The American Academy of Pediatrics issued guidance recommending that conditions in infants under age 1 -- such as turning blue or paleness, irregular breathing, marked change in muscle tone and unresponsiveness -- that last less than a minute and resolve on their own be renamed as "brief resolved unexplained events" or BRUE instead of "apparent life-threatening events" or ALTE. Physicians should conduct physical examination and study the infant's medical history before diagnosing BRUE, and testing and hospitalization are not recommended in low-risk cases, according to the guidelines published in Pediatrics.
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Researchers found that children with Hispanic mothers who weren't born in the US had a lower likelihood of developing pediatric cancers such as glioma, astrocytoma, neuroblastoma and Wilms tumor, compared with those born to US-born white or US-born Hispanic mothers. However, the findings in JAMA Pediatrics, based on 1983 to 2012 data involving youths born to US-born white, US-born Hispanic or non-US-born Hispanic mothers, showed that Hispanic children, regardless of maternal birthplace, had a higher risk of acute lymphoblastic leukemia and Hodgkin lymphoma, compared with white children.
Statin use has been linked to the risk of colon cancer in past research, but it may be the cholesterol problems the drugs are used to treat and not the drugs themselves that explain the connection, according to a British study published in the journal PLOS Medicine. Researchers said additional studies could help determine whether blood cholesterol can be used as a marker for early detection of colon cancer, and that physicians should consider colon cancer as a possible reason for unexplained drops in total cholesterol levels.
A high-resolution imaging study found that the Zika virus remained structurally stable at temperatures corresponding with febrile states, according to Duke-NUS Medical School researchers who reported their findings in the journal Nature. Zika is more stable than similar viruses such as dengue, according to the study team.
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Healthix, a public health information exchange in New York state, will deploy HBI Solutions' predictive analytics and performance analysis tools. The HIE's database will be used by HBI's analytics engine in order to improve patient outcomes by providing preventive identification of those patients who are at risk and reducing hospital admissions.
Hospital operators have said mergers and acquisitions of other hospital systems would reduce spending by increasing efficiency and competition, but some of the biggest mergers have not produced promised results.
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A study in the Journal of the American Medical Association found that nurses who worked three or more night shifts per month have a greater likelihood of developing heart disease over 24 years, compared with nurses who only worked daytime shifts. Nurses who worked night shifts for fewer than five years had a 12% increased risk of coronary heart disease, while nurses who worked night shifts for over 10 years had a 27% increased risk, although risk levels returned to normal after the nurses stopped working nights or retired.
Some company officials are hesitant to create an onsite clinic for employees because they are not sure if it will be successful, writes Sandeep Acharya, vice president of strategy at One Medical Group. Secrets for designing a successful clinic include hiring quality health care practitioners, creating a customer-oriented environment, ensuring privacy of employee information, using current technology and helping employees get care they need that goes beyond the basics offered by the clinic, Acharya writes.
The Department of Health and Human Services' Office for Civil Rights has issued audit protocol guidelines to help health care organizations document everything as they comply with HIPAA privacy and security rules. The key areas that will be investigated include organizations' breach notification procedures, policies for training employees and controlling their access to electronic protected health information, risk assessment, data protection protocols in the event of a breach, deployment of security officers, compliance of business associates with HIPAA and methods of providing health data to patients.
St. Francis Health System's Warren Clinic developed a nurse-led program for patients with diabetes that leaders say helped reduce the percentage of the population with high elevated blood glucose levels from near 96% to 24%. More health systems will be implementing similar programs under the CMS' expanded Comprehensive Primary Care Plus Initiative, which tests two payment models, both of which require providers to return incentive payments if benchmarks for cost and quality are not met.
If you are not willing to risk the unusual, you will have to settle for the ordinary.
Jim Rohn, entrepreneur and motivational speaker
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