Online videos can help physicians with vaccine-hesitant patients | CDC reports increasing flea-borne rickettsial disease in Texas | Study examines DKA incidence rates among patients on SGLT2 inhibitors
The AAFP has new online videos on influenza, zoster and pneumococcal vaccines that can help family physicians educate patients on the importance of vaccinations. The videos offer evidence-based interventions that may be helpful with vaccine-hesitant patients.
CDC researchers found that 1,762 cases of flea-borne rickettsial disease were reported in Texas between 2003 and 2013, with disease prevalence steadily increasing during the same period. The findings in Emerging Infectious Diseases also showed that most cases were among youths ages 5 to 19.
Danish researchers found lower incidence rates of diabetic ketoacidosis among patients with type 2 on SGLT2 monotherapy or an SGLT2 combination treatment, compared with those who were on insulin monotherapy. The findings in Diabetes Care, based on 415,670 participants, revealed that the crude incidence rate of DKA was 1.34 per 1,000 person-years, which decreased by 5.6% per year.
CDC researchers reviewed data for nearly 1.3 million opioid-naive adults without cancer and found the probability of long-term opioid use rose significantly after as few as five days of drug use, as well as after a refill or second prescription and a cumulative dose of 700 morphine-milligram equivalents. The findings in the Morbidity and Mortality Weekly Report also found the highest odds of chronic use among patients on long-acting opioids and tramadol.
A survey of 5,036 women found 90% stopped drinking alcohol when they discovered they were pregnant, and the rest drank less than once per week, researchers reported in Obstetrics and Gynecology. The study found women with a planned pregnancy were 31% less likely to drink around the time of conception and early pregnancy, compared with women whose pregnancy was not planned.
According to a study in the Annals of Family Medicine, 79% of patients and 74% of clinicians said allowing patients to type agendas into the EHR visit note improved communication between patients and clinicians. Researchers used a cohort of 100 patients and clinicians at Harborview Medical Center in Seattle and found the practice may also lead to health care improvement because it allows patients to voice their concerns and clinicians to understand patient priorities.
President Donald Trump's budget blueprint includes deep and wide-ranging cuts in government-backed medical and scientific research. The NIH budget could be cut by almost $6 billion, FDA user fees collected from drug and device makers would rise, funding for international health research projects would be eliminated, and funding for the military would increase by $54 billion.
A Medicare Payment Advisory Commission report called for 2018 mandated payment increases for hospices, long-term care hospitals and ambulatory surgical centers to be eliminated because of "chronic overpayment." The report recommended Congress eliminate the payment update for skilled nursing facilities in 2018 and 2019, and reduce payments for home health agencies and inpatient rehabilitation facilities in 2018.
A health system scorecard released by the Commonwealth Fund found health coverage and access to medical care among low-income Americans increased more in states that expanded Medicaid eligibility than in states that did not expand their program. The scorecard uses 44 health care measures to rank all states and the District of Columbia.
Christopher Morley, editor of the new journal Peer-Reviewed Reports in Medical Education Research, from the Society of Teachers of Family Medicine, said it can be challenging for prospective authors to do rigorous research, translate it into a clearly written manuscript, find the right journal and survive the editorial and peer-review process. PRiMER is designed bridge the gap between presenting research at a conference and developing it into an article to submit to a traditional peer-reviewed journal.
Match Day is finally upon us, and the trepidation among students at medical schools across the country has been palpable. In the latest Leader Voices Blog post, Stewart Decker, M.D., offers four thoughts for students to ponder as they receive their results.
Nothing is so painful to the human mind as a great and sudden change.
Mary Shelley, writer
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