Moving toward cost-effectiveness in physical examination | Health care barriers for transgender youths | Measuring the effectiveness of a graduated driver licensing decal provision
February 19, 2015
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Top News
Moving toward cost-effectiveness in physical examination
Two trends in teaching clinical medicine seem destined for harmonious marriage or perhaps mutually assured destruction: a renewed interest in physical examination and the push to provide high-value, cost-conscious care. The American Journal of Medicine (10/2014) Share: Email
Clinical Updates
Health care barriers for transgender youths
This study provides a snapshot of current clinical experience of subspecialties most likely to be involved in caring for transgender youths: adolescent medicine and pediatric endocrinology. Furthermore, the paper identifies provider- and system-level barriers that can be targeted to improve care to transgender youths. Journal of Adolescent Health (2/2015) Share: Email
Measuring the effectiveness of a graduated driver licensing decal provision
New Jersey implemented the first Graduated Driver Licensing (GDL) decal provision in the U.S. in May 2010. This study evaluated the two-year effect of N.J.'s decal provision on crash rates of young drivers with intermediate licenses using police-reported crash rates. The adjusted crash rate for intermediate drivers was 9.5% lower in the two-year post-decal period than the four-year pre-decal period, with an estimated 3,197 crashes prevented for intermediate drivers. Future research should aim to better understand the effect of N.J.'s decal provision on crash rates. American Journal of Preventive Medicine (2/2015) Share: Email
Improving postpartum contraceptive use
Postpartum contraceptive use, including use of more effective methods, was highest when contraceptive counseling was provided during both prenatal and postpartum time periods. American Journal of Obstetrics & Gynecology (2/2015) Share: Email
Inflammatory bowel disease and academic performance
Using data from the population-based University of Manitoba IBD Epidemiology Database and Manitoba Education Database, there was no difference in grade 12 academic performance among children with and without inflammatory bowel disease (IBD). However, lower socioeconomic status and diagnosis of mental health problems six months pre- and post-diagnosis of inflammatory bowel disease were independent predictors of worse educational outcomes. The Journal of Pediatrics (1/2015) Share: Email
Effect of hospice care on hospitalization
Does a higher hospice rate in a long-term care institution mean a lower hospitalization rate than in those institutions with lower hospice penetration? Looking at Medicare beneficiary files of residents who died during 2005-2007, researchers from the U.S. found that in the last 30 days of life more nonhospice- (37.63%) than hospice-enrolled (23.18%) residents were hospitalized. In addition, it was found that those facilities with higher hospice penetration had a spill-over effect on nonhospice residents, benefiting those residents as well. Journal of the American Medical Directors Association (2/2015) Share: Email
Sleep apnea as predictor of stroke
This study concluded that obstructive sleep apnea in patients with atrial fibrillation is an independent predictor of stroke. This association may have important clinical implications in ischemic stroke risk stratification. The American Journal of Cardiology (11/29/2014) Share: Email
Continuing Medical Education
Prescription monitoring programs: An important tool to decrease diversion and abuse of opioids
Prescription Drug Monitoring Programs (PDMPs), or Prescription Monitoring Programs (PMPs), are electronic databases that track the dispensing of controlled substances, including opioids. PDMPs have been shown to not only decrease diversion and doctor shopping and favorably impact prescribing habits, but also to improve patient safety. Nonetheless, the use of these programs is very low. While there is a great deal of variability from state to state in terms of the type of information and the timeliness with which the information can be obtained from the PDMP, active participation in these programs by the prescribers contributes to appropriate prescribing of controlled substances. Consequently, use of PDMPs is an important component of the public health approaches to reduce prescription opioid misuse. Elsevier CME Share: Email
Medical News
CDC: Measles cases reach 141
CDC officials reported Tuesday that 141 patients in 17 states and Washington, D.C., have been infected with measles, and 80% of the cases have been tied to the Disneyland outbreak. Illinois showed the highest growth in cases, with 11 so far this week, up from three last week. HealthDay News (2/17) Share: Email
Moderate exercise may reduce cardiovascular risks in women
A U.K. study in the journal Circulation found that middle-aged women who engaged in moderate exercise two to three times per week were 20% less likely to develop heart disease, stroke or blood clots compared with women who got little or no exercise. Researchers found that more frequent exercise did not further reduce heart risks. HealthDay News (2/16) Share: Email
Business Practice News
Physician ranks first among in-demand, highest-paying jobs
The jobs website Glassdoor ranked physician at the top of its list of the most in-demand, highest-paying jobs in the U.S., with a mean base salary of $212,270 and 7,984 job openings listed on the site. Pharmacy managers came in second. Forbes (2/17), American City Business Journals/Birmingham, Ala./Morning Edition blog (2/17) Share: Email
CMS requests comments on advanced primary care models
The CMS is seeking ideas to support its plan to develop next-generation models to improve primary care delivery. Among the topics of interest identified by the agency are the role of health information technology in quality metrics and population health management through team-based care. Comments will be accepted through March 16. Health Data Management (2/16) Share: Email
Patient's Perspective
Menopausal symptoms linger for years, study says
A study from Wake Forest School of Medicine found women reported hot flashes and night sweats linked to menopause for an average of 7.4 years, and symptoms spanned almost 12 years for some. The study was published in JAMA Internal Medicine. HealthDay News (2/16) Share: Email
Blessed are they who see beautiful things in humble places where other people see nothing."
-- Camille Pissarro,
Danish-French painter Share: Email
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