September 2016 Briefing - Otolaryngology

Here are what the editors at HealthDay consider to be the most important developments in Otolaryngology for September 2016. 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.

CDC: Too Many Health Care Workers Not Getting Flu Vaccine

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Roughly one in every five American health care workers do not receive the annual influenza vaccination, and in some facilities that number exceeds half, according to research published in the Sept. 30 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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Meditation Recommended for Helping Attendings 'Attend'

FRIDAY, Sept. 30, 2016 (HealthDay News) -- Meditation can allow attending physicians to be "in attendance" in order to heal and maintain personal well-being, according to an article published by the American Medical Association.

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Shorter Duration of Feeding Tube Placement With IMRT

FRIDAY, Sept. 30, 2016 (HealthDay News) -- For patients with head and neck cancer (HNC), the duration of feeding tube placement is shorter for those who receive definitive intensity-modulated radiation therapy (IMRT) compared with those who receive three-dimensional radiation therapy (3DRT), according to a study published online Sept. 23 in Cancer.

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Nonsurgical Therapy Increasing for Advanced Oral Cavity SCC

THURSDAY, Sept. 29, 2016 (HealthDay News) -- Use of nonsurgical therapy is increasing for advanced-stage oral cavity squamous cell carcinoma (SCC), although survival is better with surgical therapy, according to a study published online Sept. 19 in Head & Neck.

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Capping Copays Will Raise Premiums, Up Drug Prices

THURSDAY, Sept. 29, 2016 (HealthDay News) -- The proposed capping of copays will raise premiums and is likely to increase drug prices, according to a report from the National Center for Policy Analysis (NCPA).

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Many Doctors Reluctant to Reveal Mental Health Issues

WEDNESDAY, Sept. 28, 2016 (HealthDay News) -- Wary of the stigma of a mental health diagnosis and its toll on their careers, physicians often avoid getting help for depression and other mental illnesses, according to a report published online Sept. 15 in General Hospital Psychiatry.

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No Long-Term Health Issues for Infants With Isolated Oral Clefts

WEDNESDAY, Sept. 28, 2016 (HealthDay News) -- Infants born with cleft lip, with or without cleft palate, have no greater risk for long-term adverse health outcomes, according to a study published online Sept. 27 in JAMA Pediatrics.

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Unmet Needs for Non-HIV Care in Men Who Have Sex With Men

WEDNESDAY, Sept. 28, 2016 (HealthDay News) -- For men who have sex with men (MSM) and are receiving HIV medical care, the most prevalent unmet needs are for non-HIV medical care services, according to a report published in the Sept. 23 issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

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AMA: Practicing Empathy May Lead to More Joy in Medicine

MONDAY, Sept. 26, 2016 (HealthDay News) -- Empathetic listening can help physicians navigate difficult situations and forge deeper connections with patients, leading to greater professional satisfaction and joy, according to the American Medical Association.

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Hyperbaric O2 Therapy Effective in Maxillary Osteoradionecrosis

MONDAY, Sept. 26, 2016 (HealthDay News) -- Hyperbaric oxygen therapy (HBOT) seems efficacious for patients with maxillary bone osteoradionecrosis (ORN), according to research published online Sept. 19 in Head & Neck.

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Endoscopic Sinus Sx Ups Asthma QOL in Rhinosinusitis + Asthma

MONDAY, Sept. 26, 2016 (HealthDay News) -- Patients with chronic rhinosinusitis (CRS) undergoing endoscopic sinus surgery (ESS) experience improvements in asthma quality-of-life (QOL) and asthma control, according to a study published online Sept. 17 in Allergy.

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Dermatography Helps Lessen Appearance of Surgical Scars

FRIDAY, Sept. 23, 2016 (HealthDay News) -- Patients with scars from head and neck surgeries may benefit from dermatography (medical tattooing), which can help restore some of the skin's natural appearance, according to a study published online Sept. 22 in JAMA Facial Plastic Surgery.

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NIH: More Must Be Done to Fight Antimicrobial Resistance

WEDNESDAY, Sept. 21, 2016 (HealthDay News) -- Antimicrobial resistance (AMR) remains a major public health threat, and only a multipronged attack can address the problem, according to a report published in the Sept. 20 issue of the Journal of the American Medical Association.

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Art Therapy, Clown Visits Cut Children's Preoperative Anxiety

TUESDAY, Sept. 20, 2016 (HealthDay News) -- An intervention based on art therapy and clown visits can reduce children's anxiety at preoperative separation from parents, according to a study published online Sept. 14 in the Journal of Clinical Nursing.

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Hospitals Increasingly Employing Doctors, Effects on Care Uncertain

TUESDAY, Sept. 20, 2016 (HealthDay News) -- Hospitals are increasingly switching to an employment relationship with physicians, but switching has had no impact on primary composite quality metrics, according to a study published online Sept. 20 in the Annals of Internal Medicine.

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AAP Says Codeine Not Safe for Children, Urges Restrictions

MONDAY, Sept. 19, 2016 (HealthDay News) -- Codeine is unsafe for children and should no longer be given to them, according to a new report from the American Academy of Pediatrics (AAP) published online Sept. 19 in Pediatrics.

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Average Premiums for Health Care Coverage Stable in 2016

MONDAY, Sept. 19, 2016 (HealthDay News) -- The average annual premiums for single and family coverage remained stable in 2016, according to a study published online Sept. 14 in Health Affairs.

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FDA Approves Balloon Device for Eustachian Tube Dysfunction

FRIDAY, Sept. 16, 2016 (HealthDay News) -- A device that uses a small balloon to treat Eustachian tube dysfunction has been approved by the U.S. Food and Drug Administration.

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Recommending Oral Probiotics Doesn't Cut Antibiotic Use

FRIDAY, Sept. 16, 2016 (HealthDay News) -- Advising patients with asthma to take probiotics does not reduce antibiotic use, according to a study published in the September/October issue of the Annals of Family Medicine.

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Hearing Aids Underused by the 'Older Old'

THURSDAY, Sept. 15, 2016 (HealthDay News) -- Although the rate of hearing loss in patients goes up significantly during the 10th decade of life, hearing aids remain underused in this population, according to research published online Sept. 15 in JAMA Otolaryngology-Head & Neck Surgery.

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Experimental Gel Antibiotic May Offer New Otitis Media Rx

THURSDAY, Sept. 15, 2016 (HealthDay News) -- A single application of an antibiotic gel into the ear might one day offer an easier way to treat bacterial otitis media, according to an experimental study published online Sept. 14 in Science Translational Medicine.

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Recommendations Developed for Cost-Effectiveness Analyses

THURSDAY, Sept. 15, 2016 (HealthDay News) -- A new set of recommendations has been developed for conduct and reporting of cost-effectiveness analyses, according to a report published in the Sept. 13 issue of the Journal of the American Medical Association.

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Value-Driven Outcomes Tool Can Cut Health Care Costs

WEDNESDAY, Sept. 14, 2016 (HealthDay News) -- A multifaceted value-driven outcomes tool that identifies variability in costs and outcomes can reduce health care costs, according to a study published in the Sept. 13 issue of the Journal of the American Medical Association.

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Parents Often Make Dosing Errors With Liquid Medications

MONDAY, Sept. 12, 2016 (HealthDay News) -- During laboratory experiments, four out of five parents made at least one dosing error when using either a dosing cup or an oral syringe, according to a study published online Sept. 12 in Pediatrics.

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Corticosteroids Linked to Worse Outcome in Facial Palsy

MONDAY, Sept. 12, 2016 (HealthDay News) -- For patients with Lyme disease-associated facial palsy (LDFP), corticosteroid use is associated with worse long-term facial function outcome, according to a study published online Sept. 6 in The Laryngoscope.

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Sleep Apnea Diagnoses Up Among Outpatients From 1993 to 2010

MONDAY, Sept. 12, 2016 (HealthDay News) -- From 1993 to 2010 there was an increase in the diagnosis of sleep apnea in U.S. ambulatory practice visits, according to a study published online Sept. 1 in the Annals of the American Thoracic Society.

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Lean Processes Can Cut Wait Times at VA Hospitals

FRIDAY, Sept. 9, 2016 (HealthDay News) -- For patients at Veterans Affairs hospitals, implementation of lean practices can reduce wait times and increase operative volume, according to a study published online Sept. 7 in JAMA Surgery.

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Saline-Based Nasal Spray Found to Be Effective for Epistaxis

WEDNESDAY, Sept. 7, 2016 (HealthDay News) -- A simple saline-based nasal spray is as effective as medicated sprays in controlling epistaxis in patients with hereditary hemorrhagic telangiectasia (HHT), according to a study published in the Sept. 6 issue of the Journal of the American Medical Association.

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New Decision-Making Tool Can Cut Unnecessary Antibiotic Use

FRIDAY, Sept. 2, 2016 (HealthDay News) -- A new decision-making tool for doctors may help reduce unnecessary use of antibiotics in children with respiratory tract infection and cough, according to research published online Sept. 1 in The Lancet Respiratory Medicine.

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Slight Drop in ENT Productivity With Implementation of EMR

FRIDAY, Sept. 2, 2016 (HealthDay News) -- Otolaryngologists experienced a slight decrease in productivity after implementation of an electronic medical record (EMR) system, according to a study published online Sept. 1 in JAMA Otolaryngology-Head & Neck Surgery.

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