Thyroid disorders and atrial fibrillation outcome | Seizures, encephalopathy and vaccines | Reading, writing and arithmetic intervention for dementia
 
 
January 29, 2015
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Thyroid disorders and atrial fibrillation outcome
In this study, history of hyperthyroidism was not an independent risk factor for stroke/systemic embolism in atrial fibrillation, whereas hypothyroidism was associated with a higher risk of bleeding events. The data suggest no additional benefit from the inclusion of thyroid dysfunction in thromboembolic prediction models in atrial fibrillation. The American Journal of Medicine (1/2015) Share: Email
 
Clinical Updates
Seizures, encephalopathy and vaccines
The National Vaccine Injury Compensation Program (VICP) compensates individuals who develop medical problems associated with a covered immunization. Based on 165 claims between 1995 and 2005, VICP found that a significant number of children with alleged vaccine injury had pre-existing neurologic or neurodevelopmental abnormalities. (Free access is time limited.) The Journal of Pediatrics (12/2014) Share: Email
 
Reading, writing and arithmetic intervention for dementia
Reading, writing and arithmetic -- can it be an effective intervention for restoring cognitive function in dementia care? Japanese researchers found SAIDO learning useful and effective for dementia care. A six-month intervention where residents were evaluated in their reading, writing and math skills, and then participated, showed marked improvement in many. Some went from refusing to get out of bed, unable to write numbers, to being able to get up and socialize daily and calculate numbers on a worksheet. (Free abstract only.) Journal of the American Medical Directors Association (1/2015) Share: Email
 
Mental health and contraception
Adolescents with mild symptoms of depression may display ambivalence about pregnancy, which could negatively affect contraceptive behavior. Findings have implications for deeper insight into a relationship between mental health and pregnancy ambivalence that clinicians might address when initiating contraception with adolescent females. Journal of Adolescent Health (1/2015) Share: Email
 
Human trophoblasts confer resistance to viruses implicated in perinatal infection
Primary human trophoblasts confer resistance to clinically relevant viruses linked to perinatal infections in nontrophoblast cells, but not to intracellular bacteria or parasites. American Journal of Obstetrics & Gynecology (1/2015) Share: Email
 
Impact of liver disease after the Fontan operation
There exists significant variability in the type and timing of testing for hepatic complications following the Fontan procedure. Structural hepatic alterations are common and can be associated with significant morbidity and mortality. Routine imaging, as well as serologic evaluation, is recommended in all Fontan survivors. The American Journal of Cardiology (1/15/2015) Share: Email
 
Video-based therapy might benefit babies at risk of autism
With the exception of the response to vowel change, our study showed positive estimates across a wide range of behavioural and brain function risk-markers and developmental outcomes that are consistent with a moderate intervention effect to reduce the risk for later autism. However, the estimates have wide CIs that include possible nil or small negative effects. The results are encouraging for development and prevention science, but need larger-scale replication to improve precision. The Lancet Psychiatry (1/2015) Share: Email
 
Medical News
Long-term high cholesterol adds to heart disease risk, study says
People age 55 who had high cholesterol levels for 11 to 20 years had a 16.5% risk of heart disease, while those who did not have high cholesterol had a 4.4% risk, according to data from the Framingham Heart Study, which was published on the website of Circulation. HealthDay News (1/26) Share: Email
Gout may raise risk of diabetes, study finds
A study in Arthritis & Rheumatology showed patients with primary gout had a higher risk of developing diabetes compared with patients with osteoarthritis and the control group. Researchers also found women with gout were more likely than those without to have comorbidities including hypertension, obesity and heart disease. Healio (free registration) (1/26) Share: Email
Business Practice News
5 areas that may influence physician practices in 2015
The Physicians Foundation's 2015 Physician Watch List cites five key areas of change that may affect physician practices and patients this year, including rapid health care consolidation, ICD-10 adoption and a lack of cost transparency. Strained relationships between doctors and patients due to external factors such as administrative tasks was also on the list of factors, along with reduced access to physician care, researchers said. BeckersHospitalReview.com (1/27) Share: Email
HHS to align Medicare payments to value-based, alternative care models
HHS has set several goals intended to increase care quality by aligning more Medicare payments with value-based reimbursement models. Among the goals is having 30% of Medicare payments for 2016 go to accountable care organizations and other alternative reimbursement models. In addition, the agency wants the majority of traditional Medicare payments to be linked with value and quality measures. BeckersHospitalReview.com (1/26), Healthcare Informatics online (1/26) Share: Email
Low pay drives docs away from government employment
A poll by The Medicus Firm showed 36% of physicians said they would consider joining a government practice setting, while 29% said they would not consider it. Compensation was the primary reason for avoiding the practice setting, with 78% of respondents saying government pay was not sufficiently competitive. BeckersHospitalReview.com (1/26) Share: Email
Patient's Perspective
U.S. obesity rate climbed in 2014, Gallup-Healthways finds
The U.S. obesity rate grew to 27.7% in 2014, up from 27.1% in 2013 and 25.5% in 2008, data from a Gallup-Healthways Well-Being Index indicate. Researchers say Americans 65 and older had the greatest increase in obesity since 2008. Gallup.com (1/26) Share: Email
SmartQuote
Every artist was first an amateur."
-- Ralph Waldo Emerson,
American writer Share: Email
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