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Hope for long-term antidepressant users as study shows half can taper off drugs with simple support

A recent study published in JAMA Network Open reveals that nearly half of long-term antidepressant users can successfully taper off their medication with the help of general practitioner support and internet or telephone helplines. The study found lower rates of depression, fewer withdrawal symptoms, and improved mental wellbeing among...

SourceUniversity of Southampton·JournalJAMA Network Open·TypeRandomized controlled/clinical trial·DateJun 26, 2024

HKUMed and Harvard world-first study finds statins reduce the relative risk of cardiovascular diseases by over 20% in adults aged 75+ with high cholesterol in Hong Kong

A world-first study from HKUMed and Harvard found that continuous statin therapy reduces the relative risk of cardiovascular diseases by 21-35% in adults aged 75+, without increased safety concerns. The study used real-world data to inform decision-making on statin initiation for this large population.

SourceThe University of Hong Kong·JournalAnnals of Internal Medicine·TypeExperimental study·DateJun 26, 2024

Long-term effect of home blood pressure self-monitoring plus medication self-titration for patients with hypertension

A secondary analysis of a randomized clinical trial found that home blood pressure self-monitoring plus medication self-titration reduces BP in the longer term without increasing healthcare use or adverse events. This simple, inexpensive intervention has potential to improve long-term hypertension control in routine clinical practice.

SourceJAMA Network·JournalJAMA Network Open·DateMay 10, 2024

Telehealth program created to improve access to specialty care found to reduce reliance on opioids in pain management

A telehealth program created by Project ECHO has been found to reduce reliance on opioids in pain management. The program connects primary care providers with experts via videoconferencing, leading to lower rates of opioid prescribing and greater adherence to evidence-based recommendations.

SourceUniversity of Missouri-Columbia·JournalJournal of Opioid Management·DateMay 7, 2024

Mechanism of action of the hepatitis B and D virus cell entry inhibitor bulevirtide deciphered

Researchers deciphered the molecular structure of bulevirtide in complex with HBV/HDV receptor NTCP, revealing a unique 'plug' that inhibits virus entry. The study also sheds light on evolutionary adaptation of HBVs to host species and provides insights for developing smaller, more effective active agents.

SourceGerman Center for Infection Research·JournalNature Communications·TypeExperimental study·DateApr 10, 2024

How scientists are accelerating chemistry discoveries with automation

A new statistical-modeling workflow can quickly identify molecular structures of products formed by chemical reactions, accelerating drug discovery and synthetic chemistry. The workflow also enables the analysis of unpurified reaction mixtures, reducing time spent on purification and characterization.

SourceDOE/Lawrence Berkeley National Laboratory·JournalJournal of Chemical Information and Modeling·TypeData/statistical analysis·DateApr 8, 2024

NHM scientists discover first-ever mineral-based treatment for widespread disease using the structure of crystals

Researchers develop innovative treatment to alleviate deleterious effects of hyperkalemia, a disease affecting 350 million people worldwide. The new mineral-based therapy uses ion transfer to flush excess potassium from the body, offering a safer alternative to existing treatments.

SourceNatural History Museum of Los Angeles County·JournalPLOS ONE·TypeExperimental study·DateMar 26, 2024

Fast folding for synthetic peptides and microproteins

Researchers at Xi'an Jiaotong-Liverpool University developed a new method that enables the efficient production of cysteine-rich peptides and microproteins in their naturally folded 3D structure. The approach uses organic solvents to mimic nature's oxidative folding process, resulting in speeds of over 100,000 times faster than aqueous...

SourceXi'an Jiaotong-Liverpool University·JournalAngewandte Chemie·TypeExperimental study·DateMar 21, 2024

Heavy alcohol, drug use linked to increased risk of falls among people with HIV

A new study has found that heavy alcohol use and illicit opioid use are linked to a higher risk of falls and fractures among people living with HIV. The study suggests the need for targeted clinical screening and interventions to prevent falls and related injuries, particularly among populations already at risk.

SourceBoston University School of Public Health·JournalJAIDS Journal of Acquired Immune Deficiency Syndromes·TypeObservational study·DateFeb 21, 2024

Trends in phenylephrine and pseudoephedrine sales

Despite a lack of clinical efficacy evidence, phenylephrine remained the most common oral decongestant in the US from 2012-2021, with hundreds of millions of units sold annually. Most phenylephrine products were co-formulated with antihistamines or antitussives, providing symptom relief for cough and cold symptoms.

SourceJAMA Network·JournalJAMA·DateFeb 8, 2024

The anti-acne medicine isotretinoin, which can cause defects in a developing fetus, is now used by almost 2 in 1,000 girls and women of childbearing age, according to analysis of German database of 25 million

A population-based study in Germany reveals almost 2 in 1,000 girls and women of childbearing age are prescribed isotretinoin, a medication linked to fetal defects. The study found a significant increase in isotretinoin-exposed pregnancies, highlighting the need for better monitoring and guidance.

SourcePLOS·JournalPLOS Medicine·DateJan 25, 2024

A special Journal of Intensive Medicine issue explores the depths of intensive care medicine

A special Journal of Intensive Medicine issue explores the latest research findings on ICU infections, prevention strategies, and innovative approaches to sepsis management. The studies shed light on key challenges and advancements in critical care, highlighting the need for personalized treatment methods.

SourceCactus Communications·JournalJournal of Intensive Medicine·TypeSystematic review·DateJan 12, 2024

Benzodiazepine use during pregnancy and risk of miscarriage

A nationwide case-time-control study found an association between benzodiazepine use during pregnancy and an increased risk of miscarriage. The results suggest that healthcare professionals should carefully weigh the benefits and risks of using benzodiazepines to treat psychiatric and sleep disorders in pregnant women.

SourceJAMA Network·JournalJAMA Psychiatry·DateDec 27, 2023

Doxycycline prophylaxis use low and did not prevent STIs among cisgender women

A recent study found that doxycycline prophylaxis did not prevent bacterial sexually transmitted infections (STIs) among cisgender women, despite being prescribed to 18% of participants. The study also revealed high rates of antibiotic-resistant gonorrhea, which may be due to low adherence and limited treatment options.

SourceHennepin Healthcare Research Institute·JournalNew England Journal of Medicine·TypeRandomized controlled/clinical trial·DateDec 21, 2023

How effective are opioid medications for cancer pain?

A recent review of opioid medicines for cancer pain found surprisingly large gaps in evidence regarding their true benefits. Non-steroidal anti-inflammatory drugs (NSAIDs) may be at least as effective as some opioids for background cancer pain, offering potential alternatives to reduce dependence and waning analgesia over time.

SourceUniversity of Sydney·JournalCA A Cancer Journal for Clinicians·TypeSystematic review·DateDec 18, 2023

Where patients live impacts whether they pick up their heart-failure medications

A new study by NYU Langone Health found that patients from lower socioeconomic areas were less likely to fill their heart-failure medications, highlighting the importance of neighborhood-level interventions to improve access to lifesaving drugs. The research team plans to explore additional barriers, such as cost and language barriers,...

Researchers profile pollutants present in an important river basin in São Paulo state, Brazil

A study by UNICAMP researchers found high concentrations of contaminants in the Piracicaba, Capivari and Jundiaí River Basin, including PFAS compounds, pesticides, and industrial chemicals. The study highlights the severity of pollution in the region, which supplies water for drinking, irrigation, and industry.

Human insulin less temperature-sensitive than previously thought

A new Cochrane review has found that human insulin can be stored at room temperature for up to six months without losing potency. This breakthrough research offers hope to millions of people living with diabetes in low- and middle-income countries, particularly those with limited access to refrigeration or healthcare.

SourceCochrane·JournalCochrane Database of Systematic Reviews·TypeSystematic review·DateNov 2, 2023

Esketamine nasal spray: an option for patients with treatment-resistant depression

A new study reveals that esketamine nasal spray is effective in treating treatment-resistant depression, with 27.1% of patients achieving remission after 8 weeks compared to 17.6% on quetiapine XR. Long-term data shows sustained remission rates at 21.7% for esketamine NS and 14.1% for quetiapine XR.

SourceChampalimaud Centre for the Unknown·JournalNew England Journal of Medicine·TypeRandomized controlled/clinical trial·DateOct 4, 2023

CARB-X is funding a University of Melbourne research team to develop an oral therapeutic to treat drug-resistant community-acquired bacterial pneumonia

A University of Melbourne research team is developing an oral therapeutic to restore the activity of common antibiotics used to treat community-acquired bacterial pneumonia. The project aims to combat antibiotic-resistant bacteria and reduce healthcare costs, with potential applications in low- and middle-income countries.

Management of acetaminophen poisoning in the US and Canada

The study provides a comprehensive framework for diagnosing and treating acetaminophen poisoning, emphasizing the importance of early detection and aggressive management. Key findings include the need for prompt assessment and treatment with activated charcoal and N-acetylcysteine, as well as the role of monitoring liver function tests.

SourceJAMA Network·JournalJAMA Network Open·DateAug 8, 2023

Gene therapy treats chronic pain by dialing down sodium

Researchers at NYU College of Dentistry developed a gene therapy that regulates sodium ion channel activity to alleviate chronic pain. By targeting the specific region where CRMP2 binds to NaV1.7, they were able to reduce sodium influx and quiet down neurons, providing relief from pain in cell and animal studies.

SourceNew York University·JournalProceedings of the National Academy of Sciences·DateJul 27, 2023