Washington, DC, April 30, 2013 – The nation's more than 2,900 nonprofit hospitals are facing new requirements to qualify for federal tax-exempt status under the Affordable Care Act, including producing a Community Health Needs Assessment that identifies local health needs.
Culture
EMBARGOED UNTIL 12:01 A.M. ET, Tuesday, April 30, 2013, Cleveland: The use of Internet-based stress management programs (ISM) effectively reduce stress for a sustainable period, according to a Cleveland Clinic study published recently in Annals of Behavioral Medicine.
Online stress management programs aim to increase accessibility for individuals affected by chronic stress at a lesser cost than traditional methods. Data suggests that stress reduction using ISM is comparable to face-to-face stress management.
New recommendations from the United States Preventive Services Task Force (USPSTF) urge physicians to screen all adults and adolescents aged 15 - 65 for HIV.
In addition, all pregnant women should receive screening, even those who are in labor but have not yet been screened. Rapid screening tests and conventional tests are considered equally accurate for screening.
A new scientific statement from the American Heart Associations reminds physicians and people with congenital heart disease that regular physical activity is still important and should be promoted.
Congenital heart disease (heart structural problems existing since birth) is estimated to affect more than 859,000 children and 850,000 adults in the United States.
According to the statement:
A study by Andrew D. Auerbach, M.D., M.P.H., of the University of California, San Francisco, suggests that receiving selective serotonin reuptake inhibitors (SSRIs) in the perioperative period was associated with a higher risk for adverse events. (Online First)
The study included 530,416 patients aged 18 or older who underwent major surgery from January 2006 through December 2008 at 375 U.S. hospitals. The main outcomes researchers studied were in-hospital mortality, length of stay, readmission at 30 days, bleeding events, transfusions and incidence of ventricular arrhythmias.
Bethesda, MD (April 29, 2013) — Pregnant women with mid to high levels of antibodies common in patients with celiac disease are at risk for having babies with reduced fetal weight and birth weight, according to a new study in Gastroenterology, the official journal of the American Gastroenterological Association. The antibody tissue transglutaminase (anti-tTG) is most commonly found in patients with celiac disease.
Bethesda, MD (April 29, 2013) — A commonly used class of biologic response modifying drugs can cause acute liver injury with elevated liver enzymes, according to a new study in Clinical Gastroenterology and Hepatology, the official clinical practice journal of the American Gastroenterological Association. Patients with inflammatory diseases such as Chron's disease or ulcerative colitis often are prescribed tumor necrosis factor-alpha (TNF-α) antagonists, which modify the body's response to infection.
As states continue to grapple with aging correctional facilities, overcrowding, underfunded retiree obligations and other constraints, new research from Temple University's Center for Competitive Government finds that privately operated prisons can substantially cut costs – from 12 percent to 58 percent in long-term savings – while performing at equal or better levels than government-run prisons.
While all heart attacks have the potential to be deadly, one type is referred to as the "widow maker" because of its high risk of death. A ST segment elevation myocardial infarction (STEMI) is a severe type of heart attack that occurs when a blockage in a coronary artery causes heart muscle to die; without prompt treatment risk of fatality increases dramatically. Coronary angioplasty, or percutaneous coronary intervention (PCI), is the most common emergency treatment for STEMI.
Rochester, MN, April 29, 2013 –Unethical behavior among physicians-in-training threatens to erode public trust and confidence in the medical profession, say two academic physicians in the current issue of Mayo Clinic Proceedings. Reacting to CNN reports last year about the widespread use of "recalls" and "airplane notes" by radiology and dermatology residents, Gregory W. Ruhnke, MD, MS, MPH, of the Department of Medicine, University of Chicago, and David J.
The fixed combination of the drugs saxagliptin and metformin (Komboglyze®) has been approved in Germany since November 2011 for the treatment of type 2 diabetes mellitus. In an early benefit assessment pursuant to the "Act on the Reform of the Market for Medicinal Products" (AMNOG), the German Institute for Quality and Efficiency in Health Care (IQWiG) examined whether this fixed combination product offers an added benefit versus the current standard treatment. Such an added benefit cannot be derived from the dossier, however, as the manufacturer did not submit any relevant data.
Having to explain how a political policy works leads people to express less extreme attitudes toward the policy, according to new research published in Psychological Science, a journal of the Association for Psychological Science.
The research suggests that people may hold extreme policy positions because they are under an illusion of understanding — attempting to explain the nuts and bolts of how a policy works forces them to acknowledge that they don't know as much about the policy as they initially thought.
PROVIDENCE, R.I. [Brown University] — Alternately praised in the aftermath of horrible tragedies as a heroic service and lamented in policy debates as an expensive safety net for people without primary care, emergency medicine is often a hot topic. Despite that importance, an analysis published online April 26 in the Annals of Emergency Medicine finds that national expenditures on emergency care are likely significantly higher than previously thought.
ST. LOUIS – A recent Saint Louis University study revealed that Medicaid-insured children with eczema, an inflammatory skin condition that affects 20 percent children in the United States, do not have easy access to dermatologists.
"This is a complex problem and a major health disparity in our country," said Elaine Siegfried, M.D., professor of pediatrics at SLU and the principal investigator of the study. "Thirty percent of all children seen in primary care offices have a skin problem. It's an everyday issue."
ORLANDO – Residents living in areas near natural gas operations, also known as hydraulic fracturing, or fracking, are concerned their illnesses may be a result of nearby drilling operations. Twenty-two percent of the participants in a small pilot study surmise that hydrofracking may be the cause of such health concerns as sinus problems, sleeping difficulties, and gastrointestinal problems.
The findings will be presented at the American Occupational Health Conference on April 28 in Orlando, Florida.