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Public Health Well

Early physical therapy may reduce long-term opioid use in opioid-naive patients with musculoskeletal pain

Early physical therapy may correlate with a decrease in long-term and low-intensity opioid use for pain in musculoskeletal regions among opioid-naïve patients, according to recently published results. “[The] take-home message of the study is that for patie ...

Enhanced THA planning may achieve better hip stability than dual-mobility prostheses

ORLANDO — Despite the increased use of dual-mobility hip designs in the United States and their solid track record of use in Europe, a presenter discussed concerns he has about possibly increased rates of dislocation and wear with dual-mobility hip prosthe ...

Nutrition conference speakers stress importance of carotenoids

The importance of macular pigment was a common theme at the Brain and Ocular Nutrition Conference, formerly the Macular Carotenoid Conference, held in Cambridge, England. Increasing one’s macular pigment is correlated with increased vision and performance. ...

Long-term blurred vision in one eye

A 48-year-old African American man presented to the clinic with complaints of blurry, distorted vision that had been present in the left eye for 6 months. The patient had no pertinent ocular history. His medical history was positive for seasonal allergies, ...

Diabetes treatable by lifestyle modification

To the Editor: I enjoyed your article about how we as optometrists can do more to fight diabetes (“Optometrists can do more to fight diabetes” October 2018). Nearly half of my adult patients are diabetic or prediabetic. I talk to each one of them (as time ...

Chronic inflammation is especially critical in the posterior pole

Statistics support the assertion that we are an inflamed society. According to Medscape, over 70 million NSAID prescriptions are written annually in the U.S. If you factor in over-the-counter drugs, more than 30 billion doses of NSAIDs are consumed annuall ...

Approach, fixation contribute to success of THR to treat displaced femoral neck fractures

ORLANDO — The two main options for treating displaced femoral neck fractures are hemiarthroplasty and total hip replacement which, among older patients, are indicated, respectively, for patients with lower activity levels who live in nursing homes and for ...

Speaker: Have a plan for obese patients who undergo TKA

ORLANDO — Orthopedic surgeons who perform joint reconstruction on patients who are obese should develop a plan to accomplish that goal in a way that is safe and successful for patients, according to a presenter who focused his talk on key considerations fo ...

1-hour, 2-hour OGTT similarly predict prediabetes in adolescent girls

In adolescent girls with obesity, a 1-hour oral glucose tolerance test demonstrated diagnostic accuracy similar to that of a 2-hour OGTT for predicting prediabetes, according to findings published in Pediatric Diabetes. “In up to 25% of youth who develop [ ...

Overweight patient denied NHS operation by York CCG

Roland Crooke took a loan to pay for private treatment after being told to lose weight for hip surgery ...

OD-OS releases software for iridotomy treatment with Navilas 577s laser

OD-OS has released new software for the Navilas 577s retinal laser system. The version 3.5 software includes an intuitive anterior segment treatment mode for laser peripheral iridotomy for the treatment of narrow-angle glaucoma, a press release said. It is ...

OD-OS releases software for iridotomy treatment with Navilas 577s laser

OD-OS has released new software for the Navilas 577s retinal laser system. The version 3.5 software includes an intuitive anterior segment treatment mode for laser peripheral iridotomy for the treatment of narrow-angle glaucoma, a press release said. It is ...

Post-hoc analysis identifies risk factors for DME after PRP

Post-hoc analysis of Diabetic Retinopathy Clinical Research Network Protocol S study data found specific risk factors for worse visual outcomes and development of diabetic macular edema (DME) in the group of patients treated with panretinal photocoagulatio ...

Multiple hits over time can cause concussion

The number and severity of head impacts — not just a single large head impact — may cause concussion, according to findings recently published in Annals of Biomedical Engineering. “Studies of football athletes have implicated repetitive head impact exposur ...

Fermented dairy products may cut coronary heart disease risk in men

Men in Finland with the highest intake of fermented dairy products studied had a 27% lower risk for coronary heart disease, according to findings recently published in the British Journal of Nutrition. “Overall, the evidence concerning the impact of variou ...

Percutaneous pulmonary valve implantation safe in patients with congenital heart defects

A heart valve used during percutaneous pulmonary valve implantation was safe and feasible in patients with congenital heart defects, according to a study published in EuroIntervention. Sebastien Hascoet, MD, pediatric cardiologist in the department of cong ...

Transcarotid artery revascularization beneficial in real-world population

In a real-world population, transcarotid artery revascularization had similar outcomes to carotid endarterectomy and better outcomes than transfemoral carotid artery stenting, according to data presented at VEITHSymposium. ...

Would it be more beneficial to promote a pneumococcal vaccine that includes all or most serotypes to prevent disease or a ‘custom’ vaccine based on serotype prevalence?

  The vaccine that is needed to prevent pneumococcal disease should include proteins that are present in all or nearly all pneumococci. The best option might be to alter pneumolysin so that it retains its ability to immunize but no longer acts as a toxin. ...

PCV13 vaccination highly effective but complicated by serotype replacement

The winter holidays bring generations of families together. The season also brings a heightened risk for respiratory infections, such as influenza and pneumococcal disease, as children come in close contact with older relatives. This risk was reflected in ...

An unusual case with which to challenge your senior residents (and staff)

A 5-year-old male was admitted to the hospital for evaluation of several progressive problems, including an unusual rash, swollen joints, abdominal pain and hematochezia, for the last 23 days. He was diagnosed with Henoch-Schönlein purpura, or HSP, on day ...