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JAMA Internal Medicine —The Year in Review, 2022
The US enters the fourth year of the COVID-19 pandemic with increasing health care challenges. Medicare is heading toward insolvency, launch prices of new drugs are reaching an all-time high, and Congress is increasingly dysfunctional. At JAMA Internal Medicine, our hard work of promoting high-value health care that is accessible to all is more important than ever. Meanwhile, we are continuing to watch closely the implementation phase of reducing low-value care. The journal ’s Less is More series of articles, which is entering its 13th year, is as important as ever. In 2023, we hope to see progress on complex issues such...
Source: JAMA Internal Medicine - March 20, 2023 Category: Internal Medicine Source Type: research

A Qualitative Study of Drivers for Use of the Primary Care Exception Among Internal Medicine Teaching Faculty
ConclusionsThe PCE can serve as a tool to support resident autonomy, confidence, and overall clinical efficiency. Choice of PCE use by attendings involved complex internal decision-making schema balancing internal, patient, resident, and environmental-related factors. The lack of standardized processes in competency evaluation may increase susceptibility to biases, which could be mitigated by applying standardized modes of assessment that encompass shared principles.
Source: Journal of General Internal Medicine - September 12, 2023 Category: Internal Medicine Source Type: research

TotShots: An Innovative Pediatric Free Clinic Providing High Patient Satisfaction to the Underserved.
CONCLUSIONS: TotShots fills a valuable role in increasing access to vaccines and sports physicals while maintaining high patient satisfaction and high value of cost savings. PMID: 30428108 [PubMed - in process]
Source: Famly Medicine - November 1, 2018 Category: Primary Care Authors: LaGrandeur J, Moros M, Dobrick J, Rahimian R, Siyahian A, Tomlinson E, Gordon P Tags: Fam Med Source Type: research

Needles, Not Knives, to Treat Sports Injuries and Degeneration
My first pair of running shoes were men's shoes because they didn't make them for women in 1974. That's how many years I've been pounding away at my joints. The first sign of wear began around 1994. On the urging of an orthopedic surgeon, I quit running and started hiking and yoga. Unfortunately, the damage had already been done. Though I've had both of my rotator cuffs worked on after trashing them doing Ashtanga, I don't want knee or hip replacements. Call me vain, but I want to be able to do a full lotus for the duration. Fortunately, for me and millions of boomers like me who have been athletic our entire adult lives,...
Source: Healthy Living - The Huffington Post - August 26, 2015 Category: Consumer Health News Source Type: news

Study: Doctors Who Prescribe More Opioids Make More Money
This study suggests that conflicts of interest with the pharmaceutical industry may influence oncologists in high-stakes treatment decisions for patients with cancer,” the authors concluded. Some studies have looked at whether the amount of money a doctor receives makes a difference. Studies by researchers at Yale University, the George Washington University Milken Institute of Public Health and Harvard Medical School have all found that the more money physicians are paid by pharmaceutical companies, the more likely they are to prescribe certain drugs. Dr. Patrice Harris, a spokeswoman for the American Medical Associ...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - March 12, 2018 Category: Consumer Health News Authors: Health – CBS Boston Tags: Health News Local TV opioid crisis opioids Source Type: news

Uptake of a Universal Sports Subsidy Program for School-Aged Children: A Population Data Analysis
CONCLUSIONS: Future work is needed to understand how Sports Voucher, and sport participation rates have changed over time, and to improve voucher uptake among girls, city dwellers, and low SES children.PMID:37734744 | DOI:10.1123/jpah.2022-0204
Source: Health Physics - September 21, 2023 Category: Physics Authors: Rachel G Curtis Michelle Crisp Simone Licari Rosa Virgara Catherine E M Simpson Carol A Maher Source Type: research

Depression and Non-modifiable Patient Factors Associated with Patient Satisfaction in an Academic Orthopaedic Outpatient Clinic: Is it More Than a Provider Issue?
CONCLUSIONS: Given the association of depression with lower satisfaction with a single visit at the orthopaedic clinic, providers should screen for depression and address the issue during the outpatient encounter. The impact of such comprehensive care or subsequent treatment of depression on improving patient-reported satisfaction offers areas of future study. LEVEL OF EVIDENCE: Level III, therapeutic study. PMID: 31764330 [PubMed - in process]
Source: Clinical Orthopaedics and Related Research - November 27, 2019 Category: Orthopaedics Authors: Tisano BK, Nakonezny PA, Gross BS, Martinez JR, Wells JE Tags: Clin Orthop Relat Res Source Type: research

12 Amazing Things We Learned About The Human Body In 2015
The human body is a source of mystery. But every year, scientists get just a little better at understanding its secrets.  Of course, 2015 has been no different. In the past year, researchers have created better access to proven therapies, developed futuristic new technologies that may change the way we approach disease and even enacted more complete disease screening processes to keep us healthy.  Read on to learn more. Here’s to more scientific discoveries in 2016!   @media (max-width: 969px) { #desktop { display: none; } } @media (min-width: 970px) { #mobile { display: none; } } #g-body-de...
Source: Science - The Huffington Post - December 22, 2015 Category: Science Source Type: news

How medical liability reforms will be advanced, challenged in 2016
The existing medical liability system continues to drain health care resources that could be devoted instead to improved quality of care and access for patients—all while putting many physicians at unnecessary emotional, reputational and financial risk. Thankfully, positive medical liability reform efforts will continue this year to address both existing and developing issues. The AMA is pursuing legislative solutions at both the federal and state levels to address these issues and is continuing collaboration with state medical associations and national medical specialty societies to advocate for its new medical liabil...
Source: AMA Wire - January 30, 2016 Category: Journals (General) Authors: Troy Parks Source Type: news

Operative Applications of Placental Tissue Matrix in Orthopaedic Sports Injuries: A Review of the Literature.
CONCLUSION: Operative uses of placental and amniotic membrane-derived tissues appear to be safe when utilized as an adjuvant or augmentation option along with surgical reconstruction. However, several factors may come into play when considering the diversity of commercially available products. Future clinical trials will need to confirm the safety and demonstrate clearer indications and specific guidelines for use in each clinical scenario involving operative management of tendon injuries. Nevertheless, this review will serve as an up-to-date reference and provide an impetus for future investigations. PMID: 30472724 [P...
Source: Surgical Technology International - November 26, 2018 Category: Surgery Tags: Surg Technol Int Source Type: research

New Choices For Seasonal Flu Vaccines
WebMD Health News By Brenda Goodman, MA Reviewed by Michael W. Smith, MD Sept. 17, 2013 — It’s fall. The kids are back at school, college football rivalries are in high gear, and — oh, yeah — it’s time to get a flu vaccine. In the past, flu protection basically boiled down to a choice between a shot or a sniff of a nasal spray. But this year there are new options. Some may protect you from additional strains of flu, while others make getting vaccinated a little easier. Read on to find out which may be best for you and your family. Trivalent Vaccines These are the traditional flu shots. They pr...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - September 18, 2013 Category: Consumer Health News Authors: mreal197 Tags: WebMD News Source Type: news

Surgery Tied To 44% Increased Survival In Women With Advanced Breast Cancer
(CNN) — Surgery is tied to improved chances of survival among stage 4 breast cancer patients, a new study suggests, but who has access to surgery and who doesn’t can vary drastically, based on factors including income level and where treatment is administered. Surgery to remove tumors was associated with a 44% increased chance of survival within an average followup period of 21 months, according to the abstract, to be presented at the American Association for Cancer Research’s annual meeting in Atlanta this week. “If breast surgery is to be considered by patients and providers when deciding treatmen...
Source: WBZ-TV - Breaking News, Weather and Sports for Boston, Worcester and New Hampshire - April 2, 2019 Category: Consumer Health News Authors: Health – CBS Boston Tags: Health News Breast Cancer CNN Source Type: news

Centers for Medicare and Medicaid Services Policy Regarding Supervised Exercise for Patients With Intermittent Claudication: The Good, the Bad, and the Ugly.
Abstract On May 25, 2017, the Centers for Medicare and Medicaid Services (CMS) issued a decision memo establishing coverage for supervised exercise therapy (SET) for Medicare beneficiaries experiencing intermittent claudication due to peripheral artery disease (PAD). A meaningful impact on population health is possible with greater freedom to participate in regular physical activity. The authors of this editorial explain the potential roles of physical therapists in the SET program and argue for further integration of physical therapists through collaborative practice. J Orthop Sports Phys Ther 2017;47(12):892-894...
Source: Physical Therapy - December 1, 2017 Category: Physiotherapy Authors: Jewell DV, Shishehbor MH, Walsworth MK Tags: J Orthop Sports Phys Ther Source Type: research

The Utilization of Formal Physical Therapy After Shoulder Arthroplasty.
Conclusion Postoperative utilization of physical rehabilitation after anatomic and reverse total shoulder arthroplasty is markedly higher in privately insured patients than patients with Medicare, regardless of age, gender, diagnosis, or region of country. These findings have important implications from the individual patient's experience and outcomes to the system-wide resource utilization. Level of Evidence Level III epidemiological study. J Orthop Sports Phys Ther, Epub 8 May 2018. doi:10.2519/jospt.2018.8176. PMID: 29739303 [PubMed - as supplied by publisher]
Source: Physical Therapy - May 8, 2018 Category: Physiotherapy Authors: Wagner ER, Solberg MJ, Higgins LD Tags: J Orthop Sports Phys Ther Source Type: research