June 2020 Briefing – Internal Medicine

Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for June 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 June 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.

ID, Isolation of SARS-CoV-2 Vital in Correctional Facilities

TUESDAY, June 30, 2020 (HealthDay News) — Prompt identification and isolation of individuals infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is important for reducing transmission in correctional and detention facilities, according to research published in the June 29 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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FBI Warns of Scammers Selling Fake COVID-19 Antibody Tests

TUESDAY, June 30, 2020 (HealthDay News) — Fake or unapproved COVID-19 antibody tests are being sold by scammers, the Federal Bureau of Investigation warns.

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U.S. Could See 100,000 New Cases of COVID-19 Each Day, Fauci Says

TUESDAY, June 30, 2020 (HealthDay News) — Top U.S. infectious disease expert Anthony Fauci, M.D., warned Congress on Tuesday that COVID-19 infections could climb to 100,000 new cases daily unless ongoing outbreaks are contained.

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Heart Rhythm Disorders Seen in Critically Ill COVID-19 Patients

TUESDAY, June 30, 2020 (HealthDay News) — Critically ill patients with COVID-19 are more likely to develop heart rhythm disorders than other hospitalized patients, according to a study published online June 22 in Heart Rhythm.

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Global Burden of Thyroid Cancer Is Increasing

TUESDAY, June 30, 2020 (HealthDay News) — There is an increasing global burden of thyroid cancer, according to a study published online June 26 in JAMA Network Open.

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Latinos Have High Rate of Positivity for SARS-CoV-2

TUESDAY, June 30, 2020 (HealthDay News) — The rate of positivity for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is over 40 percent for Latinos in the Baltimore-Washington D.C. region, according to a research letter published online June 18 in the Journal of the American Medical Association.

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Preterm Delivery May Up Maternal Risk for Ischemic Heart Disease

TUESDAY, June 30, 2020 (HealthDay News) — Preterm delivery is associated with increased maternal risk for ischemic heart disease (IHD), with increased risk seen through more than 40 years of follow-up, according to a study published in the July 7 issue of the Journal of the American College of Cardiology.

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Comparative Effectiveness of Treatments Explored in T2DM

TUESDAY, June 30, 2020 (HealthDay News) — For patients with type 2 diabetes at low cardiovascular risk, there are no differences in vascular outcomes between treatments, according to research published online June 30 in the Annals of Internal Medicine.

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Editorial (subscription or payment may be required)

Intestinal Illness Spurs Recall of Bagged Salads Sold at Walmart, Aldi

MONDAY, June 29, 2020 (HealthDay News) — Bagged salad mixes sold at Walmart and other stores are linked with an outbreak of Cyclospora infections in eight Midwestern states, the U.S. Centers for Disease Control and Prevention reports.

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COVID-19 Drug Remdesivir Could Cost Up to $3,120 Per Patient

MONDAY, June 29, 2020 (HealthDay News) — Gilead Sciences, the maker of remdesivir, the first drug that showed promise in treating COVID-19 infections, will charge U.S. hospitals $3,120 for a patient with private insurance, the company announced Monday.

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Many Practice Unsafe Household Cleaning Against COVID-19

MONDAY, June 29, 2020 (HealthDay News) — More than one-third of U.S. adults admit to unsafe cleaning practices in the hopes of disinfecting against COVID-19, according to research published in the June 12 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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CDC: U.S. COVID-19 Rates Much Higher Than Reported

MONDAY, June 29, 2020 (HealthDay News) — Actual COVID-19 infection rates in many areas of the United States are more than 10 times higher than reported rates, a U.S. Centers for Disease Control and Prevention study suggests.

The New York Times Article
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Large Losses Anticipated for Primary Care Practices in 2020

MONDAY, June 29, 2020 (HealthDay News) — Primary care practices are estimated to lose more than $67,000 in gross revenue per full-time physician over the course of 2020 due to COVID-19, according to a report published online June 25 in Health Affairs.

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Antibody Tests ID COVID-19 Two to Three Weeks After Symptoms

MONDAY, June 29, 2020 (HealthDay News) — Antibody testing may detect severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, with sensitivity peaking at three weeks since symptom onset, according to a review published online June 25 in the Cochrane Library.

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NY Health Care Workers Report Distress Related to COVID-19 Care

MONDAY, June 29, 2020 (HealthDay News) — Many New York City health care workers are experiencing COVID-19-related psychological distress, especially nurses and advanced practice providers, according to a study published in the upcoming September-October issue of General Hospital Psychiatry.

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Trump Administration Asks Supreme Court to Overturn Affordable Care Act

FRIDAY, June 26, 2020 (HealthDay News) — The Trump administration has asked the Supreme Court to overturn the Affordable Care Act (ACA).

Washington Post Article

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 June 22 to 26, 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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Black Americans More Likely to Know Someone Who Has Died of COVID-19

FRIDAY, June 26, 2020 (HealthDay News) — Far more black Americans say they know someone personally who has died of COVID-19 than whites, a new poll finds.

Washington Post Article

Older Age, Obesity, Disability Tied to Severe COVID-19 in MS

FRIDAY, June 26, 2020 (HealthDay News) — For patients with multiple sclerosis (MS), age, obesity, and high Expanded Disability Severity Scale score (EDSS) are significantly associated with increased risk for severe COVID-19, according to a study published online June 26 in JAMA Neurology.

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U.S. Has Second Day of Record Rise in COVID-19 Cases; Young People Fueling Trend

FRIDAY, June 26, 2020 (HealthDay News) — As the United States reported yet another record-breaking number of COVID-19 cases on Thursday, public health officials warned that younger Americans now account for an ever-growing percentage of infections.

The New York Times Article

CDC Updates List of Who Is at Highest Risk for COVID-19

FRIDAY, June 26, 2020 (HealthDay News) — The list of conditions that put people at risk for severe COVID-19 illness has been expanded by the U.S. Centers for Disease Control and Prevention.

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Colchicine May Improve Time to Clinical Deterioration in COVID-19

FRIDAY, June 26, 2020 (HealthDay News) — Hospitalized patients with COVID-19 receiving colchicine have significantly improved time to clinical deterioration, according to a study published online June 24 in JAMA Network Open.

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Editorial

Heart Failure Ups Risk of Death in Patients With New T2DM

FRIDAY, June 26, 2020 (HealthDay News) — For patients with newly diagnosed type 2 diabetes (T2D), heart failure development is associated with increased five-year absolute and relative risks of death, according to a study published online June 23 in Circulation: Cardiovascular Quality and Outcomes.

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Genomewide Level Associations Identified for Severe COVID-19

FRIDAY, June 26, 2020 (HealthDay News) — Patients with COVID-19 and severe disease have associations at locus 3p21.31 and 9q34.2, which are significant at the genomewide level, according to a study published online June 17 in the New England Journal of Medicine.

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Congo Marks End of World’s Second Deadliest Ebola Outbreak

THURSDAY, June 25, 2020 (HealthDay News) — The end of the second deadliest Ebola outbreak in history was officially marked Thursday by the Democratic Republic of Congo.

AP News Article

CDC: HIV Testing Occurs at <1 Percent of Physician Visits

THURSDAY, June 25, 2020 (HealthDay News) — HIV testing occurs at less than 1 percent of physician office and emergency department visits and at less than 3 percent of community health center (CHC) visits, according to research published in the June 26 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Texas Pauses Reopening as COVID-19 Cases Rise

THURSDAY, June 25, 2020 (HealthDay News) — As COVID-19 cases surge in Texas, the state is pausing its reopening process and freeing up hospital beds for COVID-19 patients.

The New York Times Article

CDC: U.S. Salmonella Cases Linked to Backyard Poultry Reach 465

THURSDAY, June 25, 2020 (HealthDay News) — The number of Salmonella infections linked with backyard poultry has reached 465 in 42 states, an increase of 368 since the last update on May 20, the U.S. Centers for Disease Control and Prevention said Wednesday.

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Risk for Hospitalization Up for Pregnant Women With COVID-19

THURSDAY, June 25, 2020 (HealthDay News) — Among women of reproductive age with COVID-19, pregnant women are more likely to be hospitalized and to be admitted to the intensive care unit, according to research published in the June 26 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

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Contraceptives Beneficial for Premature Ovarian Insufficiency

THURSDAY, June 25, 2020 (HealthDay News) — For women with premature ovarian insufficiency (POI), continuous use of combined oral contraceptives (COC) is associated with increased bone mineral density (BMD), similar to that seen with high-dose hormone therapy (HT), according to a study published online June 22 in Menopause.

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Inhibition of Sclerostin May Increase Cardiovascular Risk

THURSDAY, June 25, 2020 (HealthDay News) — Inhibition of sclerostin with romosozumab may increase cardiovascular risk, according to research published in the June 24 issue of Science Translational Medicine.

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Model May Help Predict Risk for Testing Positive for COVID-19

THURSDAY, June 25, 2020 (HealthDay News) — It is possible to predict the likelihood of testing positive for COVID-19, according to a study published online June 10 in CHEST.

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Sex, Ethnic Differential Patterns of COVID-19 Unexplained

THURSDAY, June 25, 2020 (HealthDay News) — Sex and ethnicity differential patterns of COVID-19 positivity are not explained by cardiometabolic, socioeconomic, or behavioral factors, according to a study published online June 19 in the Journal of Public Health.

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Administrative Data Predict Mortality With Diabetes

THURSDAY, June 25, 2020 (HealthDay News) — Factors readily available in administrative data can predict five- and 10-year mortality in older adults with diabetes, according to a study published online June 19 in Diabetes Care.

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Metabolic Syndrome Up in Young Adults in the United States

THURSDAY, June 25, 2020 (HealthDay News) — The prevalence of metabolic syndrome among young adults in the United States is rising, according to a research letter published in the June 23/30 issue of the Journal of the American Medical Association.

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Triple Inhaled Therapy Aids in Moderate-to-Very Severe COPD

THURSDAY, June 25, 2020 (HealthDay News) — Triple therapy, including glucocorticoid at either of two dose levels, is beneficial for moderate-to-very severe chronic obstructive pulmonary disease (COPD), according to a study published online June 24 in the New England Journal of Medicine.

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U.S. Burden of Skin and Subcutaneous Diseases Increasing

THURSDAY, June 25, 2020 (HealthDay News) — The U.S. burden of skin and subcutaneous diseases is large but varies geographically, according to a study published online June 10 in JAMA Dermatology.

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Experts Weigh in on Pace of Reopening, Preventive Measures

WEDNESDAY, June 24, 2020 (HealthDay News) — As states across the country continue to move into different phases of reopening, many are questioning whether the rush to stabilize the economy will result in an influx of new COVID-19 infections. HD Live! sat down with Marjorie Jenkins, M.D., dean of the University of South Carolina School of Medicine Greenville, and Thomas Giordano, M.D., section chief of infectious diseases at the Baylor College of Medicine in Houston, to discuss the health care and economic uncertainty that faces the nation.

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J&J Ordered to Pay $2.1 Billion in Talcum Product Lawsuit

WEDNESDAY, June 24, 2020 (HealthDay News) — Johnson & Johnson and a subsidiary must pay $2.1 billion in damages to women who said their ovarian cancers were caused by the company’s baby powder and other talcum products, a Missouri appeals court ruled Tuesday.

The New York Times Article

Sanofi Speeds COVID-19 Vaccine Efforts

WEDNESDAY, June 24, 2020 (HealthDay News) — French drugmaker Sanofi has shortened its timeline to get a COVID-19 vaccine on the market.

The New York Times Article

Cyclospora Outbreak Linked to Bagged Salad Mixes

WEDNESDAY, June 24, 2020 (HealthDay News) — An outbreak of Cyclospora infections in the U.S. Midwest appears to be linked to bagged salad mixes, the U.S. Centers for Disease Control and Prevention said Tuesday.

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ED Use Down for MI, Stroke, Hyperglycemic Crisis in COVID-19

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