Long-acting medications transform HIV prevention, treatment

Although HIV infection remains a global public health challenge, ART has transformed it from a fatal illness to a manageable lifetime condition for those who are successfully being treated.
Initially, ART consisted of complex regimens with high daily pill burdens. Today, ART regimens are highly efficacious and well tolerated, consisting mostly of one multidrug pill taken once per day. However, obstacles persist for people living with HIV. Adherence to daily oral ART can be a challenge because of factors such as pill fatigue, mental health issues, substance use disorders, unstable housing and

Orthopedics has highest suicide rate among subspecialties

NEW ORLEANS — Orthopedic surgery continues to have the highest suicide prevalence among all surgical subspecialties, according to results presented at the American Academy of Orthopaedic Surgeons Annual Meeting.
“This is not something that we should brush under the rug,” Christopher J. Fang, MD, of Kirk Kerkorian School of Medicine at UNLV, told Healio. “This is a problem, and it has been a problem in the past. We have known about it for 10 years, and things are not getting better. This is something that we need to raise awareness for in order to get better.”
Fang

Avocado and mango may improve vascular health in prediabetes

Daily intake of avocado and mango may improve endothelial function in people with prediabetes, according to new data published in the Journal of the American Heart Association.
Addition of avocado and mango to participants’ daily diet also improved diastolic BP, specifically among men, compared with those assigned to an energy- and macronutrient- matched control diet, researchers reported.
“Our group studies dietary approaches to prevent and manage cardiometabolic disease risk. We have specific interest in whole food, particularly fruits that deliver bioactive components with health

Women on menopausal hormone therapy have lower osteoporosis risk

NEW ORLEANS — Women who start early menopausal hormone therapy after menopause have a lower risk for osteoporosis over a 5-year period, according to data presented at the American Academy of Orthopaedic Surgeons Annual Meeting.
“We know that with the aging population, fragility fractures are going to be a real problem in the future, and HRT is protective and may decrease the fracture burden,” James M. Barsi, MD, clinical associate professor in the department of orthopaedic surgery at Stony Brook University, told Healio.
In a retrospective cohort study, Barsi and colleagues

Q&A: Where to draw ethical boundaries as a plastic surgeon

Plastic surgeons are trained to determine when it is medically necessary to decline care.
Board-certified plastic and reconstructive surgeon, Jennifer Harrington, MD, spoke with Healio about how she makes these decisions in her own practice, including red flags to look out for, managing patient expectations and more.
“Our Hippocratic Oath, ‘do no harm,’ must be the theme that is woven into every consultation we have,” she told Healio.
Harrington is the founder of Harrington + Associates Plastic Surgery in Minneapolis-St. Paul, director of plastic and reconstructive

Medical groups double down on lobbying amid health policy shakeups

Major health care policy changes under the Trump administration have driven some professional medical organizations to take different approaches to their advocacy strategies.
During President Donald J. Trump’s second term, the administration has launched initiatives aimed at improving nutrition and reducing chronic diseases in youth — issues that many experts say need to be addressed. But many policy changes, like reducing the number of recommended vaccines for children, expiring health insurance subsidies, Medicaid cuts and student loan limits under H.R. 1, or the “One Big

Long-term levothyroxine use may lower heart-related risk

Older adults with subclinical hypothyroidism who were prescribed levothyroxine had lower risk for cardiovascular events than those not prescribed the therapy, according to findings published in Thyroid.
“Long-term levothyroxine therapy was associated with reduced CV risk and lower all-cause mortality, without adverse effects on bone health,” Mia Holley, PhD, graduate student and lecturer in medical statistics at the University of Sunderland School of Medicine in the U.K., told Healio. “Benefits were most apparent in individuals with thyrotropin above age-specific thresholds and after at least

Healthy People 2030 wake-up call dialysis care urgently needs

For decades, the United States has grappled with the complexities of chronic kidney disease and the plight of the almost 500,000 patients on dialysis.
However, as we look toward the next decade of public health, the Healthy People 2030 initiative has cast a much-needed spotlight on a critical, yet often overlooked, component of patient survival: dialysis vascular access.
At the Dialysis Vascular Access Coalition, we believe the goals set by HHS are not just benchmarks, they are lifelines. There is an entire section of goals related to kidney disease, and two of these are getting worse: dialysis

Postmenopausal women at risk for meniscus posterior root tears

NEW ORLEANS — Postmenopausal women with medial meniscus posterior root tears may require targeted interventions, according to results presented here.
“Our female patients may benefit most from interventions such as meniscus root repair because they are affected at a higher rate,” Aaron J. Krych, MD, of Mayo Clinic, told Healio about results presented at the American Academy of Orthopaedic Surgeons Annual Meeting. “We know from prior studies that repair does make a substantial difference in preventing progression of arthritis and progression of knee arthroplasty. The takeaway is to make sure we

Meniscal preservation may improve ACL reconstruction outcomes

NEW ORLEANS — In patients undergoing primary ACL reconstruction with a meniscal tear, partial meniscectomy may increase the risk for revision ACL surgery and conversion to total knee arthroplasty, according to results presented here.
“Especially in the setting of an ACL reconstruction, if you see a meniscus that is reparable, please be aggressive and repair,” Vehniah K. Tjong, MD, FAAOS, FRCSC, of Northwestern University Feinberg School of Medicine and team physician for the United States Women’s National Soccer Team, told Healio about results presented at the American