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June 2018 Briefing - Neurology

Mon, Jul 2, 2018

Here are what the editors at HealthDay consider to be the most important developments in Neurology for June 2018. 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.

Practice Management Can Improve Efficiency

FRIDAY, June 29, 2018 (HealthDay News) -- Providers can take practical steps to improve practice efficiency and increase insurance reimbursement, according to an article published in Dermatology Times.

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AMA Calls for Electronic Health Record Training

FRIDAY, June 29, 2018 (HealthDay News) -- The American Medical Association (AMA) is calling on medical schools and residency programs to incorporate electronic health record (EHR) training into their curricula.

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Prolonged Leisure-Time Sitting Tied to Increased Mortality Risk

FRIDAY, June 29, 2018 (HealthDay News) -- Prolonged leisure-time sitting is associated with increased risk of mortality, according to a study published online in the American Journal of Epidemiology.

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Next-Generation Sequencing May Improve Pediatric Epilepsy Tx

FRIDAY, June 29, 2018 (HealthDay News) -- Next-generation sequencing (NGS) can improve treatment efficacy and reduce hospitalization in children with drug-resistant epilepsy (DRE), according to a study published online June 22 in CNS Neuroscience & Therapeutics.

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FDA Approves Epidiolex for Severe Forms of Epilepsy

THURSDAY, June 28, 2018 (HealthDay News) -- The U.S. Food and Drug Administration has approved Epidiolex (cannabidiol) oral solution for treatment of seizures associated with Lennox-Gastaut syndrome and Dravet syndrome for patients age 2 years and older.

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Health Care Technology Impacts Younger Patient Satisfaction

THURSDAY, June 28, 2018 (HealthDay News) -- Health care communication technology is a determinant of patient satisfaction in younger patients, according to a report published by Black Book Market Research LLC.

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Most Bleeding Events in Non-CVD Patients Are GI-Related

WEDNESDAY, June 27, 2018 (HealthDay News) -- Among a cohort of individuals without cardiovascular disease (CVD) not receiving antiplatelet therapy, most major bleeding events involved gastrointestinal bleeding and 7 percent of bleeding events were fatal, according to a study published online June 26 in the Journal of the American Medical Association.

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Half of CV Events Occur from Two to Five Years Post-TIA, -Stroke

WEDNESDAY, June 27, 2018 (HealthDay News) -- For patients who experienced a transient ischemic attack (TIA) or minor stroke, the rate of a composite of stroke, acute coronary syndrome, or death from cardiovascular causes is 12.9 percent at five years, with half of these events occurring in the second through fifth years, according to a study published June 7 in the New England Journal of Medicine.

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Sleep Disruption Increases Risk of Atrial Fibrillation

WEDNESDAY, June 27, 2018 (HealthDay News) -- Sleep disruption consistently predicts risk of atrial fibrillation (AF) before and after adjusting for obstructive sleep apnea, according to a study published online June 25 in Heart Rhythm.

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AMA Adopts Ethical Guidance on Medical Tourism

TUESDAY, June 26, 2018 (HealthDay News) -- The American Medical Association (AMA) recently adopted new ethical guidelines on medical tourism to help physicians understand their responsibilities when interacting with patients who seek or have received medical care outside the United States.

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Thinner Retinal Nerve Fiber Layer Tied to Worse Cognitive Function

TUESDAY, June 26, 2018 (HealthDay News) -- For individuals without neurodegenerative disease, a thinner retinal nerve fiber layer (RNFL) is associated with worse cognitive function and increased likelihood of future cognitive decline, according to a study published online June 25 in the JAMA Neurology.

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Cannabis Use Prevalence Up Across Adult Age Groups

TUESDAY, June 26, 2018 (HealthDay News) -- Across adult age categories, there was an increase in the prevalence of daily cannabis use after 2007, according to a study published online June 13 in the Journal of Studies on Alcohol and Drugs.

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Early Preterm Birth Linked to Increased ADHD Symptoms

TUESDAY, June 26, 2018 (HealthDay News) -- Early preterm birth is associated with a higher level of attention deficit/hyperactivity disorder (ADHD) symptoms in preschool children after accounting for unmeasured genetic and environmental factors, according to a study published online June 25 in JAMA Pediatrics.

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AMA: Docs Declare Drug Shortages Public Health Emergency

MONDAY, June 25, 2018 (HealthDay News) -- At the annual meeting of the American Medical Association (AMA), physicians adopted policy declaring drug shortages an urgent public health crisis.

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U.S. High School Students Report Sport-Linked Concussion

MONDAY, June 25, 2018 (HealthDay News) -- The prevalence of concussion among U.S. high school students related to playing a sport or being physically active is 15.1 percent per year, according to research published in the June 22 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Some California Mosquitoes Can Carry Zika Virus

FRIDAY, June 22, 2018 (HealthDay News) -- Aedes mosquitoes in California can spread the Zika virus, according to a study published online June 21 in PLOS Neglected Tropical Diseases.

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Risk of OD Highest for First Days of Opioid + Benzodiazepine Use

FRIDAY, June 22, 2018 (HealthDay News) -- Concurrent benzodiazepine use is associated with increased risk of opioid-related overdose, with the risk highest on the first days of concurrent use, according to a study published online June 22 in JAMA Network Open.

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More Cash-Pay Patients Means Docs Need Billing Strategies

THURSDAY, June 21, 2018 (HealthDay News) -- More patients are paying for health care services with cash, and this means physician practices need a comprehensive billing policy, according to an article published in Medical Economics.

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Parkinson's Medications Tied to Impulse Control Disorders

THURSDAY, June 21, 2018 (HealthDay News) -- For patients with Parkinson's disease (PD), dopamine agonist (DA) use is associated with incidence of impulse control disorders (ICDs) in a dose-effect relationship, according to a study published online June 20 in Neurology.

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Florida Teen First Human Case of Another Mosquito-Borne Virus

WEDNESDAY, June 20, 2018 (HealthDay News) -- The first confirmed human case of Keystone virus -- named after the location in the Tampa Bay area where it was first identified in 1964 -- has been diagnosed in a Florida teen, but it's likely that infection with the mosquito-borne disease is common among state residents, researchers report.

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Considerable Costs Associated With Switching EHR

TUESDAY, June 19, 2018 (HealthDay News) -- Switching electronic health record (EHR) systems can result in increased efficiency and productivity gains, but there are significant costs associated with the switch, according to an article published in Medical Economics.

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AMA Vows to Improve Access for Docs Seeking Mental Health Care

MONDAY, June 18, 2018 (HealthDay News) -- The American Medical Association (AMA) recently adopted a policy aimed at improving physician access to mental health care in response to physician depression, burnout, and suicide.

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Amyloid PET Tied to Diagnostic Changes in Memory Clinic Cohort

MONDAY, June 18, 2018 (HealthDay News) -- For an unselected memory clinic cohort, amyloid positron emission tomography (PET) results are associated with changes in etiology, diagnostic confidence, and patient treatment, according to a study published online June 11 in JAMA Neurology.

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Walk Test IDs Risk of Cognitive Dysfunction Post Cardiac Surgery

FRIDAY, June 15, 2018 (HealthDay News) -- The six-minute walk distance (6MWD) test is useful in identifying patients with a higher likelihood of developing postoperative cognitive dysfunction (POCD) following cardiac surgery, according to a study published online May 9 in the Annals of Thoracic Surgery.

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Foods With Fat and Carbohydrate Are More Highly Valued

THURSDAY, June 14, 2018 (HealthDay News) -- Foods containing fat and carbohydrate are more highly valued than those with only fat or carbohydrate, and this potentiated reward is associated with response in brain areas critical for reward valuation, according to a study published online June 14 in Cell Metabolism.

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E-Cigarette Flavorings May Impair Vascular Function

THURSDAY, June 14, 2018 (HealthDay News) -- Flavoring additives used in electronic cigarettes (e-cigarettes) may have adverse effects on blood vessels, according to a study published online June 14 in Arteriosclerosis, Thrombosis, and Vascular Biology.

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Strong Link Identified Between T2DM and Parkinson's Disease

WEDNESDAY, June 13, 2018 (HealthDay News) -- There is an increased rate of subsequent Parkinson's disease among individuals diagnosed with type 2 diabetes mellitus (T2DM), according to a study published online June 13 in Neurology.

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IV Fluid Specs Do Not Influence Neuro Outcomes in Kids w/DKA

WEDNESDAY, June 13, 2018 (HealthDay News) -- Neurologic outcomes in children with diabetic ketoacidosis are similar regardless of the rate of administration or the sodium chloride content of intravenous fluids, according to a study published in the June 14 issue of the New England Journal of Medicine.

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Higher Blood Pressure at Mid-Life Increases Dementia Risk

WEDNESDAY, June 13, 2018 (HealthDay News) -- The risk of dementia is increased in 50-year-olds with blood pressure ≥130 mm Hg, which is below the current threshold for hypertension, according to a study published online June 13 in the European Heart Journal.

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Exposure to Maternal HTN May Up Risk of ASD, ADHD in Child

WEDNESDAY, June 13, 2018 (HealthDay News) -- Exposure to hypertensive disorders of pregnancy (HDP) may be associated with an increase in the risk of autism spectrum disorder (ASD) and attention deficit/hyperactivity disorder (ADHD) in offspring, according to a review published online June 6 in JAMA Psychiatry.

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Older Age, ICU, Poor Renal Fcn Up Risk of Opioid OD in Hospital

TUESDAY, June 12, 2018 (HealthDay News) -- Risk factors for opioid overdose among hospitalized patients include being age 65 years or older, being in an intensive care unit (ICU), and having renal impairment, according to a study published online May 23 in the Journal of Clinical Pharmacy and Therapeutics.

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How Do Business Partner Data Breaches Affect Your Practice?

TUESDAY, June 12, 2018 (HealthDay News) -- Data breaches affecting health care systems or their partners need to be addressed quickly, according to an article published in Medical Economics.

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White Matter Hyperintensities in RCVS Vary Over Time

TUESDAY, June 12, 2018 (HealthDay News) -- White matter hyperintense lesions (WMHs) in patients with reversible cerebral vasoconstriction syndrome (RCVS) change over time in a manner that parallels disease severity, according to a study published online June 4 in JAMA Neurology.

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Long-Term Type 1 Diabetes Associated With Cognitive Decline

TUESDAY, June 12, 2018 (HealthDay News) -- Both patients with type 1 and patients with type 2 diabetes show overall worse cognition than people without diabetes, according to a study published online June 5 in Diabetes Care.

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Child Neuroblastoma Survivors at Risk for Psych Impairment

MONDAY, June 11, 2018 (HealthDay News) -- Neuroblastoma survivors are at elevated risk for psychological impairment, according to a study published online June 11 in Cancer.

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Some Common Allergies Linked to Odds of Autism in Children

FRIDAY, June 8, 2018 (HealthDay News) -- Common allergic conditions, especially food allergy, are associated with autism spectrum disorder (ASD) in children, according to a study published online June 8 in JAMA Network Open.

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Synthetic Cannabis May Increase Ischemic Cardiomyopathy Risk

FRIDAY, June 8, 2018 (HealthDay News) -- A case of severe ischemic cardiomyopathy in the absence of traditional risk factors and attributed to synthetic cannabinoid use is described in a report published online June 7 in BMJ Case Reports.

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Intellectual Activities in Later Life May Cut Dementia Risk

THURSDAY, June 7, 2018 (HealthDay News) -- Active participation in intellectual activities among adults aged 65 years or older is associated with reduced risk of dementia, according to a study published online May 30 in JAMA Psychiatry.

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Lifetime Risks Temper Biomarker Tests for Alzheimer Dz Dementia

WEDNESDAY, June 6, 2018 (HealthDay News) -- The lifetime risks of Alzheimer's disease (AD) dementia vary considerably by age, gender, and the preclinical or clinical disease state, according to a study published online May 22 in Alzheimer's & Dementia.

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Disparities for Risk of Recurrent Hemorrhagic Stroke Unexplained

WEDNESDAY, June 6, 2018 (HealthDay News) -- Black and Hispanic patients are at higher risk for stroke recurrence than white patients, according to a study published online June 6 in Neurology.

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Online Consumer Ratings of Physicians Tend to Be Skewed

WEDNESDAY, June 6, 2018 (HealthDay News) -- Online physician reviews tend to be skewed positively, according to a study published in the May issue of the Journal of Medical Internet Research.

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AMA Guide Highlights Importance of Caring for Caregivers

WEDNESDAY, June 6, 2018 (HealthDay News) -- Physicians have a role to play in caring for caregivers to help prevent burnout, according to a guide for physicians published by the American Medical Association (AMA).

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Under New Guidelines, More Stroke Survivors With HTN Dx

WEDNESDAY, June 6, 2018 (HealthDay News) -- Under the 2017 American College of Cardiology/American Heart Association (ACC/AHA) hypertension guidelines, there would be a substantial increase in the proportions of stroke survivors with hypertension and above the recommended blood pressure target, according to a study published online June 6 in the Journal of the American Heart Association.

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CDC: Prevalence of No Insurance Varies by Occupational Groups

WEDNESDAY, June 6, 2018 (HealthDay News) -- The prevalence of being uninsured varies by occupational groups, according to research published in the June 1 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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CDC: Office-Based Physician Visit Rates Vary by Patient Age, Sex

TUESDAY, June 5, 2018 (HealthDay News) -- There is considerable variation in office-based physician visit rates by patient age and sex, according to a June data brief published by the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS).

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Immunotherapy Promising for Slowing Progression of ALS

MONDAY, June 4, 2018 (HealthDay News) -- A new immunotherapy appears to be well tolerated and possibly of benefit in patients with amyotrophic lateral sclerosis (ALS), according to a phase 1, first-in-human study published online May 18 in Neurology: Neuroimmunology & Neuroinflammation.

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Higher HDL-C Linked to Better Cognition in Older DM Patients

FRIDAY, June 1, 2018 (HealthDay News) -- Higher serum high-density lipoprotein cholesterol (HDL-C) is associated with better executive function among older patients with diabetes mellitus (DM), according to a study published online May 19 in the Journal of Diabetes Investigation.

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Knowledge Gaps Found for Non-Drug Therapy in Peds ADHD

FRIDAY, June 1, 2018 (HealthDay News) -- There are considerable gaps in knowledge relating to the effectiveness of non-pharmacologic treatments for attention-deficit/hyperactivity disorder (ADHD) in pediatric patients, according to a review published online May 30 in Pediatrics.

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Academic Underachievement With Tourette, Tic Disorders

FRIDAY, June 1, 2018 (HealthDay News) -- Individuals with Tourette syndrome or chronic tic disorders have lower likelihood of academic achievement, according to a study published online May 29 in JAMA Neurology.

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Multisensory Interventions Cut Pain in Preterm Infant Eye Exams

FRIDAY, June 1, 2018 (HealthDay News) -- The addition of multisensory pain-reducing interventions to topical anesthetic (TA) reduces pain in eye examinations of preterm infants, according to research published online June 1 in Pediatrics.

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