EHR alerts from computerized physician order entry systems and clinical decision support programs are contributing to alert overload and burnout among hospital clinicians, researchers reported in a health informatics journal. Hospital performance improved slightly from 2017 to 2018 on fatal and nuisance order alerts, but researchers say some hospitals still alert too much.
Telemedicine has gained prominence during the coronavirus pandemic as a vital care delivery vehicle, but the most vulnerable patients are being left behind, and health disparities will deepen unless health care systems deploy video technology that is widely accessible to underserved populations, writes Daniel Horn, who has led the implementation of telehealth at more than 24 primary care practices that serve 200,000-plus patients in Massachusetts. Video-based telemedicine is used primarily by those in the upper- and middle-income brackets, while those of lower economic means tend to be limited to audio-only visits, Horn writes.
Researchers found that more than 75% of 156 medical students from radiology interest groups at US medical schools said artificial intelligence would play a major role in their careers, 66% said AI would most significantly affect diagnostic radiology, and 44% said AI curbed their enthusiasm regarding radiology. The findings, published in Current Problems in Diagnostic Radiology, also showed that while most free-text responses regarding the role of AI in radiology were neutral, negative responses had greater detail, prompting researchers to suggest that AI and related data science principles be included in medical school curricula to help dispel misperceptions about the potential harms of AI in radiology.
The US marked another record spike in COVID-19 cases Tuesday, logging 60,021 new infections and bringing the total to more than 3 million, with California, Arizona, Florida and Texas accounting for nearly half of new cases in recent days. An analysis of COVID-19 data showed the number of cases has risen by at least 5% in 37 states during the last seven days, while hospitalizations have risen by at least 5% in 24 states.
Social worker Yessenia Benitez set up a "mental rest" area staffed by social workers and other mental health professionals at "Abolition Park," an area near City Hall in New York City where homeless people and activists are living as they espouse criminal justice reform. The encampment also has a medic tent, stations for food and clothing, a small library and a bodega.
Rabbit hemorrhagic disease virus type 2 was found in Palm Springs, Calif., in May, and state wildlife officials say it has reached Orange, San Bernardino and San Diego counties. A vaccine is available but must be ordered, and officials say rabbit owners should keep them indoors and separate from other pets, which can carry the virus on their paws.
Thirty-five senators asked HHS and the CMS to share plans for rolling back or making permanent temporary changes to telehealth rules. In a July 2 letter, the senators urged the agencies to provide a written plan and timeline for creating permanent telehealth administrative changes to Medicare, Medicaid and the Children's Health Insurance Program, and to confirm existing in-office Medicare reimbursement parity for telehealth services will be maintained, among other requests.
Moderate weight loss with caloric restriction for three months helped patients with type 2 diabetes who were overweight control their blood glucose better than consuming high-fiber foods, according to a study presented at the American Diabetes Association virtual Scientific Sessions. However, the researchers warned that patients with diabetes should not stop adding more fiber into their diet as they generally consume much less dietary fiber than guidelines recommend.
Studies published in The BMJ linked consuming about a third cup more of fruit or vegetables daily to a 25% lower risk of type 2 diabetes, and greater whole grain intake to a 29% reduced risk. Eating one or more servings of popcorn per day, however, was associated with a higher risk of diabetes, as researchers said people often use processed versions of popcorn and add salt, butter and other toppings to the snack.
A study in Nature Genetics involving over 200,000 diabetes patients discovered 558 novel genetic variants tied to type 2 diabetes, including gene variants that vary by ethnicity -- particularly by European and African American ancestries -- and those tied to chronic diseases like coronary heart disease, acute ischemic stroke and kidney disease. Researchers said the scientific community can "assess which of the surrounding genes nearby the identified genetic variants is likely to be the causal gene that alters the risk of type 2 diabetes, and that could lead to early interventions to limit controllable risks of developing the condition."
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