Hand-carried ultrasound benefit | The obesity paradox and aortic valve implantation | Comparison of robots for dementia care
January 17, 2013
AJM: From the publisher of The American Journal of Medicine
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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) Share: Email
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
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) Share: Email
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) Share: Email
Analgesic abuse by youths at an all-time high
Though use of nonmedical analgesics has seen a general increase across all cohorts and ages, today's youths have a distinctively high prevalence of use. (Full-text is time limited.) Journal of Adolescent Health (1/2013) Share: Email
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) Share: Email
Vaginal bleeding risks in twin pregnancies
Vaginal bleeding early in twin pregnancies is associated with increased risks of abruption, preterm premature rupture of membranes, and preterm birth less than 34 weeks. American Journal of Obstetrics & Gynecology (1/2013) Share: Email
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) Share: Email
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) Share: Email
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) Share: Email
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) Share: Email
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) Share: Email
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) Share: Email
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) Share: Email
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 Share: Email
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