Daily Medical News

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Medicare Advantage pushback Aug 16, 2018

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Doctors are pushing back on a CMS policy change aimed at controlling spending on prescription drugs administered in the office. Also today, low-dose CT scan fails to improve small cell lung cancer survival, a French study warns a rise in penicillin-resistant pneumococcal meningitis, and opioids are driving down the life expectancy in the U.S. and are one of the reasons that more Americans aren't living into their golden years.

Variation doesn't mean quality when it comes to diet Aug 15, 2018

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A diverse diet is not necessarily a healthy one, according to a new advisory from the American Heart Association. Also today, treating sleep disorders in chronic opioid users, next-gen sputum PCR panel boosts CAP diagnostics, and there is no increased risk in autism spectrum disorder with prenatal Tdap.

Mobile contraception app gets FDA approval Aug 14, 2018

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The FDA approves the Natural Cycles mobile app as a form of contraception. Also today, on-demand PrEP has similar efficacy as daily PrEP for HIV prevention, continuation and complication rates are similar for implants and IUDs, and the CMS pushes ACOs to take on more risk.

Second-hand smoke sends teens to ED Aug 13, 2018

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Exposure to second-hand smoke, including living with a smoker, sends teens to the ED more than their counterparts. Also today, adults with ADHD are using stimulants and opioids concurrently, a rural health initiative helps raise vaccination rates, and the different rungs of treating itch in eczema.

Inducing labor earlier reduced c-section rate Aug 10, 2018

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Inducing labor at 39 weeks receded the rate of c-section for first-time mothers who were at low-risk. Also today, religiosity of parents is tied to a reduced risk of suicide in their daughters, rising use of PrEP in the U.S. is linked with droping HIV infections, and CUBE-C initiative aims to educate about atopic dermatitis. Listen to the MDedge Daily News for today's top news.

Stigma for drug users with HCV Aug 09, 2018

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Researchers interviewed injection drug users and identified 5 themes that capture how having HCV impacts their care. Also today, the FDA proposes broader outcomes for opioid user disorder treatment drug approvals, there's a new state on top of WalletHub's healthcare rankings, and there is new guidance for men who want to start a family on how to protect against Zika.

Concerns over CMS E/M payment proposal Aug 08, 2018

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The CMS says that the need to reduce time spend coding is driving its new proposal to flatten the 2019 payment for E&M visits that are coded levels 2-5. Also today, low disease activity in SLE compares favorably with clinical remission, medical associations want withdrawal of Title X changes, and telomere length is linked to COPD exacerbations and mortality.

FDA warns about azithromycin in some cancers Aug 07, 2018

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The FDA has issued a safety alert warning against long-term use of azithromycin to prevent bronchiolitis obliterans syndrome in patients with blood or lymph node cancers. Also today, four syndromes suggest life-threatening PVL-positive Staphylococcus aureus infection, asthma medication ratio identifies high-risk pediatric patients, and new MS criteria may create more false positives.

Fibrosis progression linked to weight Aug 06, 2018

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Weight gain is linked to progression of fibrosis in patients with nonalcoholic fatty liver disease. Also today, e-cigarette prices are down while sales are up, HPV positivity is associated with good outcomes for esophageal cancer, and PhRMA leads the way for health-care-sector lobbying.

No meaningful decline in opioid use Aug 03, 2018

Show notes

Over the last decade, opioid use has not significantly declined, despite efforts to educate physicians about the risk of abuse. Also today, the Fitbit Flex is feasible and provides nuanced step-count data in patients with MS, even moderate alcohol use could worsen outcomes in nonalcoholic fatty liver disease, and a new study supports meningococcal B vaccine in children with rare diseases.

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