October 2014 Briefing - Emergency Medicine

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Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for October 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.

Almost One in Five Americans Plagued by Constant Pain

FRIDAY, Oct. 31, 2014 (HealthDay News) -- Almost one-fifth of Americans suffer from chronic pain, a large new survey reveals, with the elderly and women suffering the most. The findings were published in the October issue of the Journal of Pain.

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Leprosy Still Occurs in the United States, CDC Reports

THURSDAY, Oct. 30, 2014 (HealthDay News) -- Leprosy, although quite rare, continues to appear in the United States, according to research published in the Oct. 31 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Fewer Malpractice Claims Paid in the United States

THURSDAY, Oct. 30, 2014 (HealthDay News) -- The number of medical malpractice payments in the United States has dropped sharply since 2002, according to a new study. And compensation payment amounts and liability insurance costs for many doctors declined in recent years. These findings were published online Oct. 30 in the Journal of the American Medical Association.

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Would Alternative Payment Plan Cut Medical Bills?

THURSDAY, Oct. 30, 2014 (HealthDay News) -- New research supports replacing the traditional way of reimbursing doctors for care -- paying for each service provided -- with an alternative system that gives a set amount of money to health care organizations for patient care. The study was published in the Oct. 30 issue of the New England Journal of Medicine.

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Stroke Prevention Guidelines Re-Emphasize Healthy Lifestyle

THURSDAY, Oct. 30, 2014 (HealthDay News) -- New guidelines from the American Heart Association and American Stroke Association reinforce the idea that a healthy lifestyle is key to the primary prevention of stroke. The guidelines were published online Oct. 29 in Stroke.

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AMA Code of Ethics Offers Guidance for Physicians

THURSDAY, Oct. 30, 2014 (HealthDay News) -- The American Medical Association (AMA) Code of Ethics and other articles provide guidance for physicians in relation to public health emergencies, according to a report from the AMA.

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Voters' Views on Affordable Care Act Split Along Party Lines

WEDNESDAY, Oct. 29, 2014 (HealthDay News) -- Americans' opinions about the Affordable Care Act (ACA) are sharply divided along political lines, according to research published online Oct. 29 in the New England Journal of Medicine. The findings come from 27 public opinion polls conducted by 14 organizations.

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Clinical Illness, Outcomes for Ebola in Sierra Leone Reviewed

WEDNESDAY, Oct. 29, 2014 (HealthDay News) -- For patients with Ebola virus disease (EVD) from Sierra Leone, the incubation period for is six to 12 days and case fatality 74 percent, according to a study published online Oct. 29 in the New England Journal of Medicine.

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Less Competition Among Docs = Higher Medical Costs

WEDNESDAY, Oct. 29, 2014 (HealthDay News) -- Competition between medical practices helps keep health care costs lower, according to a study published in the Oct. 22/29 issue of the Journal of the American Medical Association.

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Frequent Readmissions, High Costs After Cardiac Arrest

WEDNESDAY, Oct. 29, 2014 (HealthDay News) -- Frequent readmissions and high inpatient costs are seen among older survivors of in-hospital cardiac arrest, according to a study published online Oct. 28 in Circulation: Cardiovascular Quality and Outcomes.

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Noneconomic Damages Caps Cut Malpractice Payments by 15%

TUESDAY, Oct. 28, 2014 (HealthDay News) -- Adoption of noneconomic damages caps reduces average malpractice payments by 15 percent, according to research published in the October issue of Health Affairs.

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Placebo Treatment May Quiet Children's Cough

TUESDAY, Oct. 28, 2014 (HealthDay News) -- Giving young children agave nectar or a placebo treatment of flavored, colored water both appear to help reduce cough symptoms at night more than not giving any treatment, according to a new study. The findings were published online Oct. 27 in JAMA Pediatrics.

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Prescription Painkillers Fueling Overdose Cases in ERs

TUESDAY, Oct. 28, 2014 (HealthDay News) -- A new report estimates more than two-thirds of emergency department visits for overdoses of narcotic drugs involve prescription medications. The study was published online Oct. 27 in JAMA Internal Medicine.

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Kidney Stones May Increase Fracture Risk

TUESDAY, Oct. 28, 2014 (HealthDay News) -- Urolithiasis patients may be at increased risk for fractures and may require treatment to protect their bone health, according to a new study published online Oct. 23 in the Clinical Journal of the American Society of Nephrology.

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New York, New Jersey Ease Ebola Quarantines

MONDAY, Oct. 27, 2014 (HealthDay News) -- Faced with pressure from the White House and criticism from infectious disease experts, the governors of New York and New Jersey have eased their quarantine measures that required all medical workers returning from West Africa who had contact with Ebola patients to be forced into isolation.

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CDC Issues Revised Interim U.S. Guidance on Ebola

MONDAY, Oct. 27, 2014 (HealthDay News) -- Today, the U.S. Centers for Disease Control and Prevention has issued a revision of their Ebola guideline document -- Interim Guidance for Monitoring and Movement of Persons with Ebola Virus Disease Exposure.

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Cadavers Beat Computers As Med School Teaching Tool

MONDAY, Oct. 27, 2014 (HealthDay News) -- Cadavers are better than a computer simulation of the human body for teaching anatomy to college students, according to research published in the September/October issue of Anatomical Sciences Education.

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AAP Updates Guidelines for Bronchiolitis in Infants

MONDAY, Oct. 27, 2014 (HealthDay News) -- A new clinical practice guideline that offers physicians guidance for the diagnosis and management of infants with bronchiolitis was published online Oct. 27 in Pediatrics.

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Two Biomarkers May Aid Diagnosis of Rhinosinusitis

FRIDAY, Oct. 24, 2014 (HealthDay News) -- Two protein markers may serve as biomarkers for chronic rhinosinusitis, according to a proof-of-principle study published in The Laryngoscope.

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New York City Health Officials Confirm First Ebola Case

FRIDAY, Oct. 24, 2014 (HealthDay News) -- New York City health officials said Thursday that a health care worker who recently returned from West Africa has tested positive for Ebola. The patient, identified as Craig Spencer, M.D., by city officials, had been working with Doctors Without Borders helping to treat Ebola patients in Guinea, one of three West Africa countries hit hard by the disease.

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Airborne Transmission of Ebola Highly Unlikely

FRIDAY, Oct. 24, 2014 (HealthDay News) -- People face no threat of airborne transmission of Ebola, according to a panel of Ebola experts gathered by the New England Journal of Medicine for an issue briefing Wednesday.

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Coworker Response 'Crucial' in Workplace Bullying Resolution

THURSDAY, Oct. 23, 2014 (HealthDay News) -- Targets of workplace bullying can offer chaos, report, or quest narratives about their experiences, and coworker response plays a role in narrative development, according to a study published online Sept. 25 in Management Communication Quarterly.

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Mortality Declines for Aortic Dissection Patients

THURSDAY, Oct. 23, 2014 (HealthDay News) -- Over the last decade, mortality rates for patients undergoing surgical repair for aortic dissection have improved, according to a study published online Oct. 21 in Circulation: Cardiovascular Quality and Outcomes.

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Doctors Often Unaware Their Patients Have Catheters

THURSDAY, Oct. 23, 2014 (HealthDay News) -- Doctors don't always know about the presence of a central venous catheter in their patients, according to research findings published in the Oct. 21 issue of the Annals of Internal Medicine.

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Even Severe Ebola Cases Can Be Treated With Intensive Care

THURSDAY, Oct. 23, 2014 (HealthDay News) -- Even severe Ebola virus disease (EVD), with multiple complications, can be treated effectively with routine intensive care, according to a case study published online Oct. 22 in the New England Journal of Medicine.

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U.S. Ranks Last Among Wealthy Nations in Health Care Access

THURSDAY, Oct. 23, 2014 (HealthDay News) -- The U.S. health care system ranks last compared to other industrialized nations when it comes to affordability and patient access, according to a new survey published in the Oct. 23 issue of the New England Journal of Medicine.

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Americans Report Distrust of Medical Profession

WEDNESDAY, Oct. 22, 2014 (HealthDay News) -- Americans are less trusting of the medical profession than people in many other countries -- even though they often like their own doctor, according to a new report. The findings were published in the Oct. 23 issue of the New England Journal of Medicine.

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U.S. Residents Back From Ebola-Affected Areas to Be Tracked

WEDNESDAY, Oct. 22, 2014 (HealthDay News) -- Public health officials plan to actively monitor all U.S. residents returning home from one of the three Ebola-affected nations in West Africa, the U.S. Centers for Disease Control and Prevention announced Wednesday.

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APIC Provides Resources for Ebola Management

WEDNESDAY, Oct. 22, 2014 (HealthDay News) -- Resources are available to increase protection against Ebola transmission, according to a report from the Association for Professionals in Infection Control and Epidemiology (APIC).

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Hospice Doesn't Offset Intensive End-of-Life Ovarian Cancer Care

WEDNESDAY, Oct. 22, 2014 (HealthDay News) -- Increasing use of hospice in the final days of ovarian cancer does not offset intensive end-of-life care in older women, according to a study published online Oct. 6 in the Journal of Clinical Oncology.

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Hospital Conversion to For-Profit Status Ups Financial Margins

WEDNESDAY, Oct. 22, 2014 (HealthDay News) -- Hospital conversion to for-profit status is associated with improvements in financial margins, but has no effect on process quality metrics or mortality rates, according to a study published in the Oct. 22/29 issue of the Journal of the American Medical Association.

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CDC: 'Think Ebola' and 'Care Carefully'

TUESDAY, Oct. 21, 2014 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has issued updated guidelines for the use of personal protective equipment (PPE) by health care workers when caring for patients with Ebola, along with a reminder to health care workers to "Think Ebola" and to "Care Carefully."

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Unplanned Hospitalizations With GI Cancer Patients Common

TUESDAY, Oct. 21, 2014 (HealthDay News) -- Unplanned hospitalizations among elderly patients with gastrointestinal cancer are common, according to research published online Oct. 6 in the Journal of Clinical Oncology.

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Review: Many Common Symptoms Unrelated to Disease

TUESDAY, Oct. 21, 2014 (HealthDay News) -- At least one-third of common symptoms have no disease-related explanation, according to a narrative review published in the Oct. 21 issue of the Annals of Internal Medicine.

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Law Requiring Release of Health Information Upheld

TUESDAY, Oct. 21, 2014 (HealthDay News) -- A state law that requires plaintiffs to release relevant protected health information before proceeding with allegations of medical liability has been upheld by a federal appeals court, according to the American Medical Association (AMA).

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CDC Tightens Guidelines on Caring for Patients With Ebola

TUESDAY, Oct. 21, 2014 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has tightened previous infection control guidance for health care workers caring for patients with Ebola, the organization announced on Monday.

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3-Minute Diagnostic Assessment Accurately IDs Delirium

MONDAY, Oct. 20, 2014 (HealthDay News) -- A three-minute diagnostic assessment (3D-Confusion Assessment Method [CAM]) has high sensitivity and specificity for identifying delirium, according to a study published in the Oct. 21 issue of the Annals of Internal Medicine.

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Medication Errors Occur Every 8 Minutes in U.S. Children

MONDAY, Oct. 20, 2014 (HealthDay News) -- A child receives the wrong medication or the wrong dosage every 8 minutes in the United States, according to a study published online Oct. 20 in Pediatrics.

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Children May Be at Lower Risk for Ebola Virus Disease

MONDAY, Oct. 20, 2014 (HealthDay News) -- Children may be at lower risk of Ebola virus disease (EVD), but physicians should be aware of the signs and symptoms, according to a viewpoint piece published online Oct. 17 in JAMA Pediatrics.

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Viewpoint: Getting United States Prepared for Ebola Outbreak

MONDAY, Oct. 20, 2014 (HealthDay News) -- A case of delayed Ebola diagnosis in Dallas and subsequent infection of health care workers has highlighted the lack of preparedness for a U.S. outbreak of the disease, according to a viewpoint piece published online Oct. 17 in the Journal of the American Medical Association.

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New MCAT Shifts Focus, Will Include Humanities

MONDAY, Oct. 20, 2014 (HealthDay News) -- The Medical College Admission Test (MCAT) has been revised, and the latest changes, including more humanities such as social sciences, are due to be implemented next April, according to a report from the Association of American Medical Colleges (AAMC).

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Obama Appoints Ron Klain As 'Ebola Czar'

FRIDAY, Oct. 17, 2014 (HealthDay News) -- President Barack Obama on Friday appointed Ron Klain, a former chief of staff to Vice President Joe Biden, as Ebola "czar" to oversee the federal government's response to the presence of virus in the United States.

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Specialized Care Centers May Be Needed to Contain Ebola

FRIDAY, Oct. 17, 2014 (HealthDay News) -- Specialized medical centers may be necessary to adequately treat and contain the Ebola virus in the United States, according to an ideas and opinions piece published online Oct. 16 in the Annals of Internal Medicine.

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Years of Endurance Exercise May Raise A-Fib/Flutter Risk

FRIDAY, Oct. 17, 2014 (HealthDay News) -- Cumulative years of regular endurance exercise are associated with an increased risk for atrial fibrillation and atrial flutter, according to a study published in the Oct. 15 issue of The American Journal of Cardiology.

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Many Docs Believe Mobile Health Apps Can Improve Patient Care

FRIDAY, Oct. 17, 2014 (HealthDay News) -- A Manhattan Research survey recently found that many physicians believe digital communication technologies, including mobile apps, can be used to improve patient outcomes, according to an article published Oct. 8 in Medical Economics.

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Factors ID'd That Influence Lack of Orthopedic Follow-Up

FRIDAY, Oct. 17, 2014 (HealthDay News) -- For patients treated in the emergency department, orthopedic-related and demographic variables influence failure to return for outpatient management ("no-show"), according to a study published in the Oct. 1 issue of The Journal of Bone & Joint Surgery.

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Ebola Workshop Scheduled for Nov. 3 in Washington, D.C.

THURSDAY, Oct. 16, 2014 (HealthDay News) -- At the request of the U.S. Department of Health and Human Services, the Institute of Medicine and the National Research Council will host a workshop to discuss research needed to prepare for handling the occurrence of Ebola virus disease in the United States, according to a press release from the National Academies.

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Limiting Malpractice Claims May Not Curb Costly Medical Tests

THURSDAY, Oct. 16, 2014 (HealthDay News) -- Malpractice reform may not keep physicians from ordering unnecessary and expensive tests, according to a study published in the Oct. 16 issue of the New England Journal of Medicine.

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ER Visits Linked to Synthetic Pot Up Significantly in Recent Years

THURSDAY, Oct. 16, 2014 (HealthDay News) -- The number of visits to U.S. emergency departments linked to synthetic pot -- also known as "K2" or "Spice" -- have more than doubled in recent years, according to an Oct. 16 report from the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).

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Getting an Appointment With a Psychiatrist Often Difficult

THURSDAY, Oct. 16, 2014 (HealthDay News) -- Residents of major U.S. metropolitan areas who need a psychiatrist are often likely to have difficulty securing an appointment, regardless of ability to pay, according to research published online Oct. 15 in Psychiatric Services.

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IBD Linked to Worse Prognosis After Myocardial Infarction

WEDNESDAY, Oct. 15, 2014 (HealthDay News) -- For patients after first-time myocardial infarction (MI), inflammatory bowel disease (IBD) is associated with worse prognosis, according to a study published online Oct. 14 in Circulation: Cardiovascular Quality and Outcomes.

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Change in Doc, Public Attitudes Needed to Cut Overtreatment

WEDNESDAY, Oct. 15, 2014 (HealthDay News) -- Reform of malpractice laws as well as inclusion of patients in medical decision making may help reduce overdiagnosis and overtreatment, according to an article published online Oct. 14 in The BMJ.

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More Children Receiving Medical Care in the ER

WEDNESDAY, Oct. 15, 2014 (HealthDay News) -- More children are going to the emergency department for health care, according to a research letter published in the Oct. 15 issue of the Journal of the American Medical Association.

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Second Health Care Worker in Dallas Tests Positive for Ebola

WEDNESDAY, Oct. 15, 2014 (HealthDay News) -- A second health care worker who helped treat a patient who died of Ebola last week at a Dallas hospital has tested positive for the disease, health officials said Wednesday morning.

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CDC Takes Steps Toward Hospital Preparedness for Ebola

WEDNESDAY, Oct. 15, 2014 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has sent new resources to Dallas to support the highest standard of infection control, according to a news release issued by the organization Tuesday.

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Resident Proficiency in High-Value Care Is Hard to Test

TUESDAY, Oct. 14, 2014 (HealthDay News) -- The high-value care (HVC) subscore on the Internal Medicine In-Training Examination (IM-ITE) helps assess resident knowledge of HVC, but additional tools are needed to measure proficiency in practice, according to research published online Oct. 14 in the Annals of Internal Medicine.

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Experimental Tx Shouldn't Replace Critical Care for Ebola

TUESDAY, Oct. 14, 2014 (HealthDay News) -- Use of medications and vaccinations that have yet to be formally approved should not be a replacement for standard critical care, according to an ideas and opinions piece published in the Oct. 14 issue of the Annals of Internal Medicine.

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Sudden Cardiac Death a Risk for Women Living Near Major Roads

TUESDAY, Oct. 14, 2014 (HealthDay News) -- Women who live near major roads may be at increased risk for sudden cardiac death, according to a new study published online Oct. 13 in Circulation.

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Health Officials Reviewing Ebola Procedures at Dallas Hospital

MONDAY, Oct. 13, 2014 (HealthDay News) -- Federal and local health officials said Monday that they were re-examining infection-control efforts at the Dallas hospital where a nurse contracted Ebola while caring for America's first diagnosed victim of the deadly disease.

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Texas Hospital Worker Tests Positive for Ebola

MONDAY, Oct. 13, 2014 (HealthDay News) -- A health care worker who helped treat the Liberian man who died of Ebola in a Dallas hospital last week has tested positive for the virus, public health officials reported Sunday.

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Specialty Drugs May Be Worth the Higher Costs

FRIDAY, Oct. 10, 2014 (HealthDay News) -- Despite high costs, specialty drugs may provide value that balances the price difference compared with traditional drugs, according to research published in the October issue of Health Affairs.

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Medicines Are Biggest Culprit in Fatal Allergic Reactions

FRIDAY, Oct. 10, 2014 (HealthDay News) -- Over half of allergy-related deaths are caused by medications, while less than 7 percent are caused by food allergies, according to research published online Sept. 30 in the Journal of Allergy and Clinical Immunology.

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Americans Increasingly Anxious About Ebola

FRIDAY, Oct. 10, 2014 (HealthDay News) -- One-quarter of Americans now view Ebola as a major public health threat to the United States, with many saying they'd change their travel plans due to Ebola fears, a new Harris Poll/HealthDay survey reveals.

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Potential Clue to Ebola Treatments Uncovered

THURSDAY, Oct. 9, 2014 (HealthDay News) -- Scientists who mapped out the shape and structure of a key protein in the Ebola virus say their discovery could help efforts to develop drugs to prevent or treat infection with the pathogen. Their research was published in the September issue of Acta Crystallographica Section D.

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Airborne Particulates Beyond Traffic Fumes Affect Lung Health

THURSDAY, Oct. 9, 2014 (HealthDay News) -- Ambient particulates with median aerodynamic diameters of <10 µm (PM10) seem to cause more injury to airway epithelial cells (AEC) than traffic-derived airborne particulate matter, according to a study published online Sept. 14 in Respirology.

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Reducing Residency Work Hours Doesn't Affect Patient Outcomes

THURSDAY, Oct. 9, 2014 (HealthDay News) -- Duty-hour reforms have not adversely affected hospital mortality or length-of-stay of patients cared for by new attending physicians who were partly or fully exposed to reduced duty hours during residency, according to research published in the October issue of Health Affairs.

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Five Major U.S. Airports to Screen Travelers for Ebola

THURSDAY, Oct. 9, 2014 (HealthDay News) -- Five major U.S. airports will begin screening travelers entering the country from the three West African nations hit hardest by the ongoing Ebola epidemic, federal health officials announced Wednesday.

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Dallas Ebola Patient Has Died, Hospital Officials Confirm

WEDNESDAY, Oct. 8, 2014 (HealthDay News) -- Thomas Eric Duncan, the Liberian national who was the first person diagnosed with Ebola in the United States, died Wednesday morning at Texas Health Presbyterian Hospital in Dallas.

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CDC: U.S. Life Expectancy Hits Record High of Nearly 79 Years

WEDNESDAY, Oct. 8, 2014 (HealthDay News) -- Average life expectancy in the United States reached an all-time high of 78.8 years in 2012, the U.S. Centers for Disease Control and Prevention reported Wednesday. For people 65 years old in 2012, life expectancy was an additional 19.3 years, up slightly from the year before. Women age 65 and older in 2012 can expect to live another 20.5 years, while men may get around an additional 18 years.

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Risk of Upper GI Bleeding Varies for Drug Combinations

WEDNESDAY, Oct. 8, 2014 (HealthDay News) -- Concomitant use of nonsteroidal anti-inflammatory drugs (NSAIDs), low-dose aspirin or cyclooxygenase-2 (COX-2) selective inhibitors with other drugs can increase the risk of upper gastrointestinal bleeding (UGIB), and the magnitude of interaction varies according to drug combination, according to a study published in the October issue of Gastroenterology.

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AAFP Urges Docs to Check Accuracy of Open Payments Data

WEDNESDAY, Oct. 8, 2014 (HealthDay News) -- The American Academy of Family Physicians (AAFP) urges family doctors to check the accuracy of the first set of data published by the Centers for Medicare & Medicaid Services (CMS) Open Payments transparency program.

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FARE, ACEP Develop New Anaphylaxis Toolkit

WEDNESDAY, Oct. 8, 2014 (HealthDay News) -- A new anaphylaxis toolkit has been developed to help answer questions about managing life-threatening allergies after patients are discharged from the emergency department, according to a report from Food Allergy Research & Education (FARE) and the American College of Emergency Physicians.

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CDC: U.S. Traffic Accidents Send 2.5 Million to ERs Each Year

TUESDAY, Oct. 7, 2014 (HealthDay News) -- Road crash injuries sent more than 2.5 million Americans to emergency departments in 2012. And, nearly 200,000 were hospitalized due to motor vehicle collisions, according to the Oct. 7 Vital Signs report from the U.S. Centers for Disease Control and Prevention.

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About Half of All U.S. Hospital Patients Receive Antibiotics

TUESDAY, Oct. 7, 2014 (HealthDay News) -- About half of all U.S. hospital patients receive antibiotics, and these drugs are commonly the ones more likely to promote the growth of antibiotic-resistant bacteria, according to a new study, led by researchers at the U.S. Centers for Disease Control and Prevention, and published in the Oct. 8 issue of the Journal of the American Medical Association, a theme issue on infectious disease. The CDC also funded the study.

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Docs More Likely to Prescribe Unneeded Antibiotics Later in Day

TUESDAY, Oct. 7, 2014 (HealthDay News) -- Doctors are more likely to prescribe unnecessary antibiotics for respiratory infections as the day progresses, according to a research letter published online Oct. 6 in JAMA Internal Medicine.

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Obama Considers Tighter Ebola Screening for Travelers

TUESDAY, Oct. 7, 2014 (HealthDay News) -- President Barack Obama said Monday that his administration is preparing additional screening measures to prevent the Ebola epidemic in West Africa from gaining a foothold in the United States.

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Handheld U/S Beats Physical Exam for Heart Abnormalities

TUESDAY, Oct. 7, 2014 (HealthDay News) -- For patients with suspected cardiac abnormalities, handheld ultrasound (HHU) is more accurate for diagnosis than physical examination, according to a study published online Sept. 17 in JACC: Cardiovascular Imaging.

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CDC Team Assisting Ebola Response in Dallas

MONDAY, Oct. 6, 2014 (HealthDay News) -- Experts from the U.S. Centers for Disease Control and Prevention have arrived in Texas and are working closely with Texas state and local health departments to investigate the first Ebola case in the United States, according to a news release issued by the agency.

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Officials Report First Confirmed Death Due to Enterovirus D68

MONDAY, Oct. 6, 2014 (HealthDay News) -- The first confirmed death due to Enterovirus D68 has been confirmed, a 4-year-boy in New Jersey, health officials report.

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Ebola Patient in Dallas Hospital Takes Turn for the Worse

MONDAY, Oct. 6, 2014 (HealthDay News) -- The first Ebola patient to be diagnosed in the United States has "taken a turn for the worse," federal health officials said Sunday. Thomas Eric Duncan, a native of Liberia, is receiving supportive care at Texas Health Presbyterian Hospital Dallas. Hospital officials have changed his condition from serious to critical.

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States Encouraged to Use Physician Assistant Workforce

MONDAY, Oct. 6, 2014 (HealthDay News) -- Physician assistants (PAs) have an important role in the provision of health care and their role should be encouraged by appropriate state legislation, according to a report from the National Governors Association.

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Impact of Physician Payments Sunshine Act Discussed

MONDAY, Oct. 6, 2014 (HealthDay News) -- The Physician Payments Sunshine Act is causing concern for manufacturers and providers, as well as physicians, according to a health policy brief published online Oct. 2 in Health Affairs.

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Study Clarifies LMWH Treatment for Cancer-Related DVT

MONDAY, Oct. 6, 2014 (HealthDay News) -- Results of a randomized trial support the role of residual vein thrombosis (RVT) as a factor in determining the optimal duration of anticoagulant therapy in cancer patients with deep vein thrombosis (DVT) of the lower limbs. These findings were published online Sept. 29 in the Journal of Clinical Oncology.

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Research Suggests Stroke Risk Up With β-Blockers in Select Patients

MONDAY, Oct. 6, 2014 (HealthDay News) -- For patients without prior myocardial infarction (MI) with no heart failure, β-blocker use is not associated with lower cardiovascular events, and there may be an increased risk of stroke for patients without previous events but with multiple cardiovascular risk factors, according to a study published online Sept. 30 in Circulation: Cardiovascular Quality and Outcomes.

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Physician Payments Found Not to Favor Procedures

FRIDAY, Oct. 3, 2014 (HealthDay News) -- The Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule does not systematically provide higher valuation of physician work per unit time for procedure/test codes than for evaluation and management (E/M) codes, according to a study published online Sept. 18 in the Annals of Surgery.

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Ebola Focus Shrinks to About 50 People in Texas

FRIDAY, Oct. 3, 2014 (HealthDay News) -- About 50 people in Texas are now being checked daily for possible Ebola infection, based on their prior contact with the Liberian national undergoing treatment in Dallas for the virus, health officials said Friday.

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American Lung Association Offers Enterovirus D68 Advice

FRIDAY, Oct. 3, 2014 (HealthDay News) -- As Enterovirus D68 (EV-D68) infections continue to spread across the United States, the American Lung Association offers information for parents and providers of children at risk.

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Major Bleeds Found to Be Rare for Patients With Stable CAD

FRIDAY, Oct. 3, 2014 (HealthDay News) -- Major bleeding events are rare in patients with stable coronary artery disease (CAD); however, concomitant antiplatelet therapy (APT) when oral anticoagulation is required increases bleeding risk -- an independent predictor of mortality -- and should be reconsidered in select patients, according to research published in the Oct. 7 issue of the Journal of the American College of Cardiology.

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Transient Ischemic Attacks May Lead to PTSD

FRIDAY, Oct. 3, 2014 (HealthDay News) -- Transient ischemic attacks (TIAs) may not cause lasting physical damage but they may increase the risk of developing posttraumatic stress disorder (PTSD), according to a study published online Oct. 2 in Stroke.

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Lung Cancer Screening Found Cost-Effective for Medicare

FRIDAY, Oct. 3, 2014 (HealthDay News) -- Low-dose computed tomography (LDCT) is a low-cost and cost-effective strategy for screening Medicare beneficiaries for lung cancer, according to a study published in the August issue of American Health & Drug Benefits.

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CDC: Heroin Overdose Deaths Doubled in Much of U.S.

THURSDAY, Oct. 2, 2014 (HealthDay News) -- Deaths from heroin overdoses doubled from 2010 to 2012, according to research published in the Oct. 3 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Medical Errors Should Be Used to Improve Patient Care

THURSDAY, Oct. 2, 2014 (HealthDay News) -- Medical errors occur and should be used to help improve medical processes, according to a report from the American Medical Association.

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Four Patients Who Died Tested Positive for Enterovirus D68

THURSDAY, Oct. 2, 2014 (HealthDay News) -- Forty-two states and the District of Columbia now have a total of 500 confirmed cases of Enterovirus D68, the severe respiratory illness that has been infecting children since the summer, U.S. health officials reported Wednesday. Four people infected with the virus have died in recent weeks, but it's not clear what role -- if any -- the virus played in those deaths, officials said.

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Updated Count for Those Potentially Exposed to U.S. Ebola

THURSDAY, Oct. 2, 2014 (HealthDay News) -- Health officials in Texas say more than 80 people came into contact with Ebola patient Thomas Eric Duncan, on top of the 18 already under surveillance.

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Providers Received Billions From Drug/Device Companies

THURSDAY, Oct. 2, 2014 (HealthDay News) -- About 546,000 doctors and 1,360 teaching hospitals in the United States received billions of dollars from drug and medical device makers in the second half of 2013, according to data released Tuesday by the Centers for Medicare & Medicaid Services. The financial benefits ranged from research grants to trips, and totaled nearly $3.5 billion from August through December last year, the Associated Press reported.

Health Highlights: Oct. 2, 2014
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CDC Offers Ebola Guidance for Health Care Providers

THURSDAY, Oct. 2, 2014 (HealthDay News) -- In the wake of the first confirmed case of a patient being diagnosed with Ebola in the United States, the U.S. Centers for Disease Control and Prevention is offering information on Ebola diagnosis and management for health care providers, including testing protocol.

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Hydrocodone Combo Products Reclassified As Schedule II

THURSDAY, Oct. 2, 2014 (HealthDay News) -- A new rule taking effect Oct. 6 reclassifies hydrocodone combination products as Schedule II controlled substances, which will impact prescribing practices for these products, according to a report from the federal Drug Enforcement Administration (DEA).

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CDC Issues Ebola Best Practices Reminder for Providers

WEDNESDAY, Oct. 1, 2014 (HealthDay News) -- The U.S. Centers for Disease Control and Prevention has issued a general reminder to travelers and health care providers on best practices regarding Ebola.

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CDC Monitoring Those Who Had Contact With Ebola Patient

WEDNESDAY, Oct. 1, 2014 (HealthDay News) -- Federal health officials are monitoring up to 18 people who were exposed to the man being treated at a Dallas hospital for the first confirmed case of Ebola in the United States.

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Appropriate Use Criteria Established for Pediatric ECHO

WEDNESDAY, Oct. 1, 2014 (HealthDay News) -- Appropriate use criteria have been developed for the initial use of transthoracic echocardiography in outpatient pediatric cardiology. The guidelines were published online Sept. 29 in the Journal of the American College of Cardiology.

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Burnout on the Job Isn't Just About the Work

WEDNESDAY, Oct. 1, 2014 (HealthDay News) -- Work, non-work, and individual factors explain a considerable part of psychological distress, depression, and emotional exhaustion, according to a study published online July 24 in Social Psychiatry and Psychiatric Epidemiology.

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CDC Confirms First Patient Diagnosed With Ebola in U.S.

WEDNESDAY, Oct. 1, 2014 (HealthDay News) -- The first confirmed case of Ebola has surfaced in the United States, involving a man who recently flew here from Liberia, federal health officials from the U.S. Centers for Disease Control and Prevention announced late Tuesday.

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