Articles Posted in Clinical guidelines

abortionbanstates-300x205Congress has passed a modest gun control law for the first time in three decades. The breakthrough, compromise measure, quickly signed by President Biden, not only provides for background checks for would-be weapons buyers younger than 21 and a push for states to pass laws to take guns away from the dangerous, it also provides a rare boost of tens of millions of dollars for desperately needed mental health services across the country.

kidshealthanniecasey-300x155But at the same time, the U.S. Supreme Court has upended New York’s long-standing restrictions on concealed weapons and the justices threw out a half century of established precedent in reversing Roe v. Wade.

In a blink, women’s reproductive health and their rights suffered a damaging blow, with medical experts, including the American Medical Association, the American College of Physicians, and the editors of the New England Journal of Medicine, condemning the high court’s allowing states to ban abortion, notably without allowing for exceptions for rape, incest, or when mothers’ lives are imperiled.

cdcwalensky-150x150Parents with little kids — those ages 6 months to 5 years old — now must decide whether, how, and when to get these babies and tots their coronavirus vaccines, newly approved by federal regulators.

They should talk with their pediatricians and others with medical expertise and experience. The American Academy of Pediatricians, a leading specialists group, says this about the low-, multi-dose regimen of coronavirus vaccines from Pfizer and Moderna for little ones:

“The AAP recommends Covid-19 vaccination for all children and adolescents 6 months of age and older who do not have contraindications using a vaccine authorized for use for their age. The AAP encourages all states to work with pediatrician practices to make accessing Covid vaccine as simple as possible.”

diabetesdrug-300x127As medical scientists increase the understanding of diabetes and the role that hormones can play in treating the disease and clinical obesity, doctors, drug makers, insurers, and others in U.S. health care are running smack into familiar, significant problems.

These include issues with public perceptions about weight, diet, and appropriate prescribing of powerful medications, as well as challenges about who pays for what in the nation’s complex health care system.

The latest, evolving tangles concern semaglutide and liraglutide, two drugs in a group that experts at the drug maker Novo Nordisk pioneered to treat diabetes. Investigators developed the drugs as doctors, patients, and researchers suddenly learned more about extreme weight loss through increasingly popular gastric surgeries, finding that the procedures also altered patients’ hormones like ghrelin, popularly dubbed the “hunger hormone.”

cbstulsavictims-300x120In Tulsa, Okla., a 45-year-old patient angry over what he claimed was the pain he suffered after a back operation, bought a handgun and an assault rifle. He stormed into the office of his orthopedic surgeon,  killing him, another doctor, a receptionist, and an office visitor, police say. The man then killed himself.

In Dayton, Ohio, a 30-year-old county jail inmate receiving care at a hospital wrestled with the 78-year-old contract guard accompanying him, fatally wounding him, threatening others, and finally killing himself.

The relentless spate of gun violence and multiple deaths has spread once again into settings designed to heal the sick and treat the injured.

Abbottlogo-300x77The giant drug maker Abbott and the federal Food and Drug Administration both should hang their heads in shame as more information becomes public as to how they left millions of vulnerable infants hungry and put kids’ health at risk by wrongs involving the manufacture and distribution of a vital foodstuff — baby formula.

Millions of parents have gone into meltdown because of a nationwide shortage of the needed nutrient. It was sparked by the shutdown of Abbott’s formula-producing plant in Michigan, as well as the company’s product recall after babies got sick and died from  infections involving Cronobacter sakazakii bacteria.

While Abbott has emphasized that experts have not conclusively linked the bacteria to its formula and the firm has played up its cooperation in a product recall, Robert Califf, the FDA’s chief and a doctor, ripped the company. He told a U.S. House subcommittee that agency inspectors found “egregiously unsanitary” conditions at the drug maker’s plant, the New York Times reported, quoting him, thusly:

monkeypoxcdc-300x184The coronavirus pandemic continues to give Americans a  crash course in global infectious diseases, with experts and regular folks warily watching not only the virus’s continuing summer surge but also seeing with concern increasing incidences of rare hepatitis cases in kids and outbreaks of monkeypox in travelers and among partying gay men.

While the other infections have received their share of  news coverage, the pandemic persists as the nation’s leading public health menace, as the New York Times reported in this summary of the latest overall coronavirus situation:

“The United States is averaging about 110,000 new cases each day, a roughly 30% increase over the last two weeks. Since many cases go uncounted in official reports, the true toll is higher than these figures show. Daily case reports are four times as high as they were in early April, but still a fraction of the numbers seen in January, when the initial Omicron surge was at its worst.

hospitalsafetygrafic-300x172Doctors and hospitals must redouble their efforts to protect patients in their care, as the coronavirus pandemic reversed years of safety advances, and these must be restored top to bottom — and more.

This powerful, timely argument has been made in a top medical journal by leading federal regulators at the Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC). As the quartet of medical doctors (Lee A. Fleisher, Michelle Schreiber, Denise Cardo, and Arjun Srinivasan) reported:

“The public health emergency has put enormous stress on the health care system and disrupted many normal activities in hospitals and other facilities. Unfortunately, these stressors have caused safety problems for both patients and staff …The fact that the pandemic degraded patient safety so quickly and severely suggests that our health care system lacks a sufficiently resilient safety culture and infrastructure. We believe the pandemic and the breakdown it has caused present an opportunity and an obligation to reevaluate health care safety with an eye toward building a more resilient health care delivery system, capable not only of achieving safer routine care but also of maintaining high safety levels in times of crisis.”

axiosmay22covidpoll-300x187The coronavirus pandemic is surging anew, with federal health officials warning that just under half of Americans live in parts of the country where transmission rates have increased sharply enough that they should return to wearing face masks in public, indoor settings.

Older Americans, officials say, should get a second booster shot if more than four months have passed since their first booster. This is an upgraded recommendation from before, when officials  described the additional shot as an option for those 50 and only encouraged it for those 65 and older.

As for those ages 5 to 11, federal regulators are recommending boosters for this group of kids if at least five months have passed since their last shot. Officials in January had recommended boosters for those ages 12 and older.

babewithbottle-300x293Americans keep suffering the dire consequences of corporations’ relentless pursuit of profits, their stifling of beneficial competition, and their failure to secure the production of their products. These now include desperately needed, specialized baby formula and contrast dyes used in diagnostic imaging studies for seriously ill and injured patients.

A special place in perdition needs to be reserved for those who have put infants at risk of hunger and illness by allowing the feeding crisis to explode and for boobs who are rushing in with finger-snapping, fact-light, and unworkable actions for parents to respond.

Let’s be clear that the formula mess, bad for all families across the country, hits hardest at the working poor and the poor. As the New York Times reported:

coronapreventablenpr-300x226President Biden has ordered flags in public buildings across the country to be flown at half staff as the nation officially mourns 1 million American deaths due to the coronavirus pandemic. As he noted in a statement:

“One million empty chairs around the dinner table. Each an irreplaceable loss. Each leaving behind a family, a community, and a nation forever changed because of this pandemic. Jill and I pray for each of them. To those who are grieving and asking yourself how will you go on without him or what will you do without her, I understand. I know the pain of that black hole in your heart. It is unrelenting. But I also know the ones you love are never truly gone. They will always be with you. As a nation, we must not grow numb to such sorrow. To heal, we must remember. We must remain vigilant against this pandemic and do everything we can to save as many lives as possible, as we have with more testing, vaccines, and treatments than ever before …”

The milestone that the country likely hit a while ago, a toll that many experts hoped would never be reached has proved hard to grasp for too many people in this country. The coronavirus deaths are the equivalent or exceed the populations of cities like San Jose, Calif., Austin, Tex., or Jacksonville, Fla. The comparisons are inexact and not easy, but with Memorial Day approaching, is it appropriate to note that the U.S. pandemic deaths now roughly equal the nation’s fatalities in the Civil War, World War I and World War II combined?

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