medpagetodayFrom MedPage Today:

  1. Mom's, Kid's Fructose Intake Linked to Asthma. A child's risk of asthma increased significantly with maternal fructose intake during pregnancy.
  2. Mixed Outcomes in Pregnancy After Weight-Loss Surgery. Women with a history of bariatric surgery who later gave birth faced both benefits and risks including a lower risk for gestational ...

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The high cost of health care in the United States in part relates to how clinicians are paid. Performing expensive and often risky procedures simply pays better than engaging patients in a shared decision-making conversation. Shared decision-making (SDM) is a process where clinicians and patients educate each other about treatment options, risks and benefits, and preferences, and then they decide on the best approach together. Patient decision aids can assist ...

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Sleep apnea is a condition that afflicts millions of people.  There are two types of sleep apnea: central, and obstructive. Obstructive is by far the most common, and is usually what is referred to when people talk about sleep apnea. Obstructive sleep apnea occurs when, during sleep, the airway passages in the throat close and block the movement of air. Common symptoms are snoring, gasping during sleep, sleepiness during the day, ...

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medpagetodayFrom MedPage Today:

  1. Medicare Lung Ca Screening Gets Down to Business. The final tweaks to Medicare plans to reimburse annual low-dose CT scans for lung cancer screening satisfied many as a good place to start, with an eye toward further refinements.
  2. New Criteria Would Double Fibromyalgia Cases. Applying the proposed 2010 modified ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 72-year-old man is evaluated for dyspnea at rest. He has end-stage COPD and is on a home hospice program. He has weight loss, reduced functional capacity, and muscle atrophy. His medications are ipratropium, salmeterol, fluticasone, albuterol as needed, and prednisone. He is uncomfortable, with chronic air hunger that has gradually increased ...

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medpagetodayFrom MedPage Today:

  1. Exposure to Secondhand Smoke Cut in Half. The number of people exposed to secondhand smoke dropped by half over the last decade, but one in four nonsmokers, or some 58 million people, are still exposed.
  2. Patients Mum on Work-Related Asthma. While 46% of employed adults had asthma that was ...

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Every fall I write about bronchiolitis because it is one of the most common respiratory ailments affecting infants and children under about two years of age. It is the most common reason infants end up in the hospital during the winter and early spring months. Every year we get severe cases in the PICU. Pediatricians have struggled for decades to figure out how to treat bronchiolitis but we don’t have ...

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medpagetodayFrom MedPage Today:

  1. Family Hx Still Independent Risk Factor for RA. The familial risk of rheumatoid arthritis (RA) cannot be explained fully by established genetic and environmental RA risk factors, so family history remains an independent risk factor for RA.
  2. Who Is Getting ACA Insurance -- And Who Isn't. A story on ...

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As the PBS Newshour recently reported, Westminster, Massachusetts could be the first town in the United States to ban the sale of tobacco. As I watched the debate unfold among neighbors, I was shocked at the level of intensity with which citizens stepped up to defend the sale of tobacco in their town. At one point an elderly gentleman dependent on nasal oxygen due to years of smoking-related pulmonary disease states ...

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Recently, the Centers for Medicare & Medicaid Services (CMS) officially proposed coverage for annual low-dose computed tomography (LDCT) screening for lung cancer in current or former smokers age 55 to 74 years with at least a 30 pack-year history. In doing so, CMS followed the lead of the U.S. Preventive Services Task Force, which had previously given a "B" grade recommendation for screening in a similar population through age 80 years. In the ...

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