WHO revises recommendations on hormonal contraceptive use for women at high HIV risk
The World Health Organization (WHO) has revised its guidance on contraceptive use to reflect new evidence that women at high risk of HIV can use any form of reversible contraception, including progestogen-only injectables, implants and intrauterine devices (IUDs), without an increased risk of HIV infection.
However, as these contraceptive methods do not protect against HIV and other sexually transmitted infections (STIs),... read more
FDA recommends transition to duodenoscopes with disposable components
The U.S. Food and Drug Administration is recommending that duodenoscope manufacturers and health care facilities transition to different types of duodenoscopes that may pose less risk to patient safety. Specifically, because of challenges with cleaning these devices for reuse (reprocessing) and persistent high levels of contamination, the agency is recommending moving away from using duodenoscopes with fixed endcaps to those with disposable components that include disposable... read more
Mumps Cases Reported in Migrant Detention Centers a Likely Harbinger
Mumps outbreaks continue in multiple migrant detention facilities in the United States, putting detainees, facility staff, and surrounding communities at risk for infection, the Centers for Disease Control and Prevention (CDC) says.
There have been 898 confirmed and probable cases of mumps among adult migrants detained in 57 US Immigration and Customs Enforcement (ICE) detention facilities in 19 states in less than a year.... read more
High Marks for Proton-Beam RT in Breast Cancer
Women with locally advanced breast cancer requiring regional lymph node irradiation had similar disease control with less toxicity with proton-beam radiation therapy (RT) as compared with historical patients treated with conventional radiotherapy, investigators in a small prospective study reported.
The 69 evaluable patients had a 5-year locoregional failure rate of 1.5% and 5-year overall survival ... read more
Larger Plus Smaller Infarctions Linked to Accelerated Cognitive Decline
The combination of larger and smaller subclinical infarctions in middle age may accelerate the risk for cognitive decline later in life, researchers say.
Participants with no infarctions had better cognition than those with only smaller, only larger, or both smaller and larger infarctions; cognitive decline seemed to be similar between participants with only smaller and only larger infarctions. Those with both smaller and larger infarctions had a steeper ... read more