbrella review published online Sept. 28 in Gut.

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Cancer Mortality Higher for U.S. Counties With Persistent Poverty

WEDNESDAY, Sept. 30, 2020 (HealthDay News) -- U.S. counties with persistent poverty (≥20 percent of residents in poverty since 1980) have higher rates of cancer mortality, according to a study published online Sept. 30 in Cancer Epidemiology, Biomarkers & Prevention.

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No Race Difference Found in COVID-19 Mortality Rates at Same Medical Center

WEDNESDAY, Sept. 30, 2020 (HealthDay News) -- For admitted COVID-19 patients presenting to the same urban medical center, risk-adjusted outcomes were no worse for non-Hispanic Black and Hispanic patients versus non-Hispanic White patients, according to a study published online Sept. 25 in JAMA Network Open.

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Editorial

Hospital Admissions Not Related to COVID-19 Fell in Early 2020

WEDNESDAY, Sept. 30, 2020 (HealthDay News) -- Non-COVID-19 hospital admissions decreased considerably with the onset of COVID-19, with declines generally similar across patient demographic subgroups from February to April 2020, according to a report published online Sept. 24 in Health Affairs.

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Disparities in CVD Burden Increasing Between Richest, Poorer

WEDNESDAY, Sept. 30, 2020 (HealthDay News) -- There are substantial and increasing disparities in the prevalence of cardiovascular disease (CVD) among the highest-resource group and the remainder of the U.S. population, according to a study published online Sept. 25 in JAMA Network Open.

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AI Model Shows Deep Learning Can Detect Large Vessel Occlusion

WEDNESDAY, Sept. 30, 2020 (HealthDay News) -- A deep learning model can detect large vessel occlusion (LVO) using multiphase computed tomography (CT) angiography, according to a study published online Sept. 29 in Radiology.

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Editorial (subscription or payment may be required)

U.S. Government to Ship Millions of Rapid COVID-19 Tests This Week

TUESDAY, Sept. 29, 2020 (HealthDay News) -- The U.S. government will start distributing millions of rapid COVID-19 tests to states this week with the goal of reopening schools.

AP News Article

Global Death Toll From COVID-19 Passes 1 Million

TUESDAY, Sept. 29, 2020 (HealthDay News) -- The global COVID-19 pandemic reached a grim new milestone on Tuesday: 1 million dead.

AP News Article
Johns Hopkins University

CDC Recommends No Travel for Thanksgiving

TUESDAY, Sept. 29, 2020 (HealthDay News) -- Families who usually travel to see each other on Thanksgiving should stay home and hold virtual celebrations instead, the U.S. Centers for Disease Control and Prevention says in guidance on holiday safety during the COVID-19 pandemic.

CBS News Article

Frequency of Alcohol Consumption Up During Pandemic

TUESDAY, Sept. 29, 2020 (HealthDay News) -- There has been an increase in the frequency of alcohol consumption from before to during the COVID-19 pandemic, according to a research letter published online Sept. 29 in JAMA Network Open.

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Higher Odds of Migraines Seen Among Sexual Minorities

TUESDAY, Sept. 29, 2020 (HealthDay News) -- Migraine is more common among sexual-minority groups than individuals identifying as exclusively heterosexual, according to a research letter published online Sept. 28 in JAMA Neurology.

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Proton Pump Inhibitor Use Linked to Increased T2DM Risk

TUESDAY, Sept. 29, 2020 (HealthDay News) -- Regular use of proton pump inhibitors (PPIs) is associated with an increased risk for type 2 diabetes, according to a study published online Sept. 28 in Gut.

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Lockdown Tied to Worsening of Musculoskeletal Conditions

TUESDAY, Sept. 29, 2020 (HealthDay News) -- Early stages of the U.K. COVID-19 lockdown had negative consequences for people with musculoskeletal conditions, according to a letter to the editor published online Sept. 22 in Rheumatology: Advances in Practice.

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Generalized Epilepsy Tied to Higher Sleep Apnea Risk

TUESDAY, Sept. 29, 2020 (HealthDay News) -- Patients with generalized epilepsy have a higher risk for obstructive sleep apnea (OSA), according to a study published in the October issue of Epilepsy & Behavior.

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Women With AMI-Cardiogenic Shock Treated Less Aggressively

TUESDAY, Sept. 29, 2020 (HealthDay News) -- Among young adults with acute myocardial infarction-cardiogenic shock (AMI-CS), women are treated less aggressively and have higher in-hospital mortality than men, according to a study published online Sept. 29 in Circulation: Heart Failure.

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Health Care Use, Costs Increase 20-Fold After Firearm Injury

TUESDAY, Sept. 29, 2020 (HealthDay News) -- Actual health care costs increase up to 20-fold in the six months after a gunshot injury versus the six months before, according to a study published online Sept. 29 in the Annals of Internal Medicine.

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New FDA Applications for Opioids Often Based on Short Trials

TUESDAY, Sept. 29, 2020 (HealthDay News) -- New drug applications (NDAs) for prescription opioids for pain have been based on pivotal trials of short or intermediate duration, often in narrowly defined pain populations, according to a study published online Sept. 29 in the Annals of Internal Medicine.

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Suicidal Behaviors, Deaths Lower for Childhood Cancer Survivors

MONDAY, Sept. 28, 2020 (HealthDay News) -- Survivors of childhood cancer have a lower prevalence of suicidal behaviors and mortality, but the prevalence of suicidal ideation is similar to that of the general population, according to a study published online Sept. 23 in Cancer.

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Private Health Plans Pay Hospitals 247 Percent of Medicare

MONDAY, Sept. 28, 2020 (HealthDay News) -- During 2018, prices paid to hospitals by privately insured patients averaged 247 percent of what Medicare would have paid, according to a study from the RAND Corporation.

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Brain-Eating Amoeba Found in Tap Water of Lake Jackson, Texas

MONDAY, Sept. 28, 2020 (HealthDay News) -- The presence of a brain-eating amoeba in its drinking water has led the city of Lake Jackson, Texas, to issue a "do not use water order" and request an emergency declaration from the state.

CBS News Article

Clinical Severity Lower With Vitamin D Sufficiency in COVID-19

MONDAY, Sept. 28, 2020 (HealthDay News) -- Vitamin D sufficiency is associated with reduced clinical severity, inpatient mortality, and serum levels of C-reactive protein (CRP) among patients infected with COVID-19, according to a study published online Sept. 25 in PLOS ONE.

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14 Novel Loci Identified for Abdominal Aortic Aneurysm

MONDAY, Sept. 28, 2020 (HealthDay News) -- In a genome-wide association study (GWAS), published online Sept. 28 in Circulation, researchers identified 14 novel loci for abdominal aortic aneurysm (AAA).

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<10 Percent of U.S. Population Has Antibodies to SARS-CoV-2

MONDAY, Sept. 28, 2020 (HealthDay News) -- Fewer than 10 percent of the U.S. adult population formed antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the first wave of the pandemic, according to a study published online Sept. 25 in The Lancet.

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Editorial

Exposure to Maternal Gestational Diabetes Tied to Higher CVD Risk

MONDAY, Sept. 28, 2020 (HealthDay News) -- Intrauterine exposure to maternal gestational diabetes is associated with an increased cardiovascular disease risk and risk factors in offspring up to age 35 years, according to a study published online Sept. 28 in CMAJ, the journal of the Canadian Medical Association.

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Hydroxychloroquine Tied to Heart Problems Prior to Pandemic

MONDAY, Sept. 28, 2020 (HealthDay News) -- Real-world, pre-COVID-19 adverse events data show hydroxychloroquine (HCQ) and chloroquine (CQ) are associated with cardiovascular adverse events (CVAEs), according to a study published online Sept. 22 in the British Journal of Clinical Pharmacology.

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Metabolic Surgery May Cut Risk for Cardiovascular Events, Death

MONDAY, Sept. 28, 2020 (HealthDay News) -- Metabolic surgery for patients with morbid obesity and pharmacologically treated hypertension is associated with a lower risk for major adverse cardiovascular events (MACE) and all-cause mortality versus individuals with hypertension from the general population, according to a study published online Sept. 15 in PLOS Medicine.

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Wood Ear Mushrooms Linked to Salmonella Outbreak

FRIDAY, Sept. 25, 2020 (HealthDay News) -- Recalled wood ear mushrooms imported by Wismettac Asian Foods Inc., of Santa Fe Springs, California, and sold to restaurants may be linked to a multistate Salmonella outbreak, the U.S. Food and Drug Administration said Thursday.

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FDA: Mercury Risk Means Certain People Should Not Get Amalgam Dental Fillings

FRIDAY, Sept. 25, 2020 (HealthDay News) -- Certain people are at higher risk for health problems from mercury-containing amalgam dental fillings and should avoid them if possible, a new U.S. Food and Drug Administration recommendation says.

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Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of Sept. 21 to 25, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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U.S. Non-English Speakers Less Likely to Have SARS-CoV-2 Test

FRIDAY, Sept. 25, 2020 (HealthDay News) -- Non-English speakers are less likely to have completed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing and have a higher proportion of positive tests compared with English speakers, according to a research letter published online Sept. 24 in JAMA Network Open.

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One-Fifth of Those With SARS-CoV-2 Infection Asymptomatic

FRIDAY, Sept. 25, 2020 (HealthDay News) -- About one-fifth of individuals with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are asymptomatic and their viral load is comparable to that of patients with mild symptoms, according to a study published online Sept. 22 in Thorax.

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ACIP Provides Recommendations on Meningococcal Vaccination

FRIDAY, Sept. 25, 2020 (HealthDay News) -- Routine vaccination with a quadrivalent meningococcal conjugate vaccine (MenACWY) is recommended for adolescents aged 11 to 12 years with a booster at age 16 years, according to a report published in the Sept. 24 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Median Age of COVID-19 Cases Declined in May to August in U.S.

FRIDAY, Sept. 25, 2020 (HealthDay News) -- From May to August 2020, there was a decrease in the median age of COVID-19 cases in the United States, according to research published in the Sept. 23 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Poorer Exercise Capacity Persists With Ventricular Septal Defects

FRIDAY, Sept. 25, 2020 (HealthDay News) -- As they get older, patients with surgically closed or unrepaired congenital ventricular septal defects (VSDs) have poorer exercise capacity than their healthy peers, according to a study published online Sept. 23 in the Journal of the American Heart Association.

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Performance of Commercial SARS-CoV-2 Ab Tests Varies

FRIDAY, Sept. 25, 2020 (HealthDay News) -- There is considerable variation in the performance of commercial kits for detecting antibodies against SARS-CoV-2, according to a study published online Sept. 24 in PLOS Pathogens.

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HRRP Tied to Decrease in 30-Day Readmission Rates for COPD

THURSDAY, Sept. 24, 2020 (HealthDay News) -- For patients with chronic obstructive pulmonary disease (COPD), implementation of the Hospital Readmissions Reduction Program (HRRP) is associated with a reduction in 30-day readmissions but may increase mortality, according to a study published online Sept. 1 in the American Journal of Respiratory and Critical Care Medicine.

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Survey: Rheumatic Diseases Pose Routine Challenges

THURSDAY, Sept. 24, 2020 (HealthDay News) -- Many patients with rheumatic diseases face significant challenges in their daily lives, including affordability issues, lifestyle and activity limitations, and negative effects on mental and emotional health, according to the results of a survey released by the American College of Rheumatology (ACR).

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Public Awareness Low for Invasive Fungal Diseases

THURSDAY, Sept. 24, 2020 (HealthDay News) -- More than two-thirds of individuals have never heard of any of six invasive fungal diseases, according to research published in the Sept. 25 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Chinese Company Says Its COVID-19 Vaccine Should Be Available in U.S. in Early 2021

THURSDAY, Sept. 24, 2020 (HealthDay News) -- A Chinese pharmaceutical company claims its COVID-19 vaccine should available by early next year for distribution in the United States and other countries.

AP News Article

United First U.S. Airline to Offer COVID-19 Testing for Passengers

THURSDAY, Sept. 24, 2020 (HealthDay News) -- The first COVID-19 testing program for airline passengers in the United States will be introduced Oct. 15 by United Airlines.

CBS News Article

FDA Requiring Labeling Changes to Benzodiazepine Prescribing Information

THURSDAY, Sept. 24, 2020 (HealthDay News) -- In response to reports of misuse and abuse of benzodiazepines, the U.S. Food and Drug Administration is now requiring class-wide labeling changes to the prescribing information, the agency announced yesterday.

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Heavy Sugar-Sweetened Drink Intake Decreasing Overall in U.S.

THURSDAY, Sept. 24, 2020 (HealthDay News) -- Overall, heavy sugar-sweetened beverage (SSB) intake is declining among adults and children, according to a study published online Sept. 24 in the Journal of the Academy of Nutrition and Dietetics.

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Teens' Mental Illness Treatment May Not Follow Guidelines

THURSDAY, Sept. 24, 2020 (HealthDay News) -- There is great variation in the treatment of mental illness in adolescents, according to a study published online Sept. 21 in the Proceedings of the National Academy of Sciences.

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Major Adverse CV Event Risk Reduced With SGLT2 Inhibitors

THURSDAY, Sept. 24, 2020 (HealthDay News) -- For individuals with type 2 diabetes, sodium glucose cotransporter 2 (SGLT2) inhibitors are associated with a reduced risk for cardiovascular events during short-term follow-up, according to a study published online Sept. 23 in The BMJ.

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Acute Kidney Injury Ups Risk for Death in COVID-19 Patients

THURSDAY, Sept. 24, 2020 (HealthDay News) -- Acute kidney injury (AKI) in hospitalized patients with COVID-19 is associated with a significantly higher risk for in-hospital death, according to a study published online Sept. 19 in the American Journal of Kidney Diseases.

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Measures of Central Adiposity Linked to All-Cause Mortality

THURSDAY, Sept. 24, 2020 (HealthDay News) -- Several indices of central adiposity, including waist circumference and body adiposity index, are associated with an increased risk for all-cause mortality, according to a review published online Sept. 23 in The BMJ.

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COVID-19 Risk in Assisted Living Similar to Nursing Homes

THURSDAY, Sept. 24, 2020 (HealthDay News) -- Individual-level risk factors associated with an increased risk for COVID-19 in assisted living (AL) facilities are the same as those seen in nursing homes, according to a study published online Sept. 21 in the Journal of the American Geriatrics Society.

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Cognition-Enhancing Supplements May Contain Unapproved Drugs

THURSDAY, Sept. 24, 2020 (HealthDay News) -- Supplements marketed to improve memory and cognitive function frequently contain unapproved drugs, often at supratherapeutic dosages, according to a study published online Sept. 23 in Neurology: Clinical Practice.

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Guidelines Updated for Managing Dyslipidemia to Cut CVD Risk

THURSDAY, Sept. 24, 2020 (HealthDay News) -- In a synopsis of the 2020 updated clinical practice guideline from the U.S. Department of Veterans Affairs and the U.S. Department of Defense, published online Sept. 22 in the Annals of Internal Medicine, recommendations are presented for the management of dyslipidemia to reduce cardiovascular disease (CVD) risk.

Clinical Practice Guideline Synopsis
Evidence Review (subscription or payment may be required)
Editorial (subscription or payment may be required)

As Flu Season Approaches, Clinicians Brace for Potential 'Twindemic'

WEDNESDAY, Sept. 23, 2020 (HealthDay News) -- Flu shots may be more important than ever this year, as COVID-19 presents new challenges for clinicians and communities this flu season. HD Live! spoke with Nadia Eltaki, M.D., director of clinical operations at Sibley Memorial Hospital in Washington, D.C., to discuss how clinicians can potentially lessen the potential for an overlapping superinfection, or "twindemic."

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Genetically Predicted BMI Increases Rheumatoid Arthritis Risk

WEDNESDAY, Sept. 23, 2020 (HealthDay News) -- Genetically predicted body mass index (BMI) significantly increases the risk for rheumatoid arthritis (RA), according to a study published online Sept. 22 in Arthritis & Rheumatology.

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U.S. COVID-19 Death Toll Hits 200,000 as Cases Climb in 22 States

WEDNESDAY, Sept. 23, 2020 (HealthDay News) -- The U.S. COVID-19 death toll reached the tragic milestone of 200,000 on Tuesday, with at least 22 states now reporting a rise in new cases. Just last Monday, only nine states were reporting increases in new COVID-19 cases, CNN reported. For the most part, the case spikes are showing up in the country's heartland and the Midwest.

CNN Article

Stricter Vaccine Approval Rules Coming From FDA

WEDNESDAY, Sept. 23, 2020 (HealthDay News) -- Stricter guidelines for emergency use authorization of a vaccine against the new coronavirus could soon be issued by the U.S. Food and Drug Administration.

The New York Times Article

Metformin May Slow Cognitive Decline in Seniors With T2DM

WEDNESDAY, Sept. 23, 2020 (HealthDay News) -- For older adults with type 2 diabetes, cognitive decline is slower and dementia risk reduced for those receiving metformin, according to a study published online Sept. 23 in Diabetes Care.

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Fewer Women Aware of Heart Disease as Leading Cause of Death

WEDNESDAY, Sept. 23, 2020 (HealthDay News) -- From 2009 to 2019, there was a decrease in awareness among U.S. women that heart disease is the leading cause of death (LCOD) among women, according to a special report from the American Heart Association, published online Sept. 21 in Circulation.

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Red Blood Cell Distribution Width, Mortality Tied in COVID-19

WEDNESDAY, Sept. 23, 2020 (HealthDay News) -- For patients with COVID-19, elevated red blood cell distribution width (RDW) is associated with increased mortality risk, according to a study published online Sept. 23 in JAMA Network Open.

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CDC: Women More Likely to Experience Anxiety, Depression

WEDNESDAY, Sept. 23, 2020 (HealthDay News) -- Women are more likely to experience anxiety and depression, and women and older children are more likely to receive mental health treatment, according to new statistics from four data briefs published by the U.S. Centers for Disease Control and Prevention National Center for Health Statistics.

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SARS-CoV-2 Mortality Mainly Linked to Older Age, Comorbidity

WEDNESDAY, Sept. 23, 2020 (HealthDay News) -- For U.S. veterans with COVID-19, mortality is mainly associated with older age, male sex, and comorbidity, according to a study published online Sept. 23 in JAMA Network Open.

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Negative Pressure Does Not Cut C-Section Infection Risk in Obese

WEDNESDAY, Sept. 23, 2020 (HealthDay News) -- Compared with standard wound care, prophylactic negative pressure wound therapy does not lower the risk for surgical-site infection in obese women following cesarean delivery, according to a study published in the Sept. 22/29 issue of the Journal of the American Medical Association.

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Most People With SARS-CoV-2 Do Not Remain Asymptomatic

WEDNESDAY, Sept. 23, 2020 (HealthDay News) -- Most people infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) do not remain asymptomatic, and the secondary attack rate is lower among contacts of people with asymptomatic infection, according to a review published online Sept. 22 in PLOS Medicine.

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USPSTF Finds Evidence Lacking for Vitamin D Screening

TUESDAY, Sept. 22, 2020 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is inadequate to recommend screening for vitamin D deficiency in asymptomatic adults. This finding forms the basis of a draft recommendation statement published online Sept. 22 by the USPSTF.

Draft Evidence Review
Draft Recommendation Statement
Comment on Recommendation Statement

Rates of COVID-19 Infection Higher in Blacks, Hispanics

TUESDAY, Sept. 22, 2020 (HealthDay News) -- Black and Hispanic individuals are experiencing an excess burden of severe acute respiratory syndrome coronavirus 2 infection, according to a study published online Sept. 22 in PLOS Medicine.

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Perrigo Asthma Inhalers Recalled Due to Clog Risk

TUESDAY, Sept. 22, 2020 (HealthDay News) -- Perrigo inhalers have been recalled because they could clog and not provide patients with any or enough medication, the U.S. Food and Drug Administration says.

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Rates of Recurrent MI Declined Among U.S. Women and Men

TUESDAY, Sept. 22, 2020 (HealthDay News) -- From 2008 to 2017, there were decreases in the rates of recurrent myocardial infarction (MI), recurrent coronary heart disease (CHD) events, heart failure hospitalization, and all-cause mortality in both men and women, according to a study published online Sept. 21 in Circulation.

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Glucocorticoids Linked to Hospitalized Infection Risk in RA

TUESDAY, Sept. 22, 2020 (HealthDay News) -- For patients with rheumatoid arthritis (RA) receiving disease-modifying antirheumatic drug (DMARD) therapy, continued use of glucocorticoids is associated with an increased risk for hospitalized infections, according to a study published online Sept. 22 in the Annals of Internal Medicine.

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Editorial (subscription or payment may be required)

Mental Illness Recognition Up in U.K. General Hospital Admissions

TUESDAY, Sept. 22, 2020 (HealthDay News) -- From 2006 to 2017, there was improvement in the sensitivity for recording of severe mental illness (SMI) diagnosis in English general hospitals, but less accurate diagnostic recording was seen for some groups including ethnic minorities, according to a study published online Sept. 17 in PLOS Medicine.

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Air Pollution May Raise Stroke Risk With Atrial Fibrillation

TUESDAY, Sept. 22, 2020 (HealthDay News) -- Exposure to air pollution may increase the risk for ischemic stroke in patients with atrial fibrillation (AF), according to a study published online Sept. 15 in JAMA Network Open.

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Loneliness a Risk Factor for Type 2 Diabetes Mellitus

TUESDAY, Sept. 22, 2020 (HealthDay News) -- Loneliness is a risk factor for type 2 diabetes, according to a study published online Sept. 15 in Diabetologia.

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PrEP Prescribing Low in the U.S., Even Among HIV Care Providers

TUESDAY, Sept. 22, 2020 (HealthDay News) -- Even among HIV-focused practitioners, preexposure prophylaxis (PrEP) prescribing is not routine, according to a study published online Sept. 3 in PLOS ONE.

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Many School Employees at Increased Risk for Severe COVID-19

MONDAY, Sept. 21, 2020 (HealthDay News) -- Nearly half of all school employees meet the U.S. Centers for Disease Control and Prevention definition for increased or potentially increased risk for severe COVID-19, according to a study published online Sept. 17 in Health Affairs.

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Stress, Depressive Symptoms Up With Increasing COVID-19 Deaths

MONDAY, Sept. 21, 2020 (HealthDay News) -- Acute stress and depressive symptoms have increased as COVID-19 deaths increased across the United States, with COVID-19-related media exposure and secondary stressors associated with these symptoms, according to a study published online Sept. 18 in Science Advances.

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COVID-19 Death Toll Nears 200,000 in the United States

MONDAY, Sept. 21, 2020 (HealthDay News) -- As the U.S. COVID-19 case count neared 200,000 on Monday, public health experts debated whether the spread of the virus will continue to slow or a new surge will come, as cold weather returns to much of the country.

The New York Times Article

AstraZeneca Releases COVID-19 Vaccine Trial Plans

MONDAY, Sept. 21, 2020 (HealthDay News) -- AstraZeneca is the latest drug company to release details about human tests of its COVID-19 vaccine in response to public demand for such information. Americans have increasing doubts about a COVID-19 vaccine, and experts are worried that an unproven or unsafe vaccine may be released prematurely due to pressure from President Donald Trump, The New York Times reported.

The New York Times Article

CDC Removes New COVID-19 Guidelines Just Days After Posting Them

MONDAY, Sept. 21, 2020 (HealthDay News) -- New U.S. Centers for Disease Control and Prevention website guidelines suggesting that the new coronavirus can be transmitted by tiny droplets over a distance greater than six feet and that indoor ventilation is crucial to prevent its spread were removed from the agency's website late Monday morning.

The Washington Post Article

Individuals With Autism at Risk for Other Health Conditions

MONDAY, Sept. 21, 2020 (HealthDay News) -- Individuals with autism have increased health risks even when considering lifestyle factors, according to a study published online Sept. 9 in Autism.

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Inverted U-Shaped Link Seen for Sleep Duration, Cognitive Decline

MONDAY, Sept. 21, 2020 (HealthDay News) -- There is an inverted U-shaped association between sleep duration and global cognitive decline, according to a study published online Sept. 21 in JAMA Network Open.

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Editorial

Black Women Receive Less Timely Breast Cancer Treatment

MONDAY, Sept. 21, 2020 (HealthDay News) -- Black women experience longer waits for treatment initiation after a breast cancer diagnosis and prolonged duration of treatment versus White women, according to a study published online Sept. 21 in Cancer.

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Impact of Psoriasis Explored for Hospital Outcomes of Acute MI

MONDAY, Sept. 21, 2020 (HealthDay News) -- Myocardial infarction (MI) events may occur earlier in life in patients with psoriasis, which in turn may affect hospital outcomes, according to a study published online Sept. 11 in the Journal of the American Heart Association.

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Injuries Associated With Glass Tables Common in U.S.

MONDAY, Sept. 21, 2020 (HealthDay News) -- Injuries associated with glass tables are common, and more than half are attributed to faulty tables, according to a study recently published in the American Journal of Surgery.

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Hostility Predicts Mortality in Acute Coronary Syndrome

MONDAY, Sept. 21, 2020 (HealthDay News) -- For patients with acute coronary syndrome (ACS), hostility predicts all-cause mortality but not recurrence, according to a study published online Sept. 14 in the European Journal of Cardiovascular Nursing.

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Botox for TMJ Disorder Does Not Affect Jaw Bone Density

FRIDAY, Sept. 18, 2020 (HealthDay News) -- Jaw bone density and volume are similar between women who had botulinum toxin (BTX) injections to treat temporomandibular muscle and joint disorders (TMJDs) and those who did not, according to a small study published online Sept. 3 in the Journal of Oral Rehabilitation.

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Warning Issued on Potentially Deadly Mosquito-Borne Virus in Michigan

FRIDAY, Sept. 18, 2020 (HealthDay News) -- Some Michigan residents are being told to stay indoors after dark and protect themselves from mosquito bites as the state tries to contain the spread of the rare but potentially deadly mosquito-borne disease Eastern equine encephalitis (EEE).

CNN Article
Michigan Department of Health & Human Services

Physician's Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician's Briefing chose as the most important COVID-19 developments for you and your practice for the week of Sept. 14 to 18, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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Drug May Reduce Need for Ventilators in COVID-19 Patients

FRIDAY, Sept. 18, 2020 (HealthDay News) -- An inflammation-fighting medicine was associated with reduced use of ventilators among COVID-19 patients, according to a study that included mainly Hispanics and Blacks.

AP News Article

CDC: Adult Obesity Increasing, Tied to Worse COVID-19 Outcomes

FRIDAY, Sept. 18, 2020 (HealthDay News) -- Adult obesity is increasing, with considerable racial and ethnic disparities, according to new data from the U.S. Centers for Disease Control and Prevention.

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Details Emerge on Unexplained Illness in AstraZeneca COVID-19 Vaccine Trial

FRIDAY, Sept. 18, 2020 (HealthDay News) -- New details surfaced on Thursday on an unexplained neurological condition that struck a volunteer who was participating in AstraZeneca's COVID-19 vaccine trial.

CNN Article

Depression Common Among Psoriasis Patients

FRIDAY, Sept. 18, 2020 (HealthDay News) -- Depression is common among patients with psoriasis, according to a study published online Sept. 14 in Dermatology.

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Coffee, Tea, Soda Tied to Higher Risk for Gastroesophageal Reflux

FRIDAY, Sept. 18, 2020 (HealthDay News) -- Coffee, tea, and soda are associated with an increased risk for gastroesophageal reflux (GER) symptoms among middle-aged women, according to a study published in the September issue of Clinical Gastroenterology and Hepatology.

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Lower Proportion of Inpatients With COVID-19 Wear Glasses

FRIDAY, Sept. 18, 2020 (HealthDay News) -- The proportion of inpatients with COVID-19 who wear eyeglasses for extended daily periods is lower than in the general population, according to a study published online Sept. 16 in JAMA Ophthalmology.

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Editorial

Older Adults Experiencing More Loneliness During Pandemic

FRIDAY, Sept. 18, 2020 (HealthDay News) -- Older adults are feeling more isolated during the COVID-19 pandemic, according to a report published online Sept. 14 based on the results of the University of Michigan National Poll on Healthy Aging.

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Lifestyle Changes May Aid Cognitive Abilities

FRIDAY, Sept. 18, 2020 (HealthDay News) -- Improvements in lifestyle risk factors for dementia can lead to short-term improvements in cognition among community-dwelling adults experiencing cognitive decline, according to a study published online Sept. 9 in the Journal of the American Geriatrics Society.

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ATS Issues Recommendations for Noninvasive Ventilation in COPD

FRIDAY, Sept. 18, 2020 (HealthDay News) -- In an official American Thoracic Society clinical practice guideline, published online Aug. 18 in the American Journal of Respiratory and Critical Care Medicine, recommendations are presented for the use of noninvasive ventilation (NIV) for patients with chronic obstructive pulmonary disease (COPD) and chronic hypercapnia.

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Elderly Social Isolation, Loneliness in COVID-19 May Lead to Cognitive Decline

THURSDAY, Sept. 17, 2020 (HealthDay News) -- Social isolation and loneliness can increase the risk for cognitive decline in seniors, according to Carla Perissinotto, M.D., geriatrician and associate chief for geriatrics clinical programs at the University of California in San Francisco, who recently spoke with HD Live! about the current challenges facing seniors in assisted living or nursing homes during the COVID-19 pandemic.

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Consensus Study Report

Flu Activity Low in Southern Hemisphere in June to August 2020

THURSDAY, Sept. 17, 2020 (HealthDay News) -- There was very low influenza activity during June to August 2020 in the Southern Hemisphere, according to research published in the Sept. 18 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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COVID-19 Vaccine Distribution Would Begin Within 24 Hours After Approval

THURSDAY, Sept. 17, 2020 (HealthDay News) -- Distribution of a COVID-19 vaccine in the United States would begin within 24 hours of its approval or emergency use authorization, and the plan is that no American will have to "pay a single dime" out of their own pocket for the vaccine, federal officials said Thursday.

The New York Times Article

Moderna May Know by November Whether COVID-19 Vaccine Is Effective

THURSDAY, Sept. 17, 2020 (HealthDay News) -- Moderna says it should know by sometime in November whether its COVID-19 vaccine is effective, its CEO said Thursday.

CBS News Article

Cancer Incidence Up for Adolescents and Young Adults

THURSDAY, Sept. 17, 2020 (HealthDay News) -- Among adolescents and young adults (AYAs), cancer incidence increased during 2007 to 2016, accord


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