 Osteoporotic fracture risk is undermanaged in older adults By Heidi Splete Study of Medicare database shows decline in treatment of patients who have an increased risk of fracture. Appeals court rules ACA’s individual mandate is unconstitutionalThe Trump administration chose not to defend the ACA, but it does not seem entirely prepared for what might happen if the law is overturned. Vaping marijuana gaining traction among U.S. teensOne in five 10th- and 12th-grade students in the United States report vaping marijuana in the past year. Navigators improve medication adherence in HFrEFHeart failure patients in a remote navigator-led program had greater adherence to guideline-directed therapy at 3 months than usual care. Editor's note: This is the final episode of the Daily Medical News. But you can still reach us at podcasts@mdedge.com. And you can find all the latest news in clinical medicine on our website, www.mdedge.com, and by following us on Twitter at @MDedgeTweets. For all of us at MDedge, thank you for supporting the Daily Medical News.

Daily Medical News

Appeals court upends ACA’s individual mandate; osteoporosis undertreatment poses growing threat

PCPs play role in identifying severe, difficult-to-treat asthma Story by Jeff Craven, reporting from the Cardiovascular & Respiratory Summit by Global Academy for Medical Education. Primary care providers are seeing patients with severe asthma and should learn to recognize and diagnose these patients. Other top stories: Midlife hypertension is associated with subsequent risk of dementia Elevated blood pressure in midlife is associated with risk of subsequent dementia, but whether the risk is treatable is unclear.  Study: Cardiac biomarkers predicted CV events in CAP The results suggest a change in usual practice is needed to reduce cardiovascular community-acquired pneumonia complications.  Treatment of episodic cluster headache deviates from recommendations Among patients with episodic cluster headache, use of acute medications is high, but use of preventive medications is low.  Procalcitonin advocated to help rule out bacterial infections Use of procalcitonin may help decrease lumbar punctures and antibiotic exposure. You can contact the MDedge Daily Medical News team by emailing us at podcasts@mdedge.com or by following us on Twitter @MDedgeTweets.   

Midlife hypertension tied to later dementia; primary care's role in tough-to-treat asthma

 Is a rigid HPV vaccination schedule really necessary? Story by Bruce Jancin, reporting from the annual meeting of the European Society for Pediatric Infectious Diseases. Delayed administration of the second dose of an HPV vaccine had no negative impact on the magnitude of the immune response. Other top stories: Women are underrepresented as lead authors in oncology trials  The proportion has been increasing but still lags behind the proportion of female oncologists in the United States. Dupilumab found effective for adolescents with moderate to severe AD  Rates of skin infections were higher in the placebo group, compared with the treatment groups. Exposure to outdoor air pollutants linked to increased emphysema  Being exposed to outdoor air pollutants was associated with increases in emphysema as assessed via CT imaging. Favorable Ebola results lead to drug trial termination, new focus  Two of four therapeutics showed greater survival, prompting termination of the initial trial and randomization of new patients to these two drugs. You can contact the MDedge Daily Medical News team by emailing us at podcasts@mdedge.com or by following us on Twitter @MDedgeTweets.

Too few women oncology investigators; is a rigid HPV vaccination schedule needed?

SPECIAL Crossover with Blood & Cancer, the official podcast of MDedge HematologyOncology.  You can learn more about Blood & Cancer at http://www.mdedge.com/podcasts/blood-cancer   SHOW NOTES: Alan P. Lyss, MD, a medical oncologist in community practice at Missouri Baptist Medical Center in St. Louis, joins Blood & Cancer host David H. Henry, MD, of the University of Pennsylvania, Philadelphia, to break down the most interesting and practice-changing studies at the recent 2019 annual meeting of the American Society of Clinical Oncology. Complete show notes by Ronak H. Mistry, DO, resident in the department of internal medicine, University of Pennsylvania, Philadelphia, are available online here. For more MDedge podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com Interact with us on Twitter: @mdedgehemonc David Henry on Twitter: @DavidHenryMD     Relevant links: Big Data Abstract LBA1 Abstract LBA5563 Abstract 110 CancerLinQ Database Colorectal Cancer Abstract 3500 Abstract 3501 Pancreatic Cancer Abstract 4000 Abstract LBA4 Prostate Cancer Abstract LBA2 Lung Cancer Abstract 8504 Breast Cancer Abstract 500 Abstract 502 TAILORx Abstract 503 Health Informatics Abstract 6509 Abstract 6510 Multiple Myeloma Multiple Myeloma Abstracts Smoldering Myeloma Abstract 8000 Myeloma Abstract 8002 Abstract 8007 

SPECIAL: ASCO Journal Club with Blood & Cancer host David Henry, MD

Today's top stories in clinical medicine.  Medical cannabis laws appear no longer tied to drop in opioid overdose mortality EULAR revises its RA management recommendations Aggressive lowering of LDL cholesterol: Is it a good thing? Residents are drowning in job offers -- and debt You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets

Do cannabis laws cut opioid deaths? Plus, residents swamped by debt, job offers

Today's top stories in clinical medicine.  Treat insomnia as a full-fledged disorder. Illinois law expands abortion rights. Consider iatrogenesis in patients with new psychiatric symptoms. Foot osteoarthritis: forgotten no longer. You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.

Treat insomnia like a disorder; what's causing new psychiatric symptoms?

Today's top stories in clinical medicine: Modest changes deemed inherent in 'normal' aging COPD exacerbations associated with poor sleep quality Genetic analysis links PCSK9 inhibition and CV mortality Obesity and overweight declined among lower-income kids You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.  

Some cognitive changes 'normal' with aging; obesity declined among lower-income children

Today's top stories: Chronic opioid use may be common in patients with ankylosing spondylitis Reducing pediatric RSV burden is top priority Less reactogenic acellular pertusses vaccine has waning immunity Nearly two-thirds of gynecologic oncology respondents experienced sexual harassment You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.  

Chronic opioids and ankylosing spondylitis; 2/3 of gyn-oncs experienced sexual harassment

You can find more of our podcasts at http://www.mdedge.com/podcasts. Today's top stories in clinical medicine: Updated systematic review of aspirin for primary prevention shows benefits, risks. Estimated prevalence of OSA in the Americas stands at 170 million. How to reverse type 2 diabetes with a crash diet the DiRECT approach. Zeroing in on a key issue: SGLT2s or GLP-1s for elderly T2D? You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.

Does aspirin prevent anything? And how to pick the right diabetes drug

You can find more of our podcasts on our website: http://www.mdedge.com/podcasts Today's top stories in clinical medicine: Coffee, tea, and soda all up GERD risk Warfarin boosts OS risk in Rotterdam Study mTORC1 inhibitor protects elderly asthmatics from viral respiratory infections NJ law, EMR alerts appear effective at reducing opioid prescriptions You can contact the MDedge Daily Medical News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.

Coffee, tea, and soda increase GERD risk

Today in clinical medicine: Most measles cases in 25 years prompts government pleas to vaccinate Positive psoriatic arthritis screens occur often in psoriasis patients Sleep apnea is linked with tau accumulation in the brain Patients say primary care video visits are convenient, high quality You can contact the MDedge Daily News by emailing us at podcasts@mdedge.com or following us on Twitter at @MDedgeTweets.  

Government pleas for measles vaccination

The 2019 annual Internal Medicine meeting of the American College of Physicians took place beginning April 10 in Philadelphia. MDedge Podcast host and producer Nick Andrews joined Internal Medicine News editor Katie Lennon to discuss a few of the biggest topics.  ACP 2019 highlights: Telemedicine update. Neuropathic pain update. Negotiating a strong contract. ACP launches quality improvement tools. You can contact the MDedge Daily news by emailing podcasts@mdedge.com or by following us on Twitter at @MDedgeTweets.  

ACP Internal Medicine Meeting 2019

Today, we’re bringing you a special episode featuring exclusive coverage from the annual meeting of the American Academy of Dermatology in Washington. 1. Food allergies and atopic dermatitis: What is the evidence? https://bit.ly/2CayGcp 2. Many common dermatologic drugs can be safely used during pregnancy. https://bit.ly/2HmZLfY 3. 31-GEP test predicts likelihood of metastasis for cutaneous melanoma. https://bit.ly/2NO3dkK 4. Bermekimab reduces lesions, cuts pain in patients with hidradenitis suppurativa. https://bit.ly/2H6NuNe Contact us: podcasts@mdedge.com

AAD 2019 meeting wrap-up

Contact us: podcasts@mdedge.com 1. CDC: United States has hit a plateau with HIV. https://bit.ly/2TokV3E 2. Fauci, Messonnier testify on measles outbreaks. https://bit.ly/2XqP3KO 3. Big pharma says it can’t drop drug list prices alone. https://bit.ly/2Xs92Zy 4. Barrett’s esophagus uncommon in patients with uncomplicated GERD. https://bit.ly/2VqKRJd

HIV prevention progress slows

Contact us: podcasts@mdedge.com FDA panels back intranasal esketamine for refractory depression. http://bit.ly/2TOKrfp ONC aims to help doctors, patients with information sharing in proposed rule. http://bit.ly/2X3SVkP Survey: Health care costs unlikely to improve in 2019. http://bit.ly/2SwSIYJ Vaccination and antiviral treatment don't lower stroke risk after shingles. http://bit.ly/2tjYQVa 

FDA weighs esketamine for depression

The latest clinical medicine and health policy news for healthcare professionals, delivered each weekday by host Nick Andrews and MDedge editors. The information in this podcast is provided for informational and educational purposes only.

hubhopper

Daily Medical News

hubhopper