dd Overly Long Pregnancies Linked to Behavioral Problems in Toddlers By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Overly Long Pregnancies Linked to Behavioral Problems in ToddlersCategory: Health NewsCreated: 5/3/2012 10:05:00 AMLast Editorial Review: 5/3/2012 12:00:00 AM Full Article
dd Blind Cords Pose Danger to Toddlers, Doctors Warn By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Blind Cords Pose Danger to Toddlers, Doctors WarnCategory: Health NewsCreated: 4/30/2013 10:35:00 AMLast Editorial Review: 4/30/2013 12:00:00 AM Full Article
dd Why Johnny Can't Add, Even After Tutoring By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Why Johnny Can't Add, Even After TutoringCategory: Health NewsCreated: 4/29/2013 4:35:00 PMLast Editorial Review: 4/30/2013 12:00:00 AM Full Article
dd Younger Men Biggest Consumers of Added Sugars: CDC By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Younger Men Biggest Consumers of Added Sugars: CDCCategory: Health NewsCreated: 5/1/2013 10:35:00 AMLast Editorial Review: 5/1/2013 12:00:00 AM Full Article
dd Steep Rise in Suicides Among Middle-Aged Americans, CDC Says By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Steep Rise in Suicides Among Middle-Aged Americans, CDC SaysCategory: Health NewsCreated: 5/2/2013 12:35:00 PMLast Editorial Review: 5/3/2013 12:00:00 AM Full Article
dd Smoking, Drinking Combo Raises Odds for Esophageal Cancer By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Smoking, Drinking Combo Raises Odds for Esophageal CancerCategory: Health NewsCreated: 4/25/2014 12:35:00 PMLast Editorial Review: 4/28/2014 12:00:00 AM Full Article
dd Poor Fitness in Middle Age Tied to Early Death Risk in Study By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Poor Fitness in Middle Age Tied to Early Death Risk in StudyCategory: Health NewsCreated: 4/30/2014 9:35:00 AMLast Editorial Review: 4/30/2014 12:00:00 AM Full Article
dd Could Blowing Your Horn Cut Your Odds for Sleep Apnea? By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Could Blowing Your Horn Cut Your Odds for Sleep Apnea?Category: Health NewsCreated: 4/24/2015 12:00:00 AMLast Editorial Review: 4/27/2015 12:00:00 AM Full Article
dd Experimental AIDS Vaccine Targets Hidden Virus By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Experimental AIDS Vaccine Targets Hidden VirusCategory: Health NewsCreated: 4/29/2015 12:00:00 AMLast Editorial Review: 4/29/2015 12:00:00 AM Full Article
dd COPD Tied to Raised Risk for Sudden Cardiac Death By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: COPD Tied to Raised Risk for Sudden Cardiac DeathCategory: Health NewsCreated: 4/29/2015 12:00:00 AMLast Editorial Review: 4/29/2015 12:00:00 AM Full Article
dd ER Practices Key to Helping Those Addicted to Painkillers: Study By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: ER Practices Key to Helping Those Addicted to Painkillers: StudyCategory: Health NewsCreated: 4/28/2015 12:00:00 AMLast Editorial Review: 4/29/2015 12:00:00 AM Full Article
dd Painkiller Addiction Relapse More Likely for Some By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Painkiller Addiction Relapse More Likely for SomeCategory: Health NewsCreated: 4/22/2016 12:00:00 AMLast Editorial Review: 4/25/2016 12:00:00 AM Full Article
dd Two Genes May Raise Odds for Fraternal Twin Pregnancies By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Two Genes May Raise Odds for Fraternal Twin PregnanciesCategory: Health NewsCreated: 4/28/2016 12:00:00 AMLast Editorial Review: 4/29/2016 12:00:00 AM Full Article
dd U.S. Toddlers Eat More French Fries Than Vegetables By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: U.S. Toddlers Eat More French Fries Than VegetablesCategory: Health NewsCreated: 5/1/2017 12:00:00 AMLast Editorial Review: 5/1/2017 12:00:00 AM Full Article
dd Healthy Heart in Middle Age Delivers Big Dividends By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Healthy Heart in Middle Age Delivers Big DividendsCategory: Health NewsCreated: 5/1/2017 12:00:00 AMLast Editorial Review: 5/2/2017 12:00:00 AM Full Article
dd A Toddler's Screen Time Tied to Speech Delay By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: A Toddler's Screen Time Tied to Speech DelayCategory: Health NewsCreated: 5/4/2017 12:00:00 AMLast Editorial Review: 5/4/2017 12:00:00 AM Full Article
dd Babies Born Addicted to Opioids Often Struggle With Learning By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Babies Born Addicted to Opioids Often Struggle With LearningCategory: Health NewsCreated: 5/3/2017 12:00:00 AMLast Editorial Review: 5/4/2017 12:00:00 AM Full Article
dd Simple Drug Packaging Change Could Save Toddlers' Lives By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Simple Drug Packaging Change Could Save Toddlers' LivesCategory: Health NewsCreated: 5/3/2018 12:00:00 AMLast Editorial Review: 5/3/2018 12:00:00 AM Full Article
dd AHA News: A Father's Death at 37 Reveals a Hidden History of Cholesterol By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: AHA News: A Father's Death at 37 Reveals a Hidden History of CholesterolCategory: Health NewsCreated: 4/30/2019 12:00:00 AMLast Editorial Review: 5/1/2019 12:00:00 AM Full Article
dd Job Strain May Boost Odds of Serious Artery Disease By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Job Strain May Boost Odds of Serious Artery DiseaseCategory: Health NewsCreated: 4/28/2020 12:00:00 AMLast Editorial Review: 4/28/2020 12:00:00 AM Full Article
dd Six New COVID-19 Symptoms Added to CDC List By www.medicinenet.com Published On :: Sat, 9 May 2020 00:00:00 PDT Title: Six New COVID-19 Symptoms Added to CDC ListCategory: Health NewsCreated: 4/28/2020 12:00:00 AMLast Editorial Review: 4/29/2020 12:00:00 AM Full Article
dd Pregnancy Complications Raise Future Odds of Preterm Birth: Study By www.medicinenet.com Published On :: Mon, 4 May 2020 00:00:00 PDT Title: Pregnancy Complications Raise Future Odds of Preterm Birth: StudyCategory: Health NewsCreated: 5/1/2020 12:00:00 AMLast Editorial Review: 5/4/2020 12:00:00 AM Full Article
dd AHA News: Tropical Smoothie Adds a Healthy Green Touch to St. Patrick's Day By www.medicinenet.com Published On :: Tue, 17 Mar 2020 00:00:00 PDT Title: AHA News: Tropical Smoothie Adds a Healthy Green Touch to St. Patrick's DayCategory: Health NewsCreated: 3/16/2020 12:00:00 AMLast Editorial Review: 3/17/2020 12:00:00 AM Full Article
dd Middle Age More Stressful Now Than in 1990s: Study By www.webmd.com Published On :: Fri, 08 May 2020 10:28:44 EST Before the COVID-19 pandemic upended people's lives, Americans were already feeling more stressed than they did a generation ago. Now, new research finds that no group is feeling the impact of additional stress more than middle-aged people. Full Article
dd PMC Adds New Page on Public Access By www.ncbi.nlm.nih.gov Published On :: Thu, 1 Oct 2009 08:00:00 EST A new page, Public Access & PMC, has now been added to the About PMC section of the PubMed Central site. “Public Access & PMC” provides information on the relationship between PMC and the NIH Public Access policy, including the difference between the NIH Public Access journal list and PMC journal list. In particular, authors and publishers should find this new site to be a useful resource. Full Article
dd KoreaMed Synapse Adds PubReader as a Display Option By www.ncbi.nlm.nih.gov Published On :: Fri, 1 Feb 2013 08:00:00 EST KoreaMed Synapse, a digital archive and reference linking platform of Korean medical journals, is now using NCBI’s new PubReader presentation style to display their full-text journal articles. KoreaMed’s database of 122 journals now includes a blue ‘PubReader’ icon for each full-text article. NCBI launched PubReader in December 2012 as a convenient new way to view full-text articles in PubMed Central on desktops as well as tablets and mobile devices. In tandem with the launch, NCBI made the code used to create PubReader freely available on GitHub. Full Article
dd PMC Adds Support for Machine-Readable Clinical Trial Information By www.ncbi.nlm.nih.gov Published On :: Mon, 7 Jan 2019 08:00:00 EST Machine-readability of scholarly outputs is critical to supporting large-scale analysis of the scientific literature. To that end, PMC’s Tagging Guidelines and internal processes have been updated to support the JATS4R recommendations for tagging clinical trial information. NLM encourages PMC-participating publishers, journals, and data providers to review this guidance. Please contact us at pubmedcentral@ncbi.nlm.nih.gov if you have any questions. Full Article
dd New PubMed Features Added By www.nlm.nih.gov Published On :: Fri, 17 Jan 2020 11:00:00 EST Several features have been updated in the new PubMed, including options to customize the number of items per page, sort by publication date, reverse sort order, see all similar articles, and download the Results by Year timeline. Full Article
dd Dirty Air Might Raise Your Odds for Dementia By www.medicinenet.com Published On :: Wed, 1 Apr 2020 00:00:00 PDT Title: Dirty Air Might Raise Your Odds for DementiaCategory: Health NewsCreated: 3/31/2020 12:00:00 AMLast Editorial Review: 4/1/2020 12:00:00 AM Full Article
dd Which Foods Might Reduce Your Odds for Dementia? By www.medicinenet.com Published On :: Tue, 14 Apr 2020 00:00:00 PDT Title: Which Foods Might Reduce Your Odds for Dementia?Category: Health NewsCreated: 4/14/2020 12:00:00 AMLast Editorial Review: 4/14/2020 12:00:00 AM Full Article
dd Taking Steroids for Rheumatoid Arthritis, IBD? Your Odds for Hypertension May Rise By www.medicinenet.com Published On :: Tue, 24 Mar 2020 00:00:00 PDT Title: Taking Steroids for Rheumatoid Arthritis, IBD? Your Odds for Hypertension May RiseCategory: Health NewsCreated: 3/23/2020 12:00:00 AMLast Editorial Review: 3/24/2020 12:00:00 AM Full Article
dd Middle Age More Stressful Now Than in 1990s: Study By www.medicinenet.com Published On :: Fri, 8 May 2020 00:00:00 PDT Title: Middle Age More Stressful Now Than in 1990s: StudyCategory: Health NewsCreated: 5/7/2020 12:00:00 AMLast Editorial Review: 5/8/2020 12:00:00 AM Full Article
dd Cuddling Brings Two Minds Together, MRI Study Reveals By www.medicinenet.com Published On :: Mon, 4 May 2020 00:00:00 PDT Title: Cuddling Brings Two Minds Together, MRI Study RevealsCategory: Health NewsCreated: 5/4/2020 12:00:00 AMLast Editorial Review: 5/4/2020 12:00:00 AM Full Article
dd More Hot Flashes Could Mean Higher Odds for Heart Trouble By www.medicinenet.com Published On :: Tue, 24 Sep 2019 00:00:00 PDT Title: More Hot Flashes Could Mean Higher Odds for Heart TroubleCategory: Health NewsCreated: 9/24/2019 12:00:00 AMLast Editorial Review: 9/24/2019 12:00:00 AM Full Article
dd Supreme Court Justice Ginsberg Treated for Gallbladder Infection By www.medicinenet.com Published On :: Wed, 6 May 2020 00:00:00 PDT Title: Supreme Court Justice Ginsberg Treated for Gallbladder InfectionCategory: Health NewsCreated: 5/5/2020 12:00:00 AMLast Editorial Review: 5/6/2020 12:00:00 AM Full Article
dd Two previously unrecorded xiphosurid trace fossils, Selenichnites rossendalensis and Crescentichnus tesiltus, from the Middle Jurassic of Yorkshire, UK By pygs.lyellcollection.org Published On :: 2019-11-22T06:43:26-08:00 The invertebrate trace fossils Selenichnites rossendalensis and Crescentichnus tesiltus are recorded and described from the Middle Jurassic Gristhorpe Member of the Cloughton Formation of the Cleveland Basin. This is the first record of these ichnospecies from the basin and now completes the occurrence of these and other traces assumed to have been made by limulids from all three non-marine formations of the Ravenscar Group. Full Article
dd The Additive Effects of Cell Phone Use and Dental Hygiene Practice on Finger Muscle Strength: A Pilot Study By jdh.adha.org Published On :: 2020-04-30T12:39:03-07:00 Purpose: The purpose of this study was to determine strength of muscles involved with instrumentation (scaling) by dental hygienists and the additive effects of cellular (mobile) phone usage, as indicated by measurements of muscular force generation.Methods: A convenience sample of licensed dental hygienists currently in clinical practice (n=16) and an equal number of individuals not currently using devices/tools repetitively for work (n=16), agreed to participate in this pilot study. All participants completed a modified cell phone usage questionnaire to determine their use pattern and frequency. Upon completion of the questionnaire, participants' force production in six muscle groups was measured using a hand-held dynamometer. Descriptive statistics were used to analyze the data.Results: A total of 16 licensed dental hygienists (n=16) and 16 participants with no history of using tools/devices repetitively for work (n=16), comprised the experimental and control groups, repectively. The control group generated greater muscle force than the experimental group for the abductor pollicis longus (p=0.045). Significant differences were identified when comparing the low mobile phone users in the experimental group to the control group for the flexor pollicis brevis (p=0.031), abductor pollicis longus (p=0.031), and flexor digitorum (p=0.006), with the control group demonstrating higher muscle force. Years in clinical practice and mobile phone use was shown to have a significant effect on muscular force generation for the flexor pollicis brevis (F=3.645, df=3, p=0.020) and flexor digitorum (F=3.560, df=3, p=0.022); subjects who practiced dental hygiene the longest produced the least amount of muscle force.Conclusion: Results from this pilot study indicate there are no significant additive effects of cell phone use and dental hygiene practice on finger muscles used for instrumentation. However, results indicate that dental hygiene practice demonstrated significant effects on muscular strength as compared to individuals who do not use tools/devices repetitively for work. The small sample size may have impacted results and the study should be repeated with a larger sample. Full Article
dd Towards a Mechanism for Poly(I{middle dot}C) Antiviral Priming in Oysters By mbio.asm.org Published On :: 2020-03-24T01:31:01-07:00 ABSTRACT Viral diseases cause significant losses in aquaculture. Prophylactic measures, such as immune priming, are promising control strategies. Treatment of the Pacific oyster (Crassostrea gigas) with the double-stranded RNA analog poly(I·C) confers long-term protection against infection with ostreid herpesvirus 1, the causative agent of Pacific oyster mortality syndrome. In a recent article in mBio, Lafont and coauthors (M. Lafont, A. Vergnes, J. Vidal-Dupiol, J. de Lorgeril, et al., mBio 11:e02777-19, 2020, https://doi.org/10.1128/mBio.02777-19) characterized the transcriptome of oysters treated with poly(I·C). This immune stimulator induced genes related to the interferon and apoptosis pathways. This response overlaps the response to viral infection, and high expression levels of potential effector genes are maintained for up to 4 months. This work opens the door to characterization of the phenomena of immune priming in a poorly studied invertebrate model. It also highlights the importance of interferon-like responses for invertebrate antiviral immunity. Full Article
dd Single-Dose, Intranasal Immunization with Recombinant Parainfluenza Virus 5 Expressing Middle East Respiratory Syndrome Coronavirus (MERS-CoV) Spike Protein Protects Mice from Fatal MERS-CoV Infection By mbio.asm.org Published On :: 2020-04-07T01:31:16-07:00 ABSTRACT Middle East respiratory syndrome coronavirus (MERS-CoV) can cause severe and fatal acute respiratory disease in humans and remains endemic in the Middle East since first being identified in 2012. There are currently no approved vaccines or therapies available for MERS-CoV. In this study, we evaluated parainfluenza virus 5 (PIV5)-based vaccine expressing the MERS-CoV envelope spike protein (PIV5/MERS-S) in a human DPP4 knockin C57BL/6 congenic mouse model (hDPP4 KI). Following a single-dose intranasal immunization, PIV5-MERS-S induced neutralizing antibody and robust T cell responses in hDPP4 KI mice. A single intranasal administration of 104 PFU PIV5-MERS-S provided complete protection against a lethal challenge with mouse-adapted MERS-CoV (MERSMA6.1.2) and improved virus clearance in the lung. In comparison, single-dose intramuscular immunization with 106 PFU UV-inactivated MERSMA6.1.2 mixed with Imject alum provided protection to only 25% of immunized mice. Intriguingly, an influx of eosinophils was observed only in the lungs of mice immunized with inactivated MERS-CoV, suggestive of a hypersensitivity-type response. Overall, our study indicated that PIV5-MERS-S is a promising effective vaccine candidate against MERS-CoV infection. IMPORTANCE MERS-CoV causes lethal infection in humans, and there is no vaccine. Our work demonstrates that PIV5 is a promising vector for developing a MERS vaccine. Furthermore, success of PIV5-based MERS vaccine can be employed to develop a vaccine for emerging CoVs such as SARS-CoV-2, which causes COVID-19. Full Article
dd Targeting Hidden Pathogens: Cell-Penetrating Enzybiotics Eradicate Intracellular Drug-Resistant Staphylococcus aureus By mbio.asm.org Published On :: 2020-04-14T01:31:22-07:00 ABSTRACT Staphylococcus aureus is a major concern in human health care, mostly due to the increasing prevalence of antibiotic resistance. Intracellular localization of S. aureus plays a key role in recurrent infections by protecting the pathogens from antibiotics and immune responses. Peptidoglycan hydrolases (PGHs) are highly specific bactericidal enzymes active against both drug-sensitive and -resistant bacteria. However, PGHs able to effectively target intracellular S. aureus are not yet available. To overcome this limitation, we first screened 322 recombineered PGHs for staphylolytic activity under conditions found inside eukaryotic intracellular compartments. The most active constructs were modified by fusion to different cell-penetrating peptides (CPPs), resulting in increased uptake and enhanced intracellular killing (reduction by up to 4.5 log units) of various S. aureus strains (including methicillin-resistant S. aureus [MRSA]) in different tissue culture infection models. The combined application of synergistic PGH-CPP constructs further enhanced their intracellular efficacy. Finally, synergistically active PGH-CPP cocktails reduced the total S. aureus by more than 2.2 log units in a murine abscess model after peripheral injection. Significantly more intracellular bacteria were killed by the PGH-CPPs than by the PGHs alone. Collectively, our findings show that CPP-fused PGHs are effective novel protein therapeutics against both intracellular and drug-resistant S. aureus. IMPORTANCE The increasing prevalence of antibiotic-resistant bacteria is one of the most urgent problems of our time. Staphylococcus aureus is an important human pathogen that has acquired several mechanisms to evade antibiotic treatment. In addition, S. aureus is able to invade and persist within human cells, hiding from the immune response and antibiotic therapies. For these reasons, novel antibacterial strategies against these pathogens are needed. Here, we developed lytic enzymes which are able to effectively target drug-resistant and intracellular S. aureus. Fusion of these so-called enzybiotics to cell-penetrating peptides enhanced their uptake and intracellular bactericidal activity in cell culture and in an abscess mouse model. Our results suggest that cell-penetrating enzybiotics are a promising new class of therapeutics against staphylococcal infections. Full Article
dd A new cheiracanthid acanthodian from the Middle Devonian (Givetian) Orcadian Basin of Scotland and its biostratigraphic and biogeographical significance By sjg.lyellcollection.org Published On :: 2019-11-29T02:21:48-08:00 A number of partial articulated specimens of Cheiracanthus peachi nov. sp. have been collected from the Mey Flagstone Formation and Rousay Flagstone Formation within the Orcadian Basin of northern Scotland. The new, robust-bodied species is mainly distinguished by the scale ornament of radiating grooves rather than ridges. Compared to other Cheiracanthus species in the Orcadian Basin, C. peachi nov. sp. has quite a short range making it a useful zone fossil. As well as describing the general morphology of the specimens, we have also described and figured SEM images of scales and histological sections of all elements, enabling identification of other, isolated remains. Of particular biological interest is the identification of relatively robust, tooth-like gill rakers. Finally, the species has also been identified from isolated scales in Belarus, where it appears earlier and has a longer stratigraphical range, implying the species evolved in the marine deposits of the east and migrated west into the Orcadian Basin via the river systems. Full Article
dd Author response: Functional neurologic disorders: Bringing the informal and hidden curriculum to light By cp.neurology.org Published On :: 2020-04-06T12:45:20-07:00 Dr. Sethi raises an excellent point about the term functional neurologic disorder (FND) in his comment on the editorial.1 It seems clear that reticence to use the term functional creates the ambiguity he mentions. Medically unexplained symptoms, categorized in the international classification of diseases as undifferentiated somatoform disorders, are a diagnosis that many providers are loathed to give. Whether that is because of concern about missing a diagnosis is not clear. Having evaluated and treated more than 400 of these individuals in the FND clinic at the University of Colorado, I can attest to the fact that patients arrive confused about their diagnosis. Multiple incorrect diagnoses, as Dr. Sethi points out, pack the medical histories of patients with FND, leading doctors and patients astray. I believe that the commentary by Perez et al.2 gives us the best chance for a way forward, by teaching a new generation of residents and fellows how to approach patients in a nonjudgmental and open-minded fashion. It took 30 years to add Functional Neurologic Disorder to the Diagnostic and Statistical Manual, and it is still parenthetical to the term Conversion.3 Stripping the diagnosis of FND of its stigma and empowering care providers to rule in functional disorders is an actionable step which should be taken. Full Article
dd Reader response: Functional neurologic disorders: Bringing the informal and hidden curriculum to light By cp.neurology.org Published On :: 2020-04-06T12:45:20-07:00 I read with interest the editorial by Strom1 about functional neurologic disorders (FNDs). As a treating physician, I have struggled with the multiple diagnostic labels attached to these patients by physicians of different medical specialties during the course of their clinical disease presentation. A neurologist may assign a patient who presents with chronic fatigue the diagnostic labels of narcolepsy, idiopathic hypersomnia, or chronic Lyme disease. A rheumatologist may assign the label of collagen vascular disease, and a psychiatrist may diagnose depression. This diagnostic ambiguity is troublesome for patients and clinicians alike. I contend that even the term FND needs to be revisited. A patient should be broadly labeled as having a functional disorder and only after characterization sublabeled and referred to an appropriate specialty physician. Full Article
dd Exploring Early Childhood Factors as an Avenue to Address Chronic Peer Victimization By pediatrics.aappublications.org Published On :: 2020-05-01T01:00:46-07:00 Full Article
dd Addressing Needs of Transgender Patients: The Role of Family Physicians By www.jabfm.org Published On :: 2020-03-16T09:31:37-07:00 There are approximately 1 million transgender and gender-diverse adults in the United States. Despite increased awareness and acceptance, they frequently encounter medical settings that are not welcoming and/or health care providers who are not knowledgeable about their health needs. Use of correct terminology, following best practices for name and pronoun use, and knowledge of gender-affirming interventions can create office environments that are welcoming to transgender clients. Health disparities faced by transgender patients that impact access to care include higher rates of mental health issues, substance use disorders, violence, and poverty. Transgender women are at greater risk for HIV acquisition and are less likely to achieve viral suppression compared with cisgender (nontransgender) individuals. Medical providers can facilitate HIV prevention efforts by offering pre- and postexposure prophylaxis to transgender patients at risk for HIV infection. Improving health outcomes requires attention to cultural competency and an understanding of lived experiences and priorities of transgender people. Full Article
dd When and How Do We Need Permission to Help Patients Address Social Risk? By www.jabfm.org Published On :: 2020-03-16T09:31:37-07:00 Full Article
dd Do Patients Want Help Addressing Social Risks? By www.jabfm.org Published On :: 2020-03-16T09:31:37-07:00 Evaluations of health care–based screening programs for social risks often report that a relatively small proportion of patients screening positive for social risk factors are interested in receiving assistance from their health care teams to address them. The relatively low number of patients who desire assistance is relevant to the growing number of initiatives in US health care settings designed to collect data on and address patients’ social risks. We highlight multiple studies that have found differences between positive risks screens and desire for assistance. We explore possible explanations for those differences—focusing on the fallibility of screening tools as well as patient preferences, priorities, and lived experiences—and the potential implications for health equity. Full Article
dd Will the Addition of Oscillations in Mechanical Insufflation-Exsufflation Ever Be Beneficial? By rc.rcjournal.com Published On :: 2020-04-28T00:42:49-07:00 Full Article
dd Usefulness of Oscillations Added to Mechanical In-Exsufflation in Amyotrophic Lateral Sclerosis By rc.rcjournal.com Published On :: 2020-04-28T00:42:49-07:00 BACKGROUND:Assisted coughing via mechanical in-exsufflation (MI-E) is a first-line treatment for secretion management in patients with amyotrophic lateral sclerosis (ALS) with unassisted CPF < 4.25 L/s. Some devices enable oscillations to be added to MI-E (MI-E+O). We sought to determine whether adding oscillations to MI-E enables a reduction in the use of invasive secretion management procedures (ie, bronchoscopy or tracheostomy) in subjects with ALS.METHODS:We conducted a 12-month, prospective, randomized follow-up study of subjects with ALS for whom assisted coughing techniques were indicated. One group was treated with oscillations in addition to MI-E (MI-E+O), and the other group was treated with conventional MI-E.RESULTS:29 subjects were included in the MI-E group and 27 subjects were included in the MI-E+O group. Five subjects (8.9%) required invasive techniques for secretion management (3 in the MI-E group and 2 in the MI-E+O group, P = .70). Treatment with MI-E+O did not alter the risk of invasive procedures (odds ratio 0.69, 95% CI 0.10–4.50, P = .70). The mean number of respiratory infections was 0.58 ± 0.16 in the MI-E group and 0.025 ± 0.08 in the MI-E+O group (P = .10). Survival was 8.96 ± 0.18 months in the MI-E group and 7.70 ± 0.70 months in the MI-E+O group (P = .10).CONCLUSION:Adding oscillations to MI-E did not enable a reduction in the need to perform invasive procedures for secretion management in subjects with ALS. Full Article
dd Correction: Rational design, synthesis, and evaluation of uncharged, “smart” bis-oxime antidotes of organophosphate-inhibited human acetylcholinesterase. [Additions and Corrections] By www.jbc.org Published On :: 2020-05-08T03:41:14-07:00 VOLUME 295 (2020) PAGES 4079–4092There was an error in the abstract. “The pyridinium cation hampers uptake of OPs into the central nervous system (CNS)” should read as “The pyridinium cation hampers uptake into the central nervous system (CNS).” Full Article