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    New and Updated Topics

    New and Updated Topics

    What's New in the Healthwise® Knowledgebase

    Version 9.9

    October 2013

    What's New

    • New Actionsets
    • New Decision Points
    • New Health and Disease Topics
    • New Medical Test Topics
    • Enhanced Content
    • New NCI Topics
    • New Medication Topics
    • New Aisle 7 (CAM) Content
    • Updated Actionsets
    • Updated Decision Points
    • Updated Health and Disease Topics
    • Updated Illustrations, iTools, and Online Forms
    • Updated Medical Test Topics
    • Updated Symptom Topics
    • Updated NCI Topics
    • Updated Medication Topics
    • Topic Title Changes and Topic Replacements
    • Medical Guideline Reviews
    • What's Next

    New Actionsets

    • Click here to view an Actionset. Chronic Pain: Using Healthy Thinking : This new Actionset explains how healthy thinking can be used to help cope with chronic pain. It includes information about cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT).

    New Decision Points

    • Click here to view a Decision Point. Health Screenings: Should I Buy Commercial Tests? : This new Decision Point guides people through the decision about whether to use a commercial health screening package. It explains what commercial screening is and how it differs from screening with a doctor. It lists benefits and risks.
    • Click here to view a Decision Point. Prediabetes: Which Treatment Should I Use? : This new Decision Point guides people through the decision about whether to use lifestyle changes or the medicine metformin to treat prediabetes. It lists benefits and risks.

    New Health and Disease Topics

    • Breast-Feeding: How to Use a Breast Pump : This new topic explains how to use a breast pump and what to expect when pumping.
    • IUD Removal : This new topic explains the reasons for removing an IUD and how it is removed in a doctor's office. It also offers basic aftercare information.
    • Medicare: What You Need to Know : This new topic explains Medicare and who can receive this government-run health insurance. It includes information about the types of Medicare and what they cover, such as hospital stays, doctor visits, and medicines. It also includes information on how to sign up for Medicare.
    • Nebulizer for COPD Treatment : This new topic explains what a nebulizer is, what it is for, and how to use one for treating breathing problems.
    • Nipple Shields for Breast-Feeding Problems : This new topic explains when nipple shields are an appropriate aid to breast-feeding and when they are not recommended. It provides information on the signs that show that nipple shields are being used correctly.
    • Pityriasis Alba : This new topic describes the common skin problem pityriasis alba. It provides information on its causes, symptoms, diagnosis, and treatment.
    • Pregnancy: Healthy Weight Gain : This new topic explains that gaining a healthy amount of weight during pregnancy is important to a woman's health and her newborn's health. The topic covers the major health risks of gaining too much or too little weight during pregnancy. It also encourages women to work with their doctors and to think in terms of being active and eating a healthy menu of foods.
    • Pressure Sores: Prevention and Treatment : This new topic describes home care steps that can be used to prevent or treat a pressure sore, medical treatments that may be used, and how to know if a sore is healing properly.

    New Medical Test Topics

    • DHEA-S Test : This new topic describes the test for the male hormone dehydroepiandrosterone sulfate. It explains why and how the test is done. It also lists the usual ranges of results for men, women, and children.
    • Vitamin D Test : This new topic explains why vitamin D testing may be done and what the results tell you. It tells how to prepare for the test and what is done during the test. It explains how the test feels and what to consider.

    Enhanced Content

    The following documents have been revised to help readers focus on the key points for the specific health issue. We have also verified that the content is written in plain language and is at or below a 6th- to 8th-grade reading level.

    Other Enhancements

    • Cast Care Tips : Cast and Splint Care Tips was broken into two topics. This topic covers only cast care. It has been rewritten in plain language that is easy to understand.
    • Splint Care Tips : Cast and Splint Care Tips was broken into two topics. This topic covers only splint care. It has been rewritten in plain language that is easy to understand.
    • Stopping Breast-Feeding Suddenly : This topic was expanded to include tips to help a woman prevent and treat breast engorgement when she has to end breast-feeding abruptly. It has also been rewritten in plain language that is easy to understand.

    New NCI Topics

    There are new Physician Data Query (PDQ) topics from the National Cancer Institute. Refer to your product Tech Docs for a complete list of new and updated titles.

    New Medication Topics

    Medication topics from Cerner Multum, Inc. are not included in all systems. Added topics may include new information and/or the addition of new drug names. Refer to the Tech Docs for a complete list of new and updated titles.

    New Aisle 7 (CAM) Content

    Refer to the Tech Docs for a complete list of new and updated Aisle 7 (CAM) content.

    Updated Actionsets

    A primary care physician or a specialist in the field reviewed the following topics. We verified all information for medical accuracy and added new medical information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.

    • Click here to view an Actionset. Pregnancy: Dealing With Morning Sickness : Based on the U.S. FDA approval of Diclegis for morning sickness, we now say that home treatment measures include "Taking doxylamine by itself or with vitamin B6. Talk to your doctor about this medicine."

    A primary care physician or a specialist in the field reviewed the following topics. No medical revisions were needed.

    Updated Decision Points

    A primary care physician or a specialist in the field reviewed the following topics. We verified all information for medical accuracy and added new medical information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.

    A primary care physician or a specialist in the field reviewed the following topics. No medical revisions were needed.

    Updated Health and Disease Topics

    A primary care physician or a specialist in the field reviewed the following topics. We verified all information for medical accuracy and added new medical information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.

    • Bell's Palsy : In "How is it treated?" we added the latest information about the use of corticosteroids and antiviral medicines to treat Bell's palsy based on the updated guidelines from the American Academy of Neurology. Corticosteroids can make full recovery more likely, especially when they are started soon after symptoms start. Antiviral medicines may be used in some cases, but the evidence for their use is weak. They have not been shown to affect recovery.
    • Birth Control: Based on the U.S. FDA approval, we now say "You can get emergency contraception without a prescription at most drugstores" throughout this topic.
    • Birth Control for Teens: Based on the U.S. FDA approval, we now say "You can get emergency contraception without a prescription at most drugstores" throughout this topic.
    • Breast Cancer :
      • Breast Cancer: Hormone Therapy for Breast Cancer (Special): We now say that examples include SERMS, aromatase inhibitors, GNRH and LH-RH agonists, antiestrogens, and surgery or radiation. We also say that hormone therapy may be used to reduce risk of recurrence, to treat advanced or metastatic breast cancer, or to prevent breast cancer in women who have an increased risk.
      • Breast Cancer In Men (Male Breast Cancer) (Special): Under "How is it treated?" we now say that in some cases, breast-conserving surgery is possible.
    • Cystic Fibrosis Carrier Screening :
      • Who Should Be Screened?: We now say that screening is recommended for all teen and adult females who are pregnant or who are thinking about getting pregnant.
    • Emergency Contraception: Based on the U.S. FDA approval, we now say "You can get emergency contraception without a prescription at most drugstores."
    • Health Screening: Finding Health Problems Early :
      • Topic Overview: We now say that you may want to talk to the doctor about what further testing and follow-up will be needed if a screening test result shows a possible problem.
      • Screening, Adult Women: We now list hepatitis in the list of potential screening tests. And we say that experts recommend that all adults born from 1945 to 1965 get tested for hepatitis C.
      • Screening, Adult Men: We now list hepatitis in the list of potential screening tests. And we say experts recommend that all adults born from 1945 to 1965 get tested for hepatitis C.
      • Breast Cancer Screening (Special): We now say that an MRI may be useful for women who have breast implants or for women whose breast tissue is dense.
    • Hepatitis C :
      • Exams and Tests: We added a statement that experts recommend that all adults born from 1945 to 1965 get tested for hepatitis C because people in this age group are more likely to have hepatitis C and not know it.
      • Medications: We organized "Medicine choices" according to updated guidelines for hepatitis C treatment.
    • HIV: Preventing Infections : We now say to find out if you need the MMR vaccine.
    • Influenza (Seasonal Flu) :
      • Prevention: We now say that most, but not all, types of flu vaccine contain a small amount of egg.
    • Lymphedema : We now say that if you have lymphedema and plan to travel by air, you will need a compression garment because changes in the cabin pressure can cause swelling or make swelling worse.
    • Migraine Headaches :
      • Other Treatment: After the list of complementary treatments, we added a paragraph about stimulation of certain nerves in the face using a mild electrical current. This treatment may help prevent migraines.
      • Seizure Medicine to Prevent Migraine Headaches (Drug Detail): In What to Think About, we added the warning that women who are pregnant, breast-feeding, or planning to get pregnant should not use valproate for migraine headaches. The U.S. FDA put valproate in category X for migraine prevention.
    • Ovarian Cancer :
      • Radiation Treatment for Cancer (Other Detail): Under Risks we now include harm to your lungs or heart as side effects that may show up months or years after radiation treatment.
    • Positional Plagiocephaly (Flattened Head) : We now say that treatment may include exercises recommended by your doctor or a physical therapist. And if you notice that your baby's head shape gets worse around 6 months of age, be sure to let your doctor know.
    • Seizure Medicines for Tension Headaches : We strengthened our pregnancy warning for valproate. It is now category X (do not use during pregnancy) for headaches.
    • Skin Cancer, Melanoma :
      • Treatment Overview: We now say that treatment choices include targeted therapy with inhibitors. We also say that inhibitors are only given if a gene test shows that a person has the BRAF gene mutation.
      • Medications: In our list of medicines for melanoma, we now include inhibitors, such as sorafenib and vemurafenib.
    • Sleep Apnea :
      • Home Treatment: Under "Lifestyle changes," we now include information about why wearing compression stockings during the day may help ease sleep apnea.
    • Vaccine Information Statements :
      • Vaccine Information: We now link to the updated vaccine information statements for influenza, rotavirus, and Tdap vaccines.

    A primary care physician or a specialist in the field reviewed the following topics. No medical revisions were needed.

    Updated Illustrations, iTools, and Online Forms

    Updated Interactive Health Tools

    A primary care physician or a specialist in the field reviewed the following topics. No medical revisions were needed.

    Updated Online Forms

    These online forms have been updated for this release.

    Updated Medical Test Topics

    A primary care physician or a specialist in the field reviewed the following topics. We verified all information for medical accuracy and added new medical information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.

    A primary care physician or a specialist in the field reviewed the following topics. No medical revisions were needed.

    Updated Symptom Topics

    A primary care physician or a specialist in the field reviewed the following topics. We verified all information for medical accuracy and added new medical information if available. While medically significant changes are listed here, minor revisions, such as editorial changes, may not be listed.

    A primary care physician or a specialist in the field reviewed the following topics. No medical revisions were needed.

    Updated NCI Topics

    There are updated Physician Data Query (PDQ) topics from the National Cancer Institute included in this release. Refer to your product Tech Docs for a complete list of new and updated titles.

    Updated Medication Topics

    Medication topics from Cerner Multum, Inc. are not included in all systems. Updates may include new information and/or the addition of new drug names. Refer to your product Tech Docs for a complete list of new and updated titles.

    Topic Title Changes, Topic Replacements, Medical Guideline Reviews

    Topic title changes

    Topic replacements

    We archived the following searchable topics, and we name the replacement topics below. We also archived many rank-3 frames, which are non-searchable documents, because they contained duplicate information. See your product Tech Docs for a complete list of archived documents.

    • Alprazolam for PMS-Related Anxiety has been removed. You can find the content in Premenstrual Syndrome (PMS) .
    • Amantadine for Influenza (Flu) has been removed. You can find the content in Influenza (Seasonal Flu) .
    • Anthralin for Psoriasis has been removed. You can find the content in Psoriasis .
    • Bile Acids for Gallstones has been removed. You can find the content in Gallstones .
    • Biologics for Psoriasis has been removed. You can find the content in Psoriasis .
    • Carbonic Anhydrase Inhibitors for Glaucoma has been removed. You can find the content in Glaucoma .
    • Cataracts and Nearsightedness has been removed. You can find related content in Intraocular Lens (IOL) Implants .
    • Chelating Agents for Lead Poisoning has been removed. You can find the content in Chelation Therapy .
    • Cilostazol for Peripheral Arterial Disease has been removed. You can find the content in Peripheral Arterial Disease of the Legs .
    • Coartem for Malaria has been removed. You can find the content in Malaria .
    • Crotamiton 10% for Scabies has been removed. You can find the content in Scabies .
    • Fingolimod for Multiple Sclerosis has been removed. You can find the content in Multiple Sclerosis (MS) .
    • Fluorouracil (5-FU) for Genital Warts (Human Papillomavirus) has been removed. You can find the content in Genital Warts (Human Papillomavirus) .
    • Gold Salts for Rheumatoid Arthritis has been removed. You can find the content in Rheumatoid Arthritis .
    • Interferon for Genital Warts (Human Papillomavirus) has been removed. You can find the content in Genital Warts (Human Papillomavirus) .
    • Intraocular Lens Implants for Cataracts and Nearsightedness has been removed. You can find the content in Intraocular Lens (IOL) Implants .
    • Misoprostol for Abortion has been removed. You can find the content in Abortion.
    • Natalizumab for Multiple Sclerosis has been removed. You can find the content in Multiple Sclerosis (MS) .
    • Nearsightedness: Related Inherited Diseases has been removed. You can find related content in Genetics .
    • Orthophosphate for Kidney Stones has been removed. You can find the content in Kidney Stones .
    • Passing Out (Syncope) Caused by Arrhythmias has been removed. You can find related content in Heart Rhythm Problems: Symptoms .
    • Penicillamine for Kidney Stones has been removed. You can find the content in Kidney Stones .
    • Penicillamine for Rheumatoid Arthritis has been removed. You can find the content in Rheumatoid Arthritis .
    • Podophyllin Resin or Podofilox for Genital Warts (Human Papillomavirus) has been removed. You can find the content in Genital Warts (Human Papillomavirus) .
    • Progestin for Chronic Pelvic Pain has been removed. You can find the content in Chronic Female Pelvic Pain .
    • Progestin for Endometriosis has been removed. You can find the content in Endometriosis .
    • Prostaglandin Analog to Prevent NSAID-Induced Peptic Ulcer has been removed. You can find the content in Peptic Ulcer Disease .
    • Stool Analysis for Cystic Fibrosis has been removed. You can find the content in Stool Analysis .
    • Sulfur Ointment (Precipitated Sulfur) 5% has been removed. You can find the content in Scabies .
    • Tiopronin for Kidney Stones has been removed. You can find the content in Kidney Stones .
    • Tissue Plasminogen Activator (t-PA) for Stroke has been removed. You can find the content in Stroke .

    Medical guideline reviews

    The following medical guidelines have been reviewed to ensure Healthwise content is accurate, consistent, and helpful to consumers.

    • American Academy of Pediatrics (2012). Diagnosis and management of childhood obstructive sleep apnea syndrome.
    • American Association for the Study of Liver Diseases (2011). An update on treatment of genotype 1 chronic hepatitis C virus infection: 2011 practice guideline.
    • Centers for Disease Control and Prevention (2013). Prevention and control of influenza with vaccines: Interim recommendations of the Advisory Committee on Immunization Practices (ACIP), 2013.
    • Centers for Disease Control and Prevention (2013). Prevention of measles, rubella, congenital rubella syndrome, and mumps, 2013: Summary recommendations of the Advisory Committee on Immunization Practices (ACIP).

    What's Next

    New Topics

    Topics on the following subjects are in development and are expected to release within the next 6 months:

    • Aggression in youth
    • Basal cell skin cancer treatment options (a new Decision Point)
    • Being a role model
    • Carotid artery disease
    • College health (a new Condition Center)
    • Stages of change (a suite of topics)
    • Staying safe when you take several medicines (a new Actionset)

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