The Clinical Advisor

HealthDay News — Individuals with screening-detected atrial fibrillation (AF) have a comparable risk for developing heart failure to those with clinically known AF, according to a study presented at the annual meeting of the European Heart Rhythm Association, held from April 12 to 14 in Paris.

HealthDay News — The U.S. Environmental Protection Agency (EPA) has paused decisions on uses for dozens of “forever chemicals,” also known as PFAS. The delay includes proposed changes regarding how several of these chemicals can be used, according to one of two people familiar with the situation who spoke to The Washington Post. The two commented anonymously because they were not authorized to speak to the press.

(HealthDay News) — Aligning exercise timing with individual chronotype significantly benefits cardiometabolic and sleep-related outcomes in adults with cardiovascular risk factors, according to a study published online April 14 in Open Heart. Arsalan Tariq, from the University of Lahore in Pakistan, and colleagues investigated whether aligning exercise timing with chronotype enhances cardiometabolic and sleep-related benefits.

HealthDay News — The proportion of extensively drug-resistant (XDR) Shigella isolates in the United States increased from 2011-2015 to 2023, according to research published in the April 9 issue of the U.S. Centers for Disease Control and Prevention Morbidity and Mortality Weekly Report.

Excess cardiovascular risk in systemic lupus erythematosus (SLE) centers on patients who develop lupus nephritis (LN) or antiphospholipid antibodies (aPL+), investigators reported at the 15th European Lupus Meeting in Lisbon, Portugal. These findings suggest that phenotype-based stratification may offer a more clinically actionable framework than traditional risk calculators in SLE populations, Erika Navarro-Mendoza, MD, of Mayo Clinic, Rochester, Minnesota, and colleagues suggested.

HealthDay News — The Advisory Committee on Immunization Practices (ACIP) could soon have a new focus after officials changed the rules that determine who can serve on it. The updated rules were approved by Health Secretary Robert F. Kennedy Jr. and posted in a new charter outlining operation of the panel, which guides vaccine use in the U.S. and advises the U.S. Centers for Disease Control and Prevention (CDC). The changes expand who can serve on the committee and what topics it focuses on.

HealthDay News — A health report on COVID-19 vaccines has been delayed after concerns about how the study was conducted. The report, from the U.S. Centers for Disease Control and Prevention (CDC), found that COVID vaccines reduced emergency room visits and hospital stays last winter. But release of the report was postponed by Dr. Jay Bhattacharya, who was serving as the agency’s acting director at the time.

HealthDay News — A basic menopause curriculum that has been developed for telementoring health care professionals in rural and under-resourced areas improved confidence in treating patients with menopause and addressed a knowledge gap among providers, according to a study published online March 25 in Menopause. Amanda L.

This literature review compares the effectiveness of induction of labor versus expectant management in reducing adverse perinatal and maternal outcomes for pregnant patients approaching postterm.

Postterm pregnancy is associated with increased morbidity and mortality in the infant and the mother. Current practice varies in the management of late- and postterm pregnancies, with ongoing discussion about the risks and benefits of available intervention options. This literature review compares the effectiveness of induction of labor (IOL) versus expectant management (EM) in reducing adverse perinatal and maternal outcomes for pregnant patients approaching postterm.