Bad is more powerful than good: The nocebo response | Fighting childhood obesity with electronic health records | Negative consequences of trying to control pain
 
 
February 12, 2015
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Bad is more powerful than good: The nocebo response
Although there has been a lot of research looking at the placebo response, nocebo responses in the health care setting have been largely overlooked. This article explores the potential role of negative patient–doctor communication in facilitating nocebo responses in the medical consultation. The authors suggest that invalidation, that is, communicating a lack of understanding and acceptance to the patient (albeit unintentionally), is a key factor in understanding the nocebo response. This article reviews evidence from the experimental and health care setting, which suggests that the negative effects of invalidation may be stronger than we think. The American Journal of Medicine (9/2014) Share: Email
 
Clinical Updates
Fighting childhood obesity with electronic health records
Childhood obesity is a public health concern, and electronic health record data could provide a cost-effective solution to tracking local progress. This study compared obesity rates obtained from de-identified EHRs from the Public Health Information Exchange (PHINEX) database to the National Health and Nutrition Examination Survey (NHANES) to demonstrate the capability of estimating childhood obesity rates for public health surveillance. Disparities were measurable from a young age, with lower obesity rates for non-Hispanic white patients compared to non-Hispanic black and Hispanic patients. Overall, EHR-derived point estimates were comparable to NHANES, indicating the EHR is a cost-effective tool for local obesity prevention efforts. American Journal of Preventive Medicine (2/2015) Share: Email
 
Negative consequences of trying to control pain
When persistent pain exists, pain control or avoidance itself may become one's focal goal. It is largely unknown how pain-related information is processed when such a goal is pursued. Motivational accounts of pain behavior and disability suggest that attempts to avoid or control pain may paradoxically result in heightened attention to pain-related information. This study investigated the impact of attempts to control pain on somatosensory processing at the pain location. It provides further insight into the motivational mechanisms of pain-related attention, and points to the negative consequences of trying to control uncontrollable pain. The Journal of Pain (11/2014) Share: Email
 
Family sleep habits
Families possess sleep routines that link the sleep habits of parents and teenagers above and beyond other factors known to shape adolescent sleep. Efforts to understand and improve adolescent sleep need to take into account the sleep habits of other members of the family. Journal of Adolescent Health (9/2014) Share: Email
 
Influenza and respiratory illness in pregnancy
Pregnant women with influenza were more likely than those with noninfluenza illness to report more severe subjective symptoms, fever >38.9⁰C and impairment due to illness. American Journal of Obstetrics & Gynecology (9/2014) Share: Email
 
BMI and percutaneous coronary intervention bleeding
This study concluded that body mass index is inversely associated with the increased risk of bleeding and mortality after percutaneous coronary intervention. The American Journal of Cardiology (11/29/2014) Share: Email
 
Medical News
Study: Walking aids may raise risk of falls in seniors
Older adults who used walking aids were nearly four times as likely as nonusers to experience falls, even after accounting for other factors, according to a study in the Journal of Geriatric Physical Therapy. "A lot of older adults seem to struggle with their walking aids ... they often drag along their walking aids like a burden with a difficult gait pattern as a result, possibly increasing the risk of falling," said lead author Tine Roman de Mettelinge. Reuters (2/6) Share: Email
Oxytocin exposure during labor doesn't raise ADHD risk in children
Children exposed to oxytocin during birth did not have significantly higher rates of attention-deficit/hyperactivity disorder than children who were not exposed, a Danish study of almost 250,000 births indicated. The findings were published in the journal Pediatrics. DailyRx.com (2/8) Share: Email
Business Practice News
Study: Shorter shifts may not cut physician fatigue, patient events
A study reported in the Canadian Medical Association Journal revealed medical residents working shorter shifts reported no less fatigue or burnout than those working longer shifts. There was no difference in adverse events among the shift lengths studied, but seven of eight preventable patient events occurred during shorter shifts, the study found. HealthDay News (2/9) Share: Email
Poll shows lower-than-expected ICD-10 costs for smaller practices
A survey by the Professional Association of Health Care Office Management showed the mean ICD-10 transition cost was $8,167 for physician practices with fewer than six providers. Data also showed the average cost per provider ranged between $1,838 for a practice with six providers and $3,430 for those with a single clinician. HIT Consultant (2/10) Share: Email
Most health IT studies fail to capture long-term effects, experts say
RAND Corp. researchers found most studies looking at the effects of health IT adoption were too short to consider long-term effects. "We propose a new set of standards for evaluation that will produce results likely to prove valuable to policymakers," lead author Robert Rudin said. The findings were reported in the American Journal of Managed Care. Healthcare Informatics online (2/10) Share: Email
Patient's Perspective
Dietary guidelines may drop warning on cholesterol
The U.S. Dietary Guidelines Advisory Committee is expected to drop its caution against consuming cholesterol when it releases updated recommendations this year. The decision would coincide with a change in thinking among many nutrition experts about cholesterol in foods and its effect on heart disease risk. The Washington Post (tiered subscription model)/Wonkblog (2/10), USA Today (2/12) Share: Email
SmartQuote
You always have two choices: Your commitment versus your fear."
-- Sammy Davis Jr.,
American entertainer Share: Email
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