Wednesday, June 30, 2010

Medical News

Medical News


Caregivers of asthmatic children at increased risk for depression

Posted: 30 Jun 2010 05:00 PM PDT

Caregivers of asthmatic children are more likely to suffer from symptoms of depression than the general population, but no more likely to suffer from such symptoms than the caregivers of children with other chronic diseases, study results show.

Specific pattern of inflammatory responses linked to airways obstruction in asthma

Posted: 30 Jun 2010 05:00 PM PDT

Chronic airways obstruction is associated with decreased activation of T-helper 1-like/cytotoxic and interferon pathways in children who have suffered an asthma attack.

Choline may benefit asthma patients

Posted: 30 Jun 2010 05:00 PM PDT

Results from an Indian study suggest that treatment with the lipotropic agent choline may help reduce inflammation and oxidative stress in patients with asthma.

Cognitive rehabilitation improves symptoms, function in schizophrenia

Posted: 30 Jun 2010 05:00 PM PDT

Integrated psychological therapy achieves significant improvements compared with usual care in schizophrenia patients in terms of symptom scores, neuropsychologic tests, and functional outcome, study results show.

Migraine prevalent and problematic in bipolar disorder

Posted: 30 Jun 2010 05:00 PM PDT

A quarter of patients with bipolar disorder experience migraines, and those who do have an increased rate of suicidal behavior, anxiety disorders, and obsessive compulsive disorder, study results show.

Counseling can increase mammography rates in hard-to-reach populations

Posted: 29 Jun 2010 05:00 PM PDT

Counseling by community outreach workers triples the likelihood of a patient attending mammography screening in a target population of hard-to-reach, low-income, insured women, US research shows.

Prostate enlargement in obesity may confound hemodilution of PSA levels

Posted: 29 Jun 2010 05:00 PM PDT

The threshold of prostate-specific antigen for prostate cancer screening should not be lowered based on hemodilution in obese men, as body mass index-related prostate enlargement can raise levels, say South Korean researchers.

Nonoptimal HDL levels ‘highly prevalent’ among ACS patients

Posted: 29 Jun 2010 05:00 PM PDT

High-density lipoprotein cholesterol levels are "nonoptimal" in the vast majority of patients with acute coronary syndromes, including those with well-controlled low-density lipoprotein cholesterol, say US researchers.

Polypills improve adherence, cut CV event rates

Posted: 29 Jun 2010 05:00 PM PDT

So-called "polypills" that deliver hypertension and dyslipidemia therapy in a single tablet are associated with improved compliance and a reduced risk for cardiovascular events, study findings suggest.

School-based intervention improves some diabetes risk factors

Posted: 29 Jun 2010 05:00 PM PDT

A multicomponent school-based intervention has demonstrated partial success in reducing adiposity and diabetes risk in high-risk sixth-grade students.

Repaglinide linked to IPC elimination in Type 2 diabetes patients with CAD

Posted: 29 Jun 2010 05:00 PM PDT

Vildagliptin may be a better treatment option than repaglinide for Type 2 diabetes in patients who also have symptomatic coronary artery disease, research suggests.

Pattern of situational BP change differs between children and adults

Posted: 29 Jun 2010 05:00 PM PDT

The relationship between office, home, and ambulatory blood pressure thresholds in children and adolescents differs from that seen in adults, Greek researchers report.

Lowering blood pressure in CKD patients may not be justified

Posted: 29 Jun 2010 05:00 PM PDT

Lowering target blood pressure levels in patients with chronic kidney disease may not be as beneficial as current guidelines suggest, reports a US researcher.

Health Informatics News

Health Informatics News


WellCare was clever at cheating, suits say

Posted:

6/30/2010 © St. Petersburg Times Guess how WellCare shaved its handling time on calls from doctors? Employees called the line and hung up as soon as it was answered. This and more ways that  Florida's largest Medicaid plan allegedly cheated taxpayers are described in two newly unsealed whistleblower suits.

Hospital charges remain mystery

Posted:

6/30/2010 © Kaiser Health News More than 30 states, including Florida, make hospital prices public. But that doesn't mean patients can figure out what a procedure will cost ahead of time, let alone get a binding estimate.

Senate overhauls Medicaid

Posted:

By Jim Saunders  4/1/2010 © Health News Florida Senate Republicans tossed a bomb into the debate about overhauling Medicaid on Wednesday, approving program caps, vouchers and a 19-county expansion.  In the House, a committee took action that irked insurers and pleased doctors.

ER relief bill on 'life support'

Posted:

By Christine Jordan Sexton 3/25/2010 © Florida Tribune A bill that would have provided sovereign immunity protections to health care providers who treat patients in emergency situations is “on life support,” with a poor prognosis, according to its supporters. Tampa General lobbyist Jan Gorrie said, "We didn't expect to run into this buzz-saw."

Bill protects ER against lawsuits

Posted:

By Jim Saunders 3/4/2010 © Health News Florida Reopening a political battle about medical malpractice, a Florida Senate committee today passed a bill that would limit the liability of hospitals, doctors and other workers for emergency-room errors. Will it go all the way this time? 

3-day pill limit sparks fight

Posted:

By Jim Saunders  3/2/2010 © Health News Florida Limiting clinics that dispense their own drugs to 3 days' worth would strike a blow at pill mills, but the proposal has alarmed some doctors who use dispensing as a lucrative sideline. See a related Sun-Sentinel story on middle-school lobbyists.

Pain-doctor limits set

Posted:

 By Carol Gentry 3/1/2010 © Health News Florida Doctors who haven’t passed certification exams in pain management will be able to keep working in pain clinics as long as they have hospital privileges and a qualified supervising physician, under a rule adopted by a state board this weekend.

Tuesday, June 29, 2010

Medical News

Medical News


Early RSV bronchiolitis linked to asthma in adulthood

Posted: 29 Jun 2010 05:00 PM PDT

Severe respiratory syncytial virus bronchiolitis in early life is associated with an increased risk for allergic asthma in adulthood, research shows.

Probiotic ‘does not prevent asthma-like symptoms in high-risk children’

Posted: 29 Jun 2010 05:00 PM PDT

Treatment with the probiotic Lactobacillus rhamnosus strain GG does not reduce asthma-related events and has only a mild effect in preventing allergic sensitization in high-risk children, study results show.

<i>FSIP1</i> gene linked to aspirin-intolerant asthma

Posted: 29 Jun 2010 05:00 PM PDT

Results from a genetic association study suggest that a single nucleotide polymorphism in the fibrous sheath interacting protein 1 gene is associated with an increased risk for aspirin intolerance in asthma patients.

Neuregulin 1 gene region linked to schizophrenia, bipolar disorder

Posted: 29 Jun 2010 05:00 PM PDT

A variant haplotype of the Neuregulin 1 gene is associated with risk for schizophrenia and bipolar disorder, results of a case-control study show.

Unique pattern of brain folds in schizophrenia

Posted: 29 Jun 2010 05:00 PM PDT

Patients with schizophrenia and high-risk individuals who go on to develop the disorder show a different sulcogyral pattern in the orbitofrontal cortex than mentally healthy individuals, an imaging study shows.

Prostaglandin D2 may trigger remission in UC patients

Posted: 29 Jun 2010 05:00 PM PDT

Patients with ulcerative colitis who are in long-term remission have high levels of prostaglandin D2, report Canadian researchers who suggest it may be active in preventing new episodes of the condition.

Iliac vein thrombosis trials hampered by eligibility criteria

Posted: 28 Jun 2010 05:00 PM PDT

US researchers have highlighted the difficulty in establishing the optimal treatment for patients with iliac vein thrombosis in a report published in the Journal of Thrombosis and Haemostasis.

CAS with proximal protection feasible in octogenarians

Posted: 28 Jun 2010 05:00 PM PDT

Carotid artery stenting with proximal protection is associated with acceptable complication rates in patients aged 80 years or older, research suggests.

Immediate post-mastectomy breast reconstruction may not improve QoL

Posted: 28 Jun 2010 05:00 PM PDT

Mastectomy followed by immediate breast reconstruction does not necessarily provide a better quality of life than breast conserving surgery, a study among Korean women has shown.

Prostate EBRT increases risk for severe genitourinary toxicity

Posted: 28 Jun 2010 05:00 PM PDT

Men treated for prostate cancer with external beam radiotherapy after transurethral resection of the prostate have a higher risk for severe genitourinary toxicity than those who have not undergone the procedure, conclude US researchers.

CVD risk increased with endocrine therapy in prostate cancer patients

Posted: 28 Jun 2010 05:00 PM PDT

Prostate cancer patients have an increased risk for nonfatal and fatal cardiovascular disease, particularly those receiving endocrine treatment, researchers have discovered.

BMI not linked with LDL cholesterol level

Posted: 28 Jun 2010 05:00 PM PDT

Body mass index correlates with high-density lipoprotein cholesterol and triglycerides but not with low-density lipoprotein cholesterol levels, a case–control study has found.

Compliance with statin therapy cuts hospitalization, costs

Posted: 28 Jun 2010 05:00 PM PDT

Treatment compliance in the first 2 years of statin therapy is associated with reduced hospitalization rates and medical costs, a US study indicates.

Early severe hypoglycemia in Type 1 diabetes linked to reduced cognition in adulthood

Posted: 28 Jun 2010 05:00 PM PDT

Results from a small, 16-year follow-up study indicate that exposure to early severe hypoglycemia in children with Type 1 diabetes can lead to significant cognitive deficits in adult life.

Exenatide extended-release shows good safety profile for Type 2 diabetes

Posted: 28 Jun 2010 05:00 PM PDT

Exenatide provided once a week as an extended-release injectable suspension appears to be as well tolerated as the currently available twice-daily exenatide, and may even provide better tolerability due to a lower incidence of gastrointestinal events and low rate of nausea, study findings show.

Early menopause linked to raised CVD risk

Posted: 28 Jun 2010 05:00 PM PDT

Women who experience menopause before the age of 46 may have twice the risk for heart attack, stroke, or other cardiovascular disease events later in life as those who experience menopause later, a US study suggests.

Digoxin linked to increased mortality in end stage renal disease

Posted: 28 Jun 2010 05:00 PM PDT

Digoxin use by patients on hemodialysis is associated with an increased risk for mortality which is amplified by high serum digoxin and low pre-dialysis blood potassium levels, a US study reports.

Health Informatics News

Health Informatics News


Survey: Privacy compliance has declined

Posted: 14 May 2006 01:56 AM PDT

Three years after federal rules governing the privacy of patients' medical records went into effect, compliance seems to have declined for 6 percent, according to an annual survey conducted by the American Health Information Management Association (AHIMA). Read more about this at here.

E-book: Making E-Health Work

Posted: 14 May 2006 01:53 AM PDT

E-Health has become an integral part of present-day healthcare delivery. With healthcare consumers, increasingly the focus of most health systems, the widespread implementation of health information and communications technologies offers cost-effective opportunities to meet their increasingly sophisticated healthcare needs.Bankix Systems Ltd has released its latest e-book. It is a 200-page in-depth analysis of the issues involved in "Making E-Health Work," the e-book's title. Read more about this e-book at here.

Consumer tools: UCompareHealthCare Offers Free Reports on Hospitals, Nursing Homes and Physicians

Posted: 11 Mar 2006 01:01 AM PST

"UCompareHealthCare has just unveiled its Web site, ucomparehealthcare.com, which features free reports on the nation's nursing homes, hospitals and physicians to help consumers make informed healthcare decisions. I checked the web site and found it very informative for health consumers to help them make informed decision about their choices of doctors, hospitals and others." Read more about this at UCompareHealthCare

Articles: Direct to Consumer: Women are a powerful, but untapped, audience

Posted: 03 Feb 2006 12:04 AM PST

"Women influence many family decisions—from choosing what's for dinner to selecting the medications their children take. In fact, nearly two-thirds of women are responsible for family healthcare decisions, according to a 2004 national survey conducted by Plan for Your Health. Many women also assume the care-giving role outside their nuclear families. Today's middle-aged woman may also look after her parents and in-laws too, often determining how long they can live on their own and how to best care for them. In addition, she often influences the important health decisions of grandchildren, co-workers, and friends." Read more at PharmExec.

Consumer tools: Really Personal PHRs

Posted: 27 Jan 2006 01:05 AM PST

"If we're committed to fostering the adoption of personal health records, we should take a page out of the consumer marketing textbooks — not the primers of health IT marketers. This was my conclusion after attending a recent meeting in Washington, D.C., sponsored by the Markle Foundation, the Robert Wood Johnson Foundation and the Agency for Healthcare Quality Research and Quality. " Read more about this at iHealthBeat .

Consumer trends: Manhattan Predicts Online Health Trends

Posted: 27 Jan 2006 12:06 AM PST

"US healthcare specialist Manhattan Research has published a summary of the major trends for health and pharmaceutical marketers to consider in 2006. The trends chart the increased use of the web and other new technologies as a health information and communication tool for both patients and physicians." Read more at Daily Research News Online.

News: Wall Street Journal Looks at Tools That Identify Low-Cost Care Options

Posted: 26 Jan 2006 01:07 AM PST

"The Wall Street Journal on Thursday looked at efforts by insurers to provide patients with tools - including a cell phone Web browsing service - to help them find low-cost treatment options. Lumenos, a unit of WellPoint, in February will launch the cell phone service, which lets patients type drug names into their cell phones' Web browsers and get lists of lower-cost alternatives. The program is designed so that patients can ask their physicians about cost-effective alternatives while they still are at their appointments." Read more at iHealthBeat.

Consumer tools: Consumer Health Complete Now Available from EBSCO Publishing

Posted: 25 Jan 2006 12:09 AM PST

"In continuing with the company's goal of providing the most comprehensive collection of online health and wellness resources, EBSCO Publishing has announced the release of Consumer Health Complete (CHC). This full text database is designed to support consumer and patients' information needs as well as foster an overall
understanding of health-related topics." Read more at Managing Information News.

HealthPartners to Study EMR Use in Lowering Heart Disease

Posted: 29 Jun 2010 09:04 AM PDT

A HealthPartners Research Foundation team has received a National Institutes of Health research grant to develop and implement an electronic health record (EHR)-based clinical decision support system to help reduce patients' risk of heart attack or stroke. The team is being led by Patrick O’Connor, MD, MPH, and has received $3.7 million to conduct the five year study. The team, in collaboration with the University of Minnesota's Carlson School of Management, will engineer a point-of-care system that identifies and prioritizes evidence-based treatment options for patients at moderate to high risk for a heart attack or stroke within 10 years. With HealthPartners physicians, they will test its effect on risk in a randomized trial that includes 18 primary care clinics, 60 primary care physicians and 18,000 patients. If successful, this approach will reduce the risk of heart attack or stroke for about 35 percent of adults in the United States and maximize the clinical return on investment for electronic health record systems. It could also be a model for using electronic health record technology to deliver personalized medicine in primary care settings.   Bloomington, Minn.-based HealthPartners began implementing electronic medical records in 1997 with success. HealthPartners and Regions Hospital have a total of 3.5 million electronic medical records that can be accessed at all HealthPartners Clinics, Regions Hospital, five HealthPartners Urgent Care clinics and other locations.

KLAS: One in Three Providers Unsatisified with Cardiology IT

Posted: 29 Jun 2010 08:24 AM PDT

A new KLAS report finds that cardiovascular information system (CVIS) software is a major source of frustration for healthcare provider organizations. Thirty percent of respondents are considering replacing their CVIS software because of problems with product functionality and integration. The report, titled Cardiology IT: Has the industry missed a beat? , is based on interviews with 371 provider organizations that shared their experiences with a dozen CVIS software vendors. With the exception of Digisonics and Phillips, every vendor in the study received a lower client-satisfaction score than they did in the 2009 report, resulting in one of the lowest-rated market segments KLAS monitors. The KLAS report notes that while providers praise some integrated systems, and recognize others offer broad solutions, few providers can point to any one vendor as delivering an “ultimate package.” Among the 10 vendors fully rated in the KLAS report, Digisonics earned the highest performance score of 83.6 out of 100 with its DigiView product, followed by Philips Xcelera at 75.4 and Merge VERCIS (AMICAS) at 72.3.

Honor Society of Nursing and Caring International Research Collaborative Announce Partnership

Posted: 29 Jun 2010 07:19 AM PDT

The Honor Society of Nursing, Sigma Theta Tau International (STTI) board of directors has announced the Caring International Research Collaborative (CIRC) will become part of STTI’s international professional community. As a STTI community, CIRC will be able to network through an online platform with members, connecting with others who have similar interests and goals. CIRC members are scientists, educators, administrators and direct-care providers, who work in “sharing groups” to research how caring, healing, relationship-based care and organizational variables influence patients and their families. The Honor Society of Nursing, Sigma Theta Tau International is a nonprofit organization whose mission is to support the learning, knowledge, and professional development of nurses. Founded in 1922, STTI has inducted more than 400,000 members in 86 countries

John Glaser to Become Siemens CEO

Posted: 28 Jun 2010 07:21 AM PDT

Partners HealthCare System Vice President and CIO John Glaser will become CEO of Siemens Health Services Division in mid-August.  This announcement came last week from the College of Healthcare Information Management Executives (CHIME), where Glaser is a founding chairman. Glaser just recently completed a six-month advisory role with the Office of the National Coordinator for Health Information Technology (ONC), working alongside David Blumenthal, M.D. to carry out the HIT provisions of the American Recovery and Reinvestment Act (ARRA). In his new role at Siemens, Glaser will lead the company’s global healthcare IT business, including product development, strategy, portfolio management, financial performance, and overall customer satisfaction. At Siemens, he will leade more than 4,500 employees, multiple health information system brands, a Global Services arm, and Siemens' Information Systems Center. “As the HITECH Act continues to place the spotlight on CIOs, there is growing recognition of the key leadership abilities they possess,” said CHIME President and CEO Rich Correll in a press release. “Bringing CIOs into top positions with the industry’s product and services providers will certainly serve to strengthen the relationship between the two in order to offer more efficient, effective healthcare delivery.”

BCBS of Michigan Designates 1,800 Physicians in Patient Centered Medical Home Program

Posted: 28 Jun 2010 03:04 AM PDT

Blue Cross Blue Shield of Michigan  has designated more than 1,800 physicians in approximately 500 practices across the state as Patient-Centered Medical Homes (PCMH), creating the largest PCMH effort in the nation. The number of designated physicians grew from 1,200 designated PCMH physicians in 2009. In the Patient-Centered Medical Home, primary care physicians (pediatricians, internists and family practice doctors) lead care teams that bring focus to their patients' individual health goals and needs. PCMH teams coordinate patients' health care using registries to track patients' conditions, offering extended access to the care team, coordinating complementary care — such as nutrition counseling — and helping patients learn to self manage conditions such as asthma and diabetes. Preliminary data shows that PCMH-designated doctors are succeeding in managing their patients' care to keep them healthy and prevent complications that require expensive medical services to treat. For example, a review of data shows that PCMH practices have a 2 percent lower rate of adult radiology usage than non-PCMH practices, and PCMH practices have a 2.6 percent lower rate of adult inpatient admissions than non-PCMH practices. About 5,000 primary care doctors in Michigan are working toward designation as PCMH practices by transforming how their practices deliver health care services to patients.

Emdeon Acquires Chapin

Posted: 24 Jun 2010 10:33 AM PDT

Nashville, Tenn.-based Emdeon Inc. , a provider of healthcare revenue and payment cycle management solutions, today announced the acquisition of Chapin Revenue Cycle Management, LLC . Based in Tampa, Fla., Chapin is a technology-enabled provider of hospital-based revenue cycle services including accounts receivable management, medical denials, appeals and collection improvement initiatives. Chapin utilizes a proprietary contract management system built for rapid and precise calculations of reimbursement amounts from all types of healthcare payers and contract arrangements. By leveraging this technology and Chapin's experience in outsourced hospital revenue cycle management services, Emdeon plans to offer an added service layer designed to enhance the financial performance of institutional healthcare providers across its network. Consideration for the transaction was $18.9 million paid at closing, comprised of $16.2 million in cash and $2.7 million in restricted shares of Emdeon Class A common stock, plus additional contingent payments totaling up to $8.1 million to be paid in additional restricted shares of Emdeon Class A common stock. The contingent payments will be paid based upon the attainment of financial performance objectives of the acquired business from the closing through the end of 2012.

Study Finds Electronic Pill Bottle Promising

Posted: 24 Jun 2010 07:37 AM PDT

The Boston-based Center for Connect Health , a division of Partners Healthcare , have announced initial findings of a medication adherence study which used a wireless electronic pill bottle to remind patients with high blood pressure to take their medication. The ongoing study measured a 27% higher rate of medication adherence in patients using Internet connected medication packaging and feedback services compared to controls. The randomized controlled study assessed the impact of the wireless GlowCap developed by Vitality, Inc . GlowCaps fit popular pill bottles and signal patients with light and sound when it is time to take the medication inside. An embedded wireless connection enables the GlowCap to respond to the patient with automated calls for any missed dose, weekly progress reports, and refill reminders. GlowCaps also share adherence with physicians and a social network if the patient chooses. In total, one hundred and thirty nine patients diagnosed with hypertension and taking an antihypertensive medication were enrolled in a six month study starting in August 2009. Each participant was randomized into one of three groups: those in the control group did not receive any communication or GlowCap services; the intervention group received visual and audio reminders from the GlowCap as well as missed dose reminder phone calls, medication refill reminders and progress reports emailed to the patient, family member and /or their primary care provider. Participants in an intervention-plus group additionally received a financial incentive if they exceeded a monthly adherence goal of 80%. Three month interim analysis shows study participants in the intervention and intervention-plus group achieved adherence rates of 98% and 99%, respectively. This was significantly higher than the control group, which had an adherence rate of 71%. The study is also measuring blood pressure control and subject satisfaction. Final analysis of the study is anticipated this fall.

Doctors funding anti-Scott campaign

Posted:

6/29/2010 ©  Orlando Sentinel Even though Rick Scott is a health-care executive, much of the money fueling an ad campaign against him is from two South Florida doctors who support Scott's opponent in the Republican primary for governor. The Florida Medical Association has also endorsed his opponent.

Doctors, lawyers work together

Posted:

6/29/2010 © Florida Times-Union Through the Northeast Florida Medical Legal Partnership, doctors and lawyers collaborate to help patients like Gina York, who needed legal status to make medical decisions for her adult autistic son.