More than half of patients with testicular cancer treated with first-line cisplatin-based chemotherapy in a recent study developed hearing loss (HL) or tinnitus. The findings underscore the need for routine assessment for hearing loss and tinnitus during follow-up of cisplatin-treated survivors, the authors of the study emphasize. "The sudden development of hearing loss can be devastating, and often more consequential than the slow progression of age-related hearing loss," they point out. Administration of specific hearing loss questionnaires should be considered in patients who develop HL or tinnitus. These findings indicate that greater hearing loss was associated with lower odds of better overall health, they noted.
It also prevented additional bouts, with 84% of these initial responders remaining free of C difficile infection at 6 months. The study also placed no limit on the number of previous rounds of C difficile infections. The median age of study participants was 63 years, with 45% aged 65 years or older, and 70% were women. The majority were related to the C difficile infection or an underlying comorbidity, he noted. Currently, people with recurrent C difficile seek fecal microbiota material from a biobank or from a close friend or loved one.3 months ago Medscape
George Harris (Richard Widmark, "Coma," 1978)"Medicine is now a great social force," says Dr George Harris (Richard Widmark), chief of surgery at Boston Memorial. In one of Hollywood's most infamous torture scenes, Szell tries to extract information from Babe Levy (Dustin Hoffman), an innocent grad student, plying the tools of his trade. Henry Frankenstein (Colin Clive, "Frankenstein," 1931)His alarming need for fresh corpses forced Henry Frankenstein (Colin Clive) to leave medical school and experiment solo in a castle. Dr Gogol (Peter Lorre, "Mad Love," 1935)A few years after playing doctor Frankenstein, Colin Clive became the patient of a mad medic himself. A concert pianist whose hands have been mangled in a train wreck, Clive's wife turns to Dr Gogol (Peter Lorre, in his Hollywood debut), who promises to surgically reattach the musician's hands.3 months ago Medscape
The problem is compounded in a social climate in which pseudoscience and conspiracy theories gain traction rapidly, and experts worry how the scientific community can and should deal with it. Why Doctors Murder PeopleMedical murderers — doctors and healthcare professionals who intentionally kill people in their care — are among the most difficult killers to identify. There are two types of medical murderers, according to Crime Classification Manual: A Standard System for Investigating and Classifying Violent Crime, co-authored by former FBI Special Agent John E. Douglas. Pseudo-mercy homicide murderers believe that they ease a patient's suffering by killing them. Pseudo-hero homicide murderers create a medical emergency so that they can play the hero in an unsuccessful attempt to save a patient's life.3 months ago Medscape
SAN ANTONIO — Veterans Administration (VA) medical centers with lower prostate-specific antigen (PSA) screening rates reported higher rates of metastatic prostate cancer, a recent retrospective analysis found. PSA screening became widespread in the 1990s, but that changed after several randomized controlled trials failed to show a consistent clinical benefit for PSA screening. They included yearly within-facility PSA screening rates as well as rates of missed screening appointments. Facilities with higher yearly PSA screening rates had lower subsequent rates of metastatic prostate cancer. Conversely, facilities with lower yearly screening rates had higher subsequent rates of metastatic prostate cancer 5 years later (IRR, 1.10; P < .001).3 months ago Medscape
The apps were classified into the following three groups, according to their purpose: primary prevention apps, acute stroke management apps, and postacute stroke apps. Apps appeared to aid acute stroke management, according to the researchers. The JOIN app also was shown to significantly reduce door-to-needle time, compared with no app support, in several studies. StopStroke, another app that focuses on instant communication among physicians and allows real-time sharing of clinical data of stroke patients, reduced door-to-image and door-to-needle time, compared with no app. "Regardless of how they are being taken care of, a lot of our stroke patients will have problems with technology.3 months ago Medscape
While healthcare systems in the United States and the United Kingdom vary dramatically, doctors on both sides of the pond experience similar stresses and responsibilities — and, on occasion, similar bad behavior. The category "sexist behavior" wasn't a choice in the US survey, but 38% of UK doctors reported having seen it. There was a smaller but still notable gap in incidents of racist language as well, 55% in the United States and 47% in the United Kingdom. Majorities in both the United States and United Kingdom agree that stress may explain bad behavior — but doesn't excuse it. Two-thirds of respondents in both the United States and United Kingdom say that doctors should be held to higher standards than the general public.3 months ago Medscape
The tech is also part of the company's experimental mRNA-1230, which is designed to work against COVID, influenza, and RSV. Moderna also is testing different kinds of COVID and flu shots using mRNA. Looking for Viral VulnerabilitiesResearchers have been looking for decades for ways to make flu shots that can do a better job in outsmarting the mutating virus. This approach may also have applications in developing better flu vaccines, Alberto D. López-Muñoz, PhD, MSc, a postdoctoral fellow at NIAID, told Medscape Medical News. "Explosion" in mRNA Vaccine CandidatesThe COVID-19 pandemic accelerated work long under way in seeking to develop mRNA vaccines.1 month ago Medscape