Skip Navigation

Search Knowledgebase

New and Updated Topics

What's New in the Healthwise® Knowledgebase

Version 9.8

July 2013

What's New

  • New Decision Points
  • New Health and Disease 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
  • Updated iTools
  • Updated 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 Decision Points

  • Click here to view a Decision Point. Breast Cancer Screening and Dense Breasts: What Are My Options?: This new Decision Point guides you through breast cancer screening choices if you have dense breasts. It discusses the benefits and risks of choosing more testing after a mammogram, such as ultrasound or MRI.
  • Click here to view a Decision Point. HPV: Should I Get the Vaccine?: This new Decision Point helps adults up to age 26 decide if they want to have the vaccine that can help prevent cervical cancer and genital warts.
  • Click here to view a Decision Point. Kidney Failure: Should I Start Dialysis?: This new Decision Point will help people with chronic kidney failure decide whether to start dialysis. It looks at the benefits and challenges of dialysis and includes a person's values in the decision.

New Health and Disease Topics

  • Birth Control for Teens: This new topic for teens describes the range of choices for birth control, how to decide what to use, how to get it, and common myths and facts about birth control.
  • Conserving Energy When You Have COPD or Other Chronic Conditions: This new topic offers tips for getting around and doing daily activities when you have COPD or another health condition that causes breathing problems, lack of energy, or both. The topic includes tips on cooking, eating, bathing, and dressing when you have limited energy.
  • Dense Breasts: This new topic describes dense breast tissue and what a woman with dense breasts needs to know about breast cancer screening.
  • Golfer's Elbow: This new topic describes golfer's elbow. It provides information on its causes, symptoms, diagnosis, and treatment.
  • Hodgkin's Lymphoma: This new topic describes Hodgkin's lymphoma. It provides information on its causes, symptoms, diagnosis, and treatment.
  • Needle Aponeurotomy for Dupuytren's Disease: This new document describes why and how a needle aponeurotomy is done for Dupuytren's disease along with what to expect after the treatment, how well the procedure works, and the risks.
  • Staying Healthy Around Animals: This new topic describes common infections that humans can get from animals. It covers how infections spread; common infections and parasites specific to pets, farm animals, and wild animals; and how to prevent infection.

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

  • Bed Rest in Pregnancy: We expanded this topic to include the definitions of full and partial bed rest, the reasons you may be put on bed rest, what you can and cannot do on bed rest, and the risks of bed rest. We also included an extensive list of things women can do to make their time on bed rest easier.

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. Osteoarthritis: Exercising with Arthritis: In Why? we now say that moving each joint as far as you can several times each day helps push old fluid out of the joint and brings fresh new fluid in. This is good for the surfaces of the joint, and it helps with flexibility.
  • Click here to view an Actionset. Stress Management: Reducing Stress by Being Assertive: We added step-by-step guidelines for how to approach an assertive conversation.
  • Click here to view an Actionset. Warfarin: Taking Your Medicine Safely: We clarified the instructions to eat a similar amount of vitamin K every day rather than pay attention to how much vitamin K you eat. We added that you should not stop taking any prescription or over-the-counter medicine without talking with a doctor first.

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.

  • Aortic Valve Replacement Surgery: We added that transcatheter aortic valve replacement (TAVR) may be done for patients who are eligible for surgery but at high risk of complications.
  • Aortic Valve Stenosis: We added that transcatheter aortic valve replacement (TAVR) may be done for patients who are eligible for surgery but at high risk of complications.
  • Asthma in Teens and Adults:
    • Medications: Under "Medicine choices," we added that a quick-relief medicine, racepinephrine (Asthmanefrin), is available without a prescription.
    • Other Treatment: Under "Other complementary medicine," we added Buteyko breathing as a exercise that may improve lung function for people who have asthma.
    • Asthma: How to Overcome Treatment Obstacles (Special): We added concerns about the effect of inhaled steroids on a child's growth or health to the "Asthma management plan problems for children" table.
  • Birth Control:
    • Topic Overview: We now say: You can buy emergency contraception without a prescription at most drugstores if you are 15 or older.
    • Birth Control Methods: We added information about the new Levonorgestrel IUD called Skyla. It prevents pregnancy for up to 3 years.
    • Intrauterine Device for Birth Control (Other Detail): We added information about the new levonorgestrel IUD called Skyla. It prevents pregnancy for up to 3 years.
    • Levonorgestrel IUD (Special): We added information about the new levonorgestrel IUD called Skyla. It prevents pregnancy for up to 3 years.
    • Progestin for Emergency Contraception (Drug Detail): We now say: If you are 15 or older, you can get emergency contraception, such as Plan B One-Step, without a prescription at most drugstores. If you are younger than 15, you need a prescription.
  • Birth Control for Teens: We now say: You can buy emergency contraception without a prescription at most drugstores if you are 15 or older.
  • Birth Defects Testing: We added information about the cell free fetal DNA screening test.
  • Breast-Feeding:
    • Breast-Feeding: Sore Nipples (Special): We now mention hydrogel pads as a way to soothe and heal sore or cracked nipples. We added a new section about when to call the doctor if you have cracked or bleeding nipples.
    • Nutrition While Breast-Feeding (Special): We added more information about mercury in fish, caffeine amounts, and alcohol use.
  • Ear Infections: We updated information about the use of antibiotics in children under the age of two, based on new guidelines from the American Academy of Pediatrics and the American Academy of Family Physicians.
  • Emergency Contraception: We now say: If you are 15 or older, you can get emergency contraception, such as Plan B One-Step, without a prescription at most drugstores. If you are younger than 15, you need a prescription.
  • Growth and Development, Ages 2 to 5 Years:
  • Health Screening: Finding Health Problems Early:
    • Eye and Vision Tests for Children and Teens (Special): We now say that the American Academy of Ophthalmology recommends screening every one to two years for children older than 5 years.
    • HIV Screening (Special): We now include the updated recommendations from the U.S. Preventive Services Task Force.
  • Heart Failure: We added the expanded indications for CRT that include asymptomatic and mildly symptomatic patients.
  • Human Immunodeficiency Virus (HIV) Infection:
    • Exams and Tests: We updated the U.S. Preventive Services Task Force recommendations on HIV screening based on the recent USPSTF guidance.
  • Mediterranean Diet: In "What is the Mediterranean diet?" we added nuts (walnuts, hazelnuts, and almonds). In "What are the benefits?" we added stroke to the list of what a Mediterranean-style diet might prevent.
  • Multiple Sclerosis (MS):
    • Medications: In the section on "disease-modifying treatment," we added two new medicines for multiple sclerosis. They are dimethyl fumarate (Tecfidera) and teriflunomide (Aubagio).
  • Multiple Sclerosis: Other Treatments Under Study: In the list of immunosuppressants being studied or used for MS, we removed leflunomide (Arava). A version of this medicine has been approved for treatment of multiple sclerosis and was added to that topic. It is teriflunomide (Aubagio). In the list of "Other medicines being studied for multiple sclerosis," we removed dimethyl fumarate. This medicine was also approved for treatment of MS and added to that topic. This new medicine has the brand name Tecfidera.
  • Munchausen Syndrome by Proxy: We added vulnerable populations that may be affected by Munchausen syndrome by proxy.
  • Necrotizing Enterocolitis: We now say that some doctors recommend probiotics to help prevent necrotizing enterocolitis in some infants who are at risk for it.
  • Osteoarthritis:
    • Symptoms: We say that getting enough sleep can help your mood and help you cope with pain.
    • Hip Replacement Surgery (Surgical Detail): We say that most people get out of bed the day of surgery or the next day. In Risks under "Long-term risks," we say that some people are sensitive to the types of metal that can be used for joint replacements. Tell your doctor about any symptoms related to your hip, groin, or leg that are new or getting worse, and be sure all your health providers know you have a hip replacement.
    • Hip Resurfacing Arthroplasty (Special): We say that women, and men with smaller femoral heads, may be more likely to need further surgery than if they had a total hip replacement. We also note that it is not clear that people who have hip resurfacing are able to be more active than people who have hip replacement.
    • Knee Replacement Surgery (Surgical Detail): We say that most people get out of bed the day of surgery or the next day.
  • Overactive Bladder: In "How is it treated?" under "Medicine," we added Botox as a treatment option when other medicines don't work.
  • Pacemaker for Heart Failure (Cardiac Resynchronization Therapy): We added the expanded indications for CRT that include asymptomatic and mildly symptomatic patients.
  • Pressure Sores:
    • Treatment Overview: In "Manage tissue load," we suggest that to help prevent slipping, the head of a bed, a recliner chair, or a reclining wheelchair be raised no more than 30 degrees. And we note that a recliner should not be used in place of a bed. In "Protect and treat the sore area," we say to not use cleansers made for healthy skin on open wounds. We also say that ultrasound is being studied as a way to clean wounds and to help with healing.
  • Spina Bifida: Under "How is it treated?" we say that parents usually begin working with the doctor or nurse on managing bowel care as soon as the child starts eating solid food. Also, we include having the child's vision checked and watching for learning difficulties as two more ways to support the child who has spina bifida.
  • Travel Health:
    • Topic Overview: Under "Which immunizations and medicines will you need?" we added hepatitis B and mumps vaccines to the list of vaccines that may be recommended for international travelers.
    • Before You Go: Under "Get needed vaccines and medicines," we added hepatitis B, mumps, and rabies vaccines to the list of vaccines that may be recommended for international travelers.
  • Tuberculosis (TB):
  • Urinary Incontinence in Men:
    • Medications: We added Botox as a treatment option when other medicines don't work.
  • Urinary Incontinence in Women:
    • Medications: We added Botox as a treatment option when other medicines don't work.
  • Vaccine Information Statements: We now link to the latest version of the pneumococcal conjugate vaccine (PCV) and HPV (Gardasil) vaccine information statements.
  • Warfarin and Vitamin K: We added the instruction to check with your doctor before you make big changes in what you eat, such as starting a diet to lose weight. We added the instruction that if you already take a product that contains vitamin K, do not stop taking it without talking with your doctor first.

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

Updated Illustrations, iTools and Forms

Online Forms

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

The following searchable topics have been archived, and replacement topics are listed. Many rank-3 frames, which are non-searchable documents, have also been archived, because they contained duplicate information. See your product Tech Docs for a complete list of archived documents.

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 and American Academy of Family Physicians (2013). Clinical practice guideline: Diagnosis and management of acute otitis media.

What's Next

New Topics

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

  • Aggression in youth
  • Cast care tips
  • Health screenings: Commercial tests
  • Healthy weight gain during pregnancy
  • IUD removal
  • Stages of change
  • Splint care tips

This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.

© 1995-2013 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.