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August 2013 Briefing - Otolaryngology

Here are what the editors at HealthDay consider to be the most important developments in Otolaryngology for August 2013. 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.

Most Head, Neck Surgeons Discuss Risk Factors, HPV

FRIDAY, Aug. 30 (HealthDay News) -- Most head and neck surgeons discuss risk factors for head and neck cancer, including human papillomavirus (HPV), with their patients, according to a study published online Aug. 29 in JAMA Otolaryngology-Head & Neck Surgery.

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Final Rules Issued for Individual Shared Responsibility Mandate

WEDNESDAY, Aug. 28 (HealthDay News) -- Starting 2014, the individual shared responsibility provision of the Affordable Care Act, which calls for each individual to have basic health insurance coverage, will be implemented, according to a statement from the U.S. Department of the Treasury.

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CPAP Impacts Mortality in Patients With COPD, Sleep Apnea

WEDNESDAY, Aug. 28 (HealthDay News) -- For patients with overlap syndrome (a combination of obstructive sleep apnea [OSA] and chronic obstructive pulmonary disease [COPD]), the more time on continuous positive airway pressure (CPAP) the lower the likelihood of death, according to a study published in the Aug. 15 issue of the Journal of Clinical Sleep Medicine.

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Health Care Savings With Early Accountable Care Organizations

WEDNESDAY, Aug. 28 (HealthDay News) -- Early accountable care organization initiatives correlate with lower spending for elderly Medicare beneficiaries, but not necessarily with improved quality, according to a study published in the Aug. 28 issue of the Journal of the American Medical Association.

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Reference Pricing Changes Consumers' Choices

FRIDAY, Aug. 23 (HealthDay News) -- Consumer cost sharing resulting from reference pricing redirects patient volumes and reduces hospital prices for orthopedic surgery, according to research published in the August issue of Health Affairs.

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FDA Approves New Device to ID Disease-Causing Germs

THURSDAY, Aug. 22 (HealthDay News) -- A new spectrometer system designed to identify 193 yeast and bacteria that are capable of making people sick has been approved by the U.S. Food and Drug Administration.

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Implications, Solutions for U.S. Health Disparities Discussed

TUESDAY, Aug. 20 (HealthDay News) -- Research on health disparities in the United States, the policy implications of these disparities, and suggestions for improvement of disparities are discussed in "Health Policy Brief: Health Gaps," published Aug. 15 in Health Affairs.

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Increasing Operating Costs Top Concern for Medical Practices

TUESDAY, Aug. 20 (HealthDay News) -- The top five concerns of medical practice executives all relate to financial management, with dealing with increasing operating costs reported as the most difficult daily challenge, according to a report published by the Medical Group Management Association (MGMA).

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Early-Life Probiotics Reduce Allergies, Not Asthma

TUESDAY, Aug. 20 (HealthDay News) -- Probiotic exposure in early life may reduce total immunoglobulin E level (IgE) and protect against atopic sensitization, but does not seem to protect against asthma/wheezing, according to a meta-analysis published online Aug. 19 in Pediatrics.

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Expansion of Pharmacists' Practice Will Benefit Patients

MONDAY, Aug. 19 (HealthDay News) -- The expanding scope of pharmacists' practice will potentially improve patient care but has implications for physicians, according to an article published online Aug. 19 in CMAJ, the journal of the Canadian Medical Association.

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HHS Awards $67 Million to Marketplace Navigators

MONDAY, Aug. 19 (HealthDay News) -- $67 million is being awarded to Navigator grant applicants and their staff, who will serve as an in-person resource for those requiring additional assistance in shopping for and enrolling in Health Insurance Marketplace plans, according to a report published by the U.S. Department of Health and Human Services.

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Depression Up in Post-Radiation Head & Neck Cancer Survivors

FRIDAY, Aug. 16 (HealthDay News) -- For post-radiotherapy survivors of head and neck cancer, depression is fairly common, but treatment is underutilized, according to research published online Aug. 15 in JAMA Otolaryngology-Head & Neck Surgery.

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IOM Describes Themes Relating to Patients' Role in Health Care

FRIDAY, Aug. 16 (HealthDay News) -- Themes and messages relating to the role of patients in informed care decisions, knowledge generation, and value improvement were discussed at the Institute of Medicine's (IOM) Workshop Proceedings, according to a report published Aug. 15 in conjunction with the transcript of the proceedings.

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Doctors Pessimistic About Future of U.S. Health Care

THURSDAY, Aug. 15 (HealthDay News) -- Physicians report concerns regarding health care delivery and the future of health care, according to survey findings published by athenahealth.

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Involved Patients Have Better Health Care Experiences

THURSDAY, Aug. 15 (HealthDay News) -- Health care providers and patients shape the care experience, and strategies to improve care interactions should also help patients ensure that their needs are met, according to research published in the July issue of Health Affairs.

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Physicians Should Consider Social Media As Public Space

WEDNESDAY, Aug. 14 (HealthDay News) -- A new approach is needed for resolving the physician online identity crisis, according to a viewpoint piece published in the Aug. 14 issue of the Journal of the American Medical Association.

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Medicare Reimbursement Drives Procedural Over Cognitive Care

WEDNESDAY, Aug. 14 (HealthDay News) -- Physicians treating Medicare patients are reimbursed three to five times more for performing common procedures versus providing cognitive care, according to a study published online Aug. 12 in JAMA Internal Medicine.

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New Initiative Announced for Patient-Doc Collaboration

TUESDAY, Aug. 13 (HealthDay News) -- A new Center for Patient Partnership in Healthcare (CPPH) has been launched to advance physician-patient collaboration, according to a report published by the American College of Physicians (ACP).

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Perceived Doc Verbal Abuse Impairs Nurses' Work Attitude

TUESDAY, Aug. 13 (HealthDay News) -- For registered nurses (RNs), perceived verbal abuse by physicians correlates with less favorable work conditions and attitudes, according to a study published in Nursing Outlook.

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U.S. Hospitals Up Exchange of Electronic Health Information

MONDAY, Aug. 12 (HealthDay News) -- Between 2008 and 2012, hospitals significantly increased their exchange of electronic health information with other providers, according to research published in the August issue of Health Affairs.

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Guidelines for Post-HIV Exposure Management Updated

MONDAY, Aug. 12 (HealthDay News) -- Management and prophylaxis recommendations have been updated for health care providers with occupational exposure to HIV, according to guidelines published in the September issue of Infection Control and Hospital Epidemiology.

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Medical Center Farmers Market Aids in Medical Home Goals

MONDAY, Aug. 12 (HealthDay News) -- A seasonal farmers market at a medical center can support the institution's commitment to the goals of the medical home, according to a study published online Aug. 1 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Physicians' Malpractice Concerns Predict More Testing

FRIDAY, Aug. 9 (HealthDay News) -- Physicians' concerns about malpractice risk predict more aggressive diagnostic testing practices in office-based care, according to a study published in the August issue of Health Affairs.

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IPAs and PHOs Viable Option for Small Independent Practices

FRIDAY, Aug. 9 (HealthDay News) -- For small and medium-size independent practices, sharing care management and information technology resources with other practices through an independent practice association (IPA) or physician-hospital organization (PHO) is a viable alternative and may improve care for patients with chronic conditions, according to a study published in the August issue of Health Affairs.

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AMA, AHA Call for Realignment of Meaningful Use Stage 2

WEDNESDAY, Aug. 7 (HealthDay News) -- The American Medical Association (AMA) and American Hospital Association (AHA) are calling for additional flexibility in the timing of the adoption of stage 2 meaningful use of electronic health records, according to a letter written to the U.S. Department of Health and Human Services (HHS).

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Review Looks at Antibiotic Rx in Ambulatory Settings

WEDNESDAY, Aug. 7 (HealthDay News) -- Most ambulatory care antibiotic prescriptions are for broad-spectrum agents, which are commonly prescribed for conditions for which antibiotics are rarely indicated, according to research published online July 25 in the Journal of Antimicrobial Chemotherapy.

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Participation Increases in Online CME Activities

MONDAY, Aug. 5 (HealthDay News) -- The number of physicians and non-physicians participating in continuing medical education (CME) has increased, especially in online activities, according to a report published by the Accreditation Council for Continuing Medical Education (ACCME).

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After Facelift, Patient Looks Younger But Not More Attractive

THURSDAY, Aug. 1 (HealthDay News) -- Aesthetic facial surgery is effective for modestly reducing patients' apparent age, but does not improve their objective attractiveness, according to a study published online Aug. 1 in JAMA Facial Plastic Surgery.

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Immediate Post-Op Delirium Common in Elderly Patients

THURSDAY, Aug. 1 (HealthDay News) -- Delirium in the post-anesthesia care unit (PACU) is relatively common among elderly patients undergoing surgery with general anesthesia, according to a study published in the August issue of Anesthesia & Analgesia.

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