July 2020 Briefing – Internal Medicine

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for July 2020. This roundup includes the latest research news from journal articles, […]

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for July 2020. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Physician’s Briefing Weekly Coronavirus Roundup

Here is what the editors at Physician’s Briefing chose as the most important COVID-19 developments for you and your practice for the week of July 27 to 31, 2020. This roundup includes the latest research news from journal studies and other trusted sources that is most likely to affect clinical practice.

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U.S. Puts Up Another $2.1 Billion for Potential COVID-19 Vaccine

FRIDAY, July 31, 2020 (HealthDay News) — The United States is buying up another potential COVID-19 vaccine, the Associated Press reported Friday.

AP News Article

Telemedicine Use Explodes During COVID-19 Pandemic

FRIDAY, July 31, 2020 (HealthDay News) — The emergence of telemedicine has accelerated during the coronavirus pandemic. HD Live! sat down with Rujuta Saksena, M.D., an oncologist at Overlook Medical Center in Summit, New Jersey, and Ateev Mehrotra, M.D., associate professor of health care policy at Harvard Medical School in Boston, to discuss the future of telemedicine and its impact on health care.

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Plenty of COVID-19 Vaccine Coming, Fauci Says

FRIDAY, July 31, 2020 (HealthDay News) — When a COVID-19 vaccine is approved, there should be plenty of it available, Anthony Fauci, M.D., infectious diseases chief at the U.S. National Institutes of Health, told a House panel Friday, the Associated Press reported.

AP News Article
Johns Hopkins University

Inflammation Tied to Thyroid Dysfunction With Psoriasis

FRIDAY, July 31, 2020 (HealthDay News) — Thyroid dysfunction in patients with psoriasis may be associated with inflammation caused by psoriasis, according to a study published online June 22 in the Journal of Dermatology.

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Global Epidemiology of COVID-19 Reported for Prepandemic Era

FRIDAY, July 31, 2020 (HealthDay News) — Many of the first COVID-19 cases reported from affected countries outside of mainland China involved recent travel to affected countries, according to a study published online July 29 in The Lancet Infectious Diseases.

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Bacterial, Fungal Coinfection Uncommon in COVID-19 Patients

FRIDAY, July 31, 2020 (HealthDay News) — Bacterial and fungal infections are uncommon in hospitalized COVID-19 patients, but coinfection is associated with high mortality and antibiotic use is widespread, according to a study published in the July issue of Infection Control & Hospital Epidemiology.

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Survivors of Adolescent, Young Adult ALL May Suffer Late Effects

FRIDAY, July 31, 2020 (HealthDay News) — Survivors of adolescent and young adult (AYA) acute lymphoblastic leukemia (ALL) may experience late effects, with a high incidence of subsequent endocrine disease and cardiac disease, according to a study published in the August issue of JNCI Cancer Spectrum.

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Second BMD Measurement Not Beneficial for Identifying Hip Fracture

FRIDAY, July 31, 2020 (HealthDay News) — A second bone mineral density (BMD) assessment about three years after initial measurement does not improve discrimination beyond baseline BMD value alone for women who do and do not experience subsequent hip fracture or major osteoporotic fracture, according to a study published online July 27 in JAMA Internal Medicine.

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Sex Differences in Income Vary With Proportion of Male Doctors

FRIDAY, July 31, 2020 (HealthDay News) — For surgical and nonsurgical specialists, sex differences in income vary with the proportion of male physicians in a practice, according to a study published online July 30 in The BMJ.

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Dual Sensory Impairment Ups Dementia Risk

FRIDAY, July 31, 2020 (HealthDay News) — Older adults with both hearing and visual impairments — dual sensory impairment (DSI) — are at a significantly increased risk for dementia, according to a study published online July 7 in Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring.

Abstract/Full Text

Early Age at Menarche Tied to Frequent Menopausal Symptoms

FRIDAY, July 31, 2020 (HealthDay News) — Early age at menarche is a risk factor for menopausal symptoms, according to a study published online July 21 in BJOG: An International Journal of Obstetrics & Gynaecology.

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FDA Warns Companies Illegally Selling Hangover Cures

THURSDAY, July 30, 2020 (HealthDay News) — The U.S. Food and Drug Administration has sent warning letters to seven companies for illegally selling products they claim will cure, treat, mitigate, or prevent hangovers.

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Excessive Drinking Responsible for 255 Deaths Per Day in U.S.

THURSDAY, July 30, 2020 (HealthDay News) — Excessive drinking was responsible for an average of 255 deaths per day in the United States during 2011 to 2015, according to research published in the July 31 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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School Closures Linked to Decreased COVID-19 Incidence, Death

THURSDAY, July 30, 2020 (HealthDay News) — School closures in the United States were temporally associated with decreased COVID-19 incidence and mortality, according to a study published online July 29 in the Journal of the American Medical Association.

Abstract/Full Text
Editorial

Young Children Have Higher Amounts of SARS-CoV-2 RNA

THURSDAY, July 30, 2020 (HealthDay News) — Young children with mild-to-moderate COVID-19 have higher amounts of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral RNA in their nasopharynx than older children and adults, according to a research letter published online July 30 in JAMA Pediatrics.

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Study IDs Which Women Benefit From DBT Versus Digital Mammography

THURSDAY, July 30, 2020 (HealthDay News) — Improvements in recall rates and cancer detection rates with digital breast tomosynthesis (DBT) versus digital mammography (DM) are greatest on baseline examinations, according to a study published online July 28 in JAMA Network Open.

Abstract/Full Text
Editorial

ACS Issues Updated Guideline for Cervical Cancer Screening

THURSDAY, July 30, 2020 (HealthDay News) — In a guideline update from the American Cancer Society, published online July 30 in CA: A Cancer Journal for Clinicians, recommendations are presented for cervical cancer screening of individuals at average risk.

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Cinnamon Supplementation May Improve Blood Glucose Control

THURSDAY, July 30, 2020 (HealthDay News) — In individuals with prediabetes, 12 weeks of cinnamon supplementation improved fasting plasma glucose (FPG) and glucose tolerance, according to a study published online July 21 in the Journal of the Endocrine Society.

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Chocolate Tied to Lower Coronary Artery Disease Risk

THURSDAY, July 30, 2020 (HealthDay News) — Eating chocolate at least once a week is associated with a lower risk for coronary artery disease (CAD), according to a review published online July 22 in the European Journal of Preventive Cardiology.

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Delayed Treatment of Upper Respiratory Tract Infections Tied to Hospitalization Risk

THURSDAY, July 30, 2020 (HealthDay News) — Delayed treatment of upper respiratory tract infections (URTI) with antibiotics is associated with an increased risk for hospital admissions, according to a study published online June 29 in Clinical Infectious Diseases.

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Study Looks at Phthalates, Sleep Quality in Women at Midlife

WEDNESDAY, July 29, 2020 (HealthDay News) — For midlife women, phthalate exposure seems to be associated with sleep disruption, with the associations observed in nonsmokers or former smokers, according to a study published online July 29 in Menopause.

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Decrease Seen in Products Purchased Containing Caloric Sweeteners

WEDNESDAY, July 29, 2020 (HealthDay News) — From 2002 to 2018, there was a decrease in the volume of products purchased containing caloric sweeteners (CS) and an increase in purchases of products containing both CS and nonnutritive sweeteners (NNS), according to a study published online July 29 in the Journal of the Academy of Nutrition and Dietetics.

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Poor Dental Health May Increase Risk for Incident Dementia, MCI

WEDNESDAY, July 29, 2020 (HealthDay News) — Individuals with severe periodontal disease or edentulism have an increased risk for incident dementia, according to a study published online July 29 in Neurology.

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More Diabetic Foot Amputations Seen During COVID-19 Lockdown

WEDNESDAY, July 29, 2020 (HealthDay News) — Patients with diabetes admitted to a tertiary care center for diabetic foot ulceration (DFU) during the COVID-19 lockdown in Italy had a more than threefold risk for amputation versus patients seen in 2019, according to a study published online July 23 in Diabetes Care.

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Latino Communities at Higher Risk for COVID-19

WEDNESDAY, July 29, 2020 (HealthDay News) — Factors linked to structural racism and social determinants of health are associated with an increased risk for COVID-19 in Latino communities, according to a study published online July 23 in the Annals of Epidemiology.

Abstract/Full Text

Cancer-Related Encounters Down Since Start of COVID-19

WEDNESDAY, July 29, 2020 (HealthDay News) — There has been a decrease in cancer-related encounters and in cancer screening since the start of the COVID-19 pandemic, according to a study published online July 27 in JCO: Clinical Cancer Informatics.

Abstract/Full Text

Obesity in Young Adulthood Tied to Later Venous Thromboembolism

WEDNESDAY, July 29, 2020 (HealthDay News) — Men who are obese or severely obese in young adulthood have an increased risk for venous thromboembolism (VTE) later in life, according to a study published in the June issue of the Journal of Internal Medicine.

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Low Health Literacy Tied to Worse Heart Failure Outcomes

WEDNESDAY, July 29, 2020 (HealthDay News) — Poor health literacy is associated with worse heart failure outcomes, according to a review published in the June issue of JACC: Heart Failure.

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Depression, Anxiety May Be Signs That COVID-19 Is Attacking Brain

WEDNESDAY, July 29, 2020 (HealthDay News) — Depression and anxiety exhibited in COVID-19 patients may be a sign that the virus impacts the central nervous system, as these symptoms are closely associated with a loss of smell and taste rather than more severe manifestations of the virus, according to a study published online July 2 in The Laryngoscope.

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Smoking Ups Risk for Unruptured Intracranial Aneurysm in Women

WEDNESDAY, July 29, 2020 (HealthDay News) — Women aged 30 to 60 years with a positive smoking history and underlying hypertension have an increased risk for having an unruptured intracranial aneurysm (UIA), according to a study published online July 28 in the Journal of Neurology, Neurosurgery & Psychiatry.

Abstract/Full Text

Premature Cardiac Deaths Across U.S. Dropped From 1999 to 2017

WEDNESDAY, July 29, 2020 (HealthDay News) — The rate of premature cardiac deaths (PCDs) decreased across U.S. counties from 1999 to 2017, although widening geographic disparities have been observed, according to a study published online July 29 in the Journal of the American Heart Association.

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Nearly Half of Hispanics, Blacks Scared to Go to Hospital During COVID-19

WEDNESDAY, July 29, 2020 (HealthDay News) — Hispanics and blacks are most likely to stay home if experiencing medical emergencies, like a heart attack or stroke, to avoid the risk of contracting COVID-19 at the hospital, according to a poll released by the American Heart Association (AHA).

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SGLT-2 Inhibitors May Raise Risk for Diabetic Ketoacidosis

WEDNESDAY, July 29, 2020 (HealthDay News) — In patients with type 2 diabetes, sodium-glucose cotransporter-2 (SGLT-2) inhibitors are associated with an increased risk for diabetic ketoacidosis (DKA), according to a study published online July 28 in the Annals of Internal Medicine.

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Incidence of Hip Fracture Decreased From 1970 to 2010

TUESDAY, July 28, 2020 (HealthDay News) — The incidence of hip fracture decreased from 1970 to 2010, with reductions in smoking and heavy drinking coincident with this decrease, according to a study published online July 27 in JAMA Internal Medicine.

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Myocardial Injury Seen in Many Early in Recovery From COVID-19

TUESDAY, July 28, 2020 (HealthDay News) — Many patients recently recovered from COVID-19 infection have cardiac involvement, according to a study published online July 27 in JAMA Cardiology.

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Editorial (subscription or payment may be required)

HIV+ Donor to HIV+ Recipient Feasible for Kidney Transplant

TUESDAY, July 28, 2020 (HealthDay News) — HIV-positive donor to HIV-positive recipient (HIV D+/R+) kidney transplantation (KT) is feasible, according to a study published online July 23 in the American Journal of Transplantation.

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Increase Found in Suicide-Related Exposure Rates to OTC Analgesics

TUESDAY, July 28, 2020 (HealthDay News) — There has been a recent increase in suicide-related exposure rates to over-the-counter (OTC) analgesics, according to a study published online July 26 in Pharmacoepidemiology & Drug Safety.

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FDA Warns Again About Dangers of Methanol-Based Hand Sanitizers

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