Documenting clinical notes in EHRs at the point of care has improved the accessibility and legibility of clinical notes, but it has also increased health care provider burden, researchers reported in Pediatrics. Requiring that certain EHR fields contain information increases note length and decreases accuracy and effectiveness, and researchers say EHRs can be improved with better graphical presentation of numerical data and the capability for customizing patient summaries for different provider types and care settings.
ACR Chair Dr. Howard Fleishon and Radiological Society of North America Chair Dr. Bruce Haffty sent a letter calling on the FDA to put off developing autonomous artificial intelligence algorithm regulatory pathways until the algorithms are proven to be safe and effective and have gained a greater foothold in the market. The ACR and RSNA highlighted issues around elevated risk of autonomous imaging AI and urged the FDA to adopt more stringent review, validation, monitoring and product labeling requirements.
Journal of the American College of Radiology Editor-in-Chief Dr. Ruth Carlos wrote that the publication has revised author disclosure guidelines to require information regarding practice affiliation, in-practice leadership roles and employment models. "Although not previously required and not common practice with other journals, the JACR prefers to lead by example," Carlos wrote.
Researchers found that 27 of 50 youths with confirmed COVID-19 developed pediatric multisystem inflammatory syndrome symptoms, and four of those with confirmed cases had headaches, encephalopathy, reduced reflexes and muscle weakness, as well as brain MRI scans showing central and peripheral nervous system damage and splenial lesions. The findings were published in JAMA Neurology.
CHIME joined five major health care organizations in establishing Patient ID Now, an advocacy group whose goal is to establish a national patient identifier program and enhance patient matching by encouraging lawmakers to repeal a portion of a law that blocks HHS and the House of Representatives from working together to develop a national system. "CHIME has called for removing the funding ban for many years; the pandemic only amplifies the need for a safe, efficient and accurate strategy for matching patients to their health care records," CHIME President and CEO Russell Branzell said.
Texting has become one of the primary ways to maintain social connection during the coronavirus pandemic, but it has made boundaries harder to identify than in-person interactions because of expectations to be available 24/7 to respond, says licensed clinical social worker Caroline Given. Replying to a text can feel exhausting when combined with emotional fatigue related to current events, Given says, and it can be difficult to truly explain feelings via text.
In a randomized, double-blind, placebo-controlled study published in the Journal of Immunology, dogs with osteoarthritis improved after being given cannabidiol for four weeks. Mobility and signs of pain did not improve in dogs given a placebo or a low dose of CBD, but both improved significantly in dogs given the highest CBD dose or a CBD liposomal formulation, study leader Matthew Halpert said.
Women who had recent gestational diabetes and underwent an online, lifestyle-based weight-loss initiative called the Balance After Baby program for 12 months after giving birth experienced a higher reduction in weight retention, compared with a control group, according to a study presented at the American Diabetes Association virtual Scientific Sessions. Lead researcher Jacinda Nicklas said she believes the program has the "potential to delay or prevent development of type 2 diabetes in women with recent gestational diabetes, while the web-based, remote nature of the program is scalable and very relevant in current times."
A study in The Journal of Clinical Endocrinology & Metabolism found that patients with type 2 diabetes and polyneuropathy pain were more likely to suffer from major vascular events than those without polyneuropathy, and they also have a 42% higher odds of dying from any cause than those who had polyneuropathy but reported no pain. The findings were based on data from 43,945 adults with type 2 diabetes, and researcher Brittany Lapin said that "a pain history should be proactively sought because it may not be reported, and those who report neuropathic pain should be targeted for aggressive vascular risk factor modification."
The proportion of Americans who expressed at least moderate worry about access to local hospital supplies, treatment or health care services reached 44% in a June 28 Gallup poll, up 10 percentage points from June 22. More Americans are also concerned about availability of COVID-19 tests, and younger Americans and women largely drove the rising concern.
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