Here are what the editors at HealthDay consider to be the most important developments in Internal Medicine for September 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.
Recent Increase Seen in COVID-19 Incidence Among 18- to 22-Year-Olds
WEDNESDAY, Sept. 30, 2020 (HealthDay News) — During Aug. 2 to Sept. 5, 2020, there was a 55.1 percent increase in the weekly incidence of COVID-19 nationally among young adults aged 18 to 22 years, according to research published in the Sept. 29 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
COVID-19-Related Hospital Death Up With Psychiatric Diagnosis
WEDNESDAY, Sept. 30, 2020 (HealthDay News) — Patients with any prior psychiatric diagnosis have an increased risk for COVID-19-related hospital death, according to a research letter published online Sept. 30 in JAMA Network Open.
High-Risk Patients Not Aware of Needed Colonoscopy Intervals
WEDNESDAY, Sept. 30, 2020 (HealthDay News) — Many patients with biopsy-confirmed advanced colorectal polyps are unaware of their need for repeat colonoscopy as well as the proper surveillance interval, according to a study recently published in the Journal of Gastroenterology and Digestive Systems.
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COVID-19 Tests for Return to Work May Delay Health Workers
WEDNESDAY, Sept. 30, 2020 (HealthDay News) — Health care workers (HCWs) diagnosed with COVID-19 can have a prolonged recovery of viral RNA, which can delay return to work (RTW), according to research published online Aug. 26 in Infection Control & Hospital Epidemiology.
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Review IDs Dietary Factors Linked to Lower CRC Incidence
WEDNESDAY, Sept. 30, 2020 (HealthDay News) — Decreased colorectal cancer (CRC) incidence is seen in association with use of aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), magnesium, folate, and high consumption of fruits and vegetables, fiber, and dairy products, according to an umbrella review published online Sept. 28 in Gut.
Cancer Mortality Higher for U.S. Counties With Persistent Poverty
WEDNESDAY, Sept. 30, 2020 (HealthDay News) — U.S. counties with persistent poverty (≥20 percent of residents in poverty since 1980) have higher rates of cancer mortality, according to a study published online Sept. 30 in Cancer Epidemiology, Biomarkers & Prevention.
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No Race Difference Found in COVID-19 Mortality Rates at Same Medical Center
WEDNESDAY, Sept. 30, 2020 (HealthDay News) — For admitted COVID-19 patients presenting to the same urban medical center, risk-adjusted outcomes were no worse for non-Hispanic Black and Hispanic patients versus non-Hispanic White patients, according to a study published online Sept. 25 in JAMA Network Open.
Hospital Admissions Not Related to COVID-19 Fell in Early 2020
WEDNESDAY, Sept. 30, 2020 (HealthDay News) — Non-COVID-19 hospital admissions decreased considerably with the onset of COVID-19, with declines generally similar across patient demographic subgroups from February to April 2020, according to a report published online Sept. 24 in Health Affairs.
Disparities in CVD Burden Increasing Between Richest, Poorer
WEDNESDAY, Sept. 30, 2020 (HealthDay News) — There are substantial and increasing disparities in the prevalence of cardiovascular disease (CVD) among the highest-resource group and the remainder of the U.S. population, according to a study published online Sept. 25 in JAMA Network Open.
AI Model Shows Deep Learning Can Detect Large Vessel Occlusion
WEDNESDAY, Sept. 30, 2020 (HealthDay News) — A deep learning model can detect large vessel occlusion (LVO) using multiphase computed tomography (CT) angiography, according to a study published online Sept. 29 in Radiology.
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U.S. Government to Ship Millions of Rapid COVID-19 Tests This Week
TUESDAY, Sept. 29, 2020 (HealthDay News) — The U.S. government will start distributing millions of rapid COVID-19 tests to states this week with the goal of reopening schools.
Global Death Toll From COVID-19 Passes 1 Million
TUESDAY, Sept. 29, 2020 (HealthDay News) — The global COVID-19 pandemic reached a grim new milestone on Tuesday: 1 million dead.
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CDC Recommends No Travel for Thanksgiving
TUESDAY, Sept. 29, 2020 (HealthDay News) — Families who usually travel to see each other on Thanksgiving should stay home and hold virtual celebrations instead, the U.S. Centers for Disease Control and Prevention says in guidance on holiday safety during the COVID-19 pandemic.
Frequency of Alcohol Consumption Up During Pandemic
TUESDAY, Sept. 29, 2020 (HealthDay News) — There has been an increase in the frequency of alcohol consumption from before to during the COVID-19 pandemic, according to a research letter published online Sept. 29 in JAMA Network Open.
Higher Odds of Migraines Seen Among Sexual Minorities
TUESDAY, Sept. 29, 2020 (HealthDay News) — Migraine is more common among sexual-minority groups than individuals identifying as exclusively heterosexual, according to a research letter published online Sept. 28 in JAMA Neurology.
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Proton Pump Inhibitor Use Linked to Increased T2DM Risk
TUESDAY, Sept. 29, 2020 (HealthDay News) — Regular use of proton pump inhibitors (PPIs) is associated with an increased risk for type 2 diabetes, according to a study published online Sept. 28 in Gut.
Lockdown Tied to Worsening of Musculoskeletal Conditions
TUESDAY, Sept. 29, 2020 (HealthDay News) — Early stages of the U.K. COVID-19 lockdown had negative consequences for people with musculoskeletal conditions, according to a letter to the editor published online Sept. 22 in Rheumatology: Advances in Practice.
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Generalized Epilepsy Tied to Higher Sleep Apnea Risk
TUESDAY, Sept. 29, 2020 (HealthDay News) — Patients with generalized epilepsy have a higher risk for obstructive sleep apnea (OSA), according to a study published in the October issue of Epilepsy & Behavior.
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Women With AMI-Cardiogenic Shock Treated Less Aggressively
TUESDAY, Sept. 29, 2020 (HealthDay News) — Among young adults with acute myocardial infarction-cardiogenic shock (AMI-CS), women are treated less aggressively and have higher in-hospital mortality than men, according to a study published online Sept. 29 in Circulation: Heart Failure.
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Health Care Use, Costs Increase 20-Fold After Firearm Injury
TUESDAY, Sept. 29, 2020 (HealthDay News) — Actual health care costs increase up to 20-fold in the six months after a gunshot injury versus the six months before, according to a study published online Sept. 29 in the Annals of Internal Medicine.
New FDA Applications for Opioids Often Based on Short Trials
TUESDAY, Sept. 29, 2020 (HealthDay News) — New drug applications (NDAs) for prescription opioids for pain have been based on pivotal trials of short or intermediate duration, often in narrowly defined pain populations, according to a study published online Sept. 29 in the Annals of Internal Medicine.
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Suicidal Behaviors, Deaths Lower for Childhood Cancer Survivors
MONDAY, Sept. 28, 2020 (HealthDay News) — Survivors of childhood cancer have a lower prevalence of suicidal behaviors and mortality, but the prevalence of suicidal ideation is similar to that of the general population, according to a study published online Sept. 23 in Cancer.
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Private Health Plans Pay Hospitals 247 Percent of Medicare
MONDAY, Sept. 28, 2020 (HealthDay News) — During 2018, prices paid to hospitals by privately insured patients averaged 247 percent of what Medicare would have paid, according to a study from the RAND Corporation.
Brain-Eating Amoeba Found in Tap Water of Lake Jackson, Texas
MONDAY, Sept. 28, 2020 (HealthDay News) — The presence of a brain-eating amoeba in its drinking water has led the city of Lake Jackson, Texas, to issue a “do not use water order” and request an emergency declaration from the state.
Clinical Severity Lower With Vitamin D Sufficiency in COVID-19
MONDAY, Sept. 28, 2020 (HealthDay News) — Vitamin D sufficiency is associated with reduced clinical severity, inpatient mortality, and serum levels of C-reactive protein (CRP) among patients infected with COVID-19, according to a study published online Sept. 25 in PLOS ONE.
14 Novel Loci Identified for Abdominal Aortic Aneurysm
MONDAY, Sept. 28, 2020 (HealthDay News) — In a genome-wide association study (GWAS), published online Sept. 28 in Circulation, researchers identified 14 novel loci for abdominal aortic aneurysm (AAA).
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<10 Percent of U.S. Population Has Antibodies to SARS-CoV-2
MONDAY, Sept. 28, 2020 (HealthDay News) — Fewer than 10 percent of the U.S. adult population formed antibodies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the first wave of the pandemic, according to a study published online Sept. 25 in The Lancet.
Exposure to Maternal Gestational Diabetes Tied to Higher CVD Risk
MONDAY, Sept. 28, 2020 (HealthDay News) — Intrauterine exposure to maternal gestational diabetes is associated with an increased cardiovascular disease risk and risk factors in offspring up to age 35 years, according to a study published online Sept. 28 in CMAJ, the journal of the Canadian Medical Association.
Hydroxychloroquine Tied to Heart Problems Prior to Pandemic
MONDAY, Sept. 28, 2020 (HealthDay News) — Real-world, pre-COVID-19 adverse events data show hydroxychloroquine (HCQ) and chloroquine (CQ) are associated with cardiovascular adverse events (CVAEs), according to a study published online Sept. 22 in the British Journal of Clinical Pharmacology.
Metabolic Surgery May Cut Risk for Cardiovascular Events, Death
MONDAY, Sept. 28, 2020 (HealthDay News) — Metabolic surgery for patients with morbid obesity and pharmacologically treated hypertension is associated with a lower risk for major adverse cardiovascular events (MACE) and all-cause mortality versus individuals with hypertension from the general population, according to a study published online Sept. 15 in PLOS Medicine.
Wood Ear Mushrooms Linked to Salmonella Outbreak
FRIDAY, Sept. 25, 2020 (HealthDay News) — Recalled wood ear mushrooms imported by Wismettac Asian Foods Inc., of Santa Fe Springs, California, and sold to restaurants may be linked to a multistate Salmonella outbreak, the U.S. Food and Drug Administration said Thursday.
FDA: Mercury Risk Means Certain People Should Not Get Amalgam Dental Fillings
FRIDAY, Sept. 25, 2020 (HealthDay News) — Certain people are at higher risk for health problems from mercury-containing amalgam dental fillings and should avoid them if possible, a new U.S. Food and Drug Administration recommendation says.
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 Sept. 21 to 25, 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. Non-English Speakers Less Likely to Have SARS-CoV-2 Test
FRIDAY, Sept. 25, 2020 (HealthDay News) — Non-English speakers are less likely to have completed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing and have a higher proportion of positive tests compared with English speakers, according to a research letter published online Sept. 24 in JAMA Network Open.
One-Fifth of Those With SARS-CoV-2 Infection Asymptomatic
FRIDAY, Sept. 25, 2020 (HealthDay News) — About one-fifth of individuals with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection are asymptomatic and their viral load is comparable to that of patients with mild symptoms, according to a study published online Sept. 22 in Thorax.
ACIP Provides Recommendations on Meningococcal Vaccination
FRIDAY, Sept. 25, 2020 (HealthDay News) — Routine vaccination with a quadrivalent meningococcal conjugate vaccine (MenACWY) is recommended for adolescents aged 11 to 12 years with a booster at age 16 years, according to a report published in the Sept. 24 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Median Age of COVID-19 Cases Declined in May to August in U.S.
FRIDAY, Sept. 25, 2020 (HealthDay News) — From May to August 2020, there was a decrease in the median age of COVID-19 cases in the United States, according to research published in the Sept. 23 early-release issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.
Poorer Exercise Capacity Persists With Ventricular Septal Defects
FRIDAY, Sept. 25, 2020 (HealthDay News) — As they get older, patients with surgically closed or unrepaired congenital ventricular septal defects (VSDs) have poorer exercise capacity than their healthy peers, according to a study published online Sept. 23 in the Journal of the American Heart Association.
Performance of Commercial SARS-CoV-2 Ab Tests Varies
FRIDAY, Sept. 25, 2020 (HealthDay News) — There is considerable variation in the performance of commercial kits for detecting antibodies against SARS-CoV-2, according to a study published online Sept. 24 in PLOS Pathogens.
HRRP Tied to Decrease in 30-Day Readmission Rates for COPD
2013 to 2024 Saw Decrease in Benzodiazepine Prescribing 
Pediatricians Report Immigrant Families Avoiding Care for Their Children 
Psychiatrists Only Agree 55 Percent of the Time on Diagnoses 
Napping Opportunity May Improve Clinical Performance of Anesthesia Residents 
Socioeconomic Status Linked to Mortality After Acute Hip Fracture Surgery 
People Using Illicitly Sourced Fentanyl Face Worse Outcomes Than Medically Sourced Users 
Data Reveal No Hypersensitivity Due to Axillary Brachial Plexus Block Alone 
Tranexamic Acid Yields Lower Incidence of Red-Cell Transfusion in Noncardiac Surgery 
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