Twenty-one percent of adolescent girls with type 2 diabetes showed signs of menstrual dysfunction indicating possible polycystic ovarian syndrome, according to a study in The Journal of Clinical Endocrinology & Metabolism. Researchers analyzed 190 girls and found that irregular periods also correlated with higher testosterone levels and said it could lead to an increased risk for endometrial hyperplasia and endometrial cancer.
A study in Pediatrics showed a nearly 2.6% post-arterial ischemic stroke in-hospital mortality rate among neonates and children, while 64.6% of cases with reported causes of death were due to strokes. Researchers also found that congenital heart disease and posterior plus anterior circulation stroke were the strongest in-hospital mortality risk factors for pediatric AIS, while stroke presentation without seizure was associated with mortality only among neonates and Hispanic ethnicity was associated with mortality only among children.
Canadian researchers found that 74% of children with autism spectrum disorder who underwent cognitive behavioral therapy sessions had improved emotional regulation, compared with 31% of those in the waitlist group. The findings in the Journal of Child Psychology and Psychiatry were based on 2013 to 2016 trial data involving 68 youths ages 8 to 12 and their parents.
Systemic lupus erythematosus ranked 10th among the leading causes of death among women ages 15 to 24 from 2000 to 2015, and it was the most common chronic inflammatory disease for the age range, researchers reported in Arthritis & Rheumatology. SLE is among the 20 leading causes of mortality in women and girls ages 5 to 64 in the US.
A study in the American Journal of Public Health found almost a quarter of adults in the US had arthritis from 1999 to 2014, with the more than twofold increase in osteoarthritis prevalence significant among men and women, those with high socioeconomic status, and those with multiple races. The findings, based on 43,706 adult participants of National Health and Nutrition Examination Surveys, also showed a decline in rheumatoid arthritis prevalence that was most pronounced among men, those with obesity or low-income, and non-Hispanic blacks.
The Department of Veterans Affairs' proposed EHR contract with Cerner will go ahead even with the agency's recent leadership changes, said Scott Blackburn, who recently resigned as acting VA CIO. Blackburn's resignation and the firing of VA Secretary David Shulkin "should not have much impact" on plans to proceed with modernizing the VA EHR system, Blackburn said.
The ONC has certified Netsmart's myAvatar EHR palliative care solution under its 2015 Edition health IT product criteria. This is the first time that an EHR solution for palliative care has been certified under those criteria, Netsmart officials said.
A study in the Journal of the American Medical Informatics Association showed that physicians who used PTT Advisor, a CDC-developed clinical decision support app, to evaluate cases involving bleeding or thrombosis made correct testing and diagnostic decisions nearly 83% of the time, compared with 70% with traditional decision support. Researchers found that the mobile health tool also helped improve the physicians' speed and confidence in their clinical decisions.
Vermont's first employer-sponsored on-site employee clinic has opened at the National Life Group's Montpelier office. Gov. Phil Scott said the clinic's focus on prevention and wellness aligns with the state's health care goals and may reduce costs and improve outcomes.
Companies are increasingly developing health and wellness plans for their employees, with 73% adding telemedicine services, 79% providing 24-hour phone nursing access and 60% offering health advocacy programs, according to a WorldatWork study supported by Korn Ferry. "Companies are trying to keep up the pace and offer health plans suited for the hyper-connected, lightning-quick pace of today's global workforce," said Korn Ferry senior principal Robert Swatland.