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MONTHLY BRIEFINGS - Sep 2017

September 2017 Briefing - Otolaryngology

Mon, Oct 2, 2017

Here are what the editors at HealthDay consider to be the most important developments in Otolaryngology for September 2017. 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.

Embezzlement Widespread in Medical Practices

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Embezzlement is widespread among medical practices, and knowing the warning signs is helpful for preventing it, according to an article published in Medical Economics.

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Certified Plastic Surgeons Underrepresented on Instagram

FRIDAY, Sept. 29, 2017 (HealthDay News) -- Among physicians posting top plastic surgery-related content to Instagram, plastic surgeons eligible for membership in the American Society for Aesthetic Plastic Surgery are underrepresented, according to a study published online Aug. 30 in the Aesthetic Surgery Journal.

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Minimal Important Difference ID'd in Voice Handicap Index-10

THURSDAY, Sept. 28, 2017 (HealthDay News) -- A difference of 6 on the Voice Handicap Index-10 (VHI-10) total score may represent a minimal important difference (MID) for patients with voice disorders, according to a study published online Sept. 28 in JAMA Otolaryngology -- Head & Neck Surgery.

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More Than 78 Percent of Health Care Personnel Receive Flu Shot

THURSDAY, Sept. 28, 2017 (HealthDay News) -- More than 78 percent of health care personnel (HCP) and 53.6 percent of pregnant women received influenza vaccination during the 2016-2017 influenza season, according to two studies published in the Sept. 29 issue of Morbidity and Mortality Weekly Report.

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Optimal Length of Post-Op Opioid Pain Medication Rx Identified

THURSDAY, Sept. 28, 2017 (HealthDay News) -- The optimal length of opioid pain medication prescription after common surgical procedures lies between the observed median prescription length and the early nadir, according to a study published online Sept. 27 in JAMA Surgery.

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Working With a Scribe Improves Physician Satisfaction

WEDNESDAY, Sept. 27, 2017 (HealthDay News) -- Working with a scribe significantly improves physicians' overall satisfaction, satisfaction with chart quality and accuracy, and charting efficiency, according to a study published online Sept. 11 in the Annals of Family Medicine.

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Self-Reported Function IDs Post-Op Course in Elderly

MONDAY, Sept. 25, 2017 (HealthDay News) -- Self-reported function is more informative than frailty phenotype in predicting a negative postoperative course in older adults, according to a study published online Sept. 19 in the Journal of the American Geriatrics Society.

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Worker Contribution to Health Benefits Up in 2017

MONDAY, Sept. 25, 2017 (HealthDay News) -- In 2017, health benefits coverage remained stable, while workers faced considerable variation in costs, according to a report published online Sept. 19 in Health Affairs.

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Thyroid Surgery for Benign Goiters Ups Quality of Life

THURSDAY, Sept. 21, 2017 (HealthDay News) -- Thyroid surgery restores quality of life (QOL) for patients with benign goiters, according to a study published online Sept. 4 in Head & Neck.

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Insurer Market Power Lowers Providers' Prices

WEDNESDAY, Sept. 20, 2017 (HealthDay News) -- Insurers have the bargaining power to reduce provider prices in highly concentrated provider markets, according to a report published in the September issue of Health Affairs.

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ACP Does Not Support Legalization of Assisted Suicide

TUESDAY, Sept. 19, 2017 (HealthDay News) -- The American College of Physicians (ACP) does not support the legalization of physician-assisted suicide, a practice that raises ethical, clinical, and other concerns, according to a position paper published online Sept. 19 in the Annals of Internal Medicine.

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Half of Repeat Antibiotics in Australia Extend Initial Rx

TUESDAY, Sept. 19, 2017 (HealthDay News) -- Half of repeat antibiotic dispensings in Australia are used to extend the initial course, according to a study published online Sept. 11 in the Journal of Pharmacy Practice and Research.

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Physicians Tweeting About Drugs May Have Conflict of Interest

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Most physicians on Twitter with a financial conflict of interest (FCOI) and frequent tweets mention specific drugs for which they have a conflict, according to a study published in the September issue of The Lancet Haematology.

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System Collects Data on Functional Septorhinoplasty

FRIDAY, Sept. 15, 2017 (HealthDay News) -- A system has been implemented that enables collection of pre- and postoperative data for patients with nasal obstruction who undergo functional septorhinoplasty, according to a special communication published online Sept. 14 in JAMA Facial Plastic Surgery.

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Doctors Spend Almost Six Hours Per Day on EHR Tasks

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Physicians spend almost six hours per day in the electronic health record (EHR), with 4.5 hours spent during clinic hours and 1.4 hours spent after clinic hours, according to a study published in the September/October issue of the Annals of Family Medicine.

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'Science Spin' Found Prevalent in Biomedical Literature

FRIDAY, Sept. 15, 2017 (HealthDay News) -- Spin in biomedical literature (also referred to as "science hype") is prevalent, with trials having the highest and greatest variability in the prevalence of spin, according to a review published online Sept. 11 in PLOS Biology.

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Study Details Humanitarian Surgical Care in Afghanistan

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- Humanitarian surgical care (HSC) has been provided to local national civilians during the Afghanistan conflict, with 49.3 percent of patients treated for non-war-related (NWR) conditions, according to a research letter published online Sept. 13 in JAMA Surgery.

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AACR Releases 2017 Cancer Progress Report

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- The age-adjusted U.S. cancer death rate decreased 25 percent from 1991 to 2014, which translates into 2.1 million fewer cancer deaths, according to an annual progress report published by the American Association for Cancer Research.

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Some Aspects of Empathy Improve During Medical Training

WEDNESDAY, Sept. 13, 2017 (HealthDay News) -- Certain aspects of empathy improve during medical student training, according to a study published online Sept. 7 in Medical Education.

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Are Physicians Obligated to Help on Planes?

TUESDAY, Sept. 12, 2017 (HealthDay News) -- Does being a physician carry a moral obligation to respond to calls for medical assistance on airplanes? That is the topic of an article published in the Sept. 12 issue of the Journal of the American Medical Association.

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'Modest at Best' Discriminatory Ability for CBC Test in Infants

MONDAY, Sept. 11, 2017 (HealthDay News) -- Complete blood cell count parameters at commonly used or optimal thresholds do not offer high accuracy in identifying invasive bacterial infections (IBIs) in febrile infants (≤60 days of age), according to a study published online Sept. 11 in JAMA Pediatrics.

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Median Cost of Cancer Drug Development $648.0 Million

MONDAY, Sept. 11, 2017 (HealthDay News) -- The median cost of cancer drug development is $648.0 million, and revenue after approval is substantial, according to a study published online Sept. 11 in JAMA Internal Medicine.

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Dietary Approach Effective for Laryngopharyngeal Reflux

FRIDAY, Sept. 8, 2017 (HealthDay News) -- A dietary approach and a traditional treatment approach of proton pump inhibition (PPI) and standard reflux precautions are similarly effective for patients with laryngopharyngeal reflux (LPR), according to a study published online Sept. 7 in JAMA Otolaryngology -- Head & Neck Surgery.

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Poor Olfaction Linked to Increased Risk of Parkinson's

THURSDAY, Sept. 7, 2017 (HealthDay News) -- Poor olfaction is associated with increased risk of incident Parkinson's disease (PD), according to a study published online Sept. 6 in Neurology.

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Budget Cuts Threaten Research on Antimicrobial Resistance

THURSDAY, Sept. 7, 2017 (HealthDay News) -- Proposed budget cuts could seriously hamper efforts to address antimicrobial resistance (AMR), according to an article published online Sept. 4 in the Annals of Internal Medicine.

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Early Respiratory Infections Tied to Celiac in High-Risk Children

THURSDAY, Sept. 7, 2017 (HealthDay News) -- A higher frequency of respiratory infections during the first two years of life is associated with an increased risk of celiac disease (CD) in genetically predisposed infants, according to a study published online Sept. 6 in Pediatrics.

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Clinical Oral Food Challenges Result in Few Reactions

THURSDAY, Sept. 7, 2017 (HealthDay News) -- Open, nonresearch low-risk oral food challenges (OFCs) result in few allergic reactions, according to a study published online Sept. 7 in the Annals of Allergy, Asthma & Immunology.

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Pre-Cosmetic Sx Advice May Aid Long-Term Smoking Cessation

WEDNESDAY, Sept. 6, 2017 (HealthDay News) -- Asking patients to stop smoking before undergoing cosmetic surgery can promote long-term smoking cessation, according to a study published in the September issue of Plastic and Reconstructive Surgery.

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Docs Should Be Aware of Family Beliefs Regarding Nondisclosure

WEDNESDAY, Sept. 6, 2017 (HealthDay News) -- Physicians should be aware of societal codes of conduct that affect family beliefs and behaviors regarding information disclosure to pediatric patients, according to a study published online Sept. 5 in JAMA Pediatrics.

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Racial Variation in Antibiotic Prescribing for Viral ARTI

TUESDAY, Sept. 5, 2017 (HealthDay News) -- Non-Hispanic black and Hispanic children are less likely than non-Hispanic white children to receive antibiotics for viral acute respiratory tract infection (ARTI) in the pediatric emergency department (PED), according to a study published online Sept. 5 in Pediatrics.

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General Anesthesia in Infants May Affect White Matter Volume

TUESDAY, Sept. 5, 2017 (HealthDay News) -- Infants who receive general anesthesia for surgery before they're 1 year old may have less white matter in their brains, according to research published online Aug. 24 in Anesthesiology.

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Child Flu Vaccination Down When Nasal Spray Unavailable

FRIDAY, Sept. 1, 2017 (HealthDay News) -- Seasonal flu immunization rates among children appear to have dropped slightly after the U.S. Centers for Disease Control and Prevention recommended against the nasal spray version of the vaccine, according to a study published online recently in Vaccine.

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Crosstalk Identified Between Adipose Tissue, Carcinomas

FRIDAY, Sept. 1, 2017 (HealthDay News) -- There is organ-dependent crosstalk between adipose tissue and carcinomas in various organs, according to a review published in the September issue of Cancer Prevention Research.

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Peri-Op Management Key in Surgical Resident Malpractice

FRIDAY, Sept. 1, 2017 (HealthDay News) -- The perioperative period appears critical in malpractice cases involving surgical residents, according to a study published online Aug. 30 in JAMA Surgery.

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Low Tumor Growth Rates During Active Surveillance of Thyroid CA

FRIDAY, Sept. 1, 2017 (HealthDay News) -- Among patients with low-risk papillary thyroid cancer (PTC), the rates of tumor growth during active surveillance are low, according to a study published online Aug. 31 in JAMA Otolaryngology-Head & Neck Surgery.

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