July 2018 Briefing - Psychiatry

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Here are what the editors at HealthDay consider to be the most important developments in Psychiatry for July 2018. 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.

Learning to Change Important for Improving Practice

TUESDAY, July 31, 2018 (HealthDay News) -- Although physicians typically struggle with change, relying on habits created in their practice, learning to change is important in order to improve practices and better deal with the changes sweeping through medicine, according to an article published in Medical Economics.

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Front Desk Staff Can Set Up a Practice for Successful Billing

TUESDAY, July 31, 2018 (HealthDay News) -- Allowing front desk staff adequate time and an uninterrupted environment to focus on billing can prevent problems later on, according to an article published in Physicians Practice.

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Few Published Programs Address Medical Trainee Mistreatment

TUESDAY, July 31, 2018 (HealthDay News) -- There are very few published descriptions of programs that address the mistreatment of medical trainees, according to a review published online July 27 in JAMA Network Open.

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Medical Boards May Contribute to Mental Health Stigma for Doctors

MONDAY, July 30, 2018 (HealthDay News) -- Existing policy has been amended to encourage licensing boards to require disclosure of physical or mental health conditions only when these would negatively impact a physicians' ability to practice medicine, according to an article published in the American Medical Association's AMA Wire.

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Ties Between Self-Regulation, Obesity in Children Differ by Sex

MONDAY, July 30, 2018 (HealthDay News) -- The association between self-regulation and the risk of obesity differs between boys and girls, according to a study published online July 16 in JAMA Pediatrics.

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Four Strategies Help Doctors Make Personal, Professional Gains

MONDAY, July 30, 2018 (HealthDay News) -- In an article published in Physicians Practice, four strategies are presented to help physicians make personal and professional gains.

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Few Health Differences for Trans, Cisgender Veterans

MONDAY, July 30, 2018 (HealthDay News) -- Transgender U.S. veterans have few health differences compared with cisgender veterans, although the odds of having at least one disability are higher for transgender veterans, according to a study published in the July issue of Health Affairs.

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Increased Levels of Human Herpesvirus ID'd in Alzheimer's

MONDAY, July 30, 2018 (HealthDay News) -- Subjects with Alzheimer's disease have increased levels of two strains of human herpesvirus, according to a study published online July 11 in Neuron.

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New Model IDs Factors Tied to Muslim Youth Radicalization

FRIDAY, July 27, 2018 (HealthDay News) -- A psychological and social model provides insight into factors and triggers for radicalization among European youth recruited into Islam, according to a review published in the August issue of European Psychiatry.

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Assessing, Improving Patient Satisfaction Cuts Malpractice Risk

THURSDAY, July 26, 2018 (HealthDay News) -- Assessing and improving patient satisfaction can help physicians avoid being sued for malpractice, according to an article published in Physicians Practice.

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Manager Support Can Impact Absenteeism Due to Depression

THURSDAY, July 26, 2018 (HealthDay News) -- Variations in manager reactions and support for those with depression are as important as gross domestic product (GDP) for absenteeism and presenteeism due to depression, according to research published online July 23 in BMJ Open.

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Insurers May Be Underpaying Doctors

THURSDAY, July 26, 2018 (HealthDay News) -- Insurance companies sometimes underpay doctors the contracted amount for a service or procedure, according to an article published in Medical Economics.

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Escitalopram Cuts MACE Risk in Depressed Patients With ACS

WEDNESDAY, July 25, 2018 (HealthDay News) -- For patients with depression following recent acute coronary syndrome (ACS), escitalopram results in lower risk of major adverse cardiac events (MACE) versus placebo, according to a study published in the July 24/31 issue of the Journal of the American Medical Association.

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Prevalence of Depression 4.4 Percent Among Dads of Infants

WEDNESDAY, July 25, 2018 (HealthDay News) -- The prevalence of depression is 4.4 percent among fathers of children age 15 months or younger attending a well-child care clinic visit, according to a research letter published online July 23 in JAMA Pediatrics.

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Many U.S. Adults View Marijuana Use Positively

WEDNESDAY, July 25, 2018 (HealthDay News) -- Most U.S. adults believe that marijuana has at least one benefit, according to a study published online July 24 in the Annals of Internal Medicine.

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Tools, Methods of RCTs Can Be Adapted to Real-World Settings

WEDNESDAY, July 25, 2018 (HealthDay News) -- Use of appropriate statistical methodology can allow for the synthesis of data collected as part of traditional clinical trials with real-world data, according to an Ideas and Opinions piece published online July 24 in the Annals of Internal Medicine.

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Lowering Default Number of Pills Can Reduce Prescribed Opioids

TUESDAY, July 24, 2018 (HealthDay News) -- Reducing the default number of opioid pills prescribed in an electronic medical record (EMR) system can effectively decrease the amount of opioids prescribed after procedures, according to a study published online July 18 in JAMA Surgery.

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Physicians and Practices Should Prepare for Emergencies

TUESDAY, July 24, 2018 (HealthDay News) -- Practices and physicians should prepare for emergency situations, such as natural disasters, network communications failures, and active shooter situations, according to an article published in Medical Economics.

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Parents' Childhood Affects Their Children's Behavioral Health

TUESDAY, July 24, 2018 (HealthDay News) -- Parents' adverse childhood events (ACEs), such as abuse, neglect, or household dysfunction, can impact their children's lives, according to a study published online July 9 in Pediatrics.

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VA MISSION Act May Up Costs, Lower Vet Health Care Quality

TUESDAY, July 24, 2018 (HealthDay News) -- The Veterans Affairs Maintaining Internal Systems and Strengthening Integrated Outside Networks (VA MISSION) Act may increase costs and reduce quality of health care for veterans, according to an Ideas and Opinions piece published online July 24 in the Annals of Internal Medicine.

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Walmart Generic Drug Discounts Often Offer More Patient Savings

MONDAY, July 23 2018 (HealthDay News) -- Walmart's Generic Drug Discount Program (GDDP), which sells many commonly used generic medications for $4 per 30-day supply, offers savings over Medicare for some generic cardiovascular medications, according to a research letter published online July 24 in the Annals of Internal Medicine.

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Medical Organizations Must Address Sexual Harassment

MONDAY, July 23, 2018 (HealthDay News) -- Medical institutions and organizations need to ensure there are proactive interventions to transform the workplace in order to address sexual harassment and discrimination, according to an article published in the American Medical Association's AMA Wire.

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FDA Warns Against Risks of Contaminated Synthetic Cannabis

MONDAY, July 23, 2018 (HealthDay News) -- Users of synthetic marijuana products and health care providers should be aware of the risk of bleeding associated with contamination of synthetic cannabinoid products with brodifacoum, according to the U.S. Food and Drug Administration.

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Details of Montreal Cognitive Assessment Widely Publicized

MONDAY, July 23, 2018 (HealthDay News) -- Many published news articles included details of the Montreal Cognitive Assessment (MoCA) in association with President Trump, some of which invited readers to self-administer the test, according to a research letter published online July 16 in JAMA Neurology.

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Embezzlement Not Uncommon in Medical Practices

MONDAY, July 23, 2018 (HealthDay News) -- Embezzlement occurs frequently in medical practices and steps should be taken to prevent it, according to an article published in Medical Economics.

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Greening Vacant Land Improves Neighborhood Mental Health

FRIDAY, July 20, 2018 (HealthDay News) -- Fixing up blighted physical environments, particularly in resource-limited urban settings, may improve the mental health of residents living nearby, according to a study published in the July issue of JAMA Network Open.

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Increased Coverage in States With Medicaid Expansion

FRIDAY, July 20, 2018 (HealthDay News) -- Coverage rates and access to care are significantly higher in states with Medicaid expansion, compared with non-expansion states, according to a study published in the July issue of Health Affairs.

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Abstinence Rates for Substance Use Increasing Among Teens

FRIDAY, July 20, 2018 (HealthDay News) -- There have been substantial increases in complete abstinence from substance use reported by high school students over the past 40 years, according to a study published online July 19 in Pediatrics.

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Atopic Dermatitis Places Heavy Burden on Patients

THURSDAY, July 19, 2018 (HealthDay News) -- Atopic dermatitis (AD) dramatically impacts the quality of life of patients, according to a study published online July 16 in the Annals of Allergy, Asthma & Immunology.

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Same-Day Appointment System Implemented in Health Network

THURSDAY, July 19, 2018 (HealthDay News) -- A same-day appointment system can feasibly be introduced, according to the experiences of one health network presented in an article published in Managed Healthcare Executive.

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WTC-Related PTSD May Up Risk for Stroke, MI in Clean-Up Crew

THURSDAY, July 19, 2018 (HealthDay News) -- World Trade Center-related post-traumatic stress disorder (PTSD) is a risk factor for myocardial infarction (MI) and stroke among workers involved in cleaning up the debris, according to a study published in the June issue of Circulation: Cardiovascular Quality and Outcomes.

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Physicians Should Be Aware of Animal, Child Abuse Link

THURSDAY, July 19, 2018 (HealthDay News) -- A health professional presented with animal abuse by a child over 10 years of age should have increased concerns about abuse in the family, according to a review published online July 17 in the Archives of Disease of Childhood.

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Hand-Holding, Stress Ball Don't Cut Anxiety in Skin CA Removal

THURSDAY, July 19, 2018 (HealthDay News) -- Hand-holding and squeezing a stress ball do not provide anxiety reduction among patients during excisional removal of non-melanoma skin cancer, according to a study published online July 18 in JAMA Dermatology.

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Patients Care About the Clothes Doctors Wear

THURSDAY, July 19, 2018 (HealthDay News) -- Patients do in fact care what doctors wear, according to a study recently published in BMJ Open.

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Seven Strategies Can Help Practices Manage Staff Time Off

WEDNESDAY, July 18, 2018 (HealthDay News) -- Several strategies can be implemented to help address management of staff time off, allowing mutual respect for the employee and employer requests, according to an article published in Medical Economics.

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Mental Health No Different for Offspring of Lesbian Parents

WEDNESDAY, July 18, 2018 (HealthDay News) -- Mental health does not differ significantly between offspring with sexual minority parents from the community-based National Longitudinal Lesbian Family Study (NLLFS) and a matched normative population-based sample, according to a research letter published in the July 19 issue of the New England Journal of Medicine.

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CDC: 'Tips' Campaign Has Helped a Number of Smokers Quit

WEDNESDAY, July 18, 2018 (HealthDay News) -- The ongoing Tips from Former Smokers (Tips) campaign, which features stories of former smokers living with smoking-related diseases and disabilities, has had a considerable impact, according to a report from the U.S. Centers for Disease Control and Prevention.

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Prenatal Depression More Common in Young Moms Today

WEDNESDAY, July 18, 2018 (HealthDay News) -- High depressive symptom scores were found to be more common among young pregnant women today than in their mothers' generation, according to a study published online July 13 in JAMA Network Open.

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High Frequency of Digital Media Use Linked to ADHD Symptoms

TUESDAY, July 17, 2018 (HealthDay News) -- There is a modest, but statistically significant, association between higher frequency of digital media use and subsequent symptoms of attention-deficit/hyperactivity disorder (ADHD) among adolescents, according to a study published in the July 17 issue of the Journal of the American Medical Association.

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Trials Supporting FDA Approval of Breakthrough Drugs Examined

TUESDAY, July 17, 2018 (HealthDay News) -- Pivotal trials supporting U.S. Food and Drug Administration approvals granted Breakthrough Therapy designation often lack randomization, double-blinding, and control groups, according to a research letter published in the July 17 issue of the Journal of the American Medical Association.

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Problem Solving Helps Prevent Depression in Low-Income Moms

TUESDAY, July 17, 2018 (HealthDay News) -- Problem-solving education (PSE) is effective at preventing depressive symptoms among low-income mothers, according to a study published online June 29 in JAMA Network Open.

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Alternative Payment Models Should Include Precision Medicine

TUESDAY, July 17, 2018 (HealthDay News) -- The American Medical Association has committed to working to integrate precision medicine into alternative payment models (APMs), according to an article published in the association's AMA Wire.

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Brief Safety Plan Intervention in ER Can Cut Suicidal Behavior

TUESDAY, July 17, 2018 (HealthDay News) -- Use of the Safety Planning Intervention (SPI) plus follow-up phone calls for suicidal patients presenting in the emergency department cuts suicidal behavior and increases the likelihood of outpatient mental health treatment over the next six months, according to a study published online July 11 in JAMA Psychiatry.

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FDA Establishes New Task Force on Drug Shortages

TUESDAY, July 17, 2018 (HealthDay News) -- In a recent statement, U.S. Food and Drug Administration Commissioner Scott Gottlieb, M.D., announced the formation of a new drug shortages task force to thoroughly explore the reasons why drug shortages remain a persistent challenge.

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Adoption of EHR Linked to Reduction in Mortality Rates

MONDAY, July 16, 2018 (HealthDay News) -- Adoption of electronic health records (EHRs) is associated with a reduction in mortality rates in U.S. hospitals, according to a study published in the July issue of Health Affairs.

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Declines in Vision Tied to Age-Related Cognitive Decline

MONDAY, July 16, 2018 (HealthDay News) -- Older adults' worsening vision may drive declines in cognitive function, according to a study published online July 10 in JAMA Ophthalmology.

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eCare Plan Set to Improve Doctor/Pharmacist Relationship

MONDAY, July 16, 2018 (HealthDay News) -- The Pharmacist eCare Plan is designed to improve communication between pharmacists and physicians by allowing documentation to be available via electronic health records (EHRs), according to an article published online in Drug Topics.

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Physician Burnout Tied to Higher Risk of Medical Errors

MONDAY, July 16, 2018 (HealthDay News) -- Physician burnout, fatigue, and work-unit safety grades are independently associated with medical errors, according to a study published online July 9 in the Mayo Clinic Proceedings.

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Compassion Training May Up Resilience to Others' Suffering

MONDAY, July 16, 2018 (HealthDay News) -- Compassion meditation can increase the visual preference for suffering while attenuating neural responses in regions of the brain associated with valence and empathic distress, according to a study published recently in Frontiers in Psychology.

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Virtual Assistants Not HIPAA Compliant

FRIDAY, July 13, 2018 (HealthDay News) -- Virtual assistant programs like Google Assistant, Siri, and Alexa are not yet in compliance with the Health Insurance Portability and Accountability Act (HIPAA), warns an article published in Medical Economics.

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Gender Bias in Medicine Has Far-Reaching Consequences

FRIDAY, July 13, 2018 (HealthDay News) -- Overlooking women in medicine can have far-reaching consequences, according to a perspective piece published in the June 14 issue of the New England Journal of Medicine.

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11.2% of U.S. Adults Aged ≥45 Report Subjective Mental Decline

FRIDAY, July 13, 2018 (HealthDay News) -- More than 11 percent of adults aged ≥45 years in the United States report subjective cognitive decline (SCD), according to research published in the July 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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2001 to 2015 Saw Decline in Self-Employment in Health Care

THURSDAY, July 12, 2018 (HealthDay News) -- From 2001 to 2015 there was a decrease in the percentage of health care professionals who are self-employed and a decrease in the earning gap between self-employed and employed health care professionals, according to a study published online July 12 in JAMA Network Open.

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AMA Aims to Boost Affordability of ACA Marketplace Plans

THURSDAY, July 12, 2018 (HealthDay News) -- The American Medical Association (AMA) House of Delegates has adopted policy to increase the number of people who obtain coverage through the Affordable Care Act (ACA) by making marketplace plans more affordable.

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Patient Experience Officers Can Play Key Role in Medical Offices

THURSDAY, July 12, 2018 (HealthDay News) -- A patient experience officer is an increasingly important new role in physician practices, according to an article recently published in Physicians Practice.

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Parental Incarceration Linked to Unhealthy Behaviors in Teens

THURSDAY, July 12, 2018 (HealthDay News) -- Parental incarceration (PI) is associated with lower health care use and unhealthy behaviors among adolescents and young adults, according to a study published online July 9 in Pediatrics.

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Peer-Led Education Helps Physicians Save Time With EHRs

THURSDAY, July 12, 2018 (HealthDay News) -- A peer-based education program can improve the efficiency of electronic health record (EHR) use, according to an article published in the American Medical Association's AMA Wire.

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Virtual Reality Treatments Can Alleviate Fear of Heights

THURSDAY, July 12, 2018 (HealthDay News) -- Automated virtual reality (VR) treatments can alleviate fear of heights, according to a study published online July 11 in The Lancet Psychiatry.

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FDA Requires Safety Label Changes for Fluoroquinolones

WEDNESDAY, July 11, 2018 (HealthDay News) -- The U.S. Food and Drug Administration has strengthened current warnings in the prescribing information about fluoroquinolone antibiotics causing significant decreases in blood glucose as well as mental health side effects.

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Safety Announcement

Restricting Benefits for Single Moms May Harm Mental Health

WEDNESDAY, July 11, 2018 (HealthDay News) -- An adverse impact on mental health is seen with reducing the age at which Lone Parent Obligations (LPO) -- which require lone parents in the United Kingdom to seek work as a condition for receiving welfare benefits -- apply, according to a study published in the July issue of The Lancet Public Health.

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Unhealthy Food Behaviors May Signal Eating Disorder in Teen

WEDNESDAY, July 11, 2018 (HealthDay News) -- Almost 3 percent of teenagers aged 13 to 18 years have food, weight, and body image issues severe enough to constitute an eating disorder, according to a behavioral health resource posted by The Family Institute at Northwestern University.

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U.S. Surgeon General Urges More Americans to Carry Naloxone

TUESDAY, July 10, 2018 (HealthDay News) -- The U.S. Surgeon General released an advisory urging increased availability of the opioid overdose-reversing drug naloxone earlier this year, according to a report published by the U.S. Department of Health & Human Services.

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International Group Develops Best Practices for Drug Packaging

TUESDAY, July 10, 2018 (HealthDay News) -- Nine new drug labeling and packaging guidelines have been developed with an aim of reducing medication errors, according to a report published in Drug Topics.

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TECH Parenting Can Limit Negative Impact of Media on Kids

TUESDAY, July 10, 2018 (HealthDay News) -- The talk, educate, co-view, and house rules (TECH) parenting framework can promote positive and specific media parenting behaviors that could help mitigate the potential negative impacts of media consumption for youth, according to an article published in the July issue of Pediatrics.

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AMA Calls for Inclusive Family, Medical Leave Policies

TUESDAY, July 10, 2018 (HealthDay News) -- The American Medical Association (AMA) calls for inclusive family and medical leave policies to support lesbian, gay, bisexual, transgender, and queer (LGBTQ) workers who care for relatives, spouses, and partners.

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Any Opioid Use Tied to Involvement in Criminal Justice System

TUESDAY, July 10, 2018 (HealthDay News) -- Any opioid use is associated with involvement in the criminal justice system in the past year, according to a study published online July 6 in JAMA Network Open.

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Error Rate 7.4 Percent in Speech Recognition-Assisted Notes

TUESDAY, July 10, 2018 (HealthDay News) -- The error rate in speech recognition (SR)-assisted documentation is 7.4 percent, according to a study published online July 6 in JAMA Network Open.

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Programs Can Lower Diabetes Distress in Adults With T1DM

TUESDAY, July 10, 2018 (HealthDay News) -- Both education/behavioral and emotion-focused approaches can effectively reduce diabetes distress (DD) among patients with type 1 diabetes (T1D) and elevated hemoglobin A1c (HbA1c), according to a study published online July 5 in Diabetes Care.

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High Rates of Salmonella Contamination ID'd in Kratom

MONDAY, July 9, 2018 (HealthDay News) -- High rates of Salmonella contamination have been identified in kratom products collected and tested since February 2018, according to a statement published by the U.S. Food and Drug Administration.

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Sleep Apnea Linked to Changes in the Brain in Older Adults

MONDAY, July 9, 2018 (HealthDay News) -- Obstructive sleep apnea (OSA) is associated with changes to the structure of the brain that are seen in the early stages of dementia, according to a study published online July 5 in the European Respiratory Journal.

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Doctors Usually Empathetic in Pediatric ICU Care Conferences

MONDAY, July 9, 2018 (HealthDay News) -- Physicians frequently respond with empathy during pediatric intensive care unit care conferences, though their responses are often buried within other data or missed, according to a study published online July 6 in JAMA Network Open.

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Prenatal Folic Acid Fortification May Affect Cortical Development

MONDAY, July 9, 2018 (HealthDay News) -- Gestational exposure to folic acid fortification is associated with cortical development, according to a study published online July 3 in JAMA Psychiatry.

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IT Solutions for Easier EHRs Save Physicians Time, Burnout

FRIDAY, July 6, 2018 (HealthDay News) -- Yale Medicine is effectively targeting electronic health record (EHR) use and functionality as a way to improve physician job satisfaction and reduce burnout, according to an article published in the American Medical Association's AMA Wire.

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Disordered Eating Behaviors Up for Overweight Young Adults

FRIDAY, July 6, 2018 (HealthDay News) -- Young adults at a weight status classified as overweight or obese have increased prevalence of disordered eating behaviors (DEBs), according to a study published online June 11 in the Journal of General Internal Medicine.

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Hospitals Face $218B in Federal Payment Cuts From 2010 to 2028

THURSDAY, July 5, 2018 (HealthDay News) -- Cumulative reductions in federal payments to hospitals from 2010 to 2028 are estimated to reach $218.2 billion, according to a study commissioned by the Federation of American Hospitals and the American Hospital Association (AHA).

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Patient Complaints Mainly About Rudeness, Rushing, Reproach

THURSDAY, July 5, 2018 (HealthDay News) -- Understanding patients' complaints about practice can be instructive for physicians, according to an article published June 6 in Physicians Practice.

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WHO Calls for Renewed Effort to Combat Chronic Disease

THURSDAY, July 5, 2018 (HealthDay News) -- The World Health Organization (WHO) Independent High-Level Commission has proposed six recommendations to address the growing epidemic of non-communicable diseases (NCDs), according to a report published online June 1 in The Lancet.

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Patients Comfortable With Doctors Having Tattoos, Piercings

THURSDAY, July 5, 2018 (HealthDay News) -- Patients do not appear to mind if doctors have tattoos or piercings, according to a study published online July 2 in the Emergency Medicine Journal.

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High Patient Burden With Moderate-to-Severe Atopic Dermatitis

THURSDAY, July 5, 2018 (HealthDay News) -- Patients with moderate/severe atopic dermatitis (AD) have higher patient-reported burden than those with mild AD, regardless of disease control, according to a study published online July 3 in JAMA Dermatology.

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Future Outlook Tied to Risk of Weapon Violence in Male Teens

TUESDAY, July 3, 2018 (HealthDay News) -- Positive future orientation is associated with reduced odds of weapon-related violence perpetration among teenage males from low-resource neighborhoods, according to a research letter published online July 2 in JAMA Pediatrics.

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Pediatric Hospitalization for Gun Injuries Higher in Urban Areas

MONDAY, July 2, 2018 (HealthDay News) -- Urban areas have higher overall pediatric hospitalization rates for firearm injuries, with the highest rates for urban 15- to 19-year-olds, according to a study published online July 2 in Pediatrics.

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In Children, Food Insecurity Tied to Behavior, Cognition

MONDAY, July 2, 2018 (HealthDay News) -- Food insecurity may be linked to behavioral problems and poorer cognitive performance in children, according to a study published in the Journal of Nutrition Education and Behavior.

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Follow-up Lacking for Women With Severe Maternal Morbidity

MONDAY, July 2, 2018 (HealthDay News) -- Women in New Zealand who experienced severe maternal morbidity (SMM) often do not receive information, an offer of support, or a follow-up appointment before their hospital discharge, according to a study published in the June issue of the International Journal of Gynecology & Obstetrics.

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Intensive Management Program Benefits High-Risk Patients

MONDAY, July 2, 2018 (HealthDay News) -- For high-risk patients, use of an intensive management program is associated with greater receipt of outpatient care with no increase in total costs, according to a study published in the June 19 issue of the Annals of Internal Medicine.

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