Sat.Jul 19, 2025

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Why enterprise risk management is key to value-based health care success

KevinMD

The evolving contemporary era of value-based health care (VBHC) demands new risk leadership. VBHC emphasizes quality, outcomes, safety, equity, and stakeholder satisfaction. With these goals come complex, cross-cutting risks, including workforce shortages, clinical complications, health care staff safety, cyberattacks, and supply chain disruptions. To address the modern risk situation, health care systems must allocate resources Read more… Why enterprise risk management is key to value-based hea

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Factors Linked to Weak Vaccine Response in Dialysis Care

Physician's Weekly

Poor vaccine response in dialysis was linked to heart failure and low albumin, not dialysis-specific factors, highlighting key immune barriers in CKD. Researchers conducted a retrospective study published in June 2025 issue of BMC Nephrology to examine immune responses and inform optimized SARS-CoV-2 vaccination strategies in individuals with chronic kidney disease (CKD) undergoing maintenance dialysis.

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Rethinking physician resilience for sustainable well-being

KevinMD

Personal resilience is one of the three core components of the Stanford model of physician professional fulfillment, used across institutions to inform provider well-being strategy. Yet, limited data suggest only a minority of physicians view personal resilience initiatives as beneficial to their well-being, and physicians have expressed resistance and frustration toward organization-based individual resilience promotion.

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Analyzing the Outcomes of Focused Radiation Lowers Brain Death in Patients With SCLC

Physician's Weekly

Stereotactic radiation yielded lower neurologic death rates than historical WBRT in small cell lung cancer with limited brain metastases. A study published in July 2025 issue of Journal of Clinical Oncology reported that, despite the advantages of stereotactic radiation (SRS/SRT) in managing limited brain metastases, whole-brain radiation (WBRT) remains the standard in small cell lung cancer (SCLC) due to insufficient prospective evidence and concerns about intracranial progression.

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How to Start Virtual Care the Right Way: A Proven Roadmap for 2025 and Beyond

Speaker: Dr. Christine Gall, DrPH, MS, BSN, RN

The promise of virtual care is no longer theoretical and is now a critical solution to many of healthcare’s most urgent challenges. Yet many healthcare leaders remain unsure how to build a business case for investment and launching the right program at the right time can be the difference between value and failure. For organizations seeking a financially sound, clinically effective entry point, Virtual Patient Observation (VPO) offers a compelling case to lead with.

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Why so many doctors secretly feel like imposters

KevinMD

One of the most important—and least discussed—truths in medicine is this: Feeling inadequate in medicine isn’t rare. It’s everywhere—quiet, lingering, relentless. I remember starting my outpatient practice right out of residency. I had joined a large multispecialty group filled with physicians trained at top-tier institutions. Many had been practicing for decades.

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FilmArray Pneumonia Panel Shows High Accuracy

Physician's Weekly

Rapid molecular testing with FilmArray Pneumonia Panel offers high diagnostic accuracy but shows limited value in predicting treatment outcomes in ICU pneumonia cases. Researchers conducted a retrospective study published in July 2025 issue of Critical Care to evaluate the performance of the FilmArray ® Pneumonia + panel (FA-PP) in identifying pathogens during antibiotic treatment and its association with clinical outcomes in severe pneumonia.

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Facilitator Insights on Improving Alcohol Use Care in Practice

Physician's Weekly

Practice facilitation empowered primary care teams to overcome barriers and implement effective strategies for managing UAU. Researchers conducted a retrospective study published in July 2025 issue of Journal of Primary Care & Community Health to describe the firsthand experiences of practice facilitators during the implementation of unhealthy alcohol use (UAU) services in primary care.

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Why telling kids to eat less and move more fails to address obesity

KevinMD

Despite decades of public health messaging urging children to “eat less and move more,” rates of pediatric obesity continue to rise globally. In the U.S. alone, nearly 1 in 5 children and adolescents aged 2–19 years have obesity, with higher rates among those from low-income or minority backgrounds. While caloric balance is a basic principle Read more… Why telling kids to eat less and move more fails to address obesity originally appeared in KevinMD.com.

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Functional MRI Pain Activation Predicts TNF Inhibitor Response

Physician's Weekly

Baseline brain activity on functional MRI may help identify individuals with rheumatoid arthritis most likely to benefit from TNF inhibitor therapy. Researchers conducted a retrospective study published in July 2025 issue of Lancet Rheumatology to explore whether individuals with greater CNS disease representation showed improved response to TNF inhibitors in rheumatoid arthritis.

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New Texas law aims to save lives by clarifying the state abortion ban. Will it work?

NPR Health

In Texas, where abortion is banned, a bipartisan group of lawmakers, medical associations, and groups on either side of the issue worked together to clarify when abortion can be used in emergencies. (Image credit: Gabriel C.

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Understanding Barriers to Risk Tool Use in Surgery

Physician's Weekly

Intuition-driven decisions and system barriers continue to limit the clinical adoption of RPTs in surgical practice. Researchers conducted a retrospective study published in July 2025 issue of Urology Practice to assess the role of risk prediction tools (RPTs) and urologists’ perspectives to guide future development of artificial intelligence (AI)–based surgical support systems.

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Are high-protein snacks worth the hype? Here's how to assess

NPR Health

Protein has taken over the packaged-snack aisles at the grocery store. But do you need extra protein in your chips and muffins?

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Biologic Treatment Reduced Steroid Burden in COPD

Physician's Weekly

Reducing steroid reliance, biologics offers a safer path for managing COPD with type 2 inflammation. Researchers conducted a retrospective study published in July 2025 issue BMC Pulmonary Medicine to evaluate whether the use of biologic therapies in individuals with chronic obstructive pulmonary disease (COPD) reduced systemic glucocorticoid burden.

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Trump administration ends 988 Lifeline's special service for LGBTQ+ young people

NPR Health

Callers to 988 used to be able to press 3 to reach counselors specially trained to help LGBTQ+ young people. The service had been reaching 70,000 people a month.

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Short-Term Impact of VR Therapy on Auditory Hallucinations

Physician's Weekly

Immersive virtual reality therapy offers promising short-term benefits in easing persistent hallucinations among individuals with schizophrenia. A study published in July 2025 issue of Lancet Psychiatry highlighted that auditory verbal hallucinations are common and severely impairing schizophrenia, particularly among those with treatment-resistant symptoms.

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Association Between Aging and TEVAR Morbidity

Physician's Weekly

Older age predicted higher mortality and neurologic risks after TEVAR, underscoring the need for tailored perioperative care in aging individuals. Researchers conducted a retrospective study published in July 2025 issue of BMC Surgery to examine the relationship between advanced age and clinical outcomes following thoracic endovascular aortic repair (TEVAR).

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Rising Use of Potent Opioids in Chronic Pain Management

Physician's Weekly

Long-term opioid use for chronic pain doubled, with potent opioids rising, underscoring the need for stronger guideline adoption. A study published in June 2025 issue of European Journal of Pain about the prevalence and trends of long-term opioid treatment (LTOT) in individuals with chronic non-cancer pain remained unclear, despite guidelines recommending de-prescribing due to risk–benefit concerns.

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Genetic Variants in FCGR3A Tied to GBS Severity

Physician's Weekly

FCGR3A duplications may worsen Guillain-Barré syndrome in cases linked to C. jejuni. A study published in July 2025 issue of Journal of Neurology explored how genetic variability in the FCGR2/3 locus, which encodes low-to-medium-affinity Fc-gamma receptors (FcγRs), may contribute to the development of Guillain-Barré syndrome (GBS). Researchers investigated whether genetic variation in the FCGR2/3 locus influenced susceptibility, muscle weakness, clinical outcomes, and intravenous immunogl

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Retention of Incontinence Risk Information and QoL

Physician's Weekly

Timely post-OASIS counseling enhanced long-term recall of incontinence risks and was linked to improved QoL. Researchers conducted a retrospective study published in June 2025 issue of European Journal of Obstetrics and Gynecology and Reproductive Biology to compare women’s recall of the potential risk of obstetrical anal sphincter injury (OASIS) based on the occurrence of anal incontinence and the time elapsed since the injury.

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Antiplatelet Agents Linked to Liver Protection

Physician's Weekly

Meta-analysis reveals that antiplatelet drugs may curb liver-related complications, including malignancy and thrombosis. A study published in July 2025 issue of Journal of Clinical Gastroenterology explored the unclear relationship between antiplatelet drug use—particularly non-aspirin agents—and the risks of liver fibrosis, portal vein thrombosis (PVT), and hepatocellular carcinoma (HCC) in individuals with liver disease.

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Comparable Outcomes With Sirolimus and Paclitaxel Balloons

Physician's Weekly

Sirolimus and paclitaxel-coated balloons showed comparable safety and effectiveness in treating CAD across diverse lesion types. A study published in July 2025 issue of American Journal of Cardiology addressed the limited evidence comparing sirolimus-coated balloons (SCB) and paclitaxel-coated balloons (PCB) for treating coronary artery disease (CAD).

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Socioeconomic Factors Impact Gluten Response in Youth

Physician's Weekly

Neighborhood deprivation was linked to slower tTG IgA normalization in children with celiac disease, highlighting disparities in effective gluten-free diet adherence. Researchers conducted a retrospective study published in July 2025 issue of Journal of Pediatrics to examine the association between neighborhood socioeconomic deprivation and tissue transglutaminase (tTG) IgA normalization as an indicator of successful gluten elimination.

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Patterns of Topical Rosacea Treatment

Physician's Weekly

Ivermectin use rose steadily as metronidazole declined, revealing shifting patterns and intermittent therapy in rosacea treatment. A study published in July 2025 issue of Dermatology described rosacea as a chronic inflammatory skin condition that has remained a focus of pharmaceutical development. Researchers evaluated the use of first-line topical rosacea medications (TRM) in Switzerland from 2012 to 2023.

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Genome-Wide Signals Highlight IL31 Role in Prurigo Nodularis

Physician's Weekly

A large-scale genome study uncovered IL31 as a key genetic contributor to prurigo nodularis, linking it to immune-regulatory pathways and ethnic variation. A study published in July 2025 issue of Journal of Allergy and Clinical Immunology emphasized the limited understanding of specific genetic variants associated with prurigo nodularis (PN), despite evidence linking genetic risk factors to its development.

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Genomic Features Underlying Persistent Enterococcal Infection

Physician's Weekly

Genomic analysis revealed species-specific adaptations in enterococci linked to persistent bloodstream infections, highlighting E. faecium’s potential for pre-adaptation. Researchers conducted a retrospective study published in July 2025 issue of Journal of Infectious Diseases to characterize the clinical and genomic features of individuals with recalcitrant enterococcal bloodstream infections from the 2016–2022 Vancomycin-Resistant Enterococcal Bacteremia Outcomes Study (VENOUS) cohort.

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Facial Structure Integration Optimizes Visual Testing

Physician's Weekly

Customized visual field mapping improved correlation with glaucoma-related structural and functional changes. Researchers conducted a retrospective study published in July 2025 issue of British Journal of Ophthalmology to develop a facial contour-informed normative 60-4 visual field and apply it to a glaucoma cohort to generate facial contour-informed 60-4 global indices.