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VNA of Care New England

June 2013 Briefing - Geriatrics

Here are what the editors at HealthDay consider to be the most important developments in Geriatrics for June 2013. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Volunteer Work Cuts Risk of Hypertension in Older Adults
FRIDAY, June 28 (HealthDay News) -- Older adults who volunteer at least 200 hours over a one-year period and have normal blood pressure are less likely than non-volunteers to develop hypertension four years later, according to research published in the June issue of Psychology & Aging.
Abstract (http://psycnet.apa.org/journals/pag/28/2/578/ )Full Text (subscription or payment may be required) (http://psycnet.apa.org/journals/pag/28/2/578/ )
Glucosamine Negatively Affects Lumbar Discs
FRIDAY, June 28 (HealthDay News) -- Glucosamine supplementation, which is often used for low back pain, has a detrimental effect on lumbar disc matrix homeostasis in an animal model of disc degeneration, according to a study published in the May 20 issue of Spine.
Abstract (http://journals.lww.com/spinejournal/Abstract/2013/05200/Glucosamine_Supplementation_Demonstrates_a.3.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/05200/Glucosamine_Supplementation_Demonstrates_a.3.aspx )
Avoidable Health Care Costs Exceed $200 Billion in 2012
FRIDAY, June 28 (HealthDay News) -- In 2012, avoidable health care costs in the United States exceeded $200 billion, according to a report published by the IMS Institute for Healthcare Informatics.
More Information (http://www.imshealth.com/portal/site/ims/menuitem.d248e29c86589c9c30e81c033208c22a/?vgnextoid=12531cf4cc75f310VgnVCM10000076192ca2RCRD )
Bipartisan Recommendations Can Strengthen Health System
THURSDAY, June 27 (HealthDay News) -- Leaders of the Bipartisan Policy Center Health Care Cost Containment Initiative have developed a series of recommendations to strengthen the U.S. health care system, according to a sounding board piece published online June 26 in the New England Journal of Medicine.
Full Text (http://www.nejm.org/doi/full/10.1056/NEJMsb1306639 )
Escitalopram Plus Behavior Tx Benefits Elderly With Anxiety
THURSDAY, June 27 (HealthDay News) -- For older adults with generalized anxiety disorder, escitalopram combined with cognitive behavioral therapy (CBT) is associated with a reduction in worry and can prevent relapse, according to a study published online May 17 in the The American Journal of Psychiatry.
Abstract (http://ajp.psychiatryonline.org/article.aspx?articleid=1688270 )Full Text (subscription or payment may be required) (http://ajp.psychiatryonline.org/article.aspx?articleid=1688270 )
Adults With Chronic Conditions Earn C+ for Meds Adherence
WEDNESDAY, June 26 (HealthDay News) -- On average, adults with chronic conditions earn a C+ for medication adherence, according to a report published June 25 by the National Community Pharmacists Association (NCPA).
More Information (http://www.ncpanet.org/index.php/news-releases/1702-new-report-card-on-medication-use-gives-americans-a-c )
Hospital Teaching Intensity Affects Readmission Rates
WEDNESDAY, June 26 (HealthDay News) -- Hospital teaching intensity significantly affects readmission rates for the most common inpatient diagnoses, particularly for safety-net hospitals, according to a study published in the July issue of Medical Care.
Abstract (http://journals.lww.com/lww-medicalcare/Abstract/2013/07000/Impact_of_Hospital_Teaching_Intensity_on_Quality.2.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/lww-medicalcare/Abstract/2013/07000/Impact_of_Hospital_Teaching_Intensity_on_Quality.2.aspx )
HHS Launches Insurance Marketplace Website, Call Center
WEDNESDAY, June 26 (HealthDay News) -- The U.S. Department of Health and Human Services (HHS) has launched the Health Insurance Marketplace education effort, with a consumer-focused website and a consumer call center, to help Americans prepare for enrollment in the new Health Insurance Marketplace.
HealthCare.gov (https://www.healthcare.gov/ )More Information (http://www.hhs.gov/news/press/2013pres/06/20130624a.html )
8.5 Million Enrollees to Receive Health Insurance Rebates
WEDNESDAY, June 26 (HealthDay News) -- About 8.5 million enrollees will receive a rebate of about $100 per family as part of the Affordable Care Act "80/20" rule, according to a report published by the U.S. Department of Health and Human Services.
More Information (http://www.hhs.gov/news/press/2013pres/06/20130620a.html )
Growing Mismatch in Med School Graduates, GME Places
TUESDAY, June 25 (HealthDay News) -- Although the number of medical school enrollees and graduates is increasing, the number of U.S. graduate medical education (GME) programs has not increased at the same rate, and consequently physician shortages are likely to become more apparent, according to a perspective piece published online June 19 in the New England Journal of Medicine.
Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1306445?query=featured_home )
Publicly Reported Mortality Predicts Hospital Performance
TUESDAY, June 25 (HealthDay News) -- Hospital performance on publicly reported medical conditions is indicative of overall hospital mortality rates, according to a study published online June 24 in JAMA Internal Medicine.
Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1700429#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1700429 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1700438 )
AH: Most Acute Care Costs Not Avoidable for High-Cost Patients
MONDAY, June 24 (HealthDay News) -- For high-cost Medicare beneficiaries, only a small percentage of costs are related to preventable emergency department visits and hospitalizations, according to a study published online June 24 in the Journal of the American Medical Association to coincide with presentation at the Annual Research Meeting of AcademyHealth, held from June 23 to 25 in Baltimore.
Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1699911 )More Information (http://academyhealth.org/events/content.cfm?ItemNumber=882&navItemNumber=529 )
FDA Approves Vibativ for Certain Bacterial Pneumonias
MONDAY, June 24 (HealthDay News) -- The antibiotic Vibativ (telavancin) has been approved by the U.S. Food and Drug Administration to treat hospital-acquired and ventilator-associated bacterial pneumonia caused by Staphylococcus aureus bacteria when other treatments aren't suitable.
More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm358209.htm )
Fatality 36 Percent for Human Infection With Avian H7N9
MONDAY, June 24 (HealthDay News) -- The fatality risk of human infection with avian influenza H7N9 is 36 percent among people of all ages, and there are epidemiological differences in cases with H7N9 and H5N1, according to two studies published online June 24 in The Lancet.
Abstract - Yu (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61207-6/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61207-6/fulltext )Abstract - Cowling (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61171-X/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61171-X/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61447-6/fulltext )
Survival of England's National Health Service Questioned
MONDAY, June 24 (HealthDay News) -- Recent criticism of England's National Health Service (NHS) has called its survival into question, according to a perspective piece published online June 19 in the New England Journal of Medicine.
Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1305771 )
Guide Issued for Tying Primary Care to Regional Organizations
MONDAY, June 24 (HealthDay News) -- The Agency for Healthcare Research and Quality has developed a new guide to help primary care practices to assess readiness for connecting electronic health records (EHRs) to regional health information organizations (RHIOs).
More Information (http://www.healthit.ahrq.gov/sites/default/files/docs/citation/eDecisionsReport.pdf )
AMA Awards Grants for Medical Education Innovation
FRIDAY, June 21 (HealthDay News) -- The American Medical Association (AMA) has awarded funding to 11 U.S. medical schools in response to their proposals regarding educational innovations aimed at transforming how future physicians are trained.
More Information (http://www.ama-assn.org/ama/pub/news/news/2013/2013-06-14-ama-awards-11-million-change-med-ed.page )
AHRQ Offers Strategies to Prevent Adverse Drug Events
FRIDAY, June 21 (HealthDay News) -- Strategies to prevent adverse drug events (ADEs) have been recommended and published in a report by the Agency for Healthcare Research and Quality (AHRQ).
More Information (http://psnet.ahrq.gov/primer.aspx?primerID=23 )
Obesity Is a Disease, Says American Medical Association
THURSDAY, June 20 (HealthDay News) -- The American Medical Association has adopted policy that recognizes obesity as a disease, a step that the association hopes will help focus more attention on treatment and prevention efforts, and that some suggest may lead to greater acceptance by insurance providers to cover treatment.
More Information (http://newsroom.heart.org/news/american-medical-association-says-obesity-is-a-disease )
ACOG Recommends Screening Women for Elder Abuse
THURSDAY, June 20 (HealthDay News) -- Elder abuse is a prevalent issue and needs to be screened for in women aged 60 years and older during preventive health care visits, according to a Committee Opinion published in the July issue of Obstetrics & Gynecology.
Abstract (http://journals.lww.com/greenjournal/Abstract/2013/07000/Committee_Opinion_No__568___Elder_Abuse_and.40.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/greenjournal/Abstract/2013/07000/Committee_Opinion_No__568___Elder_Abuse_and.40.aspx )
CMS Implementing Physician Quality Reporting System
THURSDAY, June 20 (HealthDay News) -- To promote the reporting of quality information by eligible professionals, the Physician Quality Reporting System is being implemented, according to a report from the Centers for Medicare & Medicaid Services (CMS).
More Information (http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/index.html?redirect=/PQRS/ )
Practices Are Not Prepared for Implementation of ICD-10
THURSDAY, June 20 (HealthDay News) -- Physician practices have made little progress in preparing for implementation of the 10th revision of the International Classification of Diseases (ICD-10), according to a report published by the Medical Group Management Association (MGMA).
More Information (http://www.mgma.com/ )
Sleep Apnea Predicts Sudden Cardiac Death
THURSDAY, June 20 (HealthDay News) -- Obstructive sleep apnea (OSA) predicts incident sudden cardiac death (SCD), with risk magnitude predicted by OSA severity, according to a large study published online June 19 in the Journal of the American College of Cardiology.
Full Text (subscription or payment may be required) (http://content.onlinejacc.org/article.aspx?articleid=1699335 )
Flu Shot Averted About 13 Million Illnesses Over Six Years
THURSDAY, June 20 (HealthDay News) -- Influenza vaccination likely prevented over 13 million illnesses and more than 100,000 hospitalizations from 2005 to 2011, according to a study published online June 19 in PLOS ONE.
Full Text (http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0066312 )
Ibrutinib Active in Refractory or Relapsed Mantle-Cell Lymphoma
WEDNESDAY, June 19 (HealthDay News) -- The Bruton's tyrosine kinase (BTK) inhibitor ibrutinib is active in relapsed or refractory mantle-cell lymphoma, with a response rate of 68 percent, according to a study published online June 19 in the New England Journal of Medicine.
Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1306220?query=featured_home#t=abstract )Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1306220?query=featured_home#t=article )
Person-to-Person Transmission of MERS-CoV Identified
WEDNESDAY, June 19 (HealthDay News) -- Person-to-person transmission of the novel Middle East respiratory syndrome coronavirus (MERS-CoV) has been described in a cluster of health care-associated infections in Saudi Arabia, according to research published online June 19 in the New England Journal of Medicine.
Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1306742?query=featured_home#t=abstract )Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1306742?query=featured_home#t=article )
Implanted Cardiac Devices Effective in Healthy Elderly, Too
WEDNESDAY, June 19 (HealthDay News) -- Although total mortality is higher among elderly patients, rates of appropriate shocks from implantable cardioverter-defibrillators (ICDs) are similar across age groups, according to research published in the June 18 issue of Circulation.
Abstract (http://circ.ahajournals.org/content/127/24/2383.abstract )Full Text (http://circ.ahajournals.org/content/127/24/2383.full )
Depression in Women Tied to Diabetes, Cardiac Risk Factors
WEDNESDAY, June 19 (HealthDay News) -- Depressive symptoms and antidepressant use correlate with body mass index (BMI), waist circumference, and biomarkers of glucose dysregulation and inflammation, according to a study published online June 13 in the American Journal of Public Health.
Abstract (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301394 )Full Text (subscription or payment may be required) (http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2013.301394 )
Penicillin Skin Testing Can ID Tolerance to β-Lactam Agents
WEDNESDAY, June 19 (HealthDay News) -- Penicillin skin testing (PST) can be used to identify whether patients will tolerate β-lactam, with a negative predictive value of 100 percent, according to a study published in the June issue of the Journal of Hospital Medicine.
Abstract (http://onlinelibrary.wiley.com/doi/10.1002/jhm.2036/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/jhm.2036/full )
New Rule Proposes Insurance Program Integrity Guidelines
WEDNESDAY, June 19 (HealthDay News) -- A new proposed rule, which provides program integrity guidelines for Affordable Insurance Exchanges, or Health Insurance Marketplaces (Marketplaces), has been released by the U.S. Department of Health and Human Services (HHS).
More Information (http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-Releases/2013-Press-Releases-Items/2013-06-14.html )
EHR Implementation First Step Toward Quality Improvement
WEDNESDAY, June 19 (HealthDay News) -- Implementation of electronic health records (EHRs) is a first step toward quality improvement and should be accompanied by use of new payment models to allow physicians to see a return on their investments, according to Farzad Mostashari, M.D., of the Office of the National Coordinator for Health Information Technology, who was recently interviewed by the American Academy of Family Physicians.
More Information (http://www.aafp.org/news-now/practice-professional-issues/20130612fmostashari.html )
Potential of Mobile Remote-Presence Devices Discussed
WEDNESDAY, June 19 (HealthDay News) -- Mobile remote-presence devices have the potential to increase access to and improve delivery of health care in the developed and developing world, according to an innovations report published online June 17 in CMAJ, the Journal of the Canadian Medical Association.
Full Text (subscription or payment may be required) (http://www.cmaj.ca/content/early/2013/06/17/cmaj.120223.full.pdf )
State-Based Health Care Price Websites Lacking
TUESDAY, June 18 (HealthDay News) -- State-based, patient-oriented websites reporting health care prices need to be improved, according to a research letter published in the June 19 issue of the Journal of the American Medical Association.
Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1697957 )
Internet Grocery Service Seems Feasible in Urban Food Deserts
TUESDAY, June 18 (HealthDay News) -- An Internet grocery service (IGS) seems to be a feasible approach for increasing food access in an urban food desert, according to a pilot study published online May 8 in Preventing Chronic Disease.
Full Text (http://www.cdc.gov/pcd/issues/2013/12_0299.htm )
Cognitive Impairment, APOE Linked to Aβ Lipidation State
TUESDAY, June 18 (HealthDay News) -- For older adults, the lipidation state of β-amyloid (Aβ) peptides is associated with cognitive impairment and APOE genotype, and can be modulated by diet, according to a study published online June 17 in JAMA Neurology.
Abstract (http://archneur.jamanetwork.com/article.aspx?articleid=1697444#Abstract )Full Text (subscription or payment may be required) (http://archneur.jamanetwork.com/article.aspx?articleid=1697444 )Editorial (subscription or payment may be required) (http://archneur.jamanetwork.com/article.aspx?articleid=1697443 )
Physical Function Limitations Prevalent in Prediabetes
TUESDAY, June 18 (HealthDay News) -- Middle-aged and older adults with prediabetes have an increased likelihood of physical function limitations, according to a study published online June 11 in Diabetes Care.
Abstract (http://care.diabetesjournals.org/content/early/2013/06/03/dc13-0412.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/06/03/dc13-0412.full.pdf+html )
Unauthorized Immigrants Make Up 1.4% U.S. Medical Spending
TUESDAY, June 18 (HealthDay News) -- Unauthorized immigrants have substantially lower health care expenditures than legal residents, naturalized citizens, and U.S. natives, according to a study published online June 12 in Health Affairs.
Abstract (http://content.healthaffairs.org/content/early/2013/06/04/hlthaff.2013.0113 )Full Text (http://content.healthaffairs.org/content/early/2013/06/04/hlthaff.2013.0113.full )
About 15 Percent of People Currently Uninsured in U.S.
TUESDAY, June 18 (HealthDay News) -- In 2012, nearly 15 percent of U.S. people of all ages were currently uninsured, according to a data brief published online June 18 by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).
More Information (http://www.cdc.gov/nchs/data/nhis/earlyrelease/insur201306.pdf )
Increasing Red Meat Intake Ups Future Risk of T2DM
MONDAY, June 17 (HealthDay News) -- For U.S. adults, increasing red meat consumption is associated with a subsequent increase in the risk of type 2 diabetes mellitus (T2DM), according to a study published online June 17 in JAMA Internal Medicine.
Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1697785#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1697785 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1697792 )
Some Antibiotics Up Risk of Statin Toxicity in Older Adults
MONDAY, June 17 (HealthDay News) -- In older adults, concomitant administration of clarithromycin, or erythromycin, with a statin that is metabolized by cytochrome P450 isoenzyme 3A4 (CYP3A4) increases the risk for statin toxicity, according to research published in the June 18 issue of the Annals of Internal Medicine.
Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1696644 )
FDA Discusses Cybersecurity for Medical Devices, Hospitals
MONDAY, June 17 (HealthDay News) -- Medical device manufacturers and health care facilities should ensure appropriate safeguards are in place to reduce the potential harms that may result from cyberattacks, according to a safety communication issued by the U.S. Food and Drug Administration.
More Information (http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm356423.htm )
Initiating Statins Linked to Increased Risk of T2DM
MONDAY, June 17 (HealthDay News) -- Initiating statin therapy is associated with an increased risk of type 2 diabetes, which is not explained by differential survival, according to a study published in the May issue of Diabetes Care.
Abstract (http://care.diabetesjournals.org/content/36/5/1236.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/36/5/1236.full )
Obesity Linked to Higher Risk of Colorectal Cancer in Men
FRIDAY, June 14 (HealthDay News) -- Obesity is associated with significantly increased risks for incidence of colorectal adenoma and colorectal cancer in middle-aged and older men who are screened with sigmoidoscopy, according to research published online May 28 in the Journal of Clinical Oncology.
Abstract (http://jco.ascopubs.org/content/early/2013/05/24/JCO.2012.48.4691.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/05/24/JCO.2012.48.4691.full.pdf+html )
Only a Quarter of New Doctors Choose Primary Care
FRIDAY, June 14 (HealthDay News) -- Only about a quarter of newly graduated physicians work in primary care and only about 5 percent practice in rural areas, despite public funding of graduate medical education (GME), according to research published online June 7 in Academic Medicine.
Abstract (http://journals.lww.com/academicmedicine/Abstract/publishahead/Toward_Graduate_Medical_Education__GME_.99378.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/academicmedicine/Abstract/publishahead/Toward_Graduate_Medical_Education__GME_.99378.aspx )
Weight Loss Improves Sexual Function in Diabetes
FRIDAY, June 14 (HealthDay News) -- Among obese women with type 2 diabetes and sexual dysfunction, weight loss significantly improves sexual function, according to a study published online June 11 in Diabetes Care.
Abstract (http://care.diabetesjournals.org/content/early/2013/06/03/dc13-0315.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/06/03/dc13-0315.full.pdf+html )
Oncological Outcomes Similar Despite Timing of Prostatectomy
FRIDAY, June 14 (HealthDay News) -- Outcomes are similar between men with histologically comparable prostate cancer who receive a radical prostatectomy after a period of active surveillance and those with low-risk disease who undergo immediate prostatectomy, according to a study published in the July issue of The Journal of Urology.
Abstract (http://www.jurology.com/article/S0022-5347(13)00045-1/abstract )Full Text (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(13)00045-1/fulltext )
EHR Improves Coordination of Care in Hematuria Work-Up
FRIDAY, June 14 (HealthDay News) -- Care coordination, enhanced using an electronic health record system, can reduce the number of health care visits needed for the work-up of hematuria, according to a study published in the July issue of The Journal of Urology.
Abstract (http://www.jurology.com/article/S0022-5347(13)00044-X/abstract )Full Text (subscription or payment may be required) (http://www.jurology.com/article/S0022-5347(13)00044-X/fulltext )
Marked Variability Seen in Total Knee Arthroplasty Indications
FRIDAY, June 14 (HealthDay News) -- There is considerable variability associated with total knee arthroplasty (TKA) recommendations, according to a report published in the May issue of Pain Medicine News.
More Information (http://www.painmedicinenews.com/ViewArticle.aspx?d=Clinical%2BPain%2BMedicine&d_id=82&i=May+2013&i_id=951&a_id=23055 )
Duloxetine Moderately Cost-Effective for Treating Back Pain
FRIDAY, June 14 (HealthDay News) -- Duloxetine is a moderately cost-effective treatment for chronic low back pain (CLBP) compared with other post-first-line oral medications, according to research published in the May 15 issue of Spine.
Abstract (http://journals.lww.com/spinejournal/Abstract/2013/05150/Cost_Effectiveness_of_Duloxetine_in_Chronic_Low.14.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/05150/Cost_Effectiveness_of_Duloxetine_in_Chronic_Low.14.aspx )
New Treatments Outperforming Placebo Becoming Less Common
FRIDAY, June 14 (HealthDay News) -- The efficacy of new medical treatments compared with placebo has sharply declined over the last few decades, suggesting that comparative effectiveness studies are needed, according to a study published in the June issue of Health Affairs.
Abstract (http://content.healthaffairs.org/content/32/6/1116.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/6/1116.full )
Diet Rich in Unsaturated Fat May Up Insulin Sensitivity
FRIDAY, June 14 (HealthDay News) -- A diet rich in unsaturated fat may increase insulin sensitivity in individuals who are at higher risk for cardiovascular disease, according to research published in the May issue of Diabetes Care.
Abstract (http://care.diabetesjournals.org/content/36/5/1132.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/36/5/1132.full )
Daytime Noise Exposure Linked to Heart Rate Variability
THURSDAY, June 13 (HealthDay News) -- For adults, individual daytime noise exposure correlates with changes in heart rate variability, with effects less pronounced for noises of 65 dB(A) or more, according to a study published online March 19 in Environmental Health Perspectives.
Full Text (http://ehp.niehs.nih.gov/1205606/ )
Survey Examines Physician Satisfaction With EHRs
THURSDAY, June 13 (HealthDay News) -- About three-quarters of physicians report that their practice either has a fully implemented electronic health record (EHR), uses a hospital or corporate EHR, or is in the process of implementing an EHR, according to a technology survey published by Physicians Practice.
More Information (http://www.physicianspractice.com/2013-technology-survey-results )
Restless Leg Syndrome Linked to Higher Mortality in Men
WEDNESDAY, June 12 (HealthDay News) -- Men with restless legs syndrome (RLS) have a significantly increased risk of mortality, independent of other known risk factors, according to a study published online June 12 in Neurology.
Abstract (http://www.neurology.org/content/early/2013/06/12/WNL.0b013e318297eee0.short )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2013/06/12/WNL.0b013e318297eee0.full.pdf+html )
Hands-Free, Speech-to-Text Action Ups Distraction in Driving
WEDNESDAY, June 12 (HealthDay News) -- In-vehicle activities such as listening to the radio are associated with a small level of distraction, whereas speech-to-text action correlates with relatively high levels of cognitive distraction while driving, according to a report published June 12 by the AAA Foundation for Traffic Safety.
More Information (https://www.aaafoundation.org/measuring-cognitive-distractions )
Short Post-Meal Walks Control Postprandial Hyperglycemia
WEDNESDAY, June 12 (HealthDay News) -- For older people, short bouts of post-meal walking seem effective for controlling postprandial hyperglycemia, according to a study published online June 11 in Diabetes Care.
Abstract (http://care.diabetesjournals.org/content/early/2013/06/03/dc13-0084.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/06/03/dc13-0084.full.pdf+html )
Low Blood Pressure Linked to Brain Atrophy
WEDNESDAY, June 12 (HealthDay News) -- In patients with arterial disease, having a low baseline diastolic blood pressure is associated with greater brain atrophy, while declining blood pressure is associated with less brain atrophy, according to a study published online June 10 in JAMA Neurology.
Abstract (http://archneur.jamanetwork.com/article.aspx?articleid=1696623#Abstract )Full Text (subscription or payment may be required) (http://archneur.jamanetwork.com/article.aspx?articleid=1696623 )
Use of EHRs Can Enhance Doc-Patient Communication
WEDNESDAY, June 12 (HealthDay News) -- Electronic health records (EHRs) can be used during clinical encounters to enhance the physician-patient relationship, encouraging communication during the clinical encounter, according to a viewpoint published in the June 12 issue of the Journal of the American Medical Association.
Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1696109 )
Inflammatory Biomarkers Up Risk of Exacerbations in COPD
TUESDAY, June 11 (HealthDay News) -- For patients with chronic obstructive pulmonary disease (COPD), including those with milder COPD, elevated levels of inflammatory biomarkers correlate with an increased risk of exacerbations, according to a study published in the June 12 issue of the Journal of the American Medical Association.
Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1696097#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1696097 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1696083 )
Two-Way Tie for Hypoglycemia, Dementia in Diabetes
TUESDAY, June 11 (HealthDay News) -- For older adults with diabetes mellitus there appears to be a bidirectional correlation between hypoglycemia and dementia, according to research published online June 10 in JAMA Internal Medicine.
Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1696172#Abstract )Full Text (http://archinte.jamanetwork.com/article.aspx?articleid=1696172 )Editorial (http://archinte.jamanetwork.com/article.aspx?articleid=1696174 )
Switch to Vegetable Fat May Cut Death Risk in Prostate Cancer
TUESDAY, June 11 (HealthDay News) -- For men with non-metastatic prostate cancer, the risks of lethal prostate cancer and all-cause mortality are significantly reduced with replacement of carbohydrates by vegetable fats, according to a study published online June 10 in JAMA Internal Medicine.
Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1696179#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1696179 )
Medicare Beneficiaries Use More Brand-Name Drugs Than VA
TUESDAY, June 11 (HealthDay News) -- Compared to seniors with diabetes treated through Veterans Affairs (VA), Medicare beneficiaries with diabetes use two to three times more brand-name drugs, driving up costs substantially, according to research published online June 11 in the Annals of Internal Medicine.
Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1696030 )
Doctors Do Not Spend Enough Time Planning Their Finances
TUESDAY, June 11 (HealthDay News) -- Physicians do not spend enough time reviewing their finances, and half are behind in their retirement planning, according to a report published by the American Medical Association (AMA) Insurance Agency.
More Information (http://www.amainsure.com/resourcecenter/2013-report-on-physicians-financial-preparedness.html?utm_source=amalyris&utm_medium=email&utm_campaign=preparedness )
Most Doctors Feel They Are Under-Using Mobile Apps
TUESDAY, June 11 (HealthDay News) -- Most physicians feel they are not maximizing use of mobile applications, and would utilize additional electronic health record (EHR) functionalities if they were available, according to poll conducted by Black Book Market Research.
More Information (http://www.blackbookrankings.com/healthcare/ )
Lumbar Epidural Steroid Injections Up Risk of Spinal Fx
MONDAY, June 10 (HealthDay News) -- In patients with radiculopathy or neurogenic claudication due to compression of spinal nerves, lumbar epidural steroid injections (LESIs) increase the risk of vertebral fractures, according to a study published in the June 5 issue of The Journal of Bone & Joint Surgery.
Abstract (http://jbjs.org/article.aspx?articleid=1690133 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1690133 )
Depression, Antidepressant Use Linked to Future CVD Risk
MONDAY, June 10 (HealthDay News) -- For patients with type 2 diabetes, higher self-reported depression symptoms and antidepressant medicine (ADM) use in the previous year are independently associated with developing certain cardiovascular disease (CVD) risk factor-positive status over the next four years, according to a study published in the May issue of Diabetes Care.
Abstract (http://care.diabetesjournals.org/content/36/5/1088.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/36/5/1088.full )
Oncologists, PCPs Differ in Cancer Follow-Up Concerns
MONDAY, June 10 (HealthDay News) -- Medical oncologists (MOs) and primary care physicians (PCPs) report different barriers/concerns in cancer follow-up care to be problematic, according to research published online May 20 in the Journal of Clinical Oncology.
Abstract (http://jco.ascopubs.org/content/early/2013/05/17/JCO.2012.45.6954.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/05/17/JCO.2012.45.6954.full.pdf+html )
Even Mild Hypothyroidism Tied to Worse Mortality With CHF
MONDAY, June 10 (HealthDay News) -- Both subclinical hypothyroidism and hypothyroidism overall are associated with greater mortality risk in patients with congestive heart failure (CHF), according to a study published online May 29 in the Journal of Clinical Endocrinology & Metabolism.
Abstract (http://jcem.endojournals.org/content/early/2013/05/29/jc.2013-1039.abstract?rss=1 )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/early/2013/05/29/jc.2013-1039.full.pdf+html )
Methylphenidate, Nurses Calls Don't Improve Cancer Fatigue
FRIDAY, June 7 (HealthDay News) -- For patients with advanced cancer, methylphenidate (MP) or a nursing telephone intervention (NTI), alone or combined, offer no benefit over placebo for improving cancer-related fatigue (CRF), according to a study published online May 20 in the Journal of Clinical Oncology.
Abstract (http://jco.ascopubs.org/content/early/2013/05/17/JCO.2012.45.3696.abstract )Full Text (subscription or payment may be required) (http://jco.ascopubs.org/content/early/2013/05/17/JCO.2012.45.3696.full.pdf+html )
Higher Vitamin D Linked to Reduced Diabetes Risk
FRIDAY, June 7 (HealthDay News) -- Higher blood levels of vitamin D are associated with a lower risk of type 2 diabetes, according to a meta-analysis published in the May issue of Diabetes Care.
Abstract (http://care.diabetesjournals.org/content/36/5/1422.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/36/5/1422.full )
Heat Response Plans Need to Be in Place Before Extreme Event
FRIDAY, June 7 (HealthDay News) -- Heat-related deaths are preventable and heat response plans focusing on identifying and limiting heat exposure among vulnerable populations should be in place before an extreme heat event, according to research published in the June 7 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.
Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6222a1.htm?s_cid=mm6222a1_w )
Women Being Recruited to Join Specific Cancer Registry
FRIDAY, June 7 (HealthDay News) -- Women, with and without cancer, are being recruited to join a cancer registry in an effort to better understand and more effectively treat cancers that primarily affect women, according to a Cedars-Sinai initiative.
More Information (http://www.cedars-sinai.edu/Patients/Programs-and-Services/Womens-Cancer-Program/Research-and-Clinical-Trials/Research-for-Her.aspx )
Heart Disease Overreporting May Skew Hospital Death Statistics
FRIDAY, June 7 (HealthDay News) -- The overreporting of heart disease as the cause of death on patient records is often significant and may mask the true levels of cause-specific mortality needed to shape public health priorities, according to a report published online May 16 in Preventing Chronic Disease.
Full Text (http://www.cdc.gov/pcd/issues/2013/12_0210.htm )
Large Randomized Trial Will Compare Diabetes Medications
FRIDAY, June 7 (HealthDay News) -- The Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study (GRADE) is a pragmatic clinical trial that will compare the long-term effects of diabetes medications (when combined with metformin) on glucose-lowering efficacy and patient-centered outcomes, according to a report published online May 20 in Diabetes Care.
Abstract (http://care.diabetesjournals.org/content/early/2013/05/14/dc13-0356.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/05/14/dc13-0356.full.pdf+html )
Frailty, Not Age, Predicts Mortality With Hemodialysis
THURSDAY, June 6 (HealthDay News) -- Among patients undergoing hemodialysis, frailty is an independent predictor of mortality and hospitalization, regardless of age, according to a study published online May 27 in the Journal of the American Geriatrics Society.
Abstract (http://onlinelibrary.wiley.com/doi/10.1111/jgs.12266/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1111/jgs.12266/full )
Fish Oil Supplementation May Lower Risk of Diabetes
THURSDAY, June 6 (HealthDay News) -- Fish oil supplementation moderately increases circulating adiponectin, according to a review published in the June 1 issue of the Journal of Clinical Endocrinology & Metabolism.
Abstract (http://jcem.endojournals.org/content/98/6/2451.abstract )Full Text (subscription or payment may be required) (http://jcem.endojournals.org/content/98/6/2451.full )
MRI Predicts Cerebrovascular Dx Better Than CV Risk Factors
THURSDAY, June 6 (HealthDay News) -- Aortic arch pulse wave velocity (PWV), a measure of arterial stiffness, is a strong, independent predictor of future cerebrovascular disease, according to a study published in the June issue of Radiology.
Abstract (http://radiology.rsna.org/content/267/3/709.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/267/3/709.full )
HHS: Marketplaces Open New Insurance Options for Consumers
THURSDAY, June 6 (HealthDay News) -- Health Insurance Marketplaces, due to be introduced in October 2013, will increase the coverage options for many consumers, according to a memo released by the U.S. Department of Human & Health Services.
More Information (http://www.scribd.com/doc/144725362/White-House-Health-Care-Competition-Memo-5-30-13 )
Outcomes-Based Data Drive Practice Transformation
THURSDAY, June 6 (HealthDay News) -- Researchers in North Carolina have developed an enhanced model for the natural history of practice transformation that emphasizes using outcomes-based data to sustain robust long-term improvements and success in primary care settings; the research has been published in the May/June issue of the Annals of Family Medicine.
Abstract (http://annfammed.org/content/11/3/212.abstract )Full Text (http://annfammed.org/content/11/3/212.full )
CDC: Listeria Mainly Affects Old, Pregnant, Immunocompromised
WEDNESDAY, June 5 (HealthDay News) -- Populations at risk, including older adults, pregnant women, and those with weakened immune systems, account for at least 90 percent of reported Listeria infections, according to research published in the June 4 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.
Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm62e0604a1.htm?s_cid=mm62e0604a1_w )
Low-Mortality Hospitals Better With Heart Surgery Complications
WEDNESDAY, June 5 (HealthDay News) -- Hospitals with low mortality rates for adults undergoing cardiac surgery are superior in rescuing patients from postoperative complications, according to research published in the June issue of the Annals of Thoracic Surgery.
Abstract (http://ats.ctsnetjournals.org/cgi/content/abstract/95/6/1976 )Full Text (subscription or payment may be required) (http://ats.ctsnetjournals.org/cgi/content/full/95/6/1976 )
One-Third of Women Willing to Delay Rx for Suspected UTI
WEDNESDAY, June 5 (HealthDay News) -- When asked to by their doctor, more than a third of women with urinary tract infection symptoms are willing to delay antibiotic treatment, according to a study published online May 31 in BMC Family Practice.
Abstract (http://www.biomedcentral.com/1471-2296/14/71/abstract )Full Text (http://www.biomedcentral.com/content/pdf/1471-2296-14-71.pdf )
Irregular Heartbeat May Speed Cognitive Decline
WEDNESDAY, June 5 (HealthDay News) -- In the absence of stroke, older adults who develop atrial fibrillation are at increased likelihood of experiencing a more rapid cognitive decline compared to similarly aged people without atrial fibrillation, according to a study published online June 5 in Neurology.
Abstract (http://www.neurology.org/content/early/2013/06/05/WNL.0b013e31829a33d1.short )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2013/06/05/WNL.0b013e31829a33d1.full.pdf+html )
Twitter Analysis Can Inform Vaccination Campaigns
WEDNESDAY, June 5 (HealthDay News) -- Analysis of Twitter posts can help explain patient knowledge and inform directions for educational vaccination campaigns, according to a brief report published in the June issue of the American Journal of Infection Control.
Abstract (http://www.ajicjournal.org/article/S0196-6553(12)01371-5/abstract )Full Text (http://www.ajicjournal.org/article/S0196-6553(12)01371-5/fulltext )
Weight Loss Diets Improve Renal Function in Obese
WEDNESDAY, June 5 (HealthDay News) -- Low-fat, Mediterranean, and low-carbohydrate diets are similarly effective in improving renal function in moderately obese people with or without type 2 diabetes, according to a study published online May 20 in Diabetes Care.
Abstract (http://care.diabetesjournals.org/content/early/2013/05/14/dc12-1846.abstract )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/05/14/dc12-1846.full.pdf+html )
Office-Based Physicians Making More Patient Referrals to ER
WEDNESDAY, June 5 (HealthDay News) -- Emergency departments (EDs) have become an important source of admissions to U.S. hospitals and are increasingly being used to conduct complex work-ups, according to a report published by the RAND Corporation.
More Information (http://www.rand.org/pubs/research_reports/RR280.html )
Profitability Index Checks Financial Health of Practices
WEDNESDAY, June 5 (HealthDay News) -- An overall downward trend in profitability has been identified based on a practice profitability index, developed to assess the financial health of U.S. physician practices, according to a report published by CareCloud.
More Information (http://www.carecloud.com/news/carecloud-releases-practice-profitability-index-of-5000-u-s-physicians-revealing-downward-trend-in-profitability-for-the-year-ahead/ )
Few Physicians Meeting Meaningful Use in Early 2012
WEDNESDAY, June 5 (HealthDay News) -- In early 2012, few physicians met meaningful use criteria, and using electronic health records (EHRs) for patient panel management was difficult, according to research published in the June 5 issue of the Annals of Internal Medicine.
Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1692572 )
Aspirin Post Hip Replacement OK for Extended Prophylaxis
WEDNESDAY, June 5 (HealthDay News) -- Twenty-eight days of aspirin is non-inferior to, and as safe as, dalteparin, a low-molecular-weight heparin, for the prevention of venous thromboembolism (VTE) after total hip arthroplasty (THA), according to research published in the June 4 issue of the Annals of Internal Medicine.
Full Text (subscription or payment may be required) (http://annals.org/article.aspx?articleid=1692573 )
Shared-Care Model Improves Professional Satisfaction
WEDNESDAY, June 5 (HealthDay News) -- Shifting primary care practice toward a shared-care model for work distribution and responsibility can improve professional satisfaction, according to research published in the May/June issue of the Annals of Family Medicine.
Abstract (http://www.annfammed.org/content/11/3/272.abstract )Full Text (http://www.annfammed.org/content/11/3/272.full )
Family Cluster of Middle East Coronavirus Infections ID'd
TUESDAY, June 4 (HealthDay News) -- A family cluster of infections with Middle East respiratory syndrome coronavirus (MERS CoV) has been described in a brief report published online May 29 in the New England Journal of Medicine.
Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1303729#t=abstract )Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1303729#t=article )
CDC: Small Drop in Those With Difficulty Paying Medical Bills
TUESDAY, June 4 (HealthDay News) -- There has been a slight decrease in the percentage of individuals aged younger than 65 years who are in a family with difficulty paying their medical bills, according to a June data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).
More Information (http://www.cdc.gov/nchs/data/nhis/earlyrelease/problems_paying_medical_bills_january_2011-june_2012.pdf )
MRI Identifies Compression Fractures Before Cementing
TUESDAY, June 4 (HealthDay News) -- In patients with suspected vertebral compression fractures, the addition of magnetic resonance imaging (MRI) reduces the rate of misdiagnosis of acute lesions and hidden lesions before percutaneous cement augmentation procedures, according to a study published in the May issue of the Journal of Spinal Disorders & Techniques.
Abstract (http://journals.lww.com/jspinaldisorders/Abstract/2013/05000/Usefulness_of_MRI_in_Determining_the_Appropriate.12.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/jspinaldisorders/Abstract/2013/05000/Usefulness_of_MRI_in_Determining_the_Appropriate.12.aspx )
Independent Payment Advisory Board's Future Questioned
MONDAY, June 3 (HealthDay News) -- Established as a part of the efforts of Affordable Care Act (ACA) to contain health care costs, the Independent Payment Advisory Board (IPAB) has been surrounded by controversy, and still has no members, according to a perspective piece published online May 29 in the New England Journal of Medicine.
Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1306051?query=featured_home )
Vegetarian Dietary Patterns Tied to Lower All-Cause Death
MONDAY, June 3 (HealthDay News) -- Compared with non-vegetarians, vegetarians have reduced all-cause mortality, according to a study published online June 3 in JAMA Internal Medicine.
Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1691919#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1691919 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1691926 )
Health of Nation Reviewed With Focus on Emergency Care
MONDAY, June 3 (HealthDay News) -- Recent trends in the health of the nation are described, with particular focus on emergency care, in the 36th annual report published by the National Center for Health Statistics (NCHS) and the U.S. Centers for Disease Control and Prevention.
More Information (http://www.cdc.gov/nchs/hus.htm )
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