ICD-11 Recognizes Stroke as Brain Disorder

DUBAI, United Arab Emirates — Major changes are coming for neurology in ICD-11, the International Statistical Classification of Diseases and Related Health Problems. Among the 5000 entities covering neurology and neurosurgery in the latest version, a major change is the reclassification of stroke as a disorder of the brain. Since 1955, stroke has been classified as a circulatory disease in …

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Vaping nearly killed me, says British teenager

Image copyright Ewan Fisher A teenage boy nearly died after vaping caused a catastrophic reaction in his lungs, doctors in Nottingham say. Ewan Fisher was connected to an artificial lung to keep him alive after his own lungs failed and he could not breathe. Ewan told BBC News e-cigarettes had “basically ruined me” and urged other young people not to …

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Pneumonia kills a child every 39 seconds, health agencies say

FILE PHOTO: Berkeley Medical Center Laboratory Manager Tambry Harvey displays the Klebsiella pneumonia organism in Martinsburg, West Virginia, U.S., December 7, 2016. REUTERS/Gary Cameron/File Photo LONDON (Reuters) – Pneumonia killed more than 800,000 babies and young children last year – or one child every 39 seconds – despite being curable and mostly preventable, global health agencies said on Tuesday. In …

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Burger King picks Unilever to make plant-based Whoppers in Europe

FILE PHOTO: The logo of U.S. fast food group Burger King is seen at a restaurant in Bruettisellen, Switzerland October 11, 2016. REUTERS/Arnd Wiegmann/File Photo CHICAGO (Reuters) – Burger King on Monday rolled out a meat-free version of its Whopper burger in 25 European countries, using patties made by Unilever Plc (ULVR.L) to strengthen its foothold in the exploding market …

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Middle-Aged Muscle Mass Tied to Future CVD Risk in Men

Higher levels of lean muscle mass in middle age may be linked to lower 10-year cardiovascular disease (CVD) risk, regardless of traditional risk factors such as diet, income, smoking, obesity, diabetes, high blood pressure, and abnormal cholesterol levels, a study found. Stefanos Tyrovolas, PhD, of the Centre for Biomedical Research in Mental Health in Barcelona, Spain, and colleagues with the …

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Hospital sticker prices can rise faster than inflation

(Reuters Health) – U.S. hospitals’ sticker prices for two common sources of surprise medical bills have climbed far faster than economic inflation, a new study suggests. Researchers focused on so-called chargemaster rates, or sticker prices, for two services that are often the source of surprise medical bills for patients – emergency medicine and anesthesiology. Patients with insurance usually pay only …

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UK teen almost died from severe lung failure linked to vaping

We don’t know the full health risks from vapingGetty Images Doctors have issued a warning over vaping after a teenager in the UK almost died from serious respiratory failure linked to e-cigarettes. Ewan Fisher, who turns 19 on Tuesday, ended up on life support. He was under age when he purchased vaping equipment over the counter from a shop and …

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Drugs That Worsen Heart Failure Common in Hospitalized HF

An array of commonly prescribed medications that exacerbate heart failure (HF) are often continued or even initiated following an HF hospitalization, a new study shows. Investigators analyzed the use of major HF-exacerbating medications, both at hospital admission and at discharge, in more than 500 older adults hospitalized for HF during more than 700 hospital admissions. Close to half of hospitalized …

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Granting dying patients’ wishes may help families feel better about end-of-life ICU care

(Reuters Health) – Families of dying patients may feel better about end-of-life care in the ICU if they are granted simple wishes, like letting the patient taste a favorite meal or use a blanket from home, a small study suggests. Researchers interviewed families and caregivers of 730 terminally ill patients about their experiences with the 3 Wishes Project (3WP), a …

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Bimodal Ondansetron Pill Eases Vomiting in Gastroenteritis

Acute gastroenteritis is responsible for some 600,000 hospitalizations and 5000 deaths a year in the United States. Patients who are unable to tolerate fluid replenishment with oral hydration may need to receive intravenous (IV) fluids in the emergency department or other acute care settings. Now a double-blind, randomized, placebo-controlled trial suggests that a bimodal, sustained-release tablet of the antiemetic ondansetron …

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Jitters Over New Two-Drug HIV Regimens

PORTLAND, Oregon — A patient with a 20-year profile of viral resistance and extensive experience with treatment should have been virally suppressed. But as soon as he switched from his usual three-drug HIV regimen to the newer two-drug regimen of dolutegravir plus rilpivirine (Juluca, ViiV Healthcare), he started to register viral loads of 200 and then 300 copies/mm³. “It was the …

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New Option for Difficult-to-Treat Uremic Pruritus

WASHINGTON, DC — The intensity of itch experienced by patients on hemodialysis with uremic pruritus can be eased with 12 weeks of treatment with difelikefalin (Korsuva, Cara Therapeutics), results from the phase 3 KALM-1 study show. “For the first time in my career, which has been filled with negative studies trying to improve uremic pruritus,” we have a drug “that was …

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Smoking May Raise Psychosis, Depression Risk

Traditionally, it’s been widely assumed that patients with mental illness start smoking to self-medicate, but a novel study suggests the reverse may be true — that cigarette smoking actually raises the risk of mental illness, including depression and psychosis. Investigators at the University of Bristol, United Kingdom, found that lifetime smoking and smoking initiation were both associated risk factors for …

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Google signs healthcare data and cloud computing deal with Ascension

FILE PHOTO: An illuminated Google logo is seen inside an office building in Zurich, Switzerland December 5, 2018. REUTERS/Arnd Wiegmann/File Photo (Reuters) – Alphabet Inc’s (GOOGL.O) Google signed its biggest cloud computing customer in healthcare yet, according to an announcement on Monday, gaining with the deal datasets that could help it tune potentially lucrative artificial intelligence tools. The Wall Street …

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Fears of Legal Risk From Bystander CPR Are Overblown

It’s a fallacy that a witness to an out-of-hospital cardiac arrest who performs cardiopulmonary resuscitation (CPR) is likely to be held legally liable for any associated injuries, a new analysis suggests. Indeed, researchers found that delays in acting or failure to act in such cases is far more likely to lead to a lawsuit or other litigation. A review of 30 …

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Many black, elderly U.S. lung cancer patients don’t get recommended care

(Reuters Health) – Only about 60% of lung cancer patients get recommended treatments like chemotherapy and radiation that are linked to better survival odds, and a new study suggests rates are even lower for black and elderly patients. Researchers examined data on 441,812 patients diagnosed with lung cancer between 2010 and 2014. Overall, almost 22% received no treatment at all. …

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Patient Advocacy a Vital Aspect of Clinical Practice

ATLANTA — Twenty years ago, Kim Schofield was a single mom with a successful career. She was active in her community and her church, she drove her daughter to dance practice, and she’d just bought a house near Atlanta. She had never heard of lupus. That changed one day when her left eye turned red and her vision got blurry. …

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Novel Procedure May Help Improve Metabolic Disease

BOSTON — An ablative procedure intended to promote regrowth of duodenal mucosa was safe and had disease-modifying metabolic effects in a randomized study including patients with type 2 diabetes, according to investigators. A single duodenal mucosal resurfacing (DMR) procedure improved glycemic, hepatic, and body weight measures at 24 weeks in the multicenter study, investigators will report at the annual meeting …

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Pediatric Concussion Consensus Limited by Weak Evidence

Concerning risk for concussion, there is no clear evidence in the literature that a specific age or developmental stage in children is safer or more appropriate for starting contact sports, a consensus panel of 11 experts revealed. Also, although history of concussion is a major risk for subsequent issues, there is no firm number of events that dictates when or …

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Trump to meet with vaping industry as he mulls tighter regulation

WASHINGTON (Reuters) – U.S. President Donald Trump said on Monday he will be meeting with vaping industry representatives as his administration considers tightening e-cigarette regulations amid a nationwide outbreak of vaping-related injuries and deaths. “Will be meeting with representatives of the Vaping industry, together with medical professionals and individual state representatives, to come up with an acceptable solution to the …

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