Here are what the editors at HealthDay consider to be the most important developments in Emergency Medicine for June 2012. 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.
Supreme Court Upholds Health Care Reform Law
THURSDAY, June 28 (HealthDay News) -- The U.S. Supreme Court voted June 28 to uphold the constitutionality of the Patient Protection and Affordable Care Act (PPACA), which has been the subject of debate and multiple lawsuits since its 2010 inception.
iPad May Alter Programmable Shunt Valve Settings
WEDNESDAY, June 27 (HealthDay News) -- Exposure to a tablet device may result in a change to programmable shunt valve settings when the tablet is very close to the valve, according to a study published online June 26 in the Journal of Neurosurgery: Pediatrics.
Duplicate Payments by Federal Government Increasing
WEDNESDAY, June 27 (HealthDay News) -- The federal government spends a substantial and increasing amount on individuals who are dually enrolled in separate managed care programs (the Veterans Affairs health care system [VA] and Medicare Advantage plan [MA]), according to a study published online June 26 in the Journal of the American Medical Association to coincide with presentation at the Annual Research Meeting of AcademyHealth, held from June 24 to 26 in Orlando, Fla.
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Use of Electronic Records Tied to Fewer Malpractice Claims
TUESDAY, June 26 (HealthDay News) -- Use of electronic health records (EHRs) is associated with fewer medical malpractice claims among physicians from multiple surgical and medical specialties, according to a research letter published online June 25 in the Archives of Internal Medicine.
Olmesartan May Be Linked to Spruelike Enteropathy
TUESDAY, June 26 (HealthDay News) -- Patients treated with olmesartan may develop a severe form of spruelike enteropathy, which improves after suspension of the drug, according to research published online June 25 in the Mayo Clinic Proceedings.
Many Female Sexual Assault Survivors Have Severe Pain
FRIDAY, June 22 (HealthDay News) -- More than 50 percent of women who survive sexual assault experience severe pain, although few receive medication, according to a study published online June 15 in The Journal of Pain.
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Telehealth Intervention Linked to Lower Admission Rates
FRIDAY, June 22 (HealthDay News) -- A telehealth intervention is associated with improved emergency admission rates and lower mortality compared with usual care, according to a study published online June 21 in BMJ.
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Risk Factors ID'd for SCA in Heart Defect Repair Survivors
FRIDAY, June 22 (HealthDay News) -- In adult survivors of surgery for congenital heart disease (CHD), severe subaortic ventricular systolic dysfunction is a significant and independent predictor of sudden cardiac arrest (SCA), according to research published in the July 1 issue of The American Journal of Cardiology.
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Half of Residents Report Working While Sick
THURSDAY, June 21 (HealthDay News) -- About half of residents have worked while sick, with many reporting feeling obligated to colleagues and patients, according to a research letter published online June 18 in the Archives of Internal Medicine.
Research Suggests Flavocoxid Causes Acute Liver Injury
TUESDAY, June 19 (HealthDay News) -- Flavocoxid, a proprietary prescription medical food used to treat osteoarthritis, appears to cause acute liver injury within months of initiating use, according to research published in the June 19 issue of the Annals of Internal Medicine.
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Pediatric Hospitalizations for HTN Up From 1997 to 2006
MONDAY, June 18 (HealthDay News) -- The number of children with hypertension-related hospitalizations in the United States increased significantly from 1997 to 2006, with the fraction of inpatient charges attributed to hypertension also significantly increased, according to a study published online June 18 in Hypertension.
Poor Outcomes for Hospitalized Patients With Alzheimer's
MONDAY, June 18 (HealthDay News) -- Hospitalization of patients with Alzheimer's disease (AD) is associated with increased risks of death and institutionalization, with the risk further increased for hospitalized patients with delirium, according to a study published in the June 19 issue of the Annals of Internal Medicine.
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Genetic Variants Predict Outcomes After t-PA Treatment
MONDAY, June 18 (HealthDay News) -- Two genetic variants have been identified that are associated with hemorrhagic transformation (HT) and mortality rates after infusion of tissue plasminogen activator (t-PA) in patients with acute ischemic stroke, according to research published online June 9 in the Annals of Neurology.
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Curbing Antibiotic Prophylaxis Doesn't Up Endocarditis Risk
WEDNESDAY, June 13 (HealthDay News) -- The incidence of viridans group streptococci infective endocarditis (VGS-IE) has not increased since the publication of the 2007 American Heart Association (AHA) guidelines restricting prophylactic antibiotics in dental patients, according to a study published online June 11 in Circulation.
Gender Gap Exists in Physician Researchers' Salaries
TUESDAY, June 12 (HealthDay News) -- A survey of mid-career academic physician researchers shows that gender differences in salary exist even after adjusting for differences in specialty, institutional characteristics, academic productivity, academic rank, and work hours, according to a study published in the June 13 issue of the Journal of the American Medical Association.
Advanced Imaging, Radiation Exposure Up Over Last Decade
TUESDAY, June 12 (HealthDay News) -- From 1996 to 2010 there was an increase in the use of advanced diagnostic imaging and associated radiation exposure within integrated health care systems, according to a study published in the June 13 issue of the Journal of the American Medical Association.
Venous Thromboembolism Up in Adult Hospitalizations
THURSDAY, June 7 (HealthDay News) -- Every year, more than half a million hospitalized U.S. adults acquire venous thromboembolism (VTE), a growing public health concern that is often preventable, according to research published in the June 8 issue of the U.S. Centers for Disease Control and Prevention's Morbidity & Mortality Weekly Report.
CT Scans Up Risk of Leukemia, Brain Tumors in Young
THURSDAY, June 7 (HealthDay News) -- For children and young adults, radiation from computed tomography (CT) scans is linked to an increased risk of leukemia and brain tumors, although the absolute risks are small, according to a study published online June 7 in The Lancet.
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Hospital Observation Services Rising for Medicare Enrollees
THURSDAY, June 7 (HealthDay News) -- From 2007 to 2009, there was an increase in the prevalence and duration of hospital observation services for Medicare beneficiaries, according to a study published in the June issue of Health Affairs.
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Many Adults May Accidentally Overdose on Acetaminophen
WEDNESDAY, June 6 (HealthDay News) -- About a quarter of adults may accidentally overdose on over-the-counter (OTC) acetaminophen-containing products, and almost half overdose by "double-dipping" with two acetaminophen-containing products, according to a study published online May 26 in the Journal of General Internal Medicine.
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Troponin T May Help Predict Death After Noncardiac Surgery
TUESDAY, June 5 (HealthDay News) -- Elevated peak troponin T (TnT) measurements in the first three days after noncardiac surgery are associated with an increased risk of 30-day mortality, according to a study published in the June 6 issue of the Journal of the American Medical Association.
Aspirin Ups Risk of Bleeding in All But Diabetes Patients
TUESDAY, June 5 (HealthDay News) -- Aspirin use is associated with an increased risk of major bleeding, while patients with diabetes have a high risk of bleeding, independent of aspirin use, according to a study published in the June 6 issue of the Journal of the American Medical Association.
Management of Acetaminophen Overdose in Children Reviewed
TUESDAY, June 5 (HealthDay News) -- Due to the widespread use of acetaminophen, overdose is a concern, particularly for infants and children, who have developmental differences in their hepatic metabolism that affect hepatotoxicity, according to a review published online June 4 in CMAJ, the journal of the Canadian Medical Association.
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Statewide Coordinated STEMI Approach Deemed Successful
MONDAY, June 4 (HealthDay News) -- A statewide coordinated effort across hospitals and emergency medical service (EMS) providers to transport patients with ST-segment elevation myocardial infarction (STEMI) to hospitals providing percutaneous coronary intervention (PCI) has resulted in improved outcomes, according to a study published online June 4 in Circulation.
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Spondylolisthesis Linked to Spinous Process Fractures
FRIDAY, June 1 (HealthDay News) -- There is a strong association between degenerative spondylolisthesis and spinous process fracture in patients undergoing interspinous process spacer (IPS) surgery, according to a study published online May 24 in The Spine Journal.
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Ischemic Stroke Risk Higher in Women With A-Fib
FRIDAY, June 1 (HealthDay News) -- Women with atrial fibrillation have a moderately higher risk of ischemic stroke than men, even after accounting for multiple cofactors for stroke, according to a study published online May 31 in BMJ.
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