POCUS avoids radiation in pediatric arm fracture diagnosis | 4D ultrasound viable alternative to surgery when assessing infertility | Ultrasound may improve speech therapy
October 19, 2017
Ultrasound SmartBrief
Providing Ultrasound Information to Enhance Patient Care and Safety
Clinical Advancements in Sonography
POCUS avoids radiation in pediatric arm fracture diagnosis
Emergency physicians can use point-of-care ultrasound to obtain an accurate diagnosis of suspected fractures of the distal forearm in children without risking exposure to ionizing radiation, according to a study published in the European Journal of Emergency Medicine. POCUS sensitivity was 94.4%, specificity was 96.8%, positive predictive value was 93.2% and negative predictive value was 97.5%, researchers reported.
Health Imaging online (10/17) 
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4D ultrasound viable alternative to surgery when assessing infertility
Four-dimensional contrast ultrasound is an alternative to invasive laparoscopic chromopertubation as well as X-ray hysterosalpingography for assessing fallopian tubes when diagnosing causes of female infertility, researchers reported in the Journal of Ultrasound in Medicine. While invasive laparoscopic chromopertubation is considered the reference standard for fallopian fimbria obstruction, 4D contrast hysterosalpingography gave an accurate diagnosis with high sensitivity and specificity, researchers wrote.
AuntMinnie (free registration) (10/12) 
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Ultrasound may improve speech therapy
An ultrasound probe placed under the jaw allowed researchers to analyze the tongue's movement and create a graphical representation of the face and mouth that could be used to provide feedback during speech therapy. A clinical trial of the system is underway in people who have undergone tongue surgery.
MedGadget (10/16) 
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Technology Update
Study compares quality of paper-based health records, EHRs
Jordanian researchers found that EHRs were better in terms of process and structure than paper-based health records, but paper-based health records were better in terms of the quality and quantity of content. The findings in the Journal of Clinical Nursing, based on 434 paper-based records and EHRs, revealed that nurses have poor knowledge and skills with regards to the nursing process and its application in both EHR systems and paper-based health records.
Physician's Briefing/HealthDay News (10/13) 
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Practice News
Report examines leading causes of health care data breaches in 2017
Forty-one percent of reported health data breaches in the first nine months of 2017 were attributed to unintended data disclosure, such as accidentally leaving a server open to the public or sending an email containing personal health information to the wrong recipient, which was also the leading cause of such incidents in 2016 and 2015, according to the Beazley Breach Insights report. Hacking or malware incidents were the second most common cybersecurity issue at 19%, followed by insider incidents at 15% and physical loss at 8%, the report stated.
Health IT Security (10/17) 
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Patient Care in Medicine
Fatty liver disease surging as transplant reason among young US adults
Researchers from the Texas Liver Institute analyzed national data between 2002 and 2012 from the liver transplant records of young adults from the United Network for Organ Sharing and found that of the 5,157 transplants done on patients between the ages of 18 and 40 during that period, 23% were obese, while 25% underwent transplants due to autoimmune/cholestatic liver disease. Findings were published in the Journal of Clinical Gastroenterology.
Reuters (10/17) 
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Agencies consider updates to HCV screening recommendations
The CDC and US Preventive Services Task Force may update recommendations for hepatitis C screening in response to a significant increase in HCV incidence, especially among indigenous American and non-Hispanic whites. Higher HCV incidence is seen among younger adults and is driven by the opioid crisis, the CDC's Dr. John Ward told the International Conference on Viral Hepatitis 2017.
Medscape (free registration) (10/16) 
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CDC: 48.3% of US adults with hypertension have it controlled
CDC: 48.3% of US adults with hypertension have it controlled
A CDC report found 48.3% of US adults with hypertension had it under control in 2015-2016 and high blood pressure was more common among non-Hispanic black adults than other race or ethnic groups. Overall, 29% of adults had high blood pressure and the rate of controlled hypertension increased with age.
Medscape (free registration) (10/18) 
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Legislative & Regulatory Update
Bipartisan health deal in doubt as Trump, key GOP leaders announce opposition
A bipartisan agreement struck by Sens. Lamar Alexander, R-Tenn., and Patty Murray, D-Wash., to stabilize Affordable Care Act markets by funding cost-sharing reduction payments through 2019 experienced major setbacks Wednesday after several key congressional Republicans said they opposed the proposal and President Donald Trump withdrew his support. The future of the deal is now in doubt with only a few senators announcing support for the plan, including Sens. John McCain, R-Ariz., Susan Collins, R-Maine, and Lisa Murkowski, R-Alaska.
The New York Times (free-article access for SmartBrief readers) (10/18),  Reuters (10/18),  The Hill (10/18) 
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Earn certificates and certifications in point-of-care ultrasound (POCUS) at a discount in 2017!
Physicians holding APCA certifications are eligible to earn certificates and certification in point-of-care ultrasound (POCUS) at a 75% discount. Learn more on APCA's POCUS webpage!
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You can pay your 2018 APCA renewals online!
Starting with 2018 renewals, renewals are now paperless. ARDMS no longer accepts mail-in payments for renewal fees. Pay your renewal fee and attest online by logging on to MY APCA today!
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Learn more about ARDMS:
ARDMS | Certifications & Examinations | Apply for an Examination
Prepare for an Examination | Schedule an Examination | Registrant Resources
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