Sun.Jun 22, 2025

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Nurses aren’t eating their young — we’re starving the profession

KevinMD

I know what I’m about to say is unpopular, and maybe even controversial within our field — but I need to say it. I’ve been a nurse for 18 years. I care deeply about my patients, and I care about the future of this profession. But I’m increasingly disheartened by what I see inside our Read more… Nurses aren’t eating their young — we’re starving the profession originally appeared in KevinMD.com.

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In this rural Colorado valley, cuts to Medicaid would have vast ripple effects

NPR Health

Cuts to Medicaid moving through Congress would shake up health care in the scenic San Luis Valley — with negative downstream effects on local jobs, businesses and education.

Education 125
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Why wanting more from your medical career is a sign of strength

KevinMD

The emergency physician across from me had it all on paper: good schedule, six-figure salary, respected by colleagues, two kids in college, mortgage nearly paid off. “I should be grateful,” she said, staring at her coffee. “But I keep wondering — is this it for the next twenty years?” If you’re nodding, you’re not alone. Read more… Why wanting more from your medical career is a sign of strength originally appeared in KevinMD.com.

Medical 176
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Enhancing Mental Health Care Through Sensory Modulation

Physician's Weekly

Sensory modulation was well accepted and helped service users manage anxiety despite some implementation challenges. A research study published in June 2025 in the issue of BMC Psychiatry explored a modified suicide prevention program tailored for older adults (OAs) (65+) using flexible delivery and sensory-informed strategies to enhance recovery after a suicide attempt.

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How Gen Z is transforming mental health care [PODCAST]

KevinMD

Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes! Entrepreneur, AI enthusiast, and wellness advocate Vaishali Jha discusses her article, “Gen Z is already transforming mental health care—are we listening?” The conversation explores the vital need for new perspectives in health care, arguing that the system often overlooks the voices Read more… How Gen Z is transforming mental health care [PODCAST] originally appeared in KevinMD.com.

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Bipolar Depression Drives Higher Costs in Old Age

Physician's Weekly

Depression subtype, age, and prior attempts shaped suicide risk and costs in older adults receiving psychiatric care. The study published in June 2025 in the issue of Frontiers in Psychiatry highlighted the rising burden of depression in older adults (OAs) and the limited understanding of how depressive disorders placed among the 3 leading causes of disability, low back pain , and headache disorders, and their association costs influenced suicide risk.

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Why the pre-med path is pushing future doctors to the brink

KevinMD

I have been on the pre-med path for years. I started college excited to one day become a doctor, but I quickly learned that excitement was not part of the culture. From the beginning, pre-med students are taught to compete with one another. We are forced into difficult STEM courses that are often graded on Read more… Why the pre-med path is pushing future doctors to the brink originally appeared in KevinMD.com.

Education 157

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U.S. health care leadership must prepare for policy-driven change

KevinMD

I am trapped in a circadian rhythm that I cannot escape from. I think it started when I finished my residency. And to make matters worse, this week it felt like I was also trapped in the series Squid Game. I awake about an hour before first light (sometimes as early as 4:30 a.m.) and Read more… U.S. health care leadership must prepare for policy-driven change originally appeared in KevinMD.com.

IT 157
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Proteomic Signatures Differentiate Aldosteronism Subtypes

Physician's Weekly

Blood-based protein signatures showed high accuracy in classifying forms of hypertension, supporting a shift toward precision diagnostics. As per the study published in June 2025 in the issue of Endocrine, Primary aldosteronism (PA) was known as a common yet underdiagnosed cause of hypertension (HT), with limited noninvasive diagnostic tools despite its impact on cardiovascular health.

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Last Friday was a Good Day for Those Who Want to Litigate Against the Federal Government.

FDA Law

By JP Ellison — Last Friday, the Supreme Court delivered a trio of decisions making it easier to litigate against the federal government. The facts and law in each case matter, and as is often the case when the Supreme Court “decides” an issue, much remains to be seen. That said, it’s hard to see how the score on Friday wasn’t 3 for regulated industry and 0 for the federal government.

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Exploring How Social Media Reflects Women’s Pain Experiences

Physician's Weekly

TikTok videos on pain in women reveal widespread negative experiences and highlight the need for better pain recognition and care for women. According to the study published in the June 2025 issue of the Journal of Pain, the content, characteristics, and engagement metrics of the top 100 TikTok videos related to pain in women using TikTok’s proprietary search algorithm were analyzed.

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Sense of Smell as a Predictor of Mortality

A Country Doctor Writes

Soon after graduating from medical school, I stopped checking the sense of smell in my neurologic exam, just like most of my colleagues. It’s inconvenient to carry different smelly objects around on the hospital ward or in the clinic. So, “Cranial Nerves I-XII normal” turned into “Cranial Nerves II-XII normal” There was a brief period during the Covid epidemic where we at least asked about our patients sense of smell.

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Hydrogen and Ethanol VOCs Separate DKD from Nephrotic Syndromes

Physician's Weekly

Urinary VOC sensors showed promise in detecting diabetic kidney disease non-invasively. In the study published in the April 2025 issue of Scientific Reports , volatile organic compounds (VOCs) emerged as non-invasive biomarkers of metabolic alterations, with their use beyond oncology still largely unexplored. Researchers assessed the utility of VOC analysis in diagnosing diabetic kidney disease (DKD), a major cause of chronic kidney disease.

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This abortion method doesn't involve doctors — and many of them consider it safe

NPR Health

Roe v. Wade was overturned in 2022, she found another way to support patients with limited access to abortions.'/> A growing body of research demonstrating the safety and effectiveness of self-managed abortion with pills, coupled with the global pandemic in 2020 and the fall of Roe in 2022, has many U.S. doctors changing their views.

IT 96
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Bacterial Load Drops With Reduced OR Personnel

Physician's Weekly

Fewer operating room personnel during sterile prep significantly reduced airborne bacterial contamination and species linked to SSIs. A randomized control trial (RCT) study was published in June 2025 in the issue of Antimicrobial Resistance & Infection Control to evaluate how operating room (OR) personnel count influenced air quality and where surgical site infections (SSI) and antimicrobial resistance were global threats to patient safety.

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Geriatric Assessment Boosted Outcomes in OAs

Physician's Weekly

Community-based geriatric assessment supports independence and improved QoL while reducing acute care needs in older adults. In the cohort study published in June 2025 in the issue of BMC Primary Care, researchers examined clinical and process outcomes in older adults (OAs) at risk of or living with frailty who received an interdisciplinary Comprehensive Geriatric Assessment (CGA) in the community.

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Standardizing Outcomes for Fecal Incontinence

Physician's Weekly

A core outcome set was developed to standardize and prioritize clinically and personally meaningful measures in fecal incontinence research. The study published in June 2025 in the Lancet Gastroenterology and Hepatology on Fecal incontinence was recognized as a debilitating anorectal condition that hindered QoL, with inconsistent outcome reporting limiting evidence synthesis and overlooking outcomes important to daily living.

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Cardiac intermediary metabolism in heart failure: substrate use, signalling roles and therapeutic targets.

Physician's Weekly

The number of patients with heart failure is expected to rise sharply owing to ageing populations, poor dietary habits, unhealthy lifestyles and improved survival rates from conditions such as hypertension and myocardial infarction. Heart failure is classified into two main types: heart failure with reduced ejection fraction (HFrEF) and heart failure with preserved ejection fraction (HFpEF).

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Machine Learning Forecasts SANS With OCT Imaging Data

Physician's Weekly

Deep learning models using OCT imaging successfully predicted SANS with moderate-to-high accuracy. The study was published in the June 2025 issue of American Journal of Ophthalmology; researchers conducted a retrospective study to develop deep learning artificial intelligence (AI) models for predicting Spaceflight Associated Neuro-ocular Syndrome (SANS) using optical coherence tomography (OCT) images of the optic nerve head (ONH).

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Health and Mood Benefits of Semaglutide in HF

Physician's Weekly

Semaglutide therapy in patients with obese heart failure leads to marked weight loss and notable gains in mood, function, and QoL over the course of 1 year. A retrospective analysis published in the June 2025 issue of Clinical Research in Cardiology about obesity that had been prevalent in heart failure (HF), contributing to reduced QoL and increased depressive symptoms, while the effects of semaglutide on health and mood remained uncertain.

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Dual-Energy CT Advances Arthritis Imaging

Physician's Weekly

Contrast-enhanced dual-energy CT improves diagnosis and guided management of suspected inflammatory arthritis of the hand. The single-center study, published in the June 2025 issue of Arthritis & Rheumatology, investigators assessed the effectiveness of contrast-enhanced dual-energy CT (CE-DECT) in detecting and differentiating rheumatic joint diseases of the hand.

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Medication and Follow-Up Linked to Better Outcomes in DI

Physician's Weekly

Multidisciplinary care with antipsychotic use significantly improves outcomes in delusional infestation, especially when patient engagement is maintained. According to the study published in the June 2025 issue of British Journal of Dermatology about Delusional infestation (DI), recognized as a psycho-dermatological condition characterized by fixed false beliefs of infestation, often presenting challenges in patient engagement and treatment setting selection.

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Prognostic Value of Non-JAK2 Mutations in Polycythemia Vera

Physician's Weekly

Non-JAK2 mutations, particularly in SRSF2, ASXL1, and IDH2, were independently associated with worse survival outcomes in polycythemia vera, supporting their incorporation into future prognostic models. The research study published in the May 2025 issue of American Journal of Hematology examined the prevalence and prognostic impact of non-JAK2 mutations in individuals with polycythemia vera (PV).

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Practice Characteristics and CGM Method Selection

Physician's Weekly

Primary care practices used varied strategies to adopt CGM, with diabetes care specialists playing a key role in shaping implementation choices. According to a study published in the June 2025 issue of BMC Primary Care, most diabetes management takes place in primary care, highlighting the growing use and benefits of continuous glucose monitoring (CGM) and the need to explore support models for its implementation.

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Tocilizumab with Chemotherapy Reduces Muscle Loss in Pancreatic Cancer

Physician's Weekly

IL-6 blockades with tocilizumab did not improve short-term survival in advanced pancreatic cancer but showed potential anticachexia benefits and improved 18-month survival despite increased toxicity. The Randomized Phase II study was published in the May 2025 issue of the Journal of Clinical Oncology. Researchers compared the efficacy of gemcitabine/nab-paclitaxel (Gem/Nab) with or without tocilizumab (Toc) in individuals with advanced pancreatic cancer.

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Ozone Injection Into Intervertebral Foramen for Chronic Postherpetic Neuralgia Treatment

Physician's Weekly

A targeted ozone injection technique guided by CT imaging effectively eased drug-resistant postherpetic neuralgia, reducing pain, hypersensitivity, and medication use over 1 year. In a 1-year follow-up study published in the May 2025 issue of Frontiers in Neurology regarding c hronic intractable postherpetic neuralgia (PHN), QoL severely affects after herpes zoster (HZ).

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Influence of Probiotics on Vaginal Flora and GBS in Pregnant Women

Physician's Weekly

Probiotics in late pregnancy may not reduce GBS colonization but can beneficially shift vaginal microbiota composition. Researchers conducted a retrospective study published in the June 2025 issue of European Journal of Obstetrics and Gynecology and Reproductive Biology to evaluate the feasibility and effects of using probiotics in pregnancy, beginning in the third trimester, on rectovaginal colonization of group B streptococcus (GBS) in women at low obstetric risk.

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Lung Recruitability Prediction Using the R/I Ratio Tool

Physician's Weekly

The R/I ratio showed limited accuracy in predicting lung recruitability in ARDS but reliably identified low recruiters. The recruitment-to-inflation (R/I) ratio was introduced in a study published in June 2025 issue of Critical care as a bedside measure to assess lung recruitability with positive end-expiratory pressure (PEEP), though it had only been validated against pressure–volume curves and lacked a clearly defined threshold for distinguishing low from high recruiters.

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Cognitive and Motor Decline in Children With Asphyxia

Physician's Weekly

Therapeutic hypothermia for NE was linked to declining motor, cognitive, and behavioral outcomes, emphasizing the need for long-term monitoring. The study published in June 2025 in the issue of Journal of Pediatrics, researchers compared neurodevelopmental outcomes at 18–24 months, 5–6 years, and 8–10 years in children who received therapeutic hypothermia (TH) for neonatal encephalopathy (NE) following perinatal asphyxia.

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Blood Eosinophils Linked to Aorta Stiffness

Physician's Weekly

Increased eosinophil levels in COPD were associated with impaired abdominal aortic dynamics, highlighting a mechanistic link between eosinophilic inflammation and vascular dysfunction. Chronic obstructive pulmonary disease (COPD) was associated with systemic inflammation and a heightened risk of cardiovascular (CV) diseases, while the role of eosinophilia in atherogenesis remained poorly understood.

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Safety of Stent Placement by Non-Urologic Surgeons

Physician's Weekly

Prophylactic ureteral stent placement by non-urologic surgeons demonstrated high technical success and an acceptable safety profile. Researchers conducted a retrospective study published in June 2025 in the issue of American Journal of Surgery to determine the safety and feasibility of cystoscopy and prophylactic ureteral stent placement performed by non-urological surgeons.

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Child-Focused Gun Policy Views by Household Type

Physician's Weekly

Black firearm owners broadly support child-focused gun safety policies, revealing strong potential for community-driven violence prevention efforts. The study published in the June 2025 issue of BMC Pediatrics explored firearm policy views among Black firearm owners in the context of rising household gun ownership increasing concerns about child safety and risk of homicide and suicide , as most fatal firearm injuries among children occur at home occur at home.

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Structural Retinal Changes Mirror Disability in MS

Physician's Weekly

OCT-detected retinal layer loss reflects underlying progression in MS, even without relapse or MRI evidence. A study published in the June 2025 issue of Journal of Neurology reported that structural changes in the retina, as detected by optical coherence tomography, may serve as indicators of neurodegeneration in multiple sclerosis (MS), independent of relapse activity or MRI findings.

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Refined ICD Criteria Improved Outcomes and Reduced Costs

Physician's Weekly

Targeted ICD selection based on predicted therapy benefit enhances patient outcomes while cutting hospital costs by 16.7%. The study published in the June 2025 issue of Clinical Research in Cardiology required a strong need to improve the selection of individuals with reduced left ventricular ejection fraction for primary prevention of sudden cardiac death through implantable cardioverter-defibrillator (ICD) placement.

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Social Risk Burden and Its Impact on Healthcare Use in IBD

Physician's Weekly

High social risk burden in adults with IBD drives emergency care use and medication gaps—spotlighting the urgent need for social screening in clinical practice. The United States (US) National Health Interview Surveyed in the year 2023, published in the June 2025 issue of Clinical Gastroenterology and Hepatology , determined the prevalence and impact of social risks on healthcare use among individuals with inflammatory bowel diseases (IBD) in the US.

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Comparative Biomarker Analysis in HIV, PrEP, and Controls

Physician's Weekly

Elevated immune and neuronal injury markers in MSM with HIV and PrEP suggest lifestyle factors, beyond HIV, drive persistent inflammation. According to a study published in June 2025 in the issue of Infectious Diseases explored People living with HIV (PWH) who were acquiring antiretroviral therapy (ART) continued to demonstrate the signs of immune activation, potentially influenced by both infection-specific and behavioral factors.

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Sex-Based Differences in Perceived Physician Communication

Physician's Weekly

Women with hidradenitis suppurativa perceived less respectful and effective communication from physicians than men. The study published in June 2025 in the issue of Journal of Dermatology addressed the uncertainty regarding whether adults with hidradenitis suppurativa (HS), a chronic inflammatory skin condition marked by painful abscesses, perceived physician communication differently based on gender.