November 2014 Briefing - Neurology

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Here are what the editors at HealthDay consider to be the most important developments in Neurology for November 2014. 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.

Health Care Organizations See Value of Telemedicine

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- Health care organizations are developing and implementing telemedicine programs, although many have yet to receive reimbursement, according to a report published by Foley & Lardner.

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More Patients Meet 2014 Blood Pressure Goals Than JNC-7 Goals

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- A considerable proportion of patients who did not meet the Seventh Report of the Joint National Committee (JNC-7) blood pressure management goals do meet the new goals based on the 2014 expert panel recommendation, according to a study published in the Dec. 2 issue of the Journal of the American College of Cardiology.

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Brain Abnormality Spotted in Many SIDS Babies

WEDNESDAY, Nov. 26, 2014 (HealthDay News) -- A brain abnormality may be responsible for more than 40 percent of deaths from sudden infant death syndrome (SIDS), according to a study published online Nov. 24 in Acta Neuropathologica.

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Daily Physical Activity May Help Lower Parkinson's Risk

TUESDAY, Nov. 25, 2014 (HealthDay News) -- A moderate amount of physical activity in daily life may reduce risk of Parkinson's disease, according to a new study published online Nov. 19 in Brain: A Journal of Neurology.

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Special Ambulance Delivers Vital Stroke Care More Quickly

MONDAY, Nov. 24, 2014 (HealthDay News) -- Stroke outcomes are better when patients are treated in an ambulance by a neurologist equipped with a computed tomography scanner and tissue plasminogen activator (tPA), according to a report published online Nov. 17 in JAMA Neurology.

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Newly Insured Under ACA May Have Trouble Finding Doctors

MONDAY, Nov. 24, 2014 (HealthDay News) -- Millions of Americans bought health insurance coverage through the Affordable Care Act in the past year and physicians may be reluctant to accept these patients.

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AMA: Gender Inequality Still Exists in Medicine

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Gender inequality still exists in medicine, according to an article published by the American Medical Association (AMA).

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Rare Variant Burden in ALS Genes Influences Disease Onset

FRIDAY, Nov. 21, 2014 (HealthDay News) -- Rare and potentially pathogenic variants in known amyotrophic lateral sclerosis (ALS) genes are present in a considerable proportion of patients with familial and sporadic disease, and the burden of variants influences disease onset, according to a study published online Nov. 7 in the Annals of Neurology.

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Effect of Interventions to Improve Meds Adherence Vary

FRIDAY, Nov. 21, 2014 (HealthDay News) -- The effects of trials to improve medication adherence are inconsistent, with few studies of the highest quality demonstrating improvement in both adherence and clinical outcome, according to a review published online Nov. 20 in The Cochrane Library.

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Could Occupation Help Preserve the Aging Brain?

THURSDAY, Nov. 20, 2014 (HealthDay News) -- Jobs requiring intellectually challenging tasks may help preserve thinking skills and memory as workers age, according to a study published online Nov. 19 in Neurology.

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Neuroimaging Predicts Post-Stroke Therapy Response

WEDNESDAY, Nov. 19, 2014 (HealthDay News) -- Response to post-stoke restorative therapy is best predicted by a model that includes measures of both neural injury and function, according to research published online Nov. 10 in the Annals of Neurology.

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O2 Tx No Better Than Placebo for Postconcussion Symptoms

TUESDAY, Nov. 18, 2014 (HealthDay News) -- For military service members with persistent postconcussion symptoms (PCS), both treatment with hyperbaric oxygen (HBO) and a sham procedure improve outcomes compared with standard care, according to a study published online Nov. 17 in JAMA Internal Medicine.

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Head Trauma in Abused Kids Can Have Lifelong Impact

MONDAY, Nov. 17, 2014 (HealthDay News) -- Half of children who experience a severe abusive head trauma before the age of 5 will die before they turn 21, and among those who survive severe injuries, quality of life will be cut in half, according to new research. The findings were published online Nov. 17 in Pediatrics.

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FDA: Two Generic Versions of ADHD Drug Not As Effective

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Two generic versions of the attention-deficit/hyperactivity disorder drug Concerta may not work as effectively as the brand-name product does, the U.S. Food and Drug Administration said Thursday.

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Exercise Can Up Reinnervation Capacity in Metabolic Syndrome

FRIDAY, Nov. 14, 2014 (HealthDay News) -- For patients with metabolic syndrome, supervised exercise can improve cutaneous regenerative capacity, according to a study published online Nov. 12 in the Annals of Neurology.

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Triple Aim Should Be Expanded to Address Physician Burnout

FRIDAY, Nov. 14, 2014 (HealthDay News) -- Expanding the Triple Aim approach -- which includes enhancing patient experience, improving population health, and reducing costs -- to the Quadruple Aim by adding the goal of improving health care provider work life is recommended, according to the authors of an article published in the November/December issue of the Annals of Family Medicine.

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Peripheral Nerve Blocks OK for Migraines in Pregnancy

FRIDAY, Nov. 14, 2014 (HealthDay News) -- For migraines that do not respond to medications, peripheral nerve blocks may be a treatment option in pregnant women, according to research published online Nov. 5 in Obstetrics & Gynecology.

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U.S. Prices Soaring for Some Generic Drugs

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Market forces are dramatically driving up the cost of some generic drugs, prompting U.S. investigations into the pricing of what should be cheap alternatives to brand-name medications.

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B Vitamins May Not Boost Cognitive Performance

THURSDAY, Nov. 13, 2014 (HealthDay News) -- Taking vitamin B12 or folic acid supplements may not reduce seniors' risk of memory loss, according to a study published online Nov. 12 in Neurology.

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Falls Leading Cause of Serious Head Trauma for Children

THURSDAY, Nov. 13, 2014 (HealthDay News) -- For children under the age of 2, falls account for 77 percent of head injuries, and for children aged 2 to 12, falls cause 38 percent of head injuries. Among teens aged 13 to 17, head injuries are most often caused by assaults, sports, and car crashes. These findings were published in the Nov. 13 issue of the New England Journal of Medicine.

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Patient Preference for Anticoagulant Tx Outcome Varies

WEDNESDAY, Nov. 12, 2014 (HealthDay News) -- Patients' preferences for outcomes of anticoagulation therapy vary and are affected by previous stroke or myocardial infarction experience, according to a study published online Nov. 11 in Circulation: Cardiovascular Quality and Outcomes.

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ACEIs Tied to Lower Risk of Amyotropic Lateral Sclerosis

TUESDAY, Nov. 11, 2014 (HealthDay News) -- Patients who took particular doses of angiotensin-converting enzyme (ACE) inhibitors for more than four years appeared to reduce their risk of developing amyotrophic lateral sclerosis (ALS) by 57 percent, according to new research. The report was published online Nov. 10 in JAMA Neurology.

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Bed Position Matters in Care After Acute Ischemic Stroke

FRIDAY, Nov. 7, 2014 (HealthDay News) -- Hospital bed positioning can be critical in the first 24 hours after a person suffers an ischemic stroke, according to a report published recently in MedLink Neurology.

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Want to Be a Leader? Cultivate a Healthy Look

FRIDAY, Nov. 7, 2014 (HealthDay News) -- It's more important for potential business or political leaders to look healthy than intelligent, according to a study published online Nov. 5 in Frontiers in Human Neuroscience.

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Better Physician Communication at Shift Change Reduces Errors

FRIDAY, Nov. 7, 2014 (HealthDay News) -- Changing how doctors communicate during shift changes in hospitals reduces the risk of adverse events in patients by 30 percent, according to a study published in the Nov. 6 issue of the New England Journal of Medicine.

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Docs Spend ~16.6 Percent of Their Time on Administration

FRIDAY, Nov. 7, 2014 (HealthDay News) -- About 16.6 percent of doctors' working hours are spent on administrative work, according to a study published recently in the International Journal of Health Services.

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More Evidence That Certain NSAIDs Up Post-Stroke Mortality

THURSDAY, Nov. 6, 2014 (HealthDay News) -- Certain cyclooxygenase (COX)-2 inhibitors, including celecoxib (Celebrex) and etodolac (Lodine), are associated with increased mortality within a month after a stroke, according to a study published online Nov. 5 in Neurology.

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AMA: New Mapping Tool IDs Areas in Need of Physicians

WEDNESDAY, Nov. 5, 2014 (HealthDay News) -- A new interactive mapping tool can help physicians and their staff determine locations to establish or expand their practice, according to a report published by the American Medical Association (AMA).

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Opening Visitation Access Boosts Patient, Family Experience

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Opening visitation access across all facilities can improve patient and family experience, according to research published in the July/August issue of the Journal of Nursing Administration.

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Better Detection Major Factor Behind Rise in Autism Cases

TUESDAY, Nov. 4, 2014 (HealthDay News) -- The dramatic increase in the number of children diagnosed with an autism spectrum disorder is largely the result of changes in how the condition is reported, Danish researchers contend. The report was published online Nov. 3 in JAMA Pediatrics.

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Many Americans May Get Hospice Care Too Late

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Of the more than 1.5 million patients who received hospice care in the United States in 2013, one-third died within one week, according to a new report from the National Hospice and Palliative Care Organization.

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Atrial Fibrillation May Double Risk for 'Silent Strokes'

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Atrial fibrillation (AF) may more than double the risk of silent cerebral infarction (SCI), a new review suggests. The report was published in the Nov. 4 issue of the Annals of Internal Medicine.

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Long-Term Shift Work May Drain the Brain

TUESDAY, Nov. 4, 2014 (HealthDay News) -- Working non-standard hours -- "shift work" -- for many years is not only hard on the body, but may also dull the mind, new research suggests. According to the study, published online Nov. 3 in Occupational & Environmental Medicine, those who do shift work for more than 10 years seem to have the equivalent of an extra 6.5 years of age-related decline in memory and thinking skills.

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End-of-Life Care Discussions May Miss Patient Priorities

MONDAY, Nov. 3, 2014 (HealthDay News) -- Important points are often missed when doctors have end-of-life discussions with patients and their families, according to a study published online Nov. 3 in CMAJ, the journal of the Canadian Medical Association.

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AMA: Absence of Health Insurer Competition in Many Areas

MONDAY, Nov. 3, 2014 (HealthDay News) -- In most metropolitan areas, there is a significant absence of health insurer competition, according to a report published by the American Medical Association (AMA).

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Typical ADHD Care Leaves Room for Improvement

MONDAY, Nov. 3, 2014 (HealthDay News) -- Many community-based pediatricians do not follow guideline-recommended care for children with attention-deficit/hyperactivity disorder (ADHD), according to a new study published online Nov. 3 in Pediatrics.

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Median Neuropathy at the Wrist May Signal Diabetic Neuropathy

MONDAY, Nov. 3, 2014 (HealthDay News) -- Median neuropathy at the wrist (MN) may be an early indicator of diabetic neuropathy, according to a study published in the November issue of the Journal of Diabetes Investigation.

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