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March 2013 Briefing - HIV & AIDS

March 2013 Briefing - HIV & AIDS

Many Uninsured Vets Will Be Eligible for Medicaid Under ACA

FRIDAY, March 29 (HealthDay News) -- A large proportion of uninsured veterans and their spouses will be eligible for Medicaid or new subsidies for coverage under the Affordable Care Act (ACA), according to a report published by the Robert Wood Johnson Foundation.

More Information (http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2013/rwjf405143 )

Regional Variation Noted in Prevalence of Delayed Care

THURSDAY, March 28 (HealthDay News) -- There is considerable county-wide variation in the prevalence of delayed care, with high prevalence linked to a weaker health care infrastructure, according to a letter published in the March 28 issue of the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMc1214874 )

Using Internet Search Logs Can Help Identify Drug Interactions

THURSDAY, March 28 (HealthDay News) -- Search logs can be used to inexpensively mine for anonymized signals that may alert authorities to potential drug interactions and add new Web-scale pharmacovigilance capabilities, according to research published online March 6 in the Journal of the American Medical Informatics Association.

Abstract (http://jamia.bmj.com/content/early/2013/02/05/amiajnl-2012-001482.abstract )Full Text (subscription or payment may be required) (http://jamia.bmj.com/content/early/2013/02/05/amiajnl-2012-001482.full.pdf+html )

Study: Primary Care Extension Program Should Be Funded

THURSDAY, March 28 (HealthDay News) -- The Primary Care Extension Program (PCEP) has the potential to transform primary care and needs to be funded, according to a study published in the March/April issue of the Annals of Family Medicine.

Abstract (http://annfammed.org/content/11/2/173.abstract )Full Text (subscription or payment may be required) (http://annfammed.org/content/11/2/173.full )

Inpatient Deaths Fell by 8 Percent in Last Decade

WEDNESDAY, March 27 (HealthDay News) -- The number of inpatient hospital deaths declined by 8 percent over the last decade, although the total number of hospitalizations increased by 11 percent during the same period, according to a March data brief issued by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

Full Text (http://www.cdc.gov/nchs/data/databriefs/db118.htm )

Trial Shows Miravirsen Decreases HCV RNA Levels

WEDNESDAY, March 27 (HealthDay News) -- Subcutaneous injections of miravirsen, an miRNA inhibitor, result in significant virologic responses in patients with chronic hepatitis C virus (HCV) infection, according to a study published online March 27 in the New England Journal of Medicine.

Abstract (http://www.nejm.org/doi/full/10.1056/NEJMoa1209026?query=featured_home )Full Text (http://www.nejm.org/doi/full/10.1056/NEJMoa1209026?query=featured_home#t=article )Editorial (http://www.nejm.org/doi/full/10.1056/NEJMe1301348?query=featured_home )

Submitting Peer-Review Reports Could Expedite Process

WEDNESDAY, March 27 (HealthDay News) -- Attaching previous peer-review reports during the next submission of the same paper to a different journal could optimize the peer-review process, according to research published in the March/April issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/2/179.abstract?sid=830532ac-da58-4c89-87ca-b0c3ee2f8ffc )Full Text (http://www.annfammed.org/content/11/2/179.full )Editorial (http://www.annfammed.org/content/11/2/104.full?sid=48707c4b-ebf8-4a86-b8b0-726cf918c1ed )

Residency Reforms Reduced Duty Hours, Increased Sleep

TUESDAY, March 26 (HealthDay News) -- Additional residency reforms implemented in 2011 have reduced duty hours and increased sleep duration, but with perceived reductions in quality of patient care, according to research published online March 25 in JAMA Internal Medicine.

Abstract - Sen (http://archinte.jamanetwork.com/article.aspx?articleid=1672284#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1672284 )Abstract - Desai (http://archinte.jamanetwork.com/article.aspx?articleid=1672279#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1672279 )

MRSA Colonization in Groin Tied to Clinical Infections

TUESDAY, March 26 (HealthDay News) -- Groin colonization of methicillin-resistant Staphylococcus aureus (MRSA) leads to an increased risk of developing active MRSA infection later among HIV-infected patients, according to a study published in the April issue of Emerging Infectious Diseases.

Full Text (http://wwwnc.cdc.gov/eid/article/19/4/12-1353_article.htm )

Impact of Budget Sequestration on Health Care Discussed

THURSDAY, March 21 (HealthDay News) -- The impact of sequestration will have far-reaching consequences in health care, according to a perspective piece published online March 20 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1303266?query=featured_home )

Effect of Immigration Status on Medicaid Eligibility Discussed

WEDNESDAY, March 20 (HealthDay News) -- Under the Affordable Care Act, a considerable proportion of low-income uninsured adults will be ineligible for Medicaid coverage due to their immigration status, and their main providers are likely to be safety-net health care providers, according to a March report published by the State Health Access Data Assistance Center.

More Information (http://www.rwjf.org/en/research-publications/find-rwjf-research/2013/03/state-estimates-of-the-low-income-uninsured-not-eligible-for-the.html )

HIV Prevalence Is High Among High-Risk Heterosexuals

WEDNESDAY, March 20 (HealthDay News) -- The prevalence of HIV infection is high among low socioeconomic heterosexuals living in areas with high rates of AIDS in 2010, according to research published in the March 15 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/mm6210a2.htm?s_cid=mm6210a2_w )

ER Discharge Dx/Disposition Discordant With Chief Complaint

TUESDAY, March 19 (HealthDay News) -- A considerable proportion of patients with emergency department visits with the same presenting complaint as those ultimately given a primary care-treatable diagnosis require immediate emergency care or hospital admission, according to a study published in the March 20 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1669818#Abstract )Full Text (http://jama.jamanetwork.com/article.aspx?articleid=1669818 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1669802 )

Conflict-of-Interest Disclosures Common at 2011 AAOS Meeting

TUESDAY, March 19 (HealthDay News) -- At the 2011 American Academy of Orthopaedic Surgeons (AAOS) annual meeting, voluntarily disclosed conflicts of interest were common, especially for featured symposia, according to a study published in the March 6 issue of The Journal of Bone & Joint Surgery.

Abstract (http://jbjs.org/article.aspx?articleid=1654958 )Full Text (subscription or payment may be required) (http://jbjs.org/article.aspx?articleid=1654958 )

CMV-Linked Eye Infections ID'd in Patients Without HIV

MONDAY, March 18 (HealthDay News) -- Cytomegalovirus (CMV)-associated posterior uveitis or panuveitis can develop in patients without HIV infection, most of whom have evidence of compromised immune function, according to a study published online March 14 in JAMA Ophthalmology.

Abstract (http://archopht.jamanetwork.com/article.aspx?articleid=1667032#Abstract )Full Text (subscription or payment may be required) (http://archopht.jamanetwork.com/article.aspx?articleid=1667032 )

Final Rule in Notice of Benefit, Payment Parameters Issued

FRIDAY, March 15 (HealthDay News) -- The final rule of the Department of Health and Human Services (HHS) Notice of Benefit and Payment Parameters for 2014, which expands on existing standards, has been released.

More Information (http://content.govdelivery.com/bulletins/gd/USCMS-6ebb0f )

Health Insurance Exchanges Will Mainly Be Run by Feds

FRIDAY, March 15 (HealthDay News) -- More than half of the states within the United States will allow the federal government to establish health insurance exchanges, according to a report issued by the Henry J. Kaiser Family Foundation.

More Information (http://www.statehealthfacts.org/comparemaptable.jsp?ind=962&cat=17 )

AMA Files Brief Contesting Insurer's Payment Practices

WEDNESDAY, March 13 (HealthDay News) -- A landmark case examining the question of whether physicians can bring a class arbitration against a health insurer who has underpaid them is currently before the U.S. Supreme Court, in a brief filed by the Litigation Center of the American Medical Association and State Medical Societies and the Medical Society of New Jersey.

More Information (http://www.ama-assn.org/ama/pub/physician-resources/legal-topics/litigation-center.page? )

$120 Million to Be Sequestered From Health Centers in 2013

TUESDAY, March 12 (HealthDay News) -- Budget sequestration, which is expected to reduce federal spending, is likely to result in a $120 million loss in grant funding for the nation's 1,200 community health centers in 2013, according to a report published by the Geiger Gibson/ RCHN Community Health Foundation Research Collaborative.

More Information (http://sphhs.gwu.edu/departments/healthpolicy/publications/GGRCHN.pdf )

Coordinated Care Model Suggested for Palliative Care

THURSDAY, March 7 (HealthDay News) -- To deal with the increasing demand for palliative care services, a coordinated palliative care model is proposed, according to a perspective piece published online March 6 in the New England Journal of Medicine.

Full Text (http://www.nejm.org/doi/full/10.1056/NEJMp1215620?query=featured_home )

HIV Infection Linked to Risk of Acute Myocardial Infarction

WEDNESDAY, March 6 (HealthDay News) -- HIV infection is associated with an increased risk of acute myocardial infarction (AMI), even after adjustment for Framingham risk factors, according to a study published online March 4 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1659742#Abstract )Full Text (http://archinte.jamanetwork.com/article.aspx?articleid=1659742 )Editorial (http://archinte.jamanetwork.com/article.aspx?articleid=1659741 )

Most Docs Report Information Overload in EHR-Setting

WEDNESDAY, March 6 (HealthDay News) -- Primary care practitioners (PCPs) using electronic health records (EHRs) are susceptible to information overload and feel that the EHR notification system makes it possible to miss test results, according to a research letter published online March 4 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1657753 )

Clinical Trials Published Almost Two Years After Completion

WEDNESDAY, March 6 (HealthDay News) -- Clinical trials are published, on average, almost two years after completion, with time to publication affected by the funding source, number of trial participants, and journal impact factor, according to a research letter published online March 4 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1657754 )

U.K. Health Performance Worse Than Comparable Countries

TUESDAY, March 5 (HealthDay News) -- The United Kingdom has worse health performance than other comparable countries, according to a study published online March 5 in The Lancet.

Abstract (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60355-4/abstract )Full Text (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60355-4/fulltext )Editorial (subscription or payment may be required) (http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)60188-9/fulltext )

Proportion of Black Males in U.S. Medical Schools Dropping

MONDAY, March 4 (HealthDay News) -- The proportion of black males in medical school is decreasing, according to a report published by the Association of American Medical Colleges (AAMC).

More Information (https://www.aamc.org/initiatives/diversity/179816/facts_and_figures.html )

Panel Recommends 10 Patient Safety Strategies

MONDAY, March 4 (HealthDay News) -- An expert panel is strongly encouraging the immediate adoption of 10 patient safety strategies and encouraging the adoption of a further 12, according to a supplement published in the March 5 issue of the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1657884 )Editorial (http://annals.org/article.aspx?articleid=1656416 )

CMS Reports on Progress Toward Improved Health Care

MONDAY, March 4 (HealthDay News) -- Considerable progress has already been made toward improving the quality and delivery of health care, according to a Centers for Medicare and Medicaid Services (CMS) bulletin published online Feb. 28.

More Information (http://content.govdelivery.com/bulletins/gd/USCMS-6e809e )

Computerized Provider Order Entry System Cuts Rx Errors

MONDAY, March 4 (HealthDay News) -- Electronic prescribing through computerized provider order entry (CPOE) systems can substantially reduce medication errors in inpatient acute-care settings, according to a study published online Feb. 20 in the Journal of the American Medical Informatics Association.

Abstract (http://jamia.bmj.com/content/early/2013/01/27/amiajnl-2012-001241.short )Full Text (http://jamia.bmj.com/content/early/2013/01/27/amiajnl-2012-001241.full )

Young Males With HIV Face Greater Risk of Hearing Loss

FRIDAY, March 1 (HealthDay News) -- HIV infection is significantly associated with an increased risk of developing sudden sensorineural hearing loss (SSHL), according to research published online Feb. 21 in JAMA Otolaryngology-Head & Neck Surgery.

Abstract (http://archotol.jamanetwork.com/article.aspx?articleid=1655348#Abstract )Full Text (subscription or payment may be required) (http://archotol.jamanetwork.com/article.aspx?articleid=1655348 )

Sequestration to Impact Health Care-Related Programs

FRIDAY, March 1 (HealthDay News) -- The $85 billion of mandatory cuts in federal spending that take effect March 1 as part of sequestration will be felt across health care and related programs, with cuts to Medicare providers and to the budgets of federal agencies.

More Information (http://www.cms.gov/ )