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January 17, 2013 | News for physicians working in clinical settings
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  Top News 
  • Hand-carried ultrasound benefit
    Asymptomatic left ventricular systolic dysfunction is present in about one of every 20 general medical inpatients with at least one risk factor for heart failure. Because treatment may reduce morbidity, further studies examining the costs and benefits of using hand-carried ultrasound to identify this important condition in general medical inpatients are warranted. The American Journal of Medicine (1/2013) Email this Story
 CME-Program:
Other than cervical cancer, it has become apparent that HPV causes vulvar and vaginal cancers in women, penile cancer in men, and anal cancer in both sexes. Furthermore, these viruses have been implicated in head and neck cancers in both men and women as well. American Journal of Medicine CME Program
 

  Clinical Updates 

   From AJM and other Elsevier publications

  • The obesity paradox and aortic valve implantation
    Obesity was associated with a higher incidence of minor but no major perioperative complications after transcatheter aortic valve implantation (TAVI). After TAVI adjustment, obesity was found to be associated with a lower risk of 30-day mortality and had no adverse effect on mortality after discharge, underscoring the “obesity paradox” in patients undergoing TAVI. The American Journal of Cardiology (1/15/2013) Email this Story
  • Comparison of robots for dementia care
    Are health care robots suitable for the care of dementia residents? A new robot, Guide, was compared to one named Paro in a dementia facility. Each robot interaction was coded for when the resident looked at, smiled, touched and talked to each robot. Relatives were observed for their interactions. The earlier model, Paro, seemed better accepted by residents, family members and staff, although it was expressed that if Guide could be better adapted to dementia residents, it might be more useful. (Free abstract only.) Journal of the American Medical Directors Association (1/2013) Email this Story
  • Treating opioid dependence
    Among patients receiving buprenorphine/naloxone in primary care for opioid dependence, the effectiveness of physician management did not differ significantly from that of physician management plus cognitive behavioral therapy. The American Journal of Medicine (1/2013) Email this Story
  • Nursing home study challenges
    Nursing home (NH) research faces many challenges to reach completion, especially retaining facilities to study completion. Noncompleters tend to have more deficiencies and higher personnel turnover rates. Some nursing homes that would typically have been noncompleters were convinced to complete this end-of-life care study only after extraordinary effort and time investment. (Free abstract only.) Journal of the American Medical Directors Association (1/2013) Email this Story
  Medical News 
  • Screen heavy smokers for lung cancer, cancer group advises
    The American Cancer Society released new guidelines that recommend providers screen high-risk patients for lung cancer using low-dose CT scans. High-risk patients are age 55 to 74 with at least a 30-pack-year smoking history and who have smoked within the past 15 years. Providers should make patients aware of the benefits, limits and risks of screening, the group said. Nurse.com (1/12), HealthDay News (1/11) Email this Story
  • Research ties insulin to higher mortality risk in diabetes
    Type 2 diabetes patients who were on insulin treatment had an 89% higher risk of all-cause mortality and 116% higher risk of cancer-related death than nonusers, a study revealed. However, researchers noted diabetes patients on insulin did not have a higher overall risk of cancer. The findings appear in PLoS One. FoodConsumer.org (1/13) Email this Story
  • Obese children show higher risk of current health concerns
    Overweight and obese children were more likely to have three or more reported medical, developmental or mental conditions compared with those at a healthier weight, according to a study in the journal Academic Pediatrics. Obese children had a higher risk of emotional and behavioral problems, attention-deficit/hyperactivity disorder, depression, developmental delays, asthma, allergies, headaches and ear infections, among other problems, the study found. Yahoo/Asian News International (1/14) Email this Story
  Business Practice News 
  • Pilot effort will use HIT to transform medical practice
    The CMS' Center for Medicare and Medicaid Innovation is piloting a "medical neighborhood" program that will involve up to 15 provider groups and health systems in 15 states, helping them transform their practices using health IT to improve outcomes, lower costs and coordinate care with other providers in the community. The initiative aims to lessen the cost of health care by $49.5 million and boost the experience of patients by 25% within three years among the participating organizations. Government Health IT online (1/10) Email this Story
  • Physician offices still need policies for handling cash
    Although only a few patients may pay in cash, medical practices still need policies for handling it, in part to prevent employee embezzlement, experts said. Practice consultants advised keeping cash drawers for patient payments separate from petty cash for small purchases, implementing theft-prevention procedures such as having just one staff person assigned to handle cash payments, and keeping a limited amount of money in the office. American Medical News (free content) (1/14) Email this Story
  • Other News
  Patient's Perspective 
  • 1 in 3 U.S. adults search online for diagnosis
    A Pew Research Center poll showed that 35% of 3,014 adults have searched the Internet specifically to determine a medical condition. Of these online self-diagnosers, 46% said that the information they got online pushed them to seek medical attention and 41% said a medical professional confirmed their initial diagnosis. Nurse.com (1/15) Email this Story
  SmartQuote 
Not in the clamor of the crowded street, not in the shouts and plaudits of the throng, but in ourselves, are triumph and defeat."
--Henry Wadsworth Longfellow,
American poet and educator


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