Sun.Jul 13, 2025

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Healing beyond the surface: Why proper chronic wound care matters

KevinMD

An excerpt from Heal Your Wound: A Doctor’s Guide For Hard-To-Heal Wounds. Chronic wounds are more than just a medical issue, they can be a daily challenge that can impact every part of a person’s life. From physical discomfort to emotional stress, these wounds often linger for weeks or months, especially when tied to conditions Read more… Healing beyond the surface: Why proper chronic wound care matters originally appeared in KevinMD.com.

Physicals 261
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Doctor-Patient Relationships: I Don’t Babysit – I Want to Empower

A Country Doctor Writes

I have known doctors that cultivated a dependence among their patients by suggesting their health and safety depended on regularly scheduled visits and laboratory testing for what seemed to me stable, chronic conditions. People would come in every three months, year after year, to review cholesterol numbers, potassium levels and glucose or blood pressure logs and have a more or less complete physical exam every time.

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Dear July intern: It’s normal to feel clueless—here’s what matters

KevinMD

It’s July—the official new year for medicine. You’re either a brand-new intern, wide-eyed and exhausted, equal parts proud and terrified, or maybe you’re stepping into fellowship, wondering how you’re suddenly supposed to be the expert. You’re navigating hallways you haven’t mapped yet, still figuring out whether your badge works on the north wing or the Read more… Dear July intern: It’s normal to feel clueless—here’s what matters originally appear

IT 187
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The Church of Wildflowers

Mere Mortal MD

I went to church today. The church of wildflowers. My love of wildflowers began several weeks ago when I was driving to McCarthy, Alaska for our first official vacation in our new home state. It was impossible to not notice all the colorful flowers peppered along the roadside, while my photographer friend Jim told me the reason why the flowers lined the highway so.

IT 148
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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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When a medical office sublease turns into a legal nightmare

KevinMD

An excerpt from The Doctor is Out—Justice vs Injustice in America. In the hug of a crisp autumn morning, with the world adorned in the warm hues of changing leaves, the seed of an idea took root within me—an idea born from the necessity of expanding my medical practice to accommodate the growing needs of Read more… When a medical office sublease turns into a legal nightmare originally appeared in KevinMD.com.

Medical 152
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Effectiveness of an online mindfulness based stress reduction intervention on psychological distress among patients with COVID19 after hospital discharge.

Physician's Weekly

Given the high prevalence of psychological complications during pandemics such as COVID-19, it is imperative to identify effective psychological interventions that can improve the mental health of patients and community members. The effectiveness of mindfulness-based intervention in discharged patients with infectious respiratory diseases, particularly during pandemics, has been examined in a limited number of studies.

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The robotic revolution in cardiac surgery.

Physician's Weekly

Robotic-assisted cardiac surgery (RACS) is revolutionizing the landscape of cardiovascular interventions through technological precision, minimally invasive techniques, and improved clinical outcomes. Despite its rapid expansion, significant gaps remain regarding standardization, cost-efficiency, surgeon learning curves, and patient-centered outcomes.

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Why specialist pain clinics and addiction treatment services require strong primary care

KevinMD

Specialist pain clinics and addiction management services are vital in addressing some of the most complex and costly health care conditions. However, their success depends on stable and robust primary care systems. Without strong primary care as a foundation, these health care initiatives risk fragmentation, poor continuity, and low patient accountability.

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Clinical Non-Inferiority of Online iSelf-Help for Chronic Pain

Physician's Weekly

iSelf-help delivered comparable outcomes to in-person care while enhancing accessibility and reducing costs for managing persistent non-cancer pain. A study published in the July 2025 issue of the Journal of Pain introduced iSelf-help, an online group-based pain management program adapted from an in-person model and enriched with Māori cultural perspectives.

Clinic 52
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A new study renews the debate around withdrawal from stopping antidepressants

NPR Health

A new study has sparked debate on the prevalence of withdrawal symptoms when patients stop taking antidepressants, as well as on the severity of those symptoms.

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Comparative Outcomes of Therapies for Hyperthyroidism

Physician's Weekly

Thyroidectomy and radioiodine showed superior long-term outcomes over antithyroid drugs in hyperthyroidism. Researchers conducted a retrospective study published in July 2025 issue of Endocrine to compare mortality and cardiovascular outcomes associated with antithyroid drugs, radioiodine, and thyroidectomy in individuals with hyperthyroidism. They searched PubMed, Embase, Cochrane Central, and Web of Science for randomized controlled trials (RCTs) and cohort studies comparing any of the

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Folklife stars: Maya artist, Bolivian rappers, Dolly Parton's guitar restorer

NPR Health

They all showed off their talents at this year's Smithsonian Folklife Festival. The theme: How youth keep cultural traditions alive.

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Balancing Risks and Benefits of Steroids in Asthma Attacks

Physician's Weekly

Risk aversion to steroid side effects shaped treatment choices, underscoring support for tailored approaches in managing asthma attacks. A study published in June 2025 issue of Respirology explored stakeholder views on balancing the benefits and cumulative risks of oral corticosteroids (OCS) in asthma attack management to support biomarker-guided treatment strategies.

Asthma 52
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Federal Hiring Shake-Up (Again): What the Latest Executive Action and Supreme Court Decision Mean for Industry

FDA Law

By Charles D. Snow — On July 7, 2025, President Trump, via Executive Order (“EO”), issued a presidential memorandum and accompanying fact sheet directing major changes in federal civilian hiring, including extending the federal civilian hiring freeze through October 15, 2025. Under the titular theme “Ensuring Accountability and Prioritizing Public Safety in Federal Hiring,” the EO aims to align staffing decisions more closely with agency oversight, performance goals, and legal exemptions.

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Impact of the initial administration of an antiretroviral drug with latency reversal properties on the HIV reservoir size.

Physician's Weekly

The elimination of the latent viral reservoir remains the main barrier in the quest for a cure for people with HIV (PWH). The administration of latency reversal agents (LRA) at antiretroviral treatment (ART) initiation could improve the effectiveness of strategies aimed at HIV remission. This study assessed the impact of maraviroc (MVC), an antiretroviral drug with HIV latency reversal properties, on the viral reservoir size when it is administered at ART initiation.

IT 52
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Neurodevelopment in Preterms and Hospital Care Levels

Physician's Weekly

Survival-focused perinatal care was linked to lower neurodevelopmental disability in children born 24–26 weeks without adverse effects in later preterm births. Researchers conducted a retrospective study published in July 2025 issue of BMJ Paediatrics Open to examine how the intensity of perinatal survival-focused care influenced outcomes at 5½ years among individuals born at 24–26 and 27–28 weeks of gestation.

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Aligning Digital and Clinical Decisions in Diabetes Care

Physician's Weekly

A decision support tool tailored to individual preferences enhanced alignment with physician judgement in type 2 diabetes care. Researchers conducted a retrospective study published in July 2025 issue of BMC Primary Care to evaluate the use of the “arriba Diabetes” decision support tool in providing individualized treatment intensity recommendations for type 2 diabetes based on age, comorbidities, treatment burden preference, and risk reduction preference.

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Multidisciplinary Strategies for Managing Severe Eosinophilic Asthma

Physician's Weekly

Expert consensus underscored the need for coordinated care in SEA with nasal polyps. A study published in July 2025 issue of Journal of Allergy and Clinical Immunology Global highlighted persistent challenges and fragmented care in managing individuals with severe asthma with an eosinophilic phenotype (SEA) and comorbid chronic rhinosinusitis with nasal polyps (CRSwNP).

Asthma 52
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Mammography screening status of women aged 40 and older in eastern Iran using the precaution adoption process model (PAPM).

Physician's Weekly

Considering the importance of mammography in reducing breast cancer mortality, this study was conducted with the aim of determining the status of mammography and related factors based on the Precaution Adoption Process Model (PAPM) in women 40 years of age and older. In Iran, breast cancer is the most common cancer among women, with an age-standardized incidence rate of 43.02 per 100,000 in 2017.

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Breakthroughs in diabetic retinopathy diagnosis and treatment using preclinical research models: current progress and future directions.

Physician's Weekly

Diabetic retinopathy (DR), a severe microvascular complication of diabetes mellitus, poses a significant global health threat with its rising prevalence amidst the diabetes pandemic. As the leading cause of vision impairment and blindness among working-age diabetic adults, DR highlights the urgent need for innovative diagnostic methods and effective therapeutic strategies.

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TransPRK in the treatment of low to moderate and high myopia: a comparative study of the clinical outcomes.

Physician's Weekly

The aim of this study is to compare the refractive parameters and visual quality of patients with low to moderate myopia and high myopia before and after transepithelial photorefractive keratectomy(transPRK)to evaluate the efficacy and safety of transPRK in correcting different degrees of myopia, and to explore the impact of the surgery on the visual quality of patients with different spherical equivalent(SER).

Clinic 52
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User Perceptions of a CBT-Based App for Psychosis Support

Physician's Weekly

A CBT-based app for psychosis perceived as supportive and empowering, offering meaningful engagement and mental health insight. A study published in July 2025 issue of BMC Psychiatry emphasized the significance of understanding user experiences with digital health interventions (DHIs), focusing on the co-produced CBT-based Actissis t app for individuals with psychosis —an area that often overlaps with neurological conditions such as cognitive impairment and executive dysfunction.

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Exploring Gaps in DiGA Adoption in Rheumatology

Physician's Weekly

High interest but low usage of DiGAs in rheumatology highlights missed opportunities for digital support in chronic care. A study published in July 2025 issue of Rheumatology International emphasized the role of Digital Health Applications (DiGAs) in supporting self-management since their prescription and reimbursement began in Germany in 2020. Researchers evaluated awareness, willingness to use, perceived suitability, and actual adoption of DiGAs among individuals receiving rheumatology c

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Surgical Outcomes in Candida Endocarditis Hospitalizations

Physician's Weekly

Valve surgery offered survival benefits in Candida endocarditis but came with increased hospital stay and cost burdens. Researchers conducted a retrospective study published in July 2025 issue of American Journal of Cardiology to evaluate the impact of surgical valve intervention on in-hospital outcomes among individuals with Candida endocarditis (CE).

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Biofilm-Associated Antibiotic Tolerance in Borrelia Species

Physician's Weekly

SkiReduced antibiotic response linked to biofilm formation in Borrelia afzelii and Borrelia garinii highlights challenges in managing persistent LB. Researchers conducted a retrospective study published in July 2025 issue of Frontiers in Cellular and Infection Microbiology to examine the role of Borrelia afzelii and Borrelia garinii in persistent Lyme borreliosis (LB) and their potential association with biofilm-related antibiotic tolerance.

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Can medical students use artificial intelligence to learn transfusion? Evaluating ChatGPT responses to the American Society of Hematology medical student transfusion learning objectives.

Physician's Weekly

Chat generative pretrained transformer (ChatGPT) is a large language model that is already in wide use among medical students as a means of learning. Many papers have evaluated ChatGPT as a presenter of medical knowledge for the general public and as a test-taking engine. For students who rely on ChatGPT to learn transfusion medicine, it is important to understand the limitations of the application.

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Multi-omics analysis for identifying cell-type-specific and bulk-level druggable targets in Alzheimer’s disease.

Physician's Weekly

Analyzing disease-linked genetic variants via expression quantitative trait loci (eQTLs) helps identify potential disease-causing genes. Previous research prioritized genes by integrating Genome-Wide Association Study (GWAS) results with tissue-level eQTLs. Recent studies have explored brain cell type-specific eQTLs, but a systematic analysis across multiple Alzheimer’s disease (AD) genome-wide association study (GWAS) datasets or comparisons between tissue-level and cell type-specific eff

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Magnetic Bioadhesive for Tumor Therapy: Synergistic Magnetothermal and Chemodynamic Effects.

Physician's Weekly

Therapeutic bioadhesives with injectability, strong adhesion, magnetothermal responsiveness, sustained efficacy, and biosafety are desired for in situ deep-tumor eradication but remain underexplored. Here, injectable magnetic bioadhesives are developed via physical condensation of zein, poly-lysine (PLL), and FeO nanoparticles. Pre-encapsulated genipin within the resulting zein/PLL/FeO adhesives regulates covalent cross-linking both at the tissue-adhesive interface and within the matrix, enablin

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Increased Constipation Prescriptions in Children

Physician's Weekly

Constipation treatment in Swedish children surged sixfold over 18 years, revealing a growing pediatric health concern with notable gender and age disparities. Researchers conducted a retrospective study published in July 2025 issue of BMC Pediatrics to analyze national trends in medically treated childhood constipation over an 18-year period, a condition often marked by infrequent painful defecation, abdominal pain , and fecal incontinence.

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Barriers to Weight Loss Medication Use in MASLD

Physician's Weekly

A national survey found low use of weight loss drugs for MASLD despite widespread belief in their benefits. A study published in June 2025 issue of Journal of Clinical Gastroenterology highlighted the underuse of FDA-approved weight loss medications in managing metabolic dysfunction-associated steatotic liver disease (MASLD). Researchers aimed to assess provider attitudes, practices, and knowledge about weight loss and medication use in individuals with MASLD.

Medical 52
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Relationship between duration of intraoperative hypotension and postoperative delirium in patients undergoing head and neck cancer surgery with free flap reconstruction: a retrospective observational study.

Physician's Weekly

Postoperative delirium (POD) is a frequent complication after surgery, especially in elderly patients undergoing head and neck cancer surgery with free flap reconstruction. This study aimed to assess the associations between intraoperative hypotension (IOH), its duration, and occurrence of POD. This retrospective study included 239 patients aged 65 years or older who underwent head and neck cancer surgery with free flap reconstruction.

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A Contemporary Perspective on Spirituality During Pregnancy: A Bibliometric Analysis.

Physician's Weekly

Spirituality during pregnancy has increasingly been recognized as a critical factor influencing maternal well-being; however, comprehensive investigations into global research trends in this domain remain limited. This study presents a bibliometric analysis of global literature on spirituality in pregnancy from 2004 to 2024, evaluating scholarly productivity, patterns of collaboration, thematic developments, and impact citation.

Clinic 52
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Diagnosing pathologic myopia by identifying morphologic patterns using ultra widefield images with deep learning.

Physician's Weekly

Pathologic myopia is a leading cause of visual impairment and blindness. While deep learning-based approaches aid in recognizing pathologic myopia using color fundus photography, they often rely on implicit patterns that lack clinical interpretability. This study aims to diagnose pathologic myopia by identifying clinically significant morphologic patterns, specifically posterior staphyloma and myopic maculopathy, by leveraging ultra-widefield (UWF) images that provide a broad retinal field of vi

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Anti-Bullying Laws and Weight-Based Disparities in Suicidality.

Physician's Weekly

Appearance-based bullying is common among teenagers and may inflict substantial psychological harm on its victims. Overweight and obese students are both more likely to be bullied at school and more likely to engage in suicidal behaviors than their healthy-weight counterparts. This study is the first to explore how anti-bullying laws (ABLs) affect disparities in suicidality between overweight and obese U.S. high school students compared to their and healthy-weight counterparts.

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Cultural Practices and Illness Burden During COVID-19

Physician's Weekly

Disruptions in cultural connection during COVID-19 revealed underlying challenges faced by individuals managing chronic illness. Researchers conducted a retrospective study published in July 2025 issue of Journal of Primary Care & Community Health to examine how cultural, including land-based, factors influenced the reported number of diagnosed Indigenous individuals with chronic illnesses living in Canada and the United States during the COVID-19 pandemic.

Illness 52
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Thrombus Age Patterns in Atrial Fibrillation Related Stroke

Physician's Weekly

Paused anticoagulation in AF stroke was linked to younger thrombi, suggesting a possible rebound effect influencing clot formation. Researchers conducted a retrospective study published in July 2025 issue of BMJ Neurology Open to evaluate whether anticoagulation influenced the histological age characteristics of thrombi in individuals with atrial fibrillation (AF)–related stroke.