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September 2013 Briefing - Emergency Medicine

September 2013 Briefing - Emergency Medicine

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

Lower National Health Spending Due to Slow Economy

MONDAY, Sept. 30 (HealthDay News) -- National health care expenditures remain sluggish but are expected to grow at a rate of approximately 6.2 percent per year after 2014, with federal, state, and local governments accounting for half, according to research published online Sept. 18 in Health Affairs.

Abstract (http://content.healthaffairs.org/content/early/2013/09/13/hlthaff.2013.0721 )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/early/2013/09/13/hlthaff.2013.0721.full.pdf+html )

Only One-Third of Voters Think Congress Should Delay ACA

MONDAY, Sept. 30 (HealthDay News) -- With a government shutdown impending, only one-third of voters think that Congress should delay, defund, or repeal the health care laws set to take effect imminently, according to a report from The Morning Consult.

More Information (http://themorningconsult.com/topline-results-september-2013-tracking-poll/ )

Medicare, Medicaid Will Still Run If Government Shuts Down

MONDAY, Sept. 30 (HealthDay News) -- According to U.S. officials, veterans and Medicare and Medicaid recipients will continue to receive health care benefits even if the federal government shuts down on Tuesday.

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

No Change in Admissions for Pediatric Sports-Related TBI

MONDAY, Sept. 30 (HealthDay News) -- Over the last 10 years there has been an increase in the number of emergency department visits for sports-related traumatic brain injury (TBI) in children, but no increase in the percentage of children admitted, according to a study published online Sept. 30 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-1704.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/24/peds.2013-1704.full.pdf+html )

DOL Clarifies Employer Health Insurance Notification Duty

MONDAY, Sept. 30 (HealthDay News) -- The U.S. Department of Labor has provided clarification in the form of a frequently-asked-questions (FAQ) document, relating to employer obligations to provide employees with written notice about the Affordable Care Act's health insurance marketplaces by Oct. 1, 2013.

More Information (http://www.dol.gov/ebsa/faqs/faq-noticeofcoverageoptions.html )

Mobile Devices Can Facilitate Universal Vital Sign Monitoring

MONDAY, Sept. 30 (HealthDay News) -- Mobile devices are well suited to provide universal access to the monitoring of vital signs, according to a review published in the October issue of Anesthesia & Analgesia.

Abstract (http://www.anesthesia-analgesia.org/content/117/4/883.abstract )Full Text (subscription or payment may be required) (http://www.anesthesia-analgesia.org/content/117/4/883.long )

Health Worker Roles Impacted When 'Undervalued' by Patients

FRIDAY, Sept. 27 (HealthDay News) -- Job satisfaction among nurse practitioners and other professionals can suffer when clientele lack a clear understanding of what they do, according to research published in the Aug. 1 issue of the Academy of Management Journal.

Abstract (http://amj.aom.org/content/56/4/1050.abstract )Full Text (subscription or payment may be required) (http://amj.aom.org/content/56/4/1050.full )

Practical Tips Offered for Medical Employee Satisfaction

FRIDAY, Sept. 27 (HealthDay News) -- Managing staff is a learned skill, and one for which physicians are often ill-equipped. An article published Sept. 25 in Medical Economics lays out some practical tips and advice for motivating staff to excel.

Full Text (http://medicaleconomics.modernmedicine.com/medical-economics/news/how-physicians-can-increase-employee-satisfaction-their-medical-practice?page=0,0 )

HEALTH REFORM: ACA Impact on Medicare Recipients Unclear

FRIDAY, Sept. 27 (HealthDay News) -- The Affordable Care Act (ACA) will help millions of uninsured Americans access affordable health care coverage, but it's unclear what effect the law will have on people covered by Medicare.

More Information (https://www.healthcare.gov/ )

Disparity Seen in Pain Tx for Kids in ER for Abdominal Pain

FRIDAY, Sept. 27 (HealthDay News) -- Racial disparities exist in the use of analgesics in pediatric patients in the emergency department presenting with abdominal pain, according to a study published online Sept. 23 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2012-3127.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2012-3127.full.pdf+html )

HEALTH REFORM: Medicaid Expansion Will Up Coverage

THURSDAY, Sept. 26 (HealthDay News) -- Two aspects of the Affordable Care Act (ACA) have the potential to extend health insurance coverage to those who do not qualify for government-sponsored health care but cannot afford to purchase private plans.

More Information (https://www.healthcare.gov/ )

CDC: Flu Shot Coverage of Health Care Personnel Increasing

THURSDAY, Sept. 26 (HealthDay News) -- Influenza vaccination coverage has increased among health care personnel but varies by occupation type and occupational setting, according to a report published in the Sept. 27 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6238a2.htm?s_cid=mm6238a2_w )

ACP Launches Clinical Support Tool for Internal Medicine Docs

THURSDAY, Sept. 26 (HealthDay News) -- A web-based clinical decision support tool has been developed specifically for internal medicine physicians, according to a report published by the American College of Physicians (ACP).

More Information (http://www.acponline.org/pressroom/smart_medicine.htm?hp )

High Sensitivity for Ottawa Subarachnoid Hemorrhage Rule

THURSDAY, Sept. 26 (HealthDay News) -- For patients presenting to the emergency department with headache peaking within one hour and no neurologic deficits, the Ottawa Subarachnoid Hemorrhage Rule is highly sensitive for identifying subarachnoid hemorrhage, according to a study published in the Sept. 25 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1741823#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741823 )Editorial (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1741799 )

More Options, Lower Premiums With Insurance Exchanges

WEDNESDAY, Sept. 25 (HealthDay News) -- Consumers are likely to find insurance options more plentiful and more affordable than expected in the new Health Insurance Marketplace that goes into effect Oct. 1, according to a report released Sept. 25 by the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/09/20130925a.html )

HEALTH REFORM: Exchanges Offer Options for the Uninsured

WEDNESDAY, Sept. 25 (HealthDay News) -- Millions of part-time, seasonal, self-employed workers and other individuals currently without health insurance may find a solution to their vulnerable status when the new health care exchanges go into effect on Oct. 1.

More Information (https://www.healthcare.gov/ )

ACP Provides Overview of Health Insurance Marketplaces

WEDNESDAY, Sept. 25 (HealthDay News) -- The opportunities and challenges presented by health care reform are discussed in an article published online Sept. 24 in the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1741855 )

HEALTH REFORM: Health Care Reform a Mixed Bag for Workers

TUESDAY, Sept. 24 (HealthDay News) -- Much discussion of the Affordable Care Act revolves around the dramatic changes in store for America's uninsured, but the health care reform law will also have an impact on individuals with employer-based coverage.

More Information (https://www.healthcare.gov/ )

FDA Gives Final Guidance on Mobile Medical App Oversight

TUESDAY, Sept. 24 (HealthDay News) -- The U.S. Food and Drug Administration issued final guidance for mobile application (app) developers, and is focusing its oversight on medical apps that will be used as accessories to regulated medical devices, or that transform a mobile device into a regulated medical device.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm369431.htm )

Medicare Expenditure Per Patient Up for Acute MI

TUESDAY, Sept. 24 (HealthDay News) -- For patients with acute myocardial infarction (AMI), Medicare expenditures per patient increased significantly from 1998-1999 to 2008, according to research published online Sept. 23 in JAMA Internal Medicine.

Full Text (http://archinte.jamanetwork.com/article.aspx?articleid=1740698 )Editorial (http://archinte.jamanetwork.com/article.aspx?articleid=1740695 )

Early Screening Tool IDs PTSD in Preschool-Aged Children

TUESDAY, Sept. 24 (HealthDay News) -- An early screening tool can be used to identify posttraumatic stress disorder (PTSD) in infants and young children shortly after unintentional injury, according to a study published online Sept. 23 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-0713.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/18/peds.2013-0713.full.pdf+html )

USPSTF: Offer Breast CA Risk-Reducing Rx to High-Risk Patients

MONDAY, Sept. 23 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) recommends that women at increased risk of breast cancer be prescribed tamoxifen or raloxifene for risk reduction, according to a final Recommendation Statement published online Sept. 24 in the Annals of Internal Medicine.

Full Text (http://annals.org/article.aspx?articleid=1740758 )

FDA Issues Final Rule for Device Identification System

MONDAY, Sept. 23 (HealthDay News) -- The U.S. Food and Drug Administration has released a final rule for the unique device identification system (UDI) that, when implemented, will improve patient safety by providing a consistent way to identify approved medical devices.

More Information (http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm369276.htm )

HEALTH REFORM: Young People Likely to Be Key to Success

MONDAY, Sept. 23 (HealthDay News) -- Young, healthy adults are considered key to the success of health insurance reform, but many are not even aware of state insurance exchanges.

More Information (https://www.healthcare.gov/ )

HEALTH REFORM: Health Care Exchanges Going Into Effect

MONDAY, Sept. 23 (HealthDay News) -- As of Oct. 1, consumers looking for health insurance will be able to turn to state-based health care exchanges, a centerpiece of the Affordable Care Act intended to help the uninsured and small businesses find affordable coverage.

More Information (https://www.healthcare.gov/ )

Majority of U.S. Consumers Want Full Access to EMR

MONDAY, Sept. 23 (HealthDay News) -- Most U.S. consumers want to have full access to their electronic medical records (EMR), and 41 percent would be willing to switch doctors to gain access, according to a survey published by Accenture.

More Information (http://newsroom.accenture.com/news/more-than-40-percent-of-us-consumers-willing-to-switch-physicians-to-gain-online-access-to-electronic-medical-records-according-to-accenture-survey.htm?c=hls_fy13prtwt_10000108&n=smc_0713#sf17115649g )

Physical Exams Commonly Lacking in Low Back Pain Care

FRIDAY, Sept. 20 (HealthDay News) -- Among adults with low back pain (LBP) visiting a physician, 43 percent report no inspection and 20 percent report no palpation at physician encounters, according to a study published in the Sept. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/09150/Survey_of_Inspection_and_Palpation_Rates_Among.16.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/09150/Survey_of_Inspection_and_Palpation_Rates_Among.16.aspx )

Little Correlation Between Care Quality, Patient Experience

FRIDAY, Sept. 20 (HealthDay News) -- There is little correlation between quality of care assessed by clinical measures versus by patient experience, according to research published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/467.abstract?sid=de84fee1-68b9-4629-9da0-445437383dab )Full Text (http://www.annfammed.org/content/11/5/467.full )

New Medicaid Enrollees Under ACA May Be Healthier

THURSDAY, Sept. 19 (HealthDay News) -- Adults potentially eligible for Medicaid under the Patient Protection and Affordable Care Act (ACA) are expected to have equal or better health status than current beneficiaries, according to research published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/406.full )Full Text (http://www.annfammed.org/content/11/5/406.full )Editorial 1 (http://www.annfammed.org/content/11/5/402.full )Editorial 2 (http://www.annfammed.org/content/11/5/400.full )

'Bath Salts' Involved in Nearly 23,000 ER Visits in 2011

THURSDAY, Sept. 19 (HealthDay News) -- Bath salts, a group of drugs that contain one or more chemicals related to the amphetamine-like stimulant cathinone, were involved in nearly 23,000 drug-related emergency department visits in 2011, according to a report published by the Substance Abuse and Mental Health Services Administration (SAMHSA).

More Information (http://www.samhsa.gov/data/spotlight/spot117-bath-salts-2013.pdf )

Low-Risk Injured Patients Often Over-Triaged to Trauma Centers

THURSDAY, Sept. 19 (HealthDay News) -- More than one-third of low-risk injured patients are taken by emergency medical services (EMS) to major trauma centers, according to a study published in the September issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/9/1591.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/9/1591.full )

Pros and Cons of Shortening Medical School Discussed

THURSDAY, Sept. 19 (HealthDay News) -- The pros and cons of shortening medical school to three years are discussed in two perspective pieces published in the Sept. 19 issue of the New England Journal of Medicine.

Full Text - Abramson (http://www.nejm.org/doi/full/10.1056/NEJMp1304681 )Full Text - Goldfarb and Morrison (http://www.nejm.org/doi/full/10.1056/NEJMp1306457 )

Millions Are Harmed by Unsafe Medical Care Each Year

THURSDAY, Sept. 19 (HealthDay News) -- Adverse events caused by inferior medical care are a major source of morbidity and mortality globally, according to research published in the October issue of BMJ Quality & Safety.

Abstract (http://qualitysafety.bmj.com/content/22/10/809.abstract )Full Text (http://qualitysafety.bmj.com/content/22/10/809.full )Editorial (http://qualitysafety.bmj.com/content/22/10/798.full )

High-Volume Hospitals Have Fewer Surgical Readmissions

WEDNESDAY, Sept. 18 (HealthDay News) -- Hospitals with a high volume of surgeries and low surgical mortality rates have lower rates of surgical readmission than other hospitals, according to research published in the Sept. 19 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMsa1303118 )

Suicide Rates Increased After 2008 Global Economic Crisis

WEDNESDAY, Sept. 18 (HealthDay News) -- The 2008 global economic crisis correlated with increased rates of suicide in European and American countries, according to research published online Sept. 17 in BMJ.

Full Text (http://www.bmj.com/content/347/bmj.f5239 )Editorial (http://www.bmj.com/content/347/bmj.f5612 )

~11 Percent of Combat Wounded Have Spinal Injuries

WEDNESDAY, Sept. 18 (HealthDay News) -- Spine injuries account for more than 11 percent of all casualties among U.S. combat-wounded military in Iraq and Afghanistan, according to a study published in the Sept. 15 issue of Spine.

Abstract (http://journals.lww.com/spinejournal/Abstract/2013/09150/Spinal_Injuries_in_United_States_Military.15.aspx )Full Text (subscription or payment may be required) (http://journals.lww.com/spinejournal/Abstract/2013/09150/Spinal_Injuries_in_United_States_Military.15.aspx )

Gender Differences in Coronary Syndrome Presentation Studied

WEDNESDAY, Sept. 18 (HealthDay News) -- Chest pain is the most predominant symptom of acute coronary syndrome (ACS) in both middle-aged men and women, although women have a higher likelihood of presenting without chest pain, according to a study published online Sept. 16 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1738716#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1738716 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1738712 )

Binge Drinking 5+ Drinks Common in High School Seniors

WEDNESDAY, Sept. 18 (HealthDay News) -- One in five U.S. high school seniors report binge drinking at the traditionally defined 5+ drinking level in the past two weeks, according to a study published online Sept. 16 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1738765#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1738765 )Editorial (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1738763 )

Payment for Routine Office Visits Varies Substantially

WEDNESDAY, Sept. 18 (HealthDay News) -- There is substantial variation in private insurance payment to physicians for routine office visits, according to research published in the September issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/9/1583.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/9/1583.full )

EHR Systems Meeting Meaningful Use Criteria Beneficial

WEDNESDAY, Sept. 18 (HealthDay News) -- Most electronic health record (EHR) systems meet meaningful use criteria, and these systems are associated with time-saving and other benefits, according to a September data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

More Information (http://www.cdc.gov/nchs/data/databriefs/db129.htm )

Adult Emergency Department Visits Up in California '05 to '10

TUESDAY, Sept. 17 (HealthDay News) -- For adults in California, visit rates to the emergency department increased from 2005 to 2010, particularly among Medicaid beneficiaries, according to a research letter published in the Sept. 18 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1738882 )

More Than 1.6 Million Americans Expected to Get Cancer in 2013

TUESDAY, Sept. 17 (HealthDay News) -- Although significant progress has been made in treating cancer, more than 1.6 million Americans are projected to receive a cancer diagnosis in 2013, according to the third American Association for Cancer Research's Cancer Progress Report 2013.

More Information (http://cancerprogressreport.org/2013/pages/toc.aspx )

Researchers Estimate Costs of Childhood Food Allergies

TUESDAY, Sept. 17 (HealthDay News) -- Childhood food allergies result in significant direct medical costs for the U.S. health care system and even larger total costs for families of food-allergic children, according to a study published online Sept. 16 in JAMA Pediatrics.

Abstract (http://archpedi.jamanetwork.com/article.aspx?articleid=1738764#Abstract )Full Text (subscription or payment may be required) (http://archpedi.jamanetwork.com/article.aspx?articleid=1738764 )

CDC Report Sheds Light on Antibiotic-Resistant Infections

MONDAY, Sept. 16 (HealthDay News) -- Antibiotic-resistant infections claim the lives of 23,000 people in the United States every year and take a tremendous financial toll on the already overburdened health care system, according to a report issued Sept. 16 by the U.S. Centers for Disease Control and Prevention.

More Information (http://www.cdc.gov/media/releases/2013/p0916-untreatable.html )

Americans Living Longer, Healthier Lives

MONDAY, Sept. 16 (HealthDay News) -- Health surveys show that quality-adjusted life expectancy has increased by about two years in U.S. adults over the past 20 years, according to research published online Sept. 12 in the American Journal of Public Health.

Abstract (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301250 )Full Text (subscription or payment may be required) (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301250 )

More Than 150 Measles Cases in U.S. Through August 2013

MONDAY, Sept. 16 (HealthDay News) -- From Jan. 1 to Aug. 24, 2013, there were 159 cases of measles in 16 states in the United States, mainly resulting from eight outbreaks, according to a report published in the Sept. 13 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6236a2.htm )

High Burden of Endocarditis in Older Adults

FRIDAY, Sept. 13 (HealthDay News) -- The 2007 American Heart Association guidelines recommending a restriction of antibiotic prophylaxis have not increased the rates of hospitalization or adjusted mortality for endocarditis among Medicare beneficiaries, although the burden of endocarditis is high, according to a study published online Aug. 28 in the Journal of the American College of Cardiology.

Full Text (subscription or payment may be required) (http://content.onlinejacc.org/article.aspx?articleid=1732398 )

Gun Ownership Levels Linked to Firearm Homicide Rates

FRIDAY, Sept. 13 (HealthDay News) -- Higher levels of gun ownership are associated with increased firearm homicide rates, according to a study published online Sept. 12 in the American Journal of Public Health.

Abstract (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301409 )Full Text (subscription or payment may be required) (http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2013.301409 )

Community-Level Intervention Cuts Antibiotic Prescribing

FRIDAY, Sept. 13 (HealthDay News) -- A community-level intervention targeting residents and health care professionals can influence antibiotic prescribing for outpatients, according to a study published online Sept. 12 in BMJ.

Full Text (http://www.bmj.com/content/347/bmj.f5391 )

Review Questions Energy Drink Manufacturers Role in Research

FRIDAY, Sept. 13 (HealthDay News) -- The role of energy drink manufacturers in funding of research may be cause for concern, according to a Views & Reviews piece published online Sept. 12 in BMJ.

Full Text (http://www.bmj.com/content/347/bmj.f5345 )

IOM Urges Coordinated Research Enterprise for Child Abuse

FRIDAY, Sept. 13 (HealthDay News) -- Although child abuse rates appear to be declining, the complexity of child abuse and neglect necessitates development of a coordinated research enterprise, according to a report published Sept. 12 by the Institute of Medicine.

More Information (http://www.iom.edu/Reports/2013/New-Directions-in-Child-Abuse-and-Neglect-Research.aspx )

Nearly a Third of Vaccines at Pharmacies Given Off-Hours

FRIDAY, Sept. 13 (HealthDay News) -- Almost one-third of vaccinations given to adults at community pharmacies are administered during off-clinic hours, according to a study published in the September/October issue of the Annals of Family Medicine.

Abstract (http://www.annfammed.org/content/11/5/429.abstract )Full Text (subscription or payment may be required) (http://www.annfammed.org/content/11/5/429.full )

Mindfulness Training Beneficial for Clinicians, Patients

THURSDAY, Sept. 12 (HealthDay News) -- Mindfulness training is associated with improvements in physician burnout; and, clinicians who rate themselves as more mindful engage in more patient-centered communication, according to two studies published in the September/October issue of the Annals of Family Medicine.

Abstract - Fortney (http://www.annfammed.org/content/11/5/412.abstract )Full Text (http://www.annfammed.org/content/11/5/412.full )Abstract - Beach (http://www.annfammed.org/content/11/5/421.abstract )Full Text (http://www.annfammed.org/content/11/5/421.full )

ER Visits After Surgery Fairly Common in Medicare Patients

THURSDAY, Sept. 12 (HealthDay News) -- About 20 percent of Medicare patients discharged following six common inpatient surgeries visit the emergency department within 30 days, according to research published in the September issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/9/1600.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/9/1600.full )

Peds Revisit Rates Not Good Indicator of Hospital Quality

WEDNESDAY, Sept. 11 (HealthDay News) -- Compared with average performance, few hospitals caring for children are identified as low- or high-performers by condition-specific revisit rates, likely because of low hospital volumes, according to research published in the September issue of Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/132/3/429.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/132/3/429.full )

About Half of Health Care Providers Are 'Digital Omnivores'

TUESDAY, Sept. 10 (HealthDay News) -- About half of health care providers are "digital omnivores," meaning they use a tablet, smartphone, and laptop/desktop computer routinely in a professional capacity, according to a report published by Epocrates.

More Information (http://www.epocrates.com/oldsite/statistics/2013%20Epocrates%20Mobile%20Trends%20Report_FINAL.pdf )

Prevalence of Hospitalization Due to Hypertensive Disease Up

TUESDAY, Sept. 10 (HealthDay News) -- From 1980 to 2007, the prevalence of hospitalization attributable to hypertensive disease increased for U.S. adults, according to a study published in the Sept. 1 issue of The American Journal of Cardiology.

Abstract (http://www.ajconline.org/article/S0002-9149(13)01067-9/abstract )Full Text (subscription or payment may be required) (http://www.ajconline.org/article/S0002-9149(13)01067-9/fulltext )

Non-Medical Use of Prescription Drugs Drops in Young Adults

MONDAY, Sept. 9 (HealthDay News) -- In its latest report, 2012 National Survey on Drug Use and Health, the Substance Abuse and Mental Health Services Administration (SAMHSA) describes the use of illicit drugs, alcohol, and tobacco in the teen and adult civilian population of the United States.

More Information (http://www.samhsa.gov/data/NSDUH/2012SummNatFindDetTables/index.aspx?from=carousel&position=1&date=09052013 )

'Meaningful Use' Achievement Not Uniform Across Hospitals

MONDAY, Sept. 9 (HealthDay News) -- In regard to the adoption of electronic health records (EHRs), achievement of "meaningful use" criteria is not uniform across all hospitals, according to a study published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/8/1355?=right )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/8/1355.full )

Most Physicians Report Being Satisfied With Career Choice

MONDAY, Sept. 9 (HealthDay News) -- Most physicians report being satisfied with their career choice, although 40 percent would rethink their path given the chance to choose again, according to the 2013 Great American Physician Survey published in Physicians Practice.

More Information (http://www.physicianspractice.com )

Adoption Linked to Increased Risk of Suicide Attempts

MONDAY, Sept. 9 (HealthDay News) -- Adopted offspring have increased odds of a reported suicide attempt, even after adjustment for factors associated with suicidal behavior, according to a study published online Sept. 9 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/09/04/peds.2012-3251.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/09/04/peds.2012-3251.full.pdf+html )

Study of Topical Corticosteroid Use in Pregnancy Reassuring

FRIDAY, Sept. 6 (HealthDay News) -- Topical maternal exposure to corticosteroids during pregnancy is not associated with orofacial cleft, preterm delivery, fetal death, low Apgar score, and mode of delivery, however, low birth weight does correlate with increasing quantity of high potency exposure, according to a study published online Sept. 4 in JAMA Dermatology.

Full Text (http://archderm.jamanetwork.com/article.aspx?articleid=1735120 )

More Asthma Hospitalizations in Middle-Aged Women Than Men

FRIDAY, Sept. 6 (HealthDay News) -- In the fifth to sixth decades of life, women have a significantly higher hospitalization rates for asthma compared to men, according to research published in the September issue of the Annals of Allergy, Asthma & Immunology.

Abstract (http://www.annallergy.org/article/S1081-1206(13)00418-3/abstract )Full Text (subscription or payment may be required) (http://www.annallergy.org/article/S1081-1206(13)00418-3/fulltext )

Telephone-Based Care Ups Pediatric Diabetes Management

FRIDAY, Sept. 6 (HealthDay News) -- Telephone-based care for pediatric diabetes management is a cost-effective approach to reducing care disparities, according to research published online Aug. 19 in Diabetes Care.

Abstract (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1041.abstract?sid=d6be7a06-c8f9-40fb-ad57-24977bc2fcb9 )Full Text (subscription or payment may be required) (http://care.diabetesjournals.org/content/early/2013/08/16/dc13-1041.full.pdf+html )

Drug Non-Adherence Linked to Greater Pediatric Health Care Use

THURSDAY, Sept. 5 (HealthDay News) -- In children and adolescents with chronic medical conditions, medication non-adherence is associated with greater health care use, including more hospitalizations and visits to the emergency department, according to a study published online Sept. 2 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-1451.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-1451.full.pdf+html )

CDC: U.S. Drinking Water Sanitation Still a Concern

THURSDAY, Sept. 5 (HealthDay News) -- Sanitation and water management in the United States has improved, but potentially preventable outbreaks of drinking water-associated disease, sometimes fatal, still occur, according to a report published in the Sept. 6 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6235a3.htm?s_cid=mm6235a3_w )

Low-Dose CT Lung Screening More Sensitive Than Radiography

WEDNESDAY, Sept. 4 (HealthDay News) -- Low-dose computed tomography (CT) lung screening is more sensitive than radiography, and predictors of cancer on low-dose CT have been identified, according to two studies published in the Sept. 5 issue of the New England Journal of Medicine.

Full Text - Aberle (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1208962?query=featured_home )Full Text - McWilliams (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1214726?query=featured_home )

Door-to-Balloon Times Have Improved in Primary PCI

WEDNESDAY, Sept. 4 (HealthDay News) -- For patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention (PCI), despite improvement in door-to-balloon times there has been no change in in-hospital mortality, according to a study published in the Sept. 5 issue of the New England Journal of Medicine.

Full Text (subscription or payment may be required) (http://www.nejm.org/doi/full/10.1056/NEJMoa1208200?query=featured_home )

Major Health Care-Linked Infections Cost $9.8 Billion

WEDNESDAY, Sept. 4 (HealthDay News) -- The total annual cost associated with the five major health care-associated infections (HAIs) is $9.8 billion, according to a meta-analysis published online Sept. 2 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1733452#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733452 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733445 )

Only Half of Hypertensive Adults Aware of Diagnosis

WEDNESDAY, Sept. 4 (HealthDay News) -- Among adults in 17 countries of varying incomes, only about half with hypertension are aware of the diagnosis, and among those treated, only about a third achieve blood pressure control, according to a study published in the Sept. 4 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1734702#Abstract )Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1734702 )

Docs' Confidence in Diagnosis Unrelated to Diagnostic Accuracy

TUESDAY, Sept. 3 (HealthDay News) -- Physicians' confidence in their diagnostic accuracy is not associated with actual diagnostic accuracy or with case difficulty, according to a study published online Aug. 26 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1731967#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1731967 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1731959 )

CDC: 200,000 Avoidable Deaths From Cardiovascular Disease

TUESDAY, Sept. 3 (HealthDay News) -- There were about 200,000 avoidable deaths from cardiovascular disease in 2010 in the United States, with deaths occurring disproportionately among those over 65 years old, males, non-Hispanic blacks, and those in the South, according to a report published in the Sept. 3 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

More Information (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm62e0903a1.htm?s_cid=mm62e0903a1_w )

Male-Female Physician Earnings Gap Has Persisted for 20 Years

TUESDAY, Sept. 3 (HealthDay News) -- For physicians, the male-female earnings gap has not changed significantly since 1987, according to a research letter published online Sept. 2 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733450 )Editorial (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1733448 )

Male Teens and Children at Higher Risk of Death Than Female Peers

TUESDAY, Sept. 3 (HealthDay News) -- Males have a higher likelihood of death from injuries and a variety of medical conditions than females among those under 20 years old, according to a study published online Sept. 2 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-0339.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/08/28/peds.2013-0339.full.pdf+html )

Workaholics Have Poorer Physical and Mental Health

MONDAY, Sept. 2 (HealthDay News) -- Workaholics, defined as those who work more than 50 hours per week, have reduced physical and mental well-being, according to researchers from Kansas State University.

Press Release (http://www.k-state.edu/media/newsreleases/aug13/workaholics82213.html )

Employer-Based Health Insurance Premiums Rose Modestly in 2013

MONDAY, Sept. 2 (HealthDay News) -- Employer-sponsored health insurance premiums rose only modestly in 2013, according to research published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/early/2013/08/16/hlthaff.2013.0644 )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/early/2013/08/16/hlthaff.2013.0644.full )