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Driving skills already affected with mild cognitive impairment
TORONTO – Patients with amnestic mild cognitive impairment made significantly more errors during a complex test of driving skills and showed altered brain activity while performing this test in a... (Source: Clinical Neurology News)
Source: Clinical Neurology News - August 3, 2016 Category: Neurology Source Type: news

Abatacept fails to provide benefit in relapsing-remitting MS
Results from the double-blind, randomized, placebo-controlled phase II ACCLAIM study indicate that abatacept has no effect on reducing the number of new gadolinium-enhancing lesions on MRI in... (Source: Clinical Neurology News)
Source: Clinical Neurology News - August 2, 2016 Category: Neurology Source Type: news

Race and America’s future
The issues of racial tensions have surfaced in plain sight in America. These are very trying times for our nation, and I fear some of my European American colleagues may not “get it.” I recall a... (Source: Clinical Neurology News)
Source: Clinical Neurology News - August 2, 2016 Category: Neurology Source Type: news

VIDEO: Study highlights cardiovascular benefits, lower GI risks of low-dose aspirin
Resuming low-dose aspirin after an initial lower gastrointestinal bleed significantly increased the chances of recurrence but protected against serious cardiovascular events, based on a single-center... (Source: Clinical Neurology News)
Source: Clinical Neurology News - August 1, 2016 Category: Neurology Source Type: news

Prophylaxis key to preventing medication overuse migraine
LAKE BUENA VISTA, FLA. – The etiology of intractable daily headaches is broad and includes life-threatening diagnoses. But a large proportion of those headaches results from overuse of therapies for... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 31, 2016 Category: Neurology Source Type: news

CDC confirms first cases of locally transmitted Zika in continental U.S.
Four cases of Zika virus infection in Florida have been confirmed as the first cases of local transmission of the Zika virus in the continental United States, the Centers for Disease Control and... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 29, 2016 Category: Neurology Source Type: news

ATV injuries: where risk taking and medical helplessness collide
I. Hate. ATVs. The modern world is full of potentially dangerous things that we regulate – sometimes by the knowledge of the person giving it (medication) or by age (tobacco, alcohol, cars). Or... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 29, 2016 Category: Neurology Source Type: news

Postop delirium linked to greater long-term cognitive decline
Patients with postoperative delirium have significantly worse preoperative short-term cognitive performance and significantly greater long-term cognitive decline, compared with patients without... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 29, 2016 Category: Neurology Source Type: news

The EHR Report: The vortex that sucks you in
Recently, a colleague of ours described the office electronic health record as “the vortex that sucks you in.” This statement occurred during a departmental meeting focused on physician burnout. When... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 29, 2016 Category: Neurology Source Type: news

C6 EIA testing can guide Lyme disease treatment in children
The C6 Lyme enzyme immunoassay is an effective diagnostic tool for children who are being tested for Lyme disease, according to Susan C. Lipsett, MD, and her associates. Of the 944 samples collected... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 29, 2016 Category: Neurology Source Type: news

Law & Medicine: Discovery rule and statute of limitations
Question: In July 2002, a patient in California underwent surgery for a herniated T8-9 disk, but the surgeon instead removed the T6-7 and T7-8 disks. On Sept. 11, 2002, the surgeon discussed... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 29, 2016 Category: Neurology Source Type: news

Experts offer blueprint for transitioning youth with neurologic conditions
Until now, there was no blueprint for how to effectively transition pediatric patients with neurologic conditions to adult care: Hard science on the topic is almost nonexistent. “There is not very... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 27, 2016 Category: Neurology Source Type: news

AAN recommends against routine closure of patent foramen ovale for secondary stroke prevention
An updated practice advisory from the American Academy of Neurology does not recommend the routine use of catheter-based closure of patent foramen ovale in patients with a history of cryptogenic... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 27, 2016 Category: Neurology Source Type: news

Alzheimer’s anti-tau drug fails phase III, but posts some benefit in monotherapy subanalysis
TORONTO – A highly anticipated phase III trial of an anti-tau drug has posted negative topline results, conferring no cognitive or functional benefits when given in conjunction with standard-of-care... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 27, 2016 Category: Neurology Source Type: news

Different approaches can combat negative online reviews
Like most physicians, Dr. Susan Hardwick-Smith was used to receiving the occasional negative online review about her practice. But a biting post from several years ago was so wrenching that it nearly... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 27, 2016 Category: Neurology Source Type: news

VIDEO: Alzheimer’s anti-tau drug fails, but shows hint of effect when taken alone
TORONTO – A highly anticipated phase III trial of an anti-tau drug has posted negative topline results, conferring no cognitive or functional benefits when given in conjunction with standard-of-care... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 27, 2016 Category: Neurology Source Type: news

VIDEO: Proposed Alzheimer’s funding boost could mean wider research scope
TORONTO – In 2011, President Barack Obama signed into law the
Source: Clinical Neurology News - July 26, 2016 Category: Neurology Source Type: news

FDA updates warning label for systemic fluoroquinolones
The Food and Drug Administration has amended the boxed warning on labels for fluoroquinolone antibiotics, taken either orally or by injection, to reflect recent findings of the drugs’ alarming... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 26, 2016 Category: Neurology Source Type: news

Medicare annual wellness visit remains underused
TORONTO – The annual Medicare wellness visit offers patients and their doctors the chance to review a variety of health concerns, and includes a cognitive health checkup. It’s free for patients and... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 26, 2016 Category: Neurology Source Type: news

VIDEO: Medicare pays billions for potentially avoidable hospital admissions in dementia patients
TORONTO – In 2013, Medicare spent $2.6 billion on potentially avoidable hospitalizations for patients with Alzheimer’s disease and other dementias. About half of these hospital visits – each of... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 26, 2016 Category: Neurology Source Type: news

VIDEO: Loss of function in Rab10 gene cuts Alzheimer’s risk by up to 40%
TORONTO – A rare loss of function in a gene that influences gamma secretase trafficking has been found to reduce the risk of Alzheimer’s by up to 40%, even in people who are homozygous carriers of... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 25, 2016 Category: Neurology Source Type: news

Withdrawing risperidone spikes risk for psychotic relapse in hallucinating Alzheimer’s patients
TORONTO – Hallucinations – especially auditory hallucinations – triple the risk that a risperidone-controlled Alzheimer’s patient with psychoses will relapse if the drug is withdrawn. “I think the... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 25, 2016 Category: Neurology Source Type: news

Hemophilia drugs top Medicaid spending per prescription
Medicaid’s three most expensive drugs by spending per prescription were for treatment of hemophilia, with the cost leader coming in at almost $59,000, according to an analysis by the Kaiser Family... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 23, 2016 Category: Neurology Source Type: news

CMS seeks input on future of Open Payments program
The Centers for Medicare & Medicaid Services is seeking physician input on the Open Payments program. The agency signaled its intent to gather information in its
Source: Clinical Neurology News - July 21, 2016 Category: Neurology Source Type: news

Intermediate alleles may confer mild, late-onset Huntington-like symptoms
Asymptomatic people who carry an intermediate number (27-35) of CAG repeats on the huntingtin gene – that is, the range just below the Huntington’s disease threshold of 36 CAG repeats – may be at... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 21, 2016 Category: Neurology Source Type: news

Feds sue to block mega-mergers by health insurers
The U.S. Department of Justice (DOJ) is suing to block two mega-mergers between four of the largest health insurers in the nation, claiming the alignments will harm competition and reduce patient... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 21, 2016 Category: Neurology Source Type: news

Lessons learned from merging EHR systems
WASHINGTON – As practices merge, how hard is it to merge EHRs? Even in what might seem to be the best circumstances, it can be a huge challenge, according to
Source: Clinical Neurology News - July 21, 2016 Category: Neurology Source Type: news

Start time for estrogen conveys no cognitive impact
The cognitive effects of estrogen were no different in women who started taking the hormone within 6 years of menopause, compared with those who began it 10 or more years after menopause, based on... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 20, 2016 Category: Neurology Source Type: news

FDA accepting comments on draft guidelines on compounding law
The Food and Drug Administration is currently accepting public comments on the agency’s proposed plans to implement a law that will restrict compounding of human drug products. A
Source: Clinical Neurology News - July 20, 2016 Category: Neurology Source Type: news

Buprenorphine implants rival daily sublingual buprenorphine for opioid dependence
Using an implant device to administer buprenorphine for adult patients being treated for opioid addiction is a viable alternative to the standard sublingual buprenorphine, a randomized clinical trial... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 20, 2016 Category: Neurology Source Type: news

Supreme Court offers mixed take on false claim liability
A U.S. Supreme Court ruling that expands liability under the federal False Claims Act (FCA) could have both positive and negative implications for physicians accused of submitting false claims to the... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 19, 2016 Category: Neurology Source Type: news

Proposed Medicare physician fee schedule update ‘a great foundation’ – ACP
First impressions of the Centers for Medicare & Medicaid Services’ proposed updated to the physician fee schedule for 2017 are positive, according to the American College of Physicians. “We... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 18, 2016 Category: Neurology Source Type: news

Common surgeries linked to chronic opioid use among opioid-naive patients
Common surgeries increase the risk of chronic opioid use in opioid-naive adults, especially those using antidepressants or benzodiazepines before their operations, and those with substance abuse... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 18, 2016 Category: Neurology Source Type: news

Cost of end-of-life care peaks at age 73 years
The cost of end-of-life care for Americans on traditional Medicare is higher for those in their early 70s than for beneficiaries in their 80s or 90s, according to the Kaiser Family Foundation. In... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 18, 2016 Category: Neurology Source Type: news

Use simple algorithms to manage dementia
WASHINGTON – Alzheimer’s disease symptoms can be managed with simple algorithms that include ruling out other physiologic concerns and making some lifestyle modifications, according to an... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 15, 2016 Category: Neurology Source Type: news

CMS: Projected overall growth rate in health spending holding firm
Health spending is projected to grow on average 5.8% from 2015-2025, the same projected rate of grown as announced last year covering 2014-2024, according the CMS Office of the Actuary. However,... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 13, 2016 Category: Neurology Source Type: news

CMS to Congress: We might delay MACRA start
Implementation of some MACRA provisions could be delayed, CMS Acting Administrator Andy Slavitt told committee members at a July 13
Source: Clinical Neurology News - July 13, 2016 Category: Neurology Source Type: news

HHS issues guidance on ransomware attacks
The U.S. Department of Health & Human Services’ Office of Civil Rights has issued new guidance to help physicians and their practices combat a ransomware attack. Ransomware – a type of... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 13, 2016 Category: Neurology Source Type: news

Medicaid expansion linked to lower uninsured rates
The overall uninsured rate for nonelderly adults took a significant drop from 18.8% in 2013 to 14.4% in 2014, with rates by age lower and declines generally larger among states that expanded Medicaid... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 13, 2016 Category: Neurology Source Type: news

Cervical spine injury common in children under age 2 with abusive head trauma
BALTIMORE – Cervical spine injuries may be more prevalent than previously thought among young children who sustain abusive head trauma, results of a 4-year, multicenter, retrospective study presented... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 13, 2016 Category: Neurology Source Type: news

Flumazenil effective in refractory hypersomnolence
DENVER – Transdermal or sublingual flumazenil is well worth considering for treatment of carefully selected patients with hypersomnolence refractory to conventional wake-promoting medications, Lynn... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 12, 2016 Category: Neurology Source Type: news

GERD and sleep disorders often go hand in glove
DENVER – Gastroesophageal reflux disease is fertile soil for medical and psychiatric comorbid conditions, with sleep disorders leading the way, Maurice M. Ohayon, MD, reported at the annual meeting... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 12, 2016 Category: Neurology Source Type: news

Retiring Baby Boomers leave fewer workers to pay for Medicare
The influx of aging Baby Boomers into the ranks of the retired will reduce the ratio of workers available to pay for each Medicare part A beneficiary by 40% from 2000 to 2030, according to the 2016... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 12, 2016 Category: Neurology Source Type: news

Expert: Screen military spouses for sleep problems
DENVER – Sleep problems and their host of deleterious physical and psychosocial consequences are pervasive among the civilian female spouses of U.S. military service members, according to the first... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 12, 2016 Category: Neurology Source Type: news

Focused-ultrasound device approved to treat essential tremor
A device that uses transcranial focused ultrasound to destroy the MRI-identified pathologic area of the thalamus in essential tremor patients became the first of its kind to receive Food and Drug... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 11, 2016 Category: Neurology Source Type: news

New data propel headache neuromodulation devices toward approval
WASHINGTON – Encouraging data on an external vagal nerve stimulator and a minimally invasive system that targets the sphenopalatine ganglion are propelling the two neuromodulation devices toward... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 7, 2016 Category: Neurology Source Type: news

Hospital costs higher for patients discharged to postacute care
The average cost of U.S. hospital stays for injury or illness in patients discharged to postacute care is more than double that of visits with routine discharges, according to the Agency for... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 7, 2016 Category: Neurology Source Type: news

Medical errors and the law
Question: A patient was admitted with heart failure, developed deep vein thrombosis, and was started on warfarin and Lovenox as “bridge” therapy. On day 4, the patient achieved anticoagulation... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 7, 2016 Category: Neurology Source Type: news

Apologizing for medical errors
Question: A patient was admitted with heart failure, developed deep vein thrombosis, and was started on warfarin and Lovenox as “bridge” therapy. On day 4, the patient achieved anticoagulation... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 7, 2016 Category: Neurology Source Type: news

Sleep apnea in pregnancy linked to preterm birth
DENVER – Pregnant women with sleep apnea are more likely to have planned obstetric interventions, results of an Australian population-based cohort study suggest. The study included all 636,227... (Source: Clinical Neurology News)
Source: Clinical Neurology News - July 6, 2016 Category: Neurology Source Type: news