Duke University

A structured intervention that utilized the Department of Veterans Affairs network of home telehealth nurses was associated with a significant reduction in HbA1c that was sustained for 18 months among rural adults with type 2 diabetes.

In this video, Terry Kim, MD, president-elect of the American Society of Cataract and Refractive Surgery and head of cornea and refractive surgery at Duke University Eye Center, discusses the impact of the coronavirus pandemic and how the center plans to safely implement a reopening strategy toward performing elective eye surgery.

Multiplex polymerase chain reaction, which uses polymerase chain reaction to simultaneously amplify several different next-generation DNA sequences, had 25.6% sensitivity when performed using Musculoskeletal Infection Society criteria for aspirate or tissue samples collected during 93 revision primary total joint arthroplasties and 77 primary total joint arthroplasties, according to study results.

The American Society of Cataract and Refractive Surgery has a message for its membership and for the global community of ophthalmologists at large: Pay attention to the ocular surface before performing any type of refractive surgery.

With one in six cancer survivors reporting high-impact chronic pain that limits their life and work activities, palliative care increasingly has been recognized as an important component of cancer treatment and survivorship.

Twelve institutions across the United States and Canada formed a collaborative designed to improve long-term survival and quality of life for patients with malignant brain tumors.

To a nonmedical professional, the placebo effect is a fairly straightforward concept: give someone a sugar pill, tell them it is medicine, they think they get better. But the reality of what the placebo effect has come to mean in the current health care setting is something entirely different, and more complicated.

The algorithm for revision surgery for after metal-on-metal THA has evolved, and symptomatic patients are encouraged to consider revision. However, for asymptomatic patients with adverse local tissue reaction (ALTR; 31% in one study), shared decision-making between the surgeon and patient is important. In these cases, patients should be counseled about the risks and benefits of revision THA. The magnitude of revision depends on the prosthesis (modular or monoblock) and the extent of soft tissue and implant damage. If the THA is modular, we recommend liner exchange with highly crosslinked polyethylene and placement of a large ceramic head with titanium sleeve, removing all cobalt chrome alloy components. Cup revision is recommended if the primary THA prosthesis is monoblock or with extensive acetabular osteolysis, and we would use a highly porous titanium or tantalum component. With severe damage to the trunnion or extensive femoral osteolysis, we recommend femoral revision with a stem that obtains diaphyseal fixation. If ALTR caused severe abductor muscle or tendon damage, a dual-mobility or constrained liner could be considered. The extent of debridement of damaged tissues or pseudotumor is controversial in asymptomatic patients. Incomplete removal of affected tissue may be associated with pseudotumor recurrence or a nidus for infection. Debridement should not be radical and preserve unaffected tissue and neurovascular structures.

Patterns of microbiota disruption, marked by loss of intestinal diversity and single taxa domination, appeared similar among a cohort of patients undergoing allogeneic hematopoietic stem cell transplantation across various centers and geographic areas, according to findings published in The New England Journal of Medicine.

Approximately 50% of high school students are vaping. The major product in these devices is nicotine, one of the most addicting substances known. As editor-in-chief of The American Journal of Medicine, I have already accepted several articles pointing out serious pulmonary complications related to vaping. This new product is well on its way to becoming a major public health problem.