• May 2013 Briefing - Neurology

    Here are what the editors at HealthDay consider to be the most important developments in Neurology for May 2013. 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.
    Compassion, Altruism Can Be Taught
    FRIDAY, May 31 (HealthDay News) -- Compassion can be taught, according to a study published online May 21 in Psychological Science.
    Abstract (http://pss.sagepub.com/content/early/2013/05/20/0956797612469537.abstract )Full Text (subscription or payment may be required) (http://pss.sagepub.com/content/early/2013/05/20/0956797612469537.full )
    New Statement Released by Anticoagulation Forum
    FRIDAY, May 31 (HealthDay News) -- The Anticoagulation Forum has endorsed a new consensus statement aimed at optimizing the delivery of anticoagulation therapy to inpatients; the statement has been published in the May issue of the Annals of Pharmacotherapy.
    Abstract (http://www.theannals.com/content/47/5/714.abstract )Full Text (http://www.theannals.com/content/47/5/714.full )
    Patients Who Share in Care Decisions May Up Costs of Care
    THURSDAY, May 30 (HealthDay News) -- Patient preference for participating in shared decision making regarding care may increase length of hospital stays and costs of care, according to research published online May 27 in JAMA Internal Medicine.
    Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1691765#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1691765 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1691772 )
    2012 AMA Report Highlights Progress Toward Better Future
    THURSDAY, May 30 (HealthDay News) -- Given the changes in America's health care system and challenges facing physicians, in 2012, the American Medical Association (AMA) focused on creating a better future for the nations' patients, physicians, and medical students, according to their annual report.
    More Information (http://www.ama-assn.org/ama/pub/about-ama/ama-annual-report.page )
    Emotions in Alzheimer's Linked to Changes in Brain Size
    THURSDAY, May 30 (HealthDay News) -- Emotional contagion, the tendency for two individuals to emotionally converge, increases as individuals progress from healthy to mild cognitive impairment to Alzheimer's disease, which correlates with smaller structures in the temporal lobe, according to a study published online May 28 in the Proceedings of the National Academy of Sciences.
    Abstract (http://www.pnas.org/content/early/2013/05/22/1301119110.abstract )Full Text (subscription or payment may be required) (http://www.pnas.org/content/early/2013/05/22/1301119110.full.pdf+html )
    One-Third of Medical Students Have Implicit Anti-Fat Bias
    THURSDAY, May 30 (HealthDay News) -- More than one-third of medical students have a significant implicit anti-fat bias that few are aware of, according to a study published in the July issue of Academic Medicine.
    Abstract (http://journals.lww.com/academicmedicine/Abstract/publishahead/Are_Medical_Students_Aware_of_Their_Anti_obesity.99382.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/academicmedicine/Abstract/publishahead/Are_Medical_Students_Aware_of_Their_Anti_obesity.99382.aspx )
    Doc Passengers Assist in Half of In-Flight Medical Emergencies
    WEDNESDAY, May 29 (HealthDay News) -- Physician passengers provide medical assistance in about half of in-flight medical emergencies, which are most commonly related to syncope, respiratory symptoms, or gastrointestinal symptoms, according to a study published in the May 30 issue of the New England Journal of Medicine.
    Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1212052 )Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1212052#t=article )
    Billions Can Be Saved With Pharmacy Benefit Management
    WEDNESDAY, May 29 (HealthDay News) -- Efficient pharmacy benefit management, including increasing use of generic drugs and negotiation of market-based pharmacy dispensing fees, could save Medicaid programs billions of dollars nationwide in the next 10 years, according to a report prepared by the Menges Group and sponsored by the Pharmaceutical Care Management Association.
    More Information (http://www.pcmanet.org/report-upgrading-medicaid-drug-benefits-could-save-federal-state-governments-74-4-billion )
    Enrollment in U.S. Medical Colleges Is Increasing
    WEDNESDAY, May 29 (HealthDay News) -- Enrollment in U.S. medical colleges is increasing, but there is concern about the adequacy of training opportunities, according to a report published by the Association of American Medical Colleges (AAMC).
    More Information (https://members.aamc.org/eweb/upload/12-237%20EnrollmSurvey2013.pdf )
    Transparency Key to Improving Value Care for Patients
    WEDNESDAY, May 29 (HealthDay News) -- In order to ensure the provision of higher quality care and cost control in a post-Affordable Care Act health care system, data on price, utilization, and quality should be made publicly available unless there is a compelling publicly-acceptable justification for keeping it confidential, according to a study published online May 28 in the Annals of Internal Medicine.
    Full Text (http://annals.org/article.aspx?articleid=1691701 )
    HHS: End-of-2013 Targets for EHR Use Already Reached
    TUESDAY, May 28 (HealthDay News) -- The U.S. Department of Health & Human Services (HHS) has already met and exceeded its goal for 50 percent of physician offices and 80 percent of eligible hospitals to have electronic health records (EHRs) by the end of 2013, according to a report published by the department.
    More Information (http://www.hhs.gov/news/press/2013pres/05/20130522a.html )
    Parkinson's Risk Linked to Pesticide, Solvent Exposure
    TUESDAY, May 28 (HealthDay News) -- Exposure to pesticides or solvents is associated with an increased risk of Parkinson's disease, according to a meta-analysis published in the May 28 issue of Neurology.
    Abstract (http://www.neurology.org/content/80/22/2035.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/80/22/2035.full )
    AAN Releases Periprocedural Anticoagulant Care Guideline
    TUESDAY, May 28 (HealthDay News) -- For patients with ischemic cerebrovascular disease taking antithrombotic drugs, the risk of bleeding varies for different medical procedures, which should guide discontinuation decisions, according to a guideline from the American Academy of Neurology (AAN), published in the May 28 issue of Neurology.
    Abstract (http://www.neurology.org/content/80/22/2065.abstract )Full Text (http://www.neurology.org/content/80/22/2065.full )
    Algorithm Developed to Guide Evaluation, Tx of Motor Delay
    TUESDAY, May 28 (HealthDay News) -- An algorithm has been developed to facilitate the surveillance and screening of children for motor delays, providing guidance for initial work-up and referral, according to a clinical report published online May 27 in Pediatrics.
    Abstract (http://pediatrics.aappublications.org/content/early/2013/05/22/peds.2013-1056.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/05/22/peds.2013-1056.full.pdf+html )
    Docs Anticipating Changes Ahead As ACA Progresses
    MONDAY, May 27 (HealthDay News) -- Most physicians expect the Affordable Care Act (ACA) to continue as planned and expect further integration in the coming years, according to a report published by Deloitte.
    More Information (http://www.deloitte.com/view/en_US/us/Insights/centers/center-for-health-solutions/a5ee019120e6d310VgnVCM1000003256f70aRCRD.htm?id=us_furl_2013physciansurvey_031813 )
    Environmental Enrichment Reduces Autism Symptoms
    FRIDAY, May 24 (HealthDay News) -- Environmental enrichment, including daily olfactory and tactile stimulation, appears to improve autism symptoms in children, according to a study published online May 20 in Behavioral Neuroscience.
    Abstract (http://psycnet.apa.org/index.cfm?fa=buy.optionToBuy&id=2013-17639-001 )Full Text (subscription or payment may be required) (http://psycnet.apa.org/index.cfm?fa=buy.optionToBuy&id=2013-17639-001 )
    About One in Four Uninsured Could Be Excluded From ACA
    FRIDAY, May 24 (HealthDay News) -- More than one in four of those eligible for new premium assistance tax credits under the Affordable Care Act (ACA) do not have a checking account and will not be able to receive premiums from insurance companies, according to a report published by Jackson Hewitt.
    More Information (http://jacksonhewittaca.com/wp-content/uploads/2013/05/ACA-Banking-and-Premium-Report.pdf )
    Data Support Basing Health Decisions on Both Benefit, Cost
    FRIDAY, May 24 (HealthDay News) -- Person-level health care expenditures per month of health status-adjusted life expectancy are much higher for adults aged 85 years and older than for 0- to 14-year-olds, but despite spending much more on health care, the aging population gets substantially less value for that spending in terms of quality and quantity of life expectancy, according to a study published in the Spring issue of the Michigan Journal of Public Affairs.
    Full Text (http://www.mjpa.umich.edu/uploads/2013/davswin.pdf )
    Mediterranean Diet Preserves Cognition in the Aging Brain
    THURSDAY, May 23 (HealthDay News) -- A dietary intervention of the Mediterranean diet, enhanced with either extra-virgin olive oil or nuts, is superior to a low-fat diet in preserving global cognition with age, according to research published online May 13 in the Journal of Neurology, Neurosurgery & Psychiatry.
    Abstract (http://jnnp.bmj.com/content/early/2013/04/19/jnnp-2012-304792.abstract )Full Text (subscription or payment may be required) (http://jnnp.bmj.com/content/early/2013/04/19/jnnp-2012-304792.full )
    Stroke-Related Costs Expected to Rise 129 Percent by 2030
    WEDNESDAY, May 22 (HealthDay News) -- The total annual costs associated with stroke are projected to rise to $240.67 billion by 2030, according to an American Heart Association and American Stroke Association policy statement published online May 22 in Stroke.
    Abstract (http://stroke.ahajournals.org/content/early/2013/05/22/STR.0b013e31829734f2.abstract )Full Text (http://stroke.ahajournals.org/content/early/2013/05/22/STR.0b013e31829734f2.full.pdf+html )
    Systematic Screening of Med Adherence Will ID Barriers
    WEDNESDAY, May 22 (HealthDay News) -- Implementation of systematic monitoring for medication adherence will allow for identification of barriers to adherence and tailoring of interventions, according to a viewpoint piece published in the May 22/29 issue of the Journal of the American Medical Association.
    Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1690707 )
    Digital Divide Exists With Physician EHR Adoption
    MONDAY, May 20 (HealthDay News) -- The majority of physicians remain reluctant to adopt health information technology (HIT), according to a report by Deloitte Touche Tohmatsu.
    Report (http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Documents/Health%20Care%20Provider/us_dchs_2013PhysicianSurveyHIT_051313%20(2).pdf )
    Depression Doubles Stroke Risk in Middle-Aged Women
    FRIDAY, May 17 (HealthDay News) -- In middle-aged women, depression is associated with a significantly increased risk of stroke, even after adjustment for lifestyle and physiological variables, according to a study published online May 16 in Stroke.
    Abstract (http://stroke.ahajournals.org/content/early/2013/05/16/STROKEAHA.113.001147.abstract )Full Text (subscription or payment may be required) (http://stroke.ahajournals.org/content/early/2013/05/16/STROKEAHA.113.001147.full.pdf+html )
    Traumatic Brain Injuries May Up Suicide Risk in U.S. Troops
    THURSDAY, May 16 (HealthDay News) -- Military personnel with multiple traumatic brain injuries (TBIs) may be at increased risk for suicide, according to research published online May 15 in JAMA Psychiatry.
    Abstract (http://archpsyc.jamanetwork.com/article.aspx?articleid=1688032#Abstract )Full Text (subscription or payment may be required) (http://archpsyc.jamanetwork.com/article.aspx?articleid=1688032 )
    Nonmelanoma Skin Cancer Tied to Lower Alzheimer's Risk
    THURSDAY, May 16 (HealthDay News) -- Older individuals with nonmelanoma skin cancer (NMSC) seem to have a significantly reduced risk of developing Alzheimer's disease (AD), according to a study published online May 15 in Neurology.
    Abstract (http://www.neurology.org/content/early/2013/05/15/WNL.0b013e3182941990.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/early/2013/05/15/WNL.0b013e3182941990.full.pdf+html )
    IOM: Health Effects of Further Lowering Sodium Unclear
    TUESDAY, May 14 (HealthDay News) -- Lowering sodium levels to moderate (2,300 mg/day) seems to result in improved health outcomes, but the evidence is insufficient to assess the benefits and harms of further lowering levels, according to a review published by the Institute of Medicine.
    More Information (http://www.iom.edu/Reports/2013/Sodium-Intake-in-Populations-Assessment-of-Evidence.aspx )
    Cognitive Health Info From Doctors Found to Be Lacking
    TUESDAY, May 14 (HealthDay News) -- Communication between patients and physicians regarding activities that may be beneficial to maintaining cognitive functioning during aging may be lacking, according to a study published online April 18 in Preventing Chronic Disease.
    Full Text (http://www.cdc.gov/pcd/issues/2013/12_0249.htm )
    New FDA Survey to Assess Doc Attitudes on DTC Advertising
    MONDAY, May 13 (HealthDay News) -- The U.S. Food and Drug Administration plans to conduct a new survey involving 2,000 health care professionals to examine their views on direct-to-consumer (DTC) advertising of prescription medications. The survey has been approved by the White House Office of Management and Budget.
    More Information (http://www.pharmalive.com/fda-will-find-docs-still-detest-dtc-advertising-survey )
    User Satisfaction With Electronic Health Records Down
    FRIDAY, May 10 (HealthDay News) -- Since 2010, there has been a decrease in the satisfaction and usability ratings for certified electronic health records (EHRs), according to survey results presented by the American College of Physicians (ACP) and AmericanEHR Partners.
    More Information (http://www.americanehr.com/about/news/13-03-05/Survey-of-Clinicians-User-satisfaction-with-electronic-health-records-has-decreased-since-2010.aspx )
    Poor Service, Bedside Manner Top Patients' Online Complaints
    FRIDAY, May 10 (HealthDay News) -- On "rate-your-doctor" websites, patients complain more about poor bedside manner and unprofessional office staff than inadequate medical skills, according to a recent multi-city study published by Vanguard Communications.
    More Information (http://vanguardcommunications.net/about/survey-results-2013/ )
    One in Eight Over Age 60 Reports Memory Loss, Confusion
    FRIDAY, May 10 (HealthDay News) -- Nearly one in eight adults 60 years and older reports increased confusion or memory loss in the previous year, according to research published in the May 10 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.
    Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6218a1.htm?s_cid=mm6218a1_w )
    Smartphones, Smartphone Apps Increasingly Used by Docs
    THURSDAY, May 9 (HealthDay News) -- Smartphones and smartphone applications are increasingly being used in a professional capacity among physicians, according to two reports published in the March issue of Kantar Media Sources & Interactions Study-Medical/Surgical Edition.
    Report 1 (http://www.kantarmedia-healthcare.com/how-are-physicians-using-smartphones-for-professional-purposes )Report 2 (http://www.kantarmedia-healthcare.com/more-physicians-value-and-use-mobile-apps-for-professional-purposes )
    HHS Releases Data on Inpatient Charges for Hospital Services
    THURSDAY, May 9 (HealthDay News) -- To promote transparency in the health care system, the first part of a three-part initiative has been released by the U.S. Department of Health and Human Services (HHS). The report provides consumers with information on hospital charges and highlights the considerable variation across the country for common inpatient services.
    More Information (http://www.cms.gov/apps/media/press/factsheet.asp?Counter=4597&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=&cboOrder=date )
    n-3 Fatty Acids No Benefit for High-Risk Cardio Patients
    WEDNESDAY, May 8 (HealthDay News) -- For patients with multiple cardiovascular risk factors or atherosclerotic vascular disease who have not had a myocardial infarction, daily treatment with n-3 fatty acids does not reduce cardiovascular mortality or morbidity, according to a study published in the May 9 issue of the New England Journal of Medicine.
    Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1205409 )
    Application for Health Coverage Has Been Simplified, Shortened
    WEDNESDAY, May 8 (HealthDay News) -- The application for health insurance coverage has been simplified and shortened, with the application reduced to three pages for individuals, according to a report released April 30 by the Centers for Medicare & Medicaid Services (CMS).
    More Information (https://www.cms.gov/apps/media/press/release.asp?Counter=4590&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&s )
    Higher Incidence of Multiple Sclerosis Seen for Blacks
    TUESDAY, May 7 (HealthDay News) -- The incidence of multiple sclerosis (MS) is higher among blacks and lower in Hispanics and Asians, compared with whites, according to a study published in the May 7 issue of Neurology.
    Abstract (http://www.neurology.org/content/80/19/1734.abstract )Full Text (subscription or payment may be required) (http://www.neurology.org/content/80/19/1734.full )
    In-Utero Exposure to Migraine Drugs May Lower Offspring IQ
    TUESDAY, May 7 (HealthDay News) -- Pregnant women should steer clear of certain migraine prevention medications which have been associated with decreased IQ scores in children exposed to them in utero, according to a May 6 news release issued by the U.S. Food and Drug Administration.
    More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm350866.htm )
    Patients Most Annoyed by Long Waits, Unclear Test Results
    FRIDAY, May 3 (HealthDay News) -- Long waiting times and unclear test results are the top patient grievances when it comes to visiting the doctor, according to a report published in the June issue of Consumer Reports.
    More Information (http://www.consumerreports.org/cro/magazine/2013/06/what-bugs-you-most-about-your-doctor/index.htm )
    Video Games Improve Cognition in Older Adults
    FRIDAY, May 3 (HealthDay News) -- Older adults who play a video game to improve their visual speed of processing have stable or improved cognitive function, according to a study published online May 1 in PLOS ONE.
    Full Text (http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0061624 )
    Implanted Device Accurately Predicts Seizure Onset
    THURSDAY, May 2 (HealthDay News) -- An implantable device can accurately predict seizures in patients whose epilepsy is resistant to drugs, according to a study published online May 2 in The Lancet Neurology.
    Abstract (http://www.thelancet.com/journals/laneur/article/PIIS1474-4422(13)70075-9/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/laneur/article/PIIS1474-4422(13)70075-9/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/laneur/article/PIIS1474-4422(13)70092-9/fulltext )
    Health Industry Payment Details to Be Publicly Available
    THURSDAY, May 2 (HealthDay News) -- As part of the National Physician Payment Transparency Program and in compliance with a provision in the Affordable Care Act (ACA), the government will make information about financial relationships between doctors, teaching hospitals, and drug and device manufacturers publicly available on a new Centers for Medicare and Medicaid Services website, according to a report published by Kaiser Health News.
    More Information (http://capsules.kaiserhealthnews.org/index.php/2013/04/new-website-will-disclose-health-%20industry-payments-to-doctors/ )
    SAMHSA: Sharp Rise in ER Visits Due to Zolpidem
    WEDNESDAY, May 1 (HealthDay News) -- Issues related to the prescription sleep medication zolpidem are landing an increasing number of people in emergency departments, according to research conducted by the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA).
    More Information (http://www.samhsa.gov/newsroom/advisories/1304303131.aspx )
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