FDA issues draft guidance to better medical product labeling

Reuters, 18 Janauary 2017
Author: Divya Grover
“The U.S. health regulator issued draft guidance, recommending ways to communicate promotional materials and additional information that is not on the label of medical products. The U.S. Food and Drug Administration typically determines what information goes on the labels of medical drugs and devices, after evaluating whether the product is safe and effective for the proposed indication. Drugmakers have long wanted to communicate supplementary information that isn’t on the label, but which concerns the cleared use of the product.”
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Doctors Want To Learn More About Treating Transgender Patients, Survey Shows

Huffington Post, 12 January 2017
Author: Anna Almendrala
“One in three transgender patients reports experiencing serious discrimination or bias when seeking medical care, even when that care is unrelated to their transgender status. While some of these negative interactions in health care may stem from discriminatory attitudes on the part of medical care professionals, a survey reveals that doctors feel they lack the training they need to feel confident when treating transgender patients.”
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Stores may steer teen boys to supplements doctors advise against

Reuters, 4 January 2017
Author: Lisa Rapaport
“Employees at health food stores often recommend supplements like creatine and testosterone to teen boys even though these products pose serious health risks, a U.S. study suggests. More than one in 10 teen boys try muscle-building products. Risks of creatine include liver and kidney damage, dehydration and muscle cramps; testosterone is also tied to liver and kidney impairment and may halt bone growth.”
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Navigating Ethical Tensions in High-Value Care Education

JAMA. 2016; 316(21): 2189-2190.
Authors: Matthew DeCamp, Kevin R. Riggs
“Enthusiasm for high-value care is increasing throughout health care, including in the education of medical students, residents, and fellows. Until recently, there were few examples of educational programs that equipped future physicians with the tools required to practice high-value care or even consider the cost of care they deliver. In fact, future physicians were encouraged to provide care that could be considered as quite the opposite—academia often instilled excess over restraint, celebrating trainees who generated (and tested for) the broadest differential diagnosis. Because physicians who train in high-spending regions subsequently provide more costly care than those who train in low-spending ones, medical school and residency are critical times to teach high-value care.”
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Urgent need for reform in Nepal’s medical education

The Lancet, Volume 388, No. 10061, p2739–2740, 3 December 2016
Authors: Bipin Adhikari, Shiva Raj Mishra
“Nepal is a low-income nation with a population of nearly 26·5 million. The doctor–patient ratio is 0·17 per 1000 population—substantially less than the WHO recommendation of 2·3 doctors per 1000 population. Nepal has seen a burgeoning of medical institutes in the past 10 years. However, this rapid surge in the number of medical colleges—with increases in fees and corruption involved in student admissions—has not aided undergraduate and postgraduate medical training, deteriorating the quality of medical education. The financial motives involved in these private medical colleges have further incurred political meddling, often resulting in disproportionate and unregulated licensing and affiliation to such colleges, which are not instructed to establish themselves in rural areas.”
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Injecting natural oils for muscle gain could be deadly, doctors warn

The Guardian, 2 December 2016
Author: Haroon Siddique
“Bodybuilders seeking to enhance their physique by injecting natural oils risk lasting damage and even death. Doctors fear that a case in west London in which a 25-year-old man suffered scarring and restricted function after injecting coconut oil may be the “tip of the iceberg”. Instances have been recorded in recent years of bodybuilders using other oils, including sesame oil, walnut oil and paraffin, which are less costly than other synthetic compounds, in the hope of boosting muscle size and definition.”
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Most of 260,000 young Australians with chlamydia STI don’t know

SMH, 14 November 2016
Author: Rania Spooner
“Hundreds of thousands of young Australians are living with a sexually transmitted infection and researchers warn most don’t know they’ve got it. According to the Australian Annual Surveillance Report into sexually transmissible infections and blood-borne viruses, there were an estimated 260,000 new cases of chlamydia in 15 to 29-year-olds by the end of 2015. The report also reveals that despite HIV levels stabilising overall, new infections in Aboriginal and Torres Strait Islander populations have continued to rise.”
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France sets up fund for Sanofi epilepsy drug victims

Reuters, 16 November 2016
Author: Matthias Blamont
“France is setting up a fund to meet compensation claims from people affected by an epilepsy treatment made by Sanofi that is believed to cause birth malfunctions and slow neurological development. Parents of those affected say the French state and Sanofi were too slow to warn of the side effects of the drug, which has been used to successfully treat epilepsy since 1967, after the risks to fetuses became clear by the early 1980s. More than 14,000 women were prescribed Depakine despite the potential risks in pregnant women.”
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NHS England proposes hospital ban on sugar-sweetened drinks

The Guardian, 9 November 2016
Author: Sarah Boseley
“NHS England is proposing to ban sugar-sweetened drinks from hospital vending machines and restaurants, in a dramatic attempt to curb obesity that goes beyond the government’s plans for a sugar levy. “Confronted by rising obesity, type 2 diabetes and child dental decay, it’s time for the NHS to practice what we preach,” Stevens told the ukactive physical activity conference.”
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Knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses from a resource poor setting, Nepal

BMC Medical Ethics 2016 17:68
Authors: Samaj Adhikari, Kumar Paudel, Arja R. Aro, Tara Ballav Adhikari, Bipin Adhikari, Shiva Raj Mishra
“Healthcare ethics is neglected in clinical practice in LMICs (Low and Middle Income Countries) such as Nepal. The main objective of this study was to assess the current status of knowledge, attitude and practice of healthcare ethics among resident doctors and ward nurses in a tertiary teaching hospital in Nepal.”
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