July 2016 Briefing - Otolaryngology

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Here are what the editors at HealthDay consider to be the most important developments in Otolaryngology for July 2016. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Pancreaticoduodenectomy Costs High at Safety-Net Hospitals

THURSDAY, July 28, 2016 (HealthDay News) -- Pancreaticoduodenectomy (PD) is associated with high costs at safety-net hospitals, according to a study published online July 27 in JAMA Surgery.

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FDA Strengthens Safety Warnings for Fluoroquinolones

WEDNESDAY, July 27, 2016 (HealthDay News) -- The U.S. Food and Drug Administration announced Tuesday that it's strengthening label warnings on fluoroquinolones because the drugs can lead to disabling side effects, including long-term nerve damage and ruptured tendons.

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American Red Cross Says Blood Donations Needed Urgently

TUESDAY, July 26, 2016 (HealthDay News) -- The American Red Cross says it has an urgent need for blood donations, with less than a five-day supply of blood on hand to help those who need it.

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Medical Students Often Track Progress of Former Patients

TUESDAY, July 26, 2016 (HealthDay News) -- Many U.S. medical students use electronic health records to track the progress of their former patients and confirm the accuracy of their diagnoses, according to research letter published online July 25 in JAMA Internal Medicine.

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'Walking Meetings' Feasible Strategy for Employee Wellness

MONDAY, July 25, 2016 (HealthDay News) -- Converting a single weekly meeting to a walking meeting can help raise work-related physical activity levels of white-collar workers, according to a report published online June 23 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Health Expenditures Rising for Middle Class, Wealthy

THURSDAY, July 21, 2016 (HealthDay News) -- While overall U.S. medical spending growth slowed between 2004 and 2013, expenditures rose for middle- and high-income Americans, according to research published in the July issue of Health Affairs.

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Disclosure of Adverse Events May Impact Surgeon Well-Being

THURSDAY, July 21, 2016 (HealthDay News) -- Surgeons who are less likely to discuss the preventability of an adverse event are more likely to be negatively affected by disclosure of these events, according to a study published online July 20 in JAMA Surgery.

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ACS Endorses CDC's HPV Vaccine Guidelines

WEDNESDAY, July 20, 2016 (HealthDay News) -- The American Cancer Society has endorsed the U.S. government's HPV vaccination recommendations, which include immunizing all preteens against human papillomavirus (HPV). The report was published online July 19 in CA: A Cancer Journal for Clinicians.

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Medicare Spending Up for Decedents Versus Survivors

WEDNESDAY, July 20, 2016 (HealthDay News) -- Medicare per capita spending was much higher for beneficiaries who died during 2014 than for those who survived the entire year, according to a report published by the Kaiser Family Foundation.

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Nasal Irrigation Offers Some Relief for Sinusitis Patients

TUESDAY, July 19, 2016 (HealthDay News) -- Nasal irrigation appears beneficial in symptom improvement for patients with chronic sinusitis, according to a study published online July 18 in CMAJ, the journal of the Canadian Medical Association.

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Labor Compensation, Purchased Goods, Service Biggest Spends

TUESDAY, July 19, 2016 (HealthDay News) -- Labor compensation remains the single largest contributor to costs among physicians' offices, hospitals, and outpatient care centers, according to a report published in the July issue of Health Affairs.

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Burnout Can Have Acute Personal, Professional Consequences

MONDAY, July 18, 2016 (HealthDay News) -- Stress and burnout are increasingly prevalent among physicians, with serious personal and professional consequences, according to a report published in Medical Economics.

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Stellate Ganglion Block Beneficial in Postherpetic Neuralgia

MONDAY, July 18, 2016 (HealthDay News) -- The therapeutic benefit of stellate ganglion block for debilitating photophobia secondary to trigeminal postherpetic neuralgia has been described in a case report published online July 5 in Pain Practice.

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Growth in U.S. Health Spending Set to Average 5.8 Percent

FRIDAY, July 15, 2016 (HealthDay News) -- Growth in U.S. health spending is expected to average 5.8 percent for 2015 to 2025, according to a study published in the July issue of Health Affairs.

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Supreme Court Ruling Could Impact Med School Admissions

THURSDAY, July 14, 2016 (HealthDay News) -- The U.S. Supreme Court's ruling upholding the University of Texas at Austin's consideration of race and ethnicity in college admissions has implications for medical schools, according to the American Medical Association (AMA).

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Mycobacterial Infections Linked to Medical Tourism Procedures

THURSDAY, July 14, 2016 (HealthDay News) -- Health care providers should consider infection with mycobacteria in patients with surgical site infections unresponsive to standard treatment, according to a report published in the August issue of the U.S. Centers for Disease Control and Prevention's Emerging Infectious Diseases.

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After Sinus Surgery, Uncontrolled Chronic Rhinosinusitis Common

THURSDAY, July 14, 2016 (HealthDay News) -- More than 40 percent of patients with chronic rhinosinusitis (CRS) are uncontrolled at three to five years after functional endoscopic sinus surgery (FESS), according to a study published online July 8 in Allergy.

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Differences in Salary for Male, Female Faculty Physicians

WEDNESDAY, July 13, 2016 (HealthDay News) -- For physicians with faculty appointments at 24 U.S. public medical schools there are significant salary differences between men and women, even after adjustment for confounding variables, according to a study published online July 11 in JAMA Internal Medicine.

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Possible Benefit for Addition of Cetuximab to RT in Laryngeal CA

WEDNESDAY, July 13, 2016 (HealthDay News) -- For patients with hypopharyngeal or laryngeal carcinoma, the addition of cetuximab to radiotherapy is associated with a nonsignificant improvement in laryngeal preservation and laryngectomy-free survival, according to a study published online July 7 in JAMA Otolaryngology-Head & Neck Surgery.

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Many Adults 'Hoarding,' Self-Prescribing Antibiotics

TUESDAY, July 12, 2016 (HealthDay News) -- One in every 20 adults have used antibiotics without a doctor's guidance, according to a study published online July 11 in Antimicrobial Agents and Chemotherapy.

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Overall Survival Up With Surgical Treatment in T3 Glottic SCC

MONDAY, July 11, 2016 (HealthDay News) -- Patients with T3 glottic squamous cell carcinoma (SCC) have improved overall survival (OS) with surgical treatment versus nonsurgical management, according to a study published online July 7 in JAMA Otolaryngology-Head & Neck Surgery.

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Modified Butterfly Graft Still Effective Tool in Rhinoplasty

MONDAY, July 11, 2016 (HealthDay News) -- For patients undergoing rhinoplasty with a modified butterfly graft, there is a decrease in the Nasal Obstruction Symptoms Evaluation score, according to a study published online July 7 in JAMA Facial Plastic Surgery.

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Health Care Costs ~60 Percent Higher for Obese Preschoolers

FRIDAY, July 8, 2016 (HealthDay News) -- In addition to the health impacts of childhood obesity, there are major economic impacts, which may occur earlier than previously thought, according to research published online July 6 in Obesity.

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VA Appealing to Physicians to Join Agency

FRIDAY, July 6, 2016 (HealthDay News) -- The U.S. Department of Veterans Affairs (VA) is appealing to physicians to join the agency as part of its recovery from a 2014 scandal linked to excessive wait times, according to a report published by the American Medical Association.

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Nurses, Doctors Report Health Issues Tied to Surgical Smoke

FRIDAY, July 8, 2016 (HealthDay News) -- Nurses and doctors commonly report problems as a result of surgical smoke exposure, but they do not take effective protective measures, according to a study published online June 27 in the Journal of Clinical Nursing.

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Blood Test Might Help Diagnose Viral Versus Bacterial Infection

FRIDAY, July 8, 2016 (HealthDay News) -- A blood test based on gene responses may help differentiate between bacterial and viral infections, according to a study published July 6 in Science Translational Medicine.

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CDC: Majority of HPV-Linked Cancers Are Preventable

FRIDAY, July 8, 2016 (HealthDay News) -- The majority of cancers linked to human papillomavirus (HPV) are preventable, according to a report published in the July 8 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Several Factors Impact Parent Management of Child Postop Pain

WEDNESDAY, July 6, 2016 (HealthDay News) -- Several factors impact parents' management of their children's postoperative pain at home, according to a study published online June 27 in the Journal of Clinical Nursing.

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Step-by-Step Approach Valid for Febrile Infants

WEDNESDAY, July 6, 2016 (HealthDay News) -- The Step-by-Step approach is valid for identifying febrile infants at risk for invasive bacterial infection (IBI), according to a study published online July 5 in Pediatrics.

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Many Clinical Trials Are Not Listed in Data-Sharing Repository

WEDNESDAY, July 6, 2016 (HealthDay News) -- Only about half of trials registered at ClinicalTrials.gov are listed in the largest data-sharing repository, according to a research letter published online June 28 in the Journal of the American Medical Association.

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Review: External Nasal Dilator Strips, Nasal Clips Effective

TUESDAY, July 5, 2016 (HealthDay News) -- External nasal dilator strips and nasal clips seem to be effective for relieving obstruction of the internal nasal valve, according to a review published online June 30 in JAMA Facial Plastic Surgery.

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Knowledge of CT Risks Varies Among Health Care Providers

FRIDAY, July 1, 2016 (HealthDay News) -- Radiologists and technologists have better knowledge about the risks associated with medical imaging examinations than referring physicians, according to a study published online June 22 in the Journal of Medical Imaging and Radiation Sciences.

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Electronic Cigarettes May Damage Oral Epithelial Cells

FRIDAY, July 1, 2016 (HealthDay News) -- Aerosols from electronic cigarettes appear cytotoxic to oral epithelial cells in vitro, according to research published online May 25 in PLOS ONE.

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U.S. Cancer Survivors Aging, Battling Other Chronic Disease

FRIDAY, July 1, 2016 (HealthDay News) -- In 2016, nearly 62 percent of almost 16 million cancer survivors are aged 65 or older; and, by 2040, an estimated 73 percent of 26 million cancer survivors will be 65 or older, according to a report published in the July 1 issue of Cancer Epidemiology, Biomarkers & Prevention.

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Hundreds of U.S. Clinics Sell Unapproved Stem Cell 'Therapies'

FRIDAY, July 1, 2016 (HealthDay News) -- Hundreds of clinics across the United States are marketing unapproved stem cell treatments for conditions ranging from aging skin to spinal cord injuries, according to a study published online June 30 in Cell Stem Cell.

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Increasing Cumulative Cisplatin Dose Linked to Hearing Loss

FRIDAY, July 1, 2016 (HealthDay News) -- There is a significant correlation for increasing cumulative cisplatin dose with hearing loss, according to a study published online June 27 in the Journal of Clinical Oncology.

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