Expanding the scope of practice for advance practice nurses to allow them to work independently could jeopardize patient safety and would override state authority to regulate medical and nursing practice, AAFP Board Chair Robert Wergin, M.D., wrote to the Department of Veterans Affairs. Wergin said the VA policy would basically create a national nursing license although 29 states require APRNs to collaborate with or be supervised by physicians.
CMS Open Payments: What You Need to Know As part of the Centers for Medicare & Medicaid Services (CMS) Open Payments, medical drug & device companies submitted data about their financial relationships with you–physicians and teaching hospitals. This data is now live and CMS encourages you to review, and dispute if needed, your information in the system. Limited time remaining–Learn more now!
More than 90% of the world's strokes could be prevented by targeting 10 modifiable risk factors, according to a study published in The Lancet. Eliminating high blood pressure alone would decrease stroke impact by almost 48%, while eliminating physical inactivity and poor diet would cut impact by 36% and 23%, respectively, although effects would vary by region.
A New York woman who traveled to an area where the Zika virus is spreading and her male partner have been diagnosed with Zika virus infection, according to a report from the CDC. "This case represents the first reported occurrence of female-to-male sexual transmission of Zika virus," the agency said.
A Danish study of 58 patients found those who received biologic treatments, such as adalimumab, etanercept, infliximab or ustekinumab, for severe psoriasis had reduced coronary artery disease progression, compared with controls. Researchers noted in the journal JAMA Dermatology that psoriasis was associated with an increased prevalence of premature coronary artery disease.
Babies born to mothers who had high saturated fat intake during gestation had higher body fat mass, compared with those whose mothers ate fewer carbohydrates and fatty foods. The findings in the American Journal of Obstetrics and Gynecology, based on data involving 1,040 mother-child pairs, showed that infants' body fat mass increased by 11 grams, 6 grams and nearly 3 grams for every additional 100 daily calories in saturated fat, unsaturated fat and carbohydrates in their mothers' diet, respectively.
A Danish study found that youths with epilepsy were three times as likely to develop attention-deficit/hyperactivity disorder and those with febrile seizures had a nearly 30% increased risk of ADHD, compared with those without epilepsy or febrile seizures. The findings in Pediatrics also showed that those with both epilepsy and febrile seizures were more than three times as likely as those without either condition to develop ADHD.
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A study in JAMA Internal Medicine found that 14.9% of 623,000 Medicare beneficiaries who were discharged from hospitals in 2011 filled a prescription for opioid painkillers within a week, and 42.5% of those filled another within at least 90 days afterward. Hospitals that had somewhat greater opioid use rates following patient discharge tended to have higher patient satisfaction for inpatient pain control, a metric the CMS has proposed removing from payment calculations.
The US Senate last week adopted the conference report on the Comprehensive Addiction and Recovery Act of 2016 following approval by the House, sending the measure to President Barack Obama for his expected signature. AAFP President Wanda Filer, M.D., said the bill will "expand much-needed access to care for Americans struggling with substance abuse disorders -- a policy long-supported by the American Academy of Family Physicians and our members."
A Kaiser Family Foundation report found traditional Medicare claims for beneficiaries who died in 2014 showed per-person spending that year peaked at $43,353 for patients age 73, while per-patient spending was $33,381 at age 85 and $27,779 at age 90. The data may indicate a move toward hospice care at more advanced ages, researchers said.
Ninety-two percent of hospitals offered access for patients to view medical records online in 2015, compared with 43% in 2013, according to a report from the American Hospital Association. The report also found an increase in the percentage of hospitals that allowed patients to download data from medical records and request changes to their medical records, and that hospitals are offering more options to pay bills, schedule appointments and complete other routine medical tasks online.
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We must always take sides. Neutrality helps the oppressor, never the victim. Silence encourages the tormentor, never the tormented.
Elie Wiesel, writer and activist
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