Practice Management
Heavy, weighted blankets—marketed as comforting bedding indulgences for adults and even infants—are producing the latest word of caution among pediatricians and product safety experts. Last year, the American Academy of Pediatrics (AAP) warned that weighted blankets should never be used for babies, and in a recent news article in the Washington Post, the chair of the AAP’s task force on sudden infant death syndrome cautioned that even a small amount of pressure on a newborn’s …
Read More
In New Jersey, Hackensack Meridian Health is now offering its HMH Urgent Care, which integrates behavioral health with same-day urgent care and telemedicine visits. According to Becker’s Hospital Review, it’s the first urgent care that simultaneously provides both immediate medical care and services for psychiatric conditions as part of a strategy to reduce emergency department visits. The HMH Urgent Care suite includes short-term outpatient care for those 16 years and older to address anxiety, depression, mood …
Read More
Buprenorphine—used to treat opioid use disorder—is the only drug that ever came with federal limits on the number of patients a provider could care for. It also came with restrictions on the types of clinicians who could prescribe it. Rules requiring the so-called “x-waiver” for prescribing clinicians were ultimately repealed in December 2022. Since then, providers have been able to offer buprenorphine to any number of patients who need addiction treatment and a path to …
Read More
Flu season continues, and providers in several US markets are seeing surges in respiratory-virus-related visits. Meanwhile, new data also shows a year-over-year increase in antiviral prescriptions to treat influenza, according to a news report in Fierce Healthcare, leveraging data from Evernorth Research Institute (a Cigna subsidiary). Analyzing pharmacy claims for 32 million people, researchers noted an uptick in antiviral prescriptions in the weeks following Thanksgiving 2023 when compared to a similar time period during past …
Read More
The Food and Drug Administration (FDA) recently added a boxed warning to the osteoporosis drug denosumab (Prolia) due to the heightened risk of severe hypocalcemia in patients with advanced chronic kidney disease (CKD). The agency’s decision, based on new evidence and a JAMA review, notes that denosumab increases the risk of severe hypocalcemia compared to bisphosphonates, particularly in CKD patients on dialysis. Severe hypocalcemia can manifest with symptoms like confusion, seizures, irregular heart rhythm, fainting, …
Read More
The JN.1 variant of the SARS-CoV-2 virus appears to be more contagious than other members of the Omicron family, driving indicators of infection levels and COVID-19 illness. Even so, this currently circulating variant seems to produce a more mild illness with less need for medical attention. Data from the Centers for Disease Control and Prevention as reported in JAMA Network shows emergency department visits for COVID-19 are down 21% this year, and the percentage of …
Read More
The European Journal of Preventive Cardiology recently published research demonstrating that a higher level of quadriceps isometric strength (QIS) was strongly associated with a lower risk of developing heart failure (HF) after acute coronary syndrome (ACS). Researchers studied the relationship between QIS and the risk of developing HF in patients with ACS using HF admissions as the endpoint. QIS is a skeletal muscle strength indicator, and study authors classified 1,053 patients with ACS without prior …
Read More
The guanylate cyclase C agonist, linaclotide (Linzess), doubled weekly bowel movements among children age 6 and younger, helping to treat pediatric patients with functional constipation, according to a study published in Lancet Gastroenterology & Hepatology. As a recently approved treatment option, linaclotide demonstrated improvement in frequency over placebo with 57% of patients in the treatment group experiencing a spontaneous bowel movement within the first 48 hours of receiving the drug. Authors also observed improvement in …
Read More
In a study presented in JAMA Network Open, researchers sought to determine the difference in the long-term risk of mortality and morbidity outcomes for adults with hypertension taking a thiazide-type diuretic, calcium channel blocker (CCB), or angiotensin-converting enzyme (ACE) inhibitor. Their secondary analysis found that mortality due to cardiovascular disease was similar among patients, regardless of which treatment was used. However, compared with the diuretic group, the ACE inhibitor group had a 19% increased risk …
Read More
Massachusetts regulators are considering new measures to create a standard licensure for urgent care (UC) centers in the state in an effort to “apply care standards and improve quality of care,” according to the Worcester Business Journal. Officials also want the ability to collect uniform quality-of-care data from all UC operators, noting that last year, only about one-fourth of the centers in the state reported their data to the US Centers for Disease Control and …
Read More