Advances in ultrasound aid pulmonologists | Study: Carpal tunnel treatment efficacy can be assessed by ultrasound | Maternal sleep disorders during pregnancy tied to increased preterm birth risk
August 10, 2017
Ultrasound SmartBrief
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Clinical Advancements in Sonography
Advances in ultrasound aid pulmonologists
Endobronchial ultrasound and other advances in technology are enabling interventional pulmonologists to better diagnose lung cancer and identify molecular abnormalities, according to Stanford Medicine's Arthur Sung. For example, the endobronchial ultrasound technique enables transbronchial needle aspirations for lymph node biopsies from inside the airway.
OncLive (8/9) 
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Study: Carpal tunnel treatment efficacy can be assessed by ultrasound
A small study in Skeletal Radiology found that follow-up exams with high-resolution ultrasound can show the effectiveness of steroidal anti-inflammatory treatment for carpal tunnel syndrome. Researchers studied 27 wrists with the condition and found that ultrasound images taken one, four and eight weeks after prednisolone injection correlated with clinical symptoms including pain levels.
Health Imaging online (8/9) 
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Maternal sleep disorders during pregnancy tied to increased preterm birth risk
A study in Obstetrics & Gynecology found that 14.6% of pregnant women with sleep disorders such as insomnia and sleep apnea had preterm births, compared with 10.9% of those who didn't have sleep disorders. The findings also showed that odds of delivery before 34 weeks' gestation was more than two times higher among those with sleep apnea and almost two times higher among those with insomnia, compared with those without sleep disorders.
The New York Times (free-article access for SmartBrief readers) (8/8),  Reuters (8/8),  HealthDay News (8/8) 
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Technology Update
Lack of standardization is among barriers to EHR optimization
Health care organizations continue to struggle with EHR optimization projects, which require them to continually improve and update their technology to satisfy the needs of health care professionals and other staff. Barriers to these projects include the lack of EHR standardization and issues surrounding EHR usability and data reporting requirements.
EHR Intelligence (8/8) 
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HIMSS examines EHR adoption among outpatient practices
HIMSS Analytics surveyed 436 physicians, practice leaders, practice IT directors and staff from hospital-owned and free-standing outpatient practices and found that 92% of hospital-owned facilities and almost 70% of freestanding facilities have operational EHR/EMR systems. Nearly 60% of respondents reported no plans to replace their current ambulatory EHR solution within the next two years, compared with 6% who said they intended to buy a new solution, down from 9% last year.
Healthcare Informatics online (8/3) 
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Practice News
Experts advise health care sector to prepare for "Ransomware 2.0"
Experts advise health care sector to prepare for "Ransomware 2.0"
Cybersecurity experts say the health care industry should prepare for ransomworm, the next evolution in ransomware that combines ransomware and a worm. Kevin Magee of Gigamon advises health care organizations to improve their fundamental cybersecurity methods because cybercriminals will "invest much more time in planning and customizing the attack and will both require and expect greater rewards for their efforts."
Healthcare IT News (8/8) 
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Patient Care in Medicine
Reduced sugar consumption improves health outcomes in overweight patients
A review in the Journal of the American Osteopathic Association said that overweight children and adults who reduce or eliminate fructose, especially high-fructose corn syrup, from their diets may prevent the development of type 2 diabetes, obesity and fatty liver disease. The researchers also said that reducing HFCS may help patients become healthier without the need to count calories or go on a diet.
United Press International (8/7) 
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Study compares infant mortality, life expectancy in Appalachia, rest of US
A study in Health Affairs found a growing disparity between the Appalachian region and the rest of the US for infant-mortality rates and life expectancy. Researchers said diabetes, heart disease, kidney problems, respiratory disorders, lung cancer, drug overdoses, accidental injuries and suicide are tied to the growing survival disparities between the region and the rest of the country, with smoking-related disorders accounting for more than half of the life-expectancy gap.
Medscape (free registration)/Reuters (8/8) 
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Legislative & Regulatory Update
Many who shop off-exchange are eligible for ACA assistance, study finds
In 2015, 6.3 million people purchased health coverage outside Affordable Care Act exchanges, but 41% of them would have been eligible for premium subsidies if they'd bought their plan through a public marketplace instead, according to research published in Health Affairs. The study also found that many of those who shopped off-exchange were healthier than their counterparts who bought plans through a public marketplace, suggesting an opportunity to improve the ACA risk pool.
Modern Healthcare (tiered subscription model) (8/7) 
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Are you a physician? Follow ARDMS' companion council, APCA, on social media!
Get the latest updates from the Alliance for Physician Certification & Advancement (APCA). Follow APCA on Facebook, LinkedIn and Twitter for relevant industry news for physicians!
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Physicians, don't miss your opportunity to earn certificates and certifications in point-of-care ultrasound (POCUS) in 2017!
If you are a physician who holds APCA certifications, you are eligible to earn certificates in point-of-care ultrasound (POCUS) at a 75% discount now through the end of the year. Learn more!
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