WHO Calls for Immediate Antiretroviral Therapy and Expanded Pre-Exposure Prophylaxis
September 30th 2015The World Health Organization joined the US Centers for Disease Control in issuing HIV treatment guidelines that call for immediate anti-retroviral therapy when a patient's HIV test is positive. WHO also endorses widespread pre-exposure prophylaxis with the drugs, but notes there are controversies involved.
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Docs, Researchers, Among MacArthur Fellows
September 29th 2015The MacArthur Foundation's secretive "genius grant" awards this year are for $625,000 each. This year's grantees include a stem cell reearcher, a geneticist, a neuroscientist, and a social activist who got hospitals to stop using mercury thermometers.
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Halted Heart Device Trial Leaves Ethics, Efficacy Questions
September 27th 2015A device manufacturer's decision to halt a trial of a pump-and-filter system that removes excess salt and fluid from heart failure patients left researchers with promising but statistically insignificant data. It also raised questions about whether that manufacturer acted ethically.
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Beta Blockers More Effective than Lower Heart Rate in Ambulatory Heart Failure Patients
September 26th 2015As new drugs for lowering heart rate become available, physicians treat heart failure patients may chose these agents instead of increasing doses of beta blockers. A multi-center study finds that could be the wrong choice.
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Despite Cost, Medicaid Programs Spending Heavily on Hep C Drug
September 24th 2015Expensive and worth it. That's the verdict from Medicaid programs across the US when it comes to the new hepatitis C antivirals. State spending figures are available in a study published as a letter in the New England Journal of Medicine.
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Does Alzheimer's Start Before Birth? Bronx Researchers Say It's a Developmental Disorder
September 22nd 2015Alzheimer's Disease is generally an ailment associated with aging.But Mark Mehler, MD, a neurologist and a professor of psychiatry and behavioral sciences at Albert Einstein College of Medicine in the Bronx, NY, believes it starts in utero.
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Sex After Heart Attack Is Safe, Studies Show
September 22nd 2015Physicians often fail to counsel recovering heart attack patients on whether they are at risk of having another myocardial infarction triggered by sexual activity. In a letter to the Journal of the American College of Cardiology, Dietrich Rothenbacher, MD, MPH and colleagues have reassuring data.
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Study: Intranasal Glucagon Effective Alternative to Shots in Kids with Type 1 Diabetes
September 18th 2015Injecting pediatric diabetes type 1 patients with glucagon can be difficult for non-medical caregivers. Such treatment is needed for severe hypoglycemia. A new study shows that an inhaled glucagon powder is effective and easier on these rescuers.
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Why Family Caregivers Are Desperate for a Doctor's Advice
September 18th 2015Patients discharged from the hospital often rely on a family member to perform complex nursing tasks at home. These caregivers are critical, but too often physicians do not acknowledge these family members' role or help them with care instructions, says Carol Levine of the United Hospital Fund.
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How to Get Off the Hamster Wheel and Find Joy in Medical Practice
September 18th 2015The key to making the "medical home" the practice paradigm for primary care is getting insurers to make the early-stage investment-usually in the form of an additional payment per patient per month-- that will pay off in better health outcomes in a few years, says Gregory Burke, of Manhattan's United Hospital Fund. That's happening in New York State, and physicians who are in such practices are much happier, he says.
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Parkinson's Deaths Continue to Rise
September 17th 2015The US Centers for Disease Control and Prevention today released figures showing that deaths from Parkinson's Disease have risen steadily since 2000. In 2013, 2013 that death rate in men was 11 deaths per 100,000 population, up from 8.8 per 100,000 in 2000.
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Medical Marijuana: $100 Mil Investment in Jamaican Weed
September 15th 2015A Canadian company announced it would invest $100 million (US dollars) in Jamaican marijuana research and development. A Colorado company also plans to invest there. Though marijuana has long been grown in Jamaica and exported illegally, the island's government decriminalized medical use in February.
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Northwell Is New Name for North Shore-LIJ
September 15th 2015The nation's 14th largest health system, North Shore-LIJ, is rebranding as Northwell Health, effective in 2016. Headquartered in Great Neck, NY, the system has facilities throughout Long Island, in New York City and in Westchester County.
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Panel Sets New Criteria for Peripherally Inserted Central Catheters
September 14th 2015The use of peripherally inserted central catheters (PICCs) has been rising steadily. But they can cause complications. In an article in Annals of Internal Medicine a multispecialty panel reports on the Michigan Appropriateness Guide for Intravenous Catheters (MAGIC). The panel came up with new PICC criteria.
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Institute Finds Heart Device Far Too Costly
September 11th 2015The cost critics at the non-profit Institute for Clincial and Economic Review today charged that a heart monitoring device is too expensive by 60% and a new cardiac drug costs 17% more than it should. It's the same group that attacked the cost of PCSK9 inhibitors and predicted hepatitis C antivirals would be pricey.
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Promising Results on Gene Therapy for Congestive Heart Failure
September 9th 2015California researchers report good results in a phase II study of a gene therapy for congestive heart failure. The news comes five months after Celladon's Mydicar gene therapy for CHF failed to meet its trial's endpoints.
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AMA Blows Whistle on Insurer Mergers, Sees Antitrust Concerns in 17 States
September 9th 2015The pending mergers of Aetna-Humana and Anthem-Cigna will leave the US with only three large health insurers. The American Medical Association identifies 17 states where those acquisitions raise anti-trust questions.
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