Black Book polled more than 3,000 hospital-owned or employed physician practice organizations in the US and found that 36% want customized integrated EHR, practice management and revenue cycle management systems. Eighty-nine percent of respondents said EHR and current practice management systems that are not integrated hinder the implementation of improved alternative reimbursement and payment methodologies.
Researchers who used cardiac F-18 FDG-PET/CT found that 37% and 18% of individuals with rheumatoid arthritis without known cardiovascular disease had visually assessed tracer uptake and quantitatively assessed mean standardized uptake values of at least 3.10 units, respectively, while those whose Clinical Disease Activity Index was at least 10 had 31% higher mean SUV, compared with those whose CDAI was below 10. The findings in Arthritis & Rheumatology also showed a similar decline in FDG uptake and mean CDAI scores among those with active RA who received escalated therapy after initial scans.
Researchers found that residents of areas in the highest quartile for environmental noise exposure were more than three times as likely to have a major adverse cardiovascular event during median follow-up of 3.7 years and also had elevated arterial inflammation and amygdalar activity on FDG-PET/CT scans, compared with those in the lower quartiles of noise exposure. The findings, presented at the American Heart Association's Annual Meeting, also showed the association between noise exposure and adverse CV events remained after adjusting for air pollution and other CV risk factors.
The Radiological Society of North America Research & Education Foundation and Canon Medical Systems USA awarded a one-year, $40,000 grant to Dr. Pedram Heidari of Massachusetts General Hospital to evaluate a PET probe in improving inflammatory bowel disease care. Grants worth $40,000 each were also given to Dr. Prashant Nagpal of the University of Iowa to compare 3D, self-navigated, free-breathing cardiac MRI sequences with breath-held CMRI sequences in chronic obstructive pulmonary disease and to Dr. Adam Singer of Emory University to evaluate a new scoring and reporting tool in soft tissue sarcoma resection bed surveillance.
Trauma is a widespread experience among the more than 400,000 US children in foster care, presenting a challenge that's getting special attention during Adoption Awareness Month in November. Tom Flanigan tells success stories of adoptive and foster families while listing various ways others can assist them, including serving as guardians ad litem.
A song from the film "The Greatest Showman" inspired the social worker at Singing River Academy in Gautier, Miss., to create a music video with her students taking on bullying. "The song 'This Is Me' reminded me of every child I've ever worked with who has been bullied, excluded or mistreated," Emily Salter said.
Homeless students are on the increase in the Sioux Falls School District in South Dakota, and their status can be elusive. The district counted 1,275 homeless students -- also incorporating those using borrowed beds and otherwise avoiding shelters and the streets -- last school year, and is on pace to exceed that number, having documented around 500 already.
Military veterans facing hunger are among 2 million Americans threatened by a proposed House of Representatives version of the farm bill that would add restrictions to the Supplemental Nutrition Assistance Program, Ron Deutsch of the Fiscal Policy Institute and Sherry Tomasky of Hunger Solutions New York warn in a commentary. "[A]s Congress continues to negotiate a final farm bill, we can let our members of Congress know we want a farm bill that's based on the Senate's SNAP provisions, which guarantee SNAP will continue to help veterans in New York and across the country feed themselves and their families," they write.
A report from the American Enterprise Institute suggested that states should end scope-of-practice restrictions on nurse practitioners to increase access to primary care. The number of nurse practitioners is growing, and they are more likely to work in rural areas where primary care needs are higher, according to the report.
Paul Sax of Brigham and Women's Hospital and Harvard Medical School said researchers found the introduction of pre-exposure prophylaxis in New South Wales, Australia, was followed by a 25% reduction in new cases of HIV. A second study outlined the case of a 21-year-old male who became HIV-positive while undergoing PrEP and who later was found to have genes linked with resistance to the drug emtricitabine.