Sat.Nov 30, 2024 - 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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​How CCP Predicts Success: Membership Medicine Gets Data-Driven

Concierge Choice Physicians

For physicians considering a shift to membership medicine, the decision can feel daunting. Concierge Choice Physicians (CCP) uses a data-driven approach that helps physicians make informed decisions about transitioning to a membership-based model—ensuring they understand the potential benefits and challenges before taking the plunge. Is Membership Medicine Right for You?

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Anthem plans to put time limits on anesthesia coverage, alarming doctors

NPR Health

Anthem Blue Cross Blue Shield says it will put time limits on anesthesia care starting next year. Doctors and elected officials, including in New York and Connecticut, are asking it to change course.

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Quiet on the Set? Forbidding FDA To Take Photographs During An Inspection Can Be Regrettable

FDA Law Blog

By Douglas B. Farquhar — A recent Warning Letter reflects an FDA citation of a company for refusing to permit FDA Investigators to take photographs during an inspection. We haven’t seen an FDA Warning Letter citing a refusal to permit photographs for years, so, just as FDA is apparently reviving these types of allegations, it is probably time for us to revive blogposts that have discussed this issue for more than a decade now.

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Cold Weather Safety for Seniors

Center for Family Medicine (CFM)

The cold winter months are coming. Although this season brings excitement, like the holiday season and sparkling snow, it is important for seniors to understand some basic cold weather safety protocols. The cold weather can be dangerous, but there are steps you can take to prepare. How to “Winterize” Your Home Before winter weather comes, you need to do some things around the house to “winterize” your home.

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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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Rights Group: Afghan women barred from studying nursing and midwivery

NPR Health

Several sources confirm the Taliban pronouncement, part of ongoing efforts to curtail education for girls and women. Women studying these subjects say they were barred from classes this week.

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Episode 368 – RLR – Fever and photophobia

The Clinical Problem Solvers

[link] Title – Photophobia and diarrhea Episode description RR discuss a fascinating case of fever, photophobia and diarrhea Student discount [link] IMG discount Use coupon code RLRIMG at check out [link] Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

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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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How sweet! A daily dose of dark chocolate may cut your risk of diabetes

NPR Health

A new study finds people who eat a small, daily serving of dark chocolate have a reduced risk of developing Type 2 diabetes. People who ate milk chocolate did not have a lower risk. Here's why.

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How Many Hours are Really in a Day?

FDA Law Blog

By Adrienne R. Lenz, Principal Medical Device Regulation Expert & Kristy Katzenmeyer-Pleuss, Regulatory and Biological Safety Consultant* — We recently blogged on FDA’s draft guidance, Chemical Analysis for Biocompatibility Assessment of Medical Devices , which describes chemical characterization methods that may be used to demonstrate biocompatibility of a medical device as an alternative to conducting certain biological testing.

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Medical Music Mondays: Constipation Nation

PEMBlog

The Rome IV criteria are how you diagnose constipation. Also X-Rays don’t help. And “The Red Hot Chili Poopers” would be a great name for a tribute band. Lyrics Can’t poop, no stool in about three weeks Walk slow cause now I think my butt leaks I strain and try but I can’t go – no My bowel transit rate is so slow Bristol One is all that I can do I hurts so much when I try to go poo [chorus] Constipation!

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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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Dizzy after one drink? Social drinkers on obesity drugs lose the taste for alcohol

NPR Health

A new study finds people who take weight-loss drugs also cut back on alcohol consumption. Researchers think the drugs could be a promising new treatment for addiction.

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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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My favorite public health and health care books of 2024

Common Sense Family Doctor

Five moving memoirs and five more outstanding nonfiction titles comprise this year's 10th annual list of my favorite health books, listed alphabetically by title below. For more great reads, feel free to browse my lists from 2023 , 2022 , 2021 , and 2015-2020. Hope this list helps with your holiday shopping! ** 1. Crisis Averted: The Hidden Science of Fighting Outbreaks , by Caitlin Rivers 2.

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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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How a staffing shortage can make special education jobs more dangerous

NPR Health

Special educators are more likely to experience violence or aggression from students. That can make hiring a challenge, at a time when schools nationwide are struggling to fill these positions.

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Stories We Tell Each Other to Heal: Ricky Leiter, Alexis Drutchas, & Emily Silverman

GeriPal

Summary Transcript CME Summary We’ve covered stories before. With Liz Salmi, Anne Kelly, and Preeti Malani we talked about stories written up in the academic literature, such as the JAMA Piece of My Mind series. We talked with Thor Ringler, who helped found the My Life My Story Project at the VA and beyond, and Heather Coats about the evidence base for capturing patient stories.

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In asymptomatic severe aortic stenosis, is earlier intervention better?

Common Sense Family Doctor

Affecting three in 100 adults older than 65 years, aortic stenosis is classified as mild, moderate, and severe based on echocardiographic measurements. The onset of symptoms—dyspnea, volume overload, angina, syncope—is associated with a poor prognosis and is the usual indication for aortic valve replacement. Although valve replacement traditionally required open surgery, transcatheter aortic valve implantation (TAVI) has become increasingly common.

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Broadly effective vaccine design offers new hope in the fight against hepatitis C

Medical Xpress

The development of an effective vaccine against the hepatitis C virus (HCV) has posed a significant challenge for decades due to the high genetic diversity of the virus. A research team has now achieved promising results. Using epitope-focused immunogens, they were able to induce broadly neutralizing antibodies (bnAbs) in laboratory models for the first time.

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Supreme Court appears skeptical of challenge to ban on gender-affirming care for minors

NPR Health

At issue is a state law in Tennessee that blocks minors from accessing gender-affirming care in the state.

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“If You’ve Got Legitimate Suspenders, Don’t Have an Unconstitutional Belt:” Federalist Society Panel’s Take on Jarkesy and the Preserve Access to Affordable Generics and Biosimilars Act

FDA Law Blog

By Kurt R. Karst — On August 30, 2024, we posted on what was then the most recent version of S. 142, the Preserve Access to Affordable Generics and Biosimilars Act. Some version of the bill, which addresses patent settlement agreements (pejoratively referred to as “reverse payment agreements” by their opponents), has been floating around in Congress for the better part of two decades—even before the U.S.

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Whoop! There It Is: A Pertinent Pediatric Pertussis Podcast

PEMBlog

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast , we explore pertussis, also known as whooping cough – a disease that remains a public health challenge despite widespread vaccination efforts. We will review the clinical presentation, diagnostic strategies, management protocols, infection control practices, and vaccination updates.

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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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Supreme Court hears challenge to law banning gender-affirming care for trans kids

NPR Health

At issue is a Tennessee law that bans access to hormones, puberty blockers, and other treatments for trans kids in the state.

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The U.S. is facing a youth mental health crisis. These skaters want to help

NPR Health

The Skate Mind Project is working to bring psychological first aid to the skatepark — promoting stronger relationships within skating culture, and emphasizing parks and shops as community centers.

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How to be not lonely? 'Cohousing' is an answer for some people

NPR Health

In cohousing communities, neighbors share common spaces, chores and a sense of connection that benefits everyone. For some, it's an answer to the isolation of parenting that many families feel today.

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SunFed cucumbers and Costco eggs recalled for potential salmonella contamination

NPR Health

Cucumbers shipped to the U.S. and Canada, and organic eggs sold in 25 Costco stores in five southern U.S. states, were recalled this week for potential salmonella contamination.

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Inside RFK Jr.'s nonprofit's legal battles over vaccines and public health

NPR Health

The nonprofit Children's Health Defense that Kennedy led has filed nearly 30 federal and state lawsuits since 2020, many challenging vaccines and public health mandates.

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Longer careers in ice hockey are linked to a greater risk of CTE, a new study finds

NPR Health

A new Boston University study of 77 deceased male ice hockey players found that their chances of developing the degenerative brain disease known as CTE increased with each year they played the sport.

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As federal aid shrinks, communities try new ways to tackle child poverty on their own

NPR Health

After Congress ended extra cash aid for families, local efforts aimed to fill the gap. In Flint, Michigan, Rx Kids gives cash aid to every family for a baby's first year. Will it work elsewhere?

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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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Why do kids with cancer in the Global South have such low survival rates?

NPR Health

In wealthy countries, a child diagnosed with cancer often has an excellent chance of survival. But in lower resource countries, survival rates are dramatically lower. What's going on?