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Updated European guidance for the diagnosis and management of osteoporosis in women

The new guidelines review and update the 2013 European guidance for diagnosing and managing osteoporosis in postmenopausal women. Key findings include the importance of evaluating bone microstructure and using FRAX tools in fracture risk assessment, as well as the need for long-term dietary intakes and monitoring drug treatment.

SourceInternational Osteoporosis Foundation·JournalOsteoporosis International·DateNov 1, 2018

Appendix removal tied to decreased Parkinson's disease risk in about 20 percent of cases

A large-scale Swedish study found that removing the appendix reduces Parkinson's disease risk by about 19.3%, with a greater effect seen in rural populations potentially counteracting environmental risk factors like pesticide exposure. Early intervention strategies targeting alpha-synuclein accumulation could be promising.

SourceAmerican Association for the Advancement of Science (AAAS)·JournalScience Translational Medicine·DateOct 31, 2018

Do rock climbers seek out high-risk climbs?

A study found that rock climbers seek out sites with more single-pitch routes, better landscapes, and lower median difficulty to reduce injury risk. The results suggest that decreasing injury risk generates significant welfare gains for climbers, with estimated values ranging from $18 to $327 per site.

SourceSociety for Risk Analysis·JournalRisk Analysis·DateSep 17, 2018

Smoking linked to higher dementia risk

A nationwide health claims analysis from Korea found smoking increases dementia risk, while quitting reduces it by up to 32%. Long-term quitters had a 14% lower risk of dementia compared to continual smokers, while never smokers had an 18% reduced risk for Alzheimer's disease.

SourceWiley·JournalAnnals of Clinical and Translational Neurology·DateSep 6, 2018

Quality of YouTube videos for facial plastics information

A new study has evaluated the quality of YouTube videos for facial plastics information, revealing they can present biased information and offer an unbalanced assessment of risks and benefits. The study suggests these videos may not provide clear guidance on the qualifications of featured practitioners.

SourceJAMA Network·JournalJAMA Facial Plastic Surgery·DateAug 16, 2018

Weight loss surgery may affect the risk of cancer

A national population-based cohort study found that weight loss surgery reduced the risk of hormone-related cancers (breast, endometrial, or prostate cancer) by 77%. However, gastric bypass was associated with a greater than twofold increased risk of colorectal cancer.

SourceWiley·JournalBJS·DateJul 16, 2018

Two new USPSTF recommendation statements

The USPSTF concludes that current evidence is insufficient to make recommendations on screening for PAD and CVD risk with ABI in asymptomatic adults. Additionally, the task force finds that adding ABI, hsCRP level, and CAC score to traditional risk assessments does not prevent CVD events in asymptomatic adults.

SourceJAMA Network·JournalJAMA·DateJul 10, 2018

Healthcare spending in late life is not wasteful, predictive model shows

A predictive model analysis of Medicare claims reveals that less than 5% of end-of-life healthcare spending goes to those with a mortality risk above 50%, who are more likely to survive. Adjusting for the amount spent on sick individuals, 30-50% of end-of-life spending can be eliminated without affecting survival rates or quality of life

Bioengineers identify safer way to make rugby tackles

Researchers have identified a safer way to make rugby tackles by reducing the impact on the head. The recommended techniques include tackling at the lower trunk and avoiding high-impact tackles to the upper trunk. These strategies aim to minimize the risk of concussions and other head injuries.

SourceTrinity College Dublin·JournalJournal of Science and Medicine in Sport·DateJun 6, 2018

First results announced for the AVIATOR 2 international multicenter registry

The AVIATOR 2 international registry found significant discrepancies between physician-perceived risks and calculated scores for stroke, ischemic risk, and bleeding in patients with AF undergoing PCI. The study used a novel smartphone-based survey to capture physician and patient perspectives on antithrombotic therapies after PCI.

SourceSociety for Cardiovascular Angiography and Interventions·JournalCatheterization and Cardiovascular Interventions·DateApr 27, 2018

Review examines everything we know about Internet gaming disorder

Internet gaming disorder has a complex background of personal, familial, and environmental factors that increase risk for certain individuals. The review notes the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is a good starting point for diagnosing IGD.

SourceWiley·JournalDevelopmental Medicine & Child Neurology·DateApr 10, 2018

Commercial pesticides: Not as safe as they seem

A comprehensive review of gaps in risk assessments for adjuvants in commercial pesticides highlights the need for new regulations to protect people and the environment. The review found that exposure to environmental levels of some adjuvant mixtures can affect non-target organisms and even cause chronic human disease.

SourceFrontiers·JournalFrontiers in Public Health·DateMar 8, 2018

Do pain medications carry different heart risks?

A Taiwanese database study of 55,629 patients with hypertension found no significant difference in cardiovascular risk between cyclooxygenase-2 enzyme selective NSAIDs and nonselective NSAIDs. Most commonly used NSAIDs have similar cardiovascular safety profiles under low-to-moderate daily doses and short-term treatment periods.

SourceWiley·JournalBritish Journal of Clinical Pharmacology·DateFeb 22, 2018