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Monthly Archives: November 2017

HIV is being diagnosed sooner after infection than previously reported

CDC: HIV Being Diagnosed Sooner After Infection

Increase in percentage of people at increased risk for HIV who reported getting an HIV test in past year
Clinician denial of some types of tests requested by patients is associated with worse patient satisfaction with the clinician

Clinician Denial of Patient Requests Impacts Satisfaction

Worse satisfaction in association with denial of request for referral, pain meds, other meds, lab tests
The Value-Based Payment Modifier is not associated with performance differences between practices serving higher-risk and lower-risk patients

Value-Based Payment Modifier Not Tied to Practice Performance

Performance differences between practices narrowed after adjustment for patient characteristics
Plasma levels of proprotein convertase subtilisin/kexin type 9 (PCSK9) may help assess apparent resistance to PCSK9 inhibitors

Measuring Plasma PCSK9 May ID Resistance to PCSK9 Inhibitors

Most patients experience increase of at least 3.7-fold in plasma PCSK9 levels after treatment
The prevalence of arthritis in the United States seems to have been underestimated

Prevalence of Arthritis Underestimated in United States

Arthritis affected 91.2 million adults in 2015, including 61.1 million aged 18 to 64 years in 2015
There has been a recent escalation in the incidence of scarlet fever in England

Escalation Noted in Incidence of Scarlet Fever in England

Three-fold increase in rates between 2013 and 2014, with further increases in 2015, 2016
A workgroup from the Joint Task Force on Practice Parameters has reviewed evidence and provided guidance for health care providers regarding treatment of seasonal allergic rhinitis in patients aged 12 years or older. The clinical guideline was published online Nov. 28 in the Annals of Internal Medicine.

Guidance Issued for Seasonal Allergic Rhinitis Pharmacologic Tx

Recommendation for monotherapy with intranasal corticosteroid over intranasal corticosteroid combo
Biennial biopsies are an acceptable alternative to annual biopsies for men managing low-risk prostate cancer through active surveillance

Less Frequent Biopsy May Be Option in Prostate Cancer Care

Consequences of biennial versus annual biopsies similar during active surveillance
Heart rate variability and specific inflammatory biomarkers can differentiate major depressive disorder from depression in bipolar disorder

Simple ECG May Help Distinguish MDD From Bipolar Depression

Higher low-frequency heart rate variability, lower levels of IL-10 and MCP-1 for major depression
For reversal of opioid overdose

Similar Efficacy for Intranasal, Intramuscular Naloxone

Similar efficacy for higher-concentration intranasal naloxone, IM naloxone administered at same dose