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The U.S. Preventive Services Task Force has determined that the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic young children and pregnant women cannot be ascertained. This finding forms the basis of an updated final recommendation statement published in the April 16 issue of the Journal of the American Medical Association.

USPSTF: Evidence Lacking for Elevated Lead Level Screening

Evidence inadequate to determine benefits, harms of screening for asymptomatic children, pregnant women
A workplace wellness program improves certain self-reported health behaviors but does not impact clinical measures of health or health care spending

Mixed Effects Observed for Workplace Wellness Program

Improvement seen in some self-reported health behaviors but not clinical health markers, health care utilization
Older adults (aged ≥75 years) undergoing antihypertensive treatment with systolic blood pressure (SBP) >150 mm Hg have less cognitive decline than those with SBP <130 mm Hg

Intensive BP Lowering May Up Cognitive Decline in Elderly

For those on antihypertensive treatment, cognitive decline greater with SBP <130 versus >150 mm Hg
More than half of patients initiating statin therapy have a suboptimal low-density lipoprotein cholesterol response within 24 months

Over Half of Patients Have Suboptimal Response to Statins

Suboptimal responders have increased risk for incident cardiovascular disease
A very low-carbohydrate

Low-Carb Breakfast May Improve All-Day Glucose Control in T2DM

In addition, high-fat, low-carb breakfast tied to less hunger later in the day
Roughly half of internal medicine physicians report working in a practice that has telehealth technology

ACP: Half of Practices Implement Telehealth Technology

However, to address the gap in actual usage, the American College of Physicians will develop resources
For patients with chronic myeloid leukemia

Reasons for TKI Discontinuation ID’d in Chronic Myeloid Leukemia

Treatment-free remission maintained in 14 of 21 patients who discontinued tyrosine kinase inhibitors
Low scam awareness is associated with an increased risk for Alzheimer disease and mild cognitive impairment among older adults

Low Scam Awareness May Indicate Alzheimer Risk in Seniors

Increased risk for Alzheimer dementia, mild cognitive impairment seen with low scam awareness in seniors
Most patients with ST-segment elevation myocardial infarction are treated in the intensive care unit

More Than 80 Percent of STEMI Patients Treated in ICU

However, only 16.2 percent of patients develop complications requiring ICU care while hospitalized
Cognitive behavioral therapy is an effective nonpharmacologic treatment for insomnia during pregnancy

Cognitive Behavioral Therapy Effective for Prenatal Insomnia

Women in CBT group had greater reductions in insomnia severity, were likely to have remission