See What HealthDay Can Do For You
Contact Us

November 2013 Briefing - Neurology

Here are what the editors at HealthDay consider to be the most important developments in Neurology for November 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.

Low Oxygen Exposure May Aid Walking With Spinal Injury

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- A combination of daily acute intermittent hypoxia (dAIH) and overground walking improves walking speed and distance in persons with chronic incomplete spinal cord injury (iSCI), according to a study published online Nov. 27 in Neurology.

Abstract
Full Text
Editorial (subscription or payment may be required)

Vagal Nerve Stimulation Paired With Tones Viable for Tinnitus

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- For patients with severe chronic tinnitus, vagal nerve stimulation paired with tones seems feasible, according to a case series published online Nov. 20 in Neuromodulation: Technology at the Neural Interface.

Abstract
Full Text (subscription or payment may be required)

Salt-Containing Rx Formulations Increase Cardiovascular Risk

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- People taking sodium-containing formulations of drugs are at higher risk of cardiovascular events, particularly stroke and hypertension, according to a study published online Nov. 26 in BMJ.

Full Text

Insurance Exchanges May Benefit Small Medical Practices

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- Small medical practices may not need to offer their employees health insurance, although there may be advantages to doing so, according to an article published Nov. 10 in Medical Economics.

More Information

Induced Hypothermia May Be Harmful in Severe Meningitis

WEDNESDAY, Nov. 27, 2013 (HealthDay News) -- The use of induced hypothermia may be harmful to adults with severe meningitis, according to a study published in the Nov. 27 issue of the Journal of the American Medical Association.

Abstract
Full Text (subscription or payment may be required)

Practices Should Start Preparing for Transition to ICD-10

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Practices should start preparing for the transition to International Classification of Diseases, 10th Revision (ICD-10), according to an article published Nov. 10 in Medical Economics.

More Information

No Link Between Menopausal Hormones and Cognition

TUESDAY, Nov. 26, 2013 (HealthDay News) -- Postmenopausal hormone levels are not generally associated with cognition or mood, according to a study published online Nov. 25 in the Proceedings of the National Academy of Sciences.

Abstract
Full Text (subscription or payment may be required)

American Medical Groups Protesting Physician Cuts

MONDAY, Nov. 25, 2013 (HealthDay News) -- Medical societies are taking action against the mass cancellations of physicians in Medicare Advantage plans in many states, according to an article published online Nov. 22 in Medical Economics.

More Information

High Abusive Head Trauma Rates With New Coding Method

MONDAY, Nov. 25, 2013 (HealthDay News) -- Use of new coding algorithms show the highest abusive head trauma (AHT) rates in children < 1 year reported to date, but no significant change in national AHT rates, according to a study published online Nov. 25 in Pediatrics.

Abstract
Full Text (subscription or payment may be required)

Family Doc Finds Mid-Level Providers Increase Revenue

MONDAY, Nov. 25, 2013 (HealthDay News) -- Hiring mid-levels -- physicians assistants and nurse practitioners -- can improve productivity, resulting in increased physician take-home pay, according to an article published Nov. 10 in Medical Economics.

More Information

White House Extends Enrollment Deadline for Health Insurance

FRIDAY, Nov. 22, 2013 (HealthDay News) -- Consumers who want to enroll in a health insurance plan through HealthCare.gov will get a few extra days to sign up for coverage that will take effect on Jan. 1. The deadline for buying insurance through the federal health insurance exchange will be pushed from Dec. 15 to Dec. 23, a spokeswoman for the Centers for Medicare and Medicaid Services (CMS) said during a Friday news conference.

Full Article

Headache Society Issues Top Five Choosing Wisely Tips

FRIDAY, Nov. 22, 2013 (HealthDay News) -- The top five headache-related issues that physicians and patients should question have been released by the American Headache Society (AHS) as part of the Choosing Wisely campaign, and published online Oct. 29 in Headache.

Abstract
Full Text

[11C]PiB PET Can Image Amyloid Deposits After TBI

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Carbon 11-labeled Pittsburgh Compound B ([11C]PiB) positron emission tomography (PET) could be valuable in imaging amyloid deposition following traumatic brain injury (TBI), according to a study published online Nov. 11 in JAMA Neurology.

Abstract
Full Text (subscription or payment may be required)

CDC Report: Health Disparities Persist in America

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Despite progress in some areas, health disparities remain for many Americans, health officials reported Thursday. These inequalities are related to income, education, sex, race, ethnicity, employment and sexual orientation, and they all affect Americans' health and well-being, according to the U.S. Centers for Disease Control and Prevention.

HealthDay Article
CDC Report

Recessions Linked to Worse Cognitive Function Later

THURSDAY, Nov. 21, 2013 (HealthDay News) -- Living through recessions is associated with worse cognitive function later in life, with the critical age range differing for men and women, according to a study published online Nov. 20 in the Journal of Epidemiology & Community Health.

Abstract
Full Text (subscription or payment may be required)

Gray Matter Abnormalities Persist After Mild Traumatic Brain Injury

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- At four months following mild traumatic brain injury, symptoms are significantly reduced but gray matter abnormalities persist, according to research published online Nov. 20 in Neurology.

Abstract
Full Text (subscription or payment may be required)

USPSTF Identifies High Priority Evidence Gaps for Older Adults

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has produced their third annual report for Congress identifying high-priority evidence gaps specifically relating to the care of older adults.

More Information

Short-Term Aerobic Exercise Improves Memory in Older Adults

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- Even shorter term regular aerobic exercise can increase resting cerebral blood flow, and improve memory and cardiovascular health in older sedentary adults, according to a study published online Nov. 12 in Frontiers in Aging Neuroscience.

Abstract
Full Text

Calcium, Vitamin D Up BMD for Patients on Antiepileptic Drugs

WEDNESDAY, Nov. 20, 2013 (HealthDay News) -- For male veterans with epilepsy taking antiepileptic drugs (AEDs), calcium and vitamin D supplementation improve bone mineral density (BMD), with added benefits seen with addition of risedronate, according to a study published in the November issue of Epilepsia.

Abstract
Full Text

Health Care Frustration Higher in U.S. Than Other Countries

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Compared to 10 other high-income industrialized nations, adults in the United States are more likely to go without health care because of costs, experience difficulty paying medical bills, and deal with frustrating health insurance paperwork or disputes such as unpaid claims, according to a report published by The Commonwealth Fund.

More Information

Effect of Statins on Cognitive Function Unclear

TUESDAY, Nov. 19, 2013 (HealthDay News) -- Current published evidence is lacking and further research is needed to establish an effect of statins on cognitive function, according to a review published in the Nov. 19 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required)

In-Bedroom Media Access Tied to Sleep Problems in ASD

TUESDAY, Nov. 19, 2013 (HealthDay News) -- For boys with autism spectrum disorder (ASD), media-related variables impact sleep time, according to a study published online Nov. 18 in Pediatrics.

Abstract
Full Text

FDA Approves Implanted Device to Decrease Seizures

FRIDAY, Nov. 15, 2013 (HealthDay News) -- A device implanted within the skull to help reduce the frequency of epileptic seizures has been approved by the U.S. Food and Drug Administration.

More Information

Obama Nominates Health Care Law Backer to Be Surgeon General

FRIDAY, Nov. 15, 2013 (HealthDay News) -- An early supporter and advocate for the Affordable Care Act has been nominated by President Barack Obama to be the country's next surgeon general.

Full Article

Time Spent Walking Tied to Lower Stroke Risk in Older Men

FRIDAY, Nov. 15, 2013 (HealthDay News) -- For older men, time spent walking is associated with a reduced risk of stroke, in a dose-dependent manner, according to a study published online Nov. 14 in Stroke.

Abstract
Full Text (subscription or payment may be required)

Macular Degeneration Not Tied to Alzheimer's, Dementia

FRIDAY, Nov. 15, 2013 (HealthDay News) -- Individuals with age-related macular degeneration (AMD) do not have an elevated risk for Alzheimer's disease (AD) or dementia, according to a study published online Nov. 14 in JAMA Ophthalmology.

Abstract
Full Text (subscription or payment may be required)

Menstrual Cycle Phase Affects Mild Brain Injury Outcomes

FRIDAY, Nov. 15, 2013 (HealthDay News) -- For women with mild traumatic brain injury (mTBI), one-month quality-of-life and neurologic outcomes are influenced by menstrual cycle phase and progesterone concentration at the time of injury, according to a study published online Nov. 11 in the Journal of Head Trauma Rehabilitation.

Abstract
Full Text (subscription or payment may be required)

Obama: You Can Keep Your Health Plan (for a Year)

THURSDAY, Nov. 14 (HealthDay News) -- Bending to political pressure, President Barack Obama on Thursday announced a plan to allow Americans to keep their health insurance plans for another year, even if that coverage would have been cancelled because it fails to meet new rules under the Affordable Care Act.

Full Article

Pulse Pressure Linked to CSF Markers of Alzheimer's Disease

THURSDAY, Nov. 14 (HealthDay News) -- Elevated pulse pressure (PP) is linked to cerebrospinal fluid (CSF)-based biomarkers related to Alzheimer's disease in cognitively normal, older adults, according to a study published online Nov. 13 in Neurology.

Abstract
Full Text (subscription or payment may be required)

Health Care Enrollments Fall Far Short of White House Estimates

THURSDAY, Nov. 14 (HealthDay News) -- The Obama administration late Wednesday released a report revealing a disappointing number of health plan enrollments through the new federal and state insurance exchanges. Just over 106,000 Americans enrolled in health plans through the new marketplaces from Oct. 1 through Nov. 2, U.S. Health and Human Services Secretary Kathleen Sebelius said during a news conference.

Full Article

No Promises on Nov. 30 ACA Website Fix: U.S. Tech Chief

THURSDAY, Nov. 14 (HealthDay News) -- The nation's chief of information technology would not confirm on Wednesday whether the hobbled HealthCare.gov insurance exchange website would be fixed by month's end.

Full Article

Many Would Give Health Plans Private Info to Save Money: Poll

WEDNESDAY, Nov. 13 (HealthDay News) -- Many Americans say they'd submit to insurance company medical tests and lifestyle monitoring in exchange for lower-cost premiums, a new Harris/HealthDay poll finds.

here

Population Aging Crisis May Have Been Overestimated

WEDNESDAY, Nov. 13 (HealthDay News) -- Use of an alternative measure for assessing the number of dependent older people suggests that the population aging crisis may have been overestimated, according to an analysis published online Nov. 12 in BMJ.

Full Text

Initial Health-Plan Enrollment Falls Below Expectations

TUESDAY, Nov. 12 (HealthDay News) -- Fewer than 50,000 people have enrolled in health insurance through the federal HealthCare.gov website, according to published reports. The tally represents enrollment in the troubled federal health insurance exchange from its launch date on Oct. 1 through last week, the Wall Street Journal reported Monday. HealthCare.gov serves as the insurance exchange for people in 36 states.

Full Article

Many Americans Want Docs to Help Explain Genetic Tests

TUESDAY, Nov. 12 (HealthDay News) -- When it comes to genetic testing, Americans support more research, laws to protect against discrimination, and involving medical professionals in offering guidance, according to research published online Nov. 7 in Genetics in Medicine.

Abstract
Full Text (subscription or payment may be required)

Analysis Describes Economic Anatomy of U.S. Health Care

TUESDAY, Nov. 12 (HealthDay News) -- Despite the increases in resources devoted to health care in the United States, multiple health care metrics show that the United States is trailing peer nations, according to a special communication published in the Nov. 13 issue of the Journal of the American Medical Association, a theme issue on critical issues in U.S. health care.

Abstract
Full Text
Editorial (subscription or payment may be required)

FDA Approves Aptiom to Treat Epileptic Seizures

MONDAY, Nov. 11 (HealthDay News) -- Aptiom (eslicarbazepine acetate) has been approved by the U.S. Food and Drug Administration as an add-on drug to help treat adults with partial epileptic seizures.

More Information

Obama 'Sorry' Some People Losing Health Coverage

FRIDAY, Nov. 8 (HealthDay News) -- President Barack Obama said he's "sorry" some Americans are losing their insurance coverage as a result of his signature health-reform law, but his administration is pressing ahead with the law's implementation. It's estimated that 5 percent of Americans have individual health insurance policies, and many of these people are receiving cancellation notices as insurers switch to plans that comply with new health-reform requirements.

Full Article

Altered Brain Circuitry May Contribute to Pain in Fibromyalgia

FRIDAY, Nov. 8 (HealthDay News) -- Patients with fibromyalgia have disrupted brain responses to pain-related reward and punishment, according to research published online Nov. 7 in Arthritis & Rheumatism.

Abstract
Full Text (subscription or payment may be required)

Telemedicine Represents Enhanced Care Model

THURSDAY, Nov. 7 (HealthDay News) -- Telemedicine may represent an effective care model but there are associated concerns, specifically relating to reimbursement and legal issues, according to an article published Oct. 25 in Medical Economics.

More Information

Diabetic Peripheral Neuropathy Prevalent in Youth With T2DM

THURSDAY, Nov. 7 (HealthDay News) -- The prevalence of diabetic peripheral neuropathy (DPN) is 25.7 percent among youth with type 2 diabetes, and is significantly higher than that seen among youth with type 1 diabetes, according to a study published online Oct. 21 in Diabetes Care.

Abstract
Full Text (subscription or payment may be required)

FDA to Ban Trans Fats in Foods

THURSDAY, Nov. 7 (HealthDay News) -- U.S. health officials announced Thursday a plan to phase out heart-harmful trans fats in processed foods and restaurant fare. U.S. Food and Drug Administration Commissioner Margaret Hamburg, M.D., said the proposed restrictions on the use of trans fats could prevent 20,000 heart attacks a year and 7,000 deaths.

Full Article

Aspiring Doctors Are Optimistic About the Future of Medicine

THURSDAY, Nov. 7 (HealthDay News) -- Aspiring doctors are optimistic about the future of medicine, according to a report published by the National Academy of Future Physicians and Medical Scientists.

More Information

Better Oral Health Decreases Carotid Artery IMT Progression

THURSDAY, Nov. 7 (HealthDay News) -- Improvements in periodontal health are associated with improvements in the progression of atherosclerosis, according to a study published online Oct. 28 in the Journal of the American Heart Association.

Abstract
Full Text

For Hospitalized Adults, Light Inversely Tied to Fatigue, Mood

THURSDAY, Nov. 7 (HealthDay News) -- For hospitalized adult patients, light exposure is inversely associated with fatigue and total mood disturbance, according to a study published online Oct. 27 in the Journal of Advanced Nursing.

Abstract
Full Text (subscription or payment may be required)

Amount of Care Similar for Rural, Urban Medicare Users

THURSDAY, Nov. 7 (HealthDay News) -- Although there may be a limited supply of physicians in some rural areas, little difference is found in the amount of health care received by Medicare beneficiaries for rural versus urban areas within the same region, according to research published in the November issue of Health Affairs.

Abstract
Full Text

Bilingualism Delays Onset of Dementia, Even in Illiterate

WEDNESDAY, Nov. 6 (HealthDay News) -- Onset of dementia symptoms is delayed in people who are bilingual, even among those who are illiterate, according to a study published online Nov. 6 in Neurology.

Abstract
Full Text (subscription or payment may be required)

Sebelius on Exchange Website: 'Delay Is Not an Option'

WEDNESDAY, Nov. 6 (HealthDay News) -- U.S. Health and Human Services Secretary Kathleen Sebelius said Wednesday that the Obama administration will not consider delaying implementation of health reform. Nor will it take down HealthCare.gov -- the troubled health insurance marketplace website -- while it's being fixed. "For millions of Americans, delay is not an option," Sebelius told the Senate Finance Committee during a hearing on the new health insurance marketplace. "People's lives depend on this," she said.

Full Article

Diet Quality in Midlife Associated With Healthy Aging

TUESDAY, Nov. 5 (HealthDay News) -- Diet quality in midlife is associated with increased odds of healthy aging, according to a study published in the Nov. 5 issue of the Annals of Internal Medicine.

Full Text (subscription or payment may be required)

Senators Seek Answers on Health Marketplace Woes

TUESDAY, Nov. 5 (HealthDay News) -- A top Obama administration health official said Tuesday that HealthCare.gov -- the troubled federal website used to sign up for insurance -- is improving, and insisted that private information provided during the online application process is safe and secure.

Full Article

In the Doctor's Lounge With Dr. Cindy Haines

FRIDAY, Nov. 1 (HealthDay News) -- This is the second issue of a monthly letter from me, HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. The intention of this letter (and the intention of what we do at HealthDay) is to provide tools of communication. At Physician's Briefing, this is by providing you, the busy and buried health care professional, news and information that matters to you in a way that won't slow you down. The intention is to provide news that can help you stay abreast of changing clinical guidelines, cutting-edge technologies, and novel treatment options. And now, we offer free Continuing Medical Education (CME) credits for you on select clinical articles, enabling you to get (at least) two birds with one stone.

More Information
More Information
More Information
editors@healthday.com

In the Doctor's Lounge With Dr. Cindy Haines

TUESDAY, Oct. 1 (HealthDay News) -- Please allow me to introduce myself: I am HealthDay's chief medical officer and the managing editor of Physician's Briefing, HealthDay's news service for health care professionals. This service is intended to provide busy physicians, nurses, and pharmacists with easily accessible, digestible health news that can keep them up-to-date and not missing a beat in their busy days providing care for those in need (and navigating the headaches and heartaches the business of medicine can too often bring). In short, this service is intended to make your professional life flow more smoothly in the way that helpful, useable, relevant, and timely information can.

Exchanges Will Be Cornerstone for Coverage Choices
Young Adults May Be Key to Making It All Work
Expect Pluses, Minuses for Those With Job-Based Coverage
If You're an Uninsured Worker, It's Your Chance to Get Covered
Medicaid Expansion Will Allow More to Get More
Many on Medicare Already Enjoying Benefits
AMA Presents: The National Journal
editors@healthday.com

USPSTF: Evidence Lacking for Cognitive Impairment Screening

MONDAY, Nov. 4 (HealthDay News) -- The U.S. Preventive Services Task Force (USPSTF) has found that the evidence is insufficient to assess the balance of benefits and harms of cognitive impairment screening for older adults without signs or symptoms of cognitive impairment. This draft recommendation statement is based on an evidence review published in the Nov. 5 issue of the Annals of Internal Medicine.

Draft Recommendation Statement
Comment on Recommendations
Background Review

Functional MRI Shows Warm Weather Worsens Cognition in MS

MONDAY, Nov. 4 (HealthDay News) -- Greater activation is observed in task-related areas of the brain in patients with multiple sclerosis (MS) on warmer days, according to research published online Oct. 23 in Brain Imaging and Behavior.

Abstract
Full Text (subscription or payment may be required)

CDC: Epilepsy Tied to Greater Number of Comorbidities

MONDAY, Nov. 4 (HealthDay News) -- Adults with epilepsy are more likely to report medical comorbidities than adults without epilepsy, according to a report published in the Nov. 1 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

Full Text

Child Milestone Delay With Parent Violence, Stress Exposure

MONDAY, Nov. 4 (HealthDay News) -- Exposure to parent-reported intimate partner violence (IPV) or parental psychological distress (PPD) is associated with delayed attainment of developmental milestones during the first 72 months of life, according to a study published online Nov. 4 in Pediatrics.

Abstract
Full Text (subscription or payment may be required)

Six People Signed Up on Day One of Federal Exchange Website

FRIDAY, Nov. 1 (HealthDay News) -- Just six people enrolled for health insurance through the federal HealthCare.gov website the first day of operation on Oct. 1, just-released Obama administration documents show.

Full Article

Physician Buy-In Key to Reducing Health Care Costs

FRIDAY, Nov. 1 (HealthDay News) -- Physician buy-in is essential for creation of any new payment system aimed at reducing health care costs, according to an article published Oct. 21 in Medical Economics.

More Information

Drug Effective for Parkinson's Disease Psychosis

FRIDAY, Nov. 1 (HealthDay News) -- An investigational drug is safe and effective in the treatment of Parkinson's disease psychosis, according to a study published online Nov. 1 in The Lancet.

Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Physician's Briefing
undefined
undefinedundefined