Fri.Dec 06, 2024

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Aspirations for an Ideal Future in Medicine: Obstacles and Strategies

Joy in Family Medicine Coaching

We are continuing our series involving your ideal future in medicine. For those of you out there saying, “Enough with the dreaming and mindset stuff; I want to take action,” this is your month! If you haven’t already, write your goals and the vision behind them. You can use the steps I gave three weeks ago. Now, I’m going to encourage something contrary to my typical suggestions.

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U-shaped association seen for alcohol consumption, cardiometabolic disease

Medical Xpress

There is a U-shaped association between alcohol consumption and coronary heart disease (CHD) and type 2 diabetes (T2D) but no evidence for a causal association, according to a study published online Nov. 24 in Alcohol: Clinical and Experimental Research.

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FDA Issues “Cliffs Notes”-style Guidance on Cell and Gene Therapy; What Questions Did They Answer? (Part 1)

FDA Law Blog

By Mark A. Tobolowsky & Charles G. Raver & James E. Valentine On November 19, 2024, FDA released a draft guidance titled Frequently Asked Questions Developing Potential Cellular and Gene Therapy Products. As much of the content of this draft guidance for cellular and gene therapy (CGT) products is articulated elsewhere, this document serves as a one-stop shop or Cliffs Notes for the numerous guidance documents now covering CGT product development.

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Machine learning enhances brain-machine interface performance

Medical Xpress

Brainmachine interfaces (BMIs) have enabled a handful of test participants who are unable to move or speak to communicate simply by thinking. An implanted device picks up the neural signals associated with a particular thought and converts them into control signals that are fed into a computer or a robotic limb. For example, a quadriplegic person is asked to think about moving a cursor on a computer screen.

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Episode 368: Rafael Medina Subspecialty Episode – Eruptive Nodules

The Clinical Problem Solvers

[link] In this dermatology episode, Dr. Eamonn Maher presents a case of eruptive nodules to Dr. Steven Chen. Session facilitator: Dr. Maddy Conte Case Discussant: Dr. Steven Chen Case Presenter: Dr. Eamonn Maher Evolution of Skin Lesions: Link here Skin Biopsies: Link here To join us live and present a case, check out our virtual morning reports !

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Algorithm helps guide cancer treatment using circulating tumor DNA from blood samples

Medical Xpress

A breakthrough by researchers at Peter Mac will allow scientists to detect, analyze and profile cancer tumors in patients via a simple blood test. The Dawson lab at Peter Mac has developed a method that can take circulating tumor DNA (ctDNA) from the patient's blood and use an algorithm to identify cancer-related changes and patterns in their DNA.

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New method of drug discovery and development offers better understanding of how drugs work

Medical Xpress

According to a new study published in Nature Communications, researchers at the Department of Laboratory Medicine, Karolinska Institutet, have made a significant leap in drug discovery and development with a new method called CeTEAM. This approach connects how drugs bind to their targets inside cells with the effects they produce, offering a clearer understanding of how a drug works.

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Astrocytes found to help regulate stress response in brain

Medical Xpress

Researchers have discovered that astrocytes play an important role in regulating stress responses in the lateral septum in the brain. It is expected to provide new clues for mental health treatments.

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Researchers examine why people remember certain things and not others

Medical Xpress

Exactly why do people remember what they remember? A recently published review paper from researchers at Rice University sheds light on this fundamental question and the relationship between factors that influence human memory.

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Network-based analyses uncover how neuroinflammation-causing microglia in Alzheimer's disease form

Medical Xpress

Cleveland Clinic Genome Center researchers have unraveled how immune cells called microglia can transform and drive harmful processes like neuroinflammation in Alzheimer's disease. The study, published in the journal Alzheimer's & Dementia, also integrates drug databases with real-world patient data to identify FDA-approved drugs that may be repurposed to target disease-associated microglia in Alzheimer's disease without affecting the healthy type.

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Researchers discover 'crosstalk' mechanism in two key breast cancer molecules

Medical Xpress

A significant advance in breast cancer research has uncovered a key mechanism driving cancer invasion and drug resistance. A University of Liverpool study reveals how two critical molecules present in "HER2-positive" breast cancerone of the most aggressive formsinfluence breast cancer survival and its spread. The findings are published in the journal Science Advances.

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Genicular artery embolization effective, safe for knee osteoarthritis

Medical Xpress

Genicular artery embolization (GEA) is effective and safe for reducing osteoarthritis (OA) symptoms among patients with knee OA that is refractory to conservative therapy, according to a study presented at the annual meeting of the Radiological Society of North America, held from Dec. 1 to 5 in Chicago.

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MRI could be key to understanding the impact a gluten free diet has on people with celiac disease

Medical Xpress

Experts have used magnetic resonance imaging (MRI) to better understand the impact a gluten free diet has on people with celiac disease, which could be the first step towards finding new ways of treating the condition.

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Gut microbiota: A consensus paper to regulate the 'wild west' of diagnostic tests

Medical Xpress

The gut microbiota might perhaps one day become a routine tool for the early diagnosis of many diseases and to guide treatment, but at present there is a lack of solid scientific evidence to support these claims. Yet, day by day, there are more and more offers of commercial kits for do-it-yourself testing, at the moment totally lacking in meaning and scientific solidity.

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Suicide rate is low during the holidays, but the holiday-suicide myth persists

Medical Xpress

As in most years that we've followed news reporting about the myth that suicides peak during the end-of-year holidays, an analysis of the past year showed again that more newspaper accounts supported the false idea that the suicide rate increases during the holiday season than debunked it.

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Outcomes worse for patients who develop pressure sores after acute spinal cord injury, study shows

Medical Xpress

Research led by The Ohio State University Wexner Medical Center and College of Medicine along with scientists at the CharitUniversittsmedizin Berlin in Berlin, Germany, provides first evidence that hospital-acquired pressure ulcers are a potent risk factor for poor neurological recovery among patients with acute spinal cord injury (SCI).

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Study identifies the main culprit behind flare-ups in a rare genetic disorder

Medical Xpress

Through a series of cell and animal studies, a research team has identified the principal culprit causing flare-ups in patients with a rare genetic disorder called fibrodysplasia ossificans progressiva.

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Researchers in Japan discover new antidiabetic compound

Medical Xpress

Kumamoto University scientists have unveiled a novel compound, HPH-15, with dual effects of reducing blood glucose levels and combating fat accumulation, marking a significant leap in diabetes treatment innovation.

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Pandemic treaty talks round wrapping up without a breakthrough

Medical Xpress

A bonus round of talks striving to finish a landmark global agreement on handling future pandemics was set to close Friday without a breakthrough.

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A mystery illness has killed dozens of people in Congo. UN experts are now investigating

Medical Xpress

The World Health Organization said Friday it was deploying experts to investigate a mystery flu-like illness that has killed dozens of people in southwest Congo in recent weeks.

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Risk for Meniere disease higher in patients with atopic dermatitis

Medical Xpress

The prevalence of Meniere disease is higher in people with atopic dermatitis (AD), according to a study published online Nov. 12 in The Laryngoscope.

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Drug offers cost-effective protection for newborns with genetic bleeding disorder

Medical Xpress

Severe hemophilia A is a genetic disorder that prevents blood from clotting properly, posing a constant risk of dangerous bleeding episodes. Infants with severe hemophilia A (HA) are at risk of brain bleeds, which can lead to serious long-term brain damage. Emicizumab (Hemlibra) was approved by the FDA in 2018 to prevent and reduce bleeding for patients who suffer from hemophilia A.

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Cervical self-testing an acceptable HPV screening method, but survey reveals knowledge gap from users

Medical Xpress

People are accepting of and prefer self-testing for human papilloma virus (HPV), rather than having a clinician-led cervical smear test, but there is a lack of knowledge about the new cervical screening process, University of Otagotkou Whakaihu Waka research shows.

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Reduced-dose anticoagulants not noninferior for recurrent venous thromboembolism

Medical Xpress

Noninferiority of reduced- versus full-dose anticoagulants cannot be proven in patients with venous thromboembolism who need extended anticoagulation, according to a study to be presented at the annual meeting of the American Society of Hematology, held from Dec. 7 to 10 in San Diego.

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Health care workforce: New model projects EU needs up to 2071

Medical Xpress

As the EU's population ages, health care demand is set to rise. New projections suggest that, if current disease prevalence remains constant, doctor and nurse numbers would need to increase by 30% and 33% respectively by 2071 to meet demand. However, healthy aging could significantly reduce this need.

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Radiation-free screening can identify interstitial lung involvement in rheumatoid arthritis

Medical Xpress

For asymptomatic rheumatoid arthritis (RA) patients, a new radiation-free screening protocol can identify suspected interstitial lung involvement (ILI), according to a study published online Nov. 23 in BMC Pulmonary Medicine.

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Many women with epilepsy unaware of seizure meds' risks to pregnancy

Medical Xpress

Many women with epilepsy who are of childbearing age might not realize their anti-seizure drugs can raise the risk of birth defects or dampen the effectiveness of their birth control, a new study warns.

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Auto hematopoietic cell transplant not beneficial for mantle cell lymphoma with undetectable residual disease

Medical Xpress

Autologous hematopoietic cell transplant (auto-HCT) is not beneficial for patients with mantle cell lymphoma (MCL) in first complete remission (CR) with undetectable minimal residual disease (uMRD), according to a study to be presented at the annual meeting of the American Society of Hematology, held from Dec. 7 to 10 in San Diego.

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NHIS report: 7.9% of people of all ages uninsured in January to June 2024

Medical Xpress

From January through June 2024, 7.9% of people of all ages in the United States were uninsured, according to a report published online Dec. 6 by the National Center for Health Statistics.

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Endoscopic full-thickness plication efficacious for gastroesophageal reflux disease

Medical Xpress

Endoscopic full-thickness plication (EFTP), which improves the valvular mechanism of the gastroesophageal junction, is efficacious for managing gastroesophageal reflux disease (GERD) symptoms, according to research published in the November issue of JGH Open.

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Researchers map genetic variants associated with pancreatic cancer in Brazilian patients

Medical Xpress

Pancreatic cancer has recently been included in the list of diseases about which Brazil's National Cancer Institute (INCA) periodically publishes statistics. Although it is not the most frequent type of cancer, its high lethality makes it one of the leading causes of death from cancer in Brazil, partly owing to late diagnosis.

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First mouse strain susceptible to severe COVID-19 without the need for genetic modification identified

Medical Xpress

Researchers at The Jackson Laboratory and Trudeau Institute have identified the first mouse strain that is susceptible to severe COVID-19 without the need for genetic modification. This development, reported in Scientific Reports, marks a pivotal step forward in infectious disease research, providing an essential tool to develop vaccines and therapeutics for future coronavirus variants and potential pandemics.