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Monday, September 26, 2016
New study may help expectant moms feel better about morning sickness
From: http://www.cbsnews.com/videos/new-study-may-help-expectant-moms-feel-better-about-morning-sickness/
Mother uncovers impact of son's organ donation
From: http://www.cbsnews.com/news/mother-uncovers-lasting-impact-of-sons-organ-donation/
New trial over talc, cancer link: What you need to know
From: http://www.cbsnews.com/news/new-trial-over-talc-cancer-link-what-you-need-to-know/
9 of 10 U.S. Teens Don't Get Enough Exercise
And bad habits continue after high school for most, study shows
From: http://www.webmd.com/parenting/news/20160926/9-of-10-us-teens-dont-get-enough-exercise?src=RSS_PUBLIC
9 out of 10 teens don't get enough exercise
From: http://www.cbsnews.com/news/teens-dont-get-enough-exercise/
How Older People Can Head Off Drug Interactions
Taking multiple medications and supplements could cause serious problems, FDA warns
From: http://www.webmd.com/healthy-aging/news/20160926/fda-drug-interactions?src=RSS_PUBLIC
Gastric Bypass May Bring Infant Nutrition Deficits
A study suggests that infants born to women who've had Roux-en-Y gastric bypass are more likely to be smaller and have nutritional deficiencies at birth.
From: http://www.webmd.com/diet/obesity/news/20160926/gastric-bypass-may-bring-infant-nutrition-deficits?src=RSS_PUBLIC
Officials: Spraying Working on FL Zika Mosquitoes
A two-pesticide punch kills insects and their larvae -- safe for people: CDC
From: http://www.webmd.com/news/20160926/spraying-florida-zika-mosquitoes?src=RSS_PUBLIC
9 of 10 U.S. Teens Don't Get Enough Exercise
And bad habits continue after high school for most, study shows
From: http://www.webmd.com/parenting/raising-fit-kids/20160926/9-of-10-us-teens-dont-get-enough-exercise?src=RSS_PUBLIC
This May Up Survival for Some Lung Cancer Patients
2 new studies find benefit to using stereotactic body radiation therapy
From: http://www.webmd.com/lung-cancer/news/20160926/new-type-of-radiation-treatment-may-up-survival-for-older-lung-cancer-patients?src=RSS_PUBLIC
Dr. Pritish Tosh discusses hand, foot and mouth disease
From: Mayo Clinic http://www.youtube.com/watch?v=Gs0J6AbH4xc
Some Have Unrealistic Hopes For Cancer Trials
Study finding is a red flag, researcher says
From: http://www.webmd.com/cancer/news/20160926/cancer-trials-patients?src=RSS_PUBLIC
A Return to Specific LDL-Cholesterol Goals
From: Mayo Clinic http://www.youtube.com/watch?v=ZNOgU_mRa5c
Liver Before Heart: Reversing Combined Organ Transplantation
From: Mayo Clinic http://www.youtube.com/watch?v=KvJtFDyf-p4
Know before you go to ADA 2016
From: http://www.ada.org/en/publications/ada-news/2016-archive/september/know-before-you-go-at-ada-2016
Riding a roller coaster may have surprising health benefit
From: http://www.cbsnews.com/news/roller-coaster-rides-can-help-pass-kidney-stones-study-finds/
Is Morning Sickness a Good Thing?
Women who experienced nausea, vomiting had 50 to 75 percent lower risk of pregnancy loss, study finds
From: http://www.webmd.com/baby/news/20160926/morning-sickness-pregnancy?src=RSS_PUBLIC
Healthy Diet as Teen, Less Weight Gain as Adult
Study suggests food choices made at 15 may establish long-term eating habits
From: http://www.webmd.com/diet/news/20160926/teen-diet-weight-gain?src=RSS_PUBLIC
At White House Conference, USDA Commits New Funds for Tribal Community Development
From: http://www.usda.gov/wps/portal/usda/usdahome?contentid=2016/09/0205.xml&contentidonly=true
Just say no to Narcan? Heroin rescue efforts draw backlash
From: http://www.cbsnews.com/news/just-say-no-to-narcan-heroin-rescue-efforts-draw-backlash/
Should FDA Have Power to Recall Beauty Products?
The FDA doesn’t have the authority to recall beauty products or to test a product for safety until someone complains. Congress has stepped in with proposals to boost its authority.
From: http://www.webmd.com/beauty/news/20160926/should-fda-have-power-to-recall-beauty-products?src=RSS_PUBLIC
Drug shows promise for hair loss condition
From: http://www.cbsnews.com/videos/drug-shows-promise-for-hair-loss-condition/
Why morning sickness during pregnancy may be a good sign
From: http://www.cbsnews.com/news/pregnancy-morning-sickness-nausea-vomiting-miscarriage-rate/
HPI: Endodontists showing "definitive signs" in post-recession recovery
From: http://www.ada.org/en/publications/ada-news/2016-archive/september/hpi-endodontists-showing-definitive-signs-in-post-recession-recovery
Smile Champion Awards recognize Give Kids A Smile supporters
From: http://www.ada.org/en/publications/ada-news/2016-archive/september/smile-champion-awards
When do you really need antibiotics for that sinus infection?
It was February, and clinic was teeming with respiratory infections of all kinds: mostly the common cold, but also bronchitis, pneumonia, and sinus infections. The first patient on my schedule was a healthcare provider with “? sinus infection” written down as her main issue.* She’d had about two weeks of nasal and sinus congestion which she blamed on a viral upper respiratory infection (URI, also known as the common cold). Her two young kids had been sick with colds all winter, so she wasn’t surprised to have these symptoms, along with endless postnasal drip and a cough.
Her congestion had improved a bit at one point, and she thought that she was finally getting better. But then, the day before her appointment, she awoke with throbbing pain between her eyes, completely blocked nasal passages, and, more concerning to her, green pus oozing from her left tear duct. She had body aches, chills, and extreme fatigue. “Do I maybe need antibiotics?” she asked.
Most sinus infections don’t require antibiotics
Ah, sinus infections. The New England Journal of Medicine recently published a clinical practice review of acute sinus infections in adults, that is, sinus infections of up to four weeks. The need for an updated review was likely spurred by the disconcerting fact that while the vast majority of acute sinus infections will improve or even clear on their own without antibiotics within one to two weeks, most end up being treated with antibiotics.
It is this discrepancy that has clinical researchers and public health folks jumping up and down in alarm, because more unnecessary prescriptions for antibiotics mean more side effects and higher bacterial resistance rates. But on the other hand, while 85% of sinus infections improve or clear on their own, there’s the 15% that do not. Potential complications are rare, but serious, and include brain infections, even abscesses.
But sometimes, they do…
So how does one judge when it is appropriate to prescribe the antibiotic? There are several sets of official guidelines, which are all similar. When a patient has thick, colorful nasal discharge and/or facial pressure or pain for at least 10 days, they meet criteria for antibiotic treatment. If a patient has had those symptoms, but the symptoms seemed to start improving and then got worse again, then even if it’s been less than 10 days, they meet criteria for antibiotic treatment. (That’s referred to as a “double-worsening” and is a common scenario in bacterial sinus infections.)
The authors, however, also suggest that doctors discuss “watchful waiting” with patients and explain that most sinus infections clear up on their own in one to two weeks, and it’s a safe option to hold off on antibiotics. The symptoms can then be treated with a cocktail of over-the-counter medications and supportive care, like nasal saline irrigation, nasal steroid sprays, decongestants, and pain medications.
Of course, many patients expect and demand antibiotics, and even those who are open to watchful waiting may hear about the rare but possible complications of things like, oh, brain abscess, and opt to treat.
In the case of my patient above, she met criteria for treatment. She weighed the watchful waiting option against the potential risks of antibiotics, and chose the prescription. I can tell you from very close follow-up that she improved quickly, though in truth, we will never really know if she would have gotten better anyway.
*This is a real case, details recalled as accurately as possible, based on my own experience as a patient with a sinus infection, originally posted here.
Related Post:
The post When do you really need antibiotics for that sinus infection? appeared first on Harvard Health Blog.
From: Monique Tello, MD, MPH http://www.health.harvard.edu/blog/when-do-you-really-need-antibiotics-for-that-sinus-infection-2016092610399
WHO: EYE strategy - Working together for eliminating yellow fever epidemics
From: World Health Organization http://www.youtube.com/watch?v=SF4-TNJRXeE
About Endometrial Cancer - Dr. Jamie Bakkum-Gamez, Mayo Clinic
From: Mayo Clinic http://www.youtube.com/watch?v=om5QxTNZR3k
Flu shot: Your best bet for avoiding influenza
From: http://www.mayoclinic.org/diseases-conditions/flu/in-depth/flu-shots/art-20048000