02/06/14 at 2:22 pm

Lauren Ditter

Newly added to MD Consult

On February 3, four new book editions were added to various collections on MD Consult.  Below is a brief description of each title.

Textbook of Physical Diagnosis History and Examination, 7th edition:

Derive the maximum diagnostic information from interviewing and examining patients with Textbook of Physical Diagnosis. Employing a compassionate, humanistic approach, Dr. Swartz explores how cultural differences can influence communication, diet, family relationships, and health practices and beliefs, and demonstrates that your interpersonal awareness is just as essential in physical diagnosis as your level of technical skill. This medical reference book features numerous high-quality color images, an easy-to-use design, and detailed descriptions of exam techniques, making it an essential guide for physicians, nurse practitioners, and physician assistants.

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01/30/14 at 2:51 pm

Lauren Ditter

Healthcare rulings and laws

Recently the Supreme Court decided that there are some organizations that will not have to conform to the Affordable Care Act’s (ACA) mandate on contraception.

The Jan. 24 injunction contains a very narrow viewpoint, however, as it “relates only to the particular circumstances of the Mullen Home for the Aged, a Denver nursing home run by the Little Sisters of the Poor, and other Catholic organizations that receive health benefits through the Christian Brothers religious order.”

According to the Supreme Court, it is “nonprofit organizations that hold themselves out as religious and have religious objections to providing coverage for contraceptive services” that would need to write a letter that would prevent the government from levying fines.

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01/24/14 at 3:37 pm

Lauren Ditter

When medications aren’t working as they should

There were several articles on MD Consult this week that focused on psychiatric medications and their outcomes.

The first one we’re going to focus on discussed drug therapy for children with autism.  It suggests that the core symptoms of autism are not affected much by neither approved nor investigational drugs.

“Because there’s nothing that reliably ameliorates the core symptoms, clinicians and parents focus on treating the behavioral symptoms. Aggression, irritability, and self-injury; hyperactivity and anxiety; and sleep problems not only disrupt family life, but they also can endanger the child. A major cause of death among children with [autism spectrum disorders] is ‘bolting’ and falling into a neighbor’s swimming pool, or being hit by a car, Dr. Frazier said.”

The article deliberated the use of risperidone, aripiprazole, selective serotonin reuptake inhibitors, atypical antipsychotics, stimulants, methylphenidate, divalproex sodium, lamotrigine, naltrexone, and more.

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01/17/14 at 11:11 am

Lauren Ditter

The Grades Are In

The United States of America’s emergency care is not making the grade according to the American College of Emergency Physicians.

In a recent article on MD Consult, “the organization gave the nation an overall grade of D+ for its policies on emergency care.”

The article describes what exactly is being scored. “The nation’s lowest grade was for access to emergency care (D–), which examines the number of emergency physicians, access to treatment centers, financial barriers, and hospital capacity. The poor grade reflects recent hospital closures, coupled with the growing shortage of psychiatric care beds and hospital inpatient beds.”

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01/09/14 at 2:31 pm

Lauren Ditter

Commentary Round-Up

With the New Year brought a new set of Commentaries on MD Consult that dealt with everything from ways to improve one’s health in the New Year to supporting veterans.  A brief look at each is listed below; please visit the full article on MD Consult to get the complete story!

ICE and the inpatient psychiatrist – “The fun aspect to learning a new area of law is that you get to see fundamental issues challenged and established for the first time, kind of like watching a man land on the moon or the launch of the first space shuttle. The disturbing aspect of it is that real people and real human lives are being disrupted and abused in the process,” writes Annette Hanson, M.D.

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