Veterans With PTSD May Benefit From Transcranial Direct Current Stimulation Plus Virtual Reality
Transcranial direct current stimulation (tDCS) may augment virtual reality –guided exposure therapy for veterans with posttraumatic stress disorder (PTSD), according tofindings published yesterday inJAMA Psychiatry. In the study, veterans with war zone –related trauma had significantly greater improvements in PTSD symptoms when receiving virtual reality combined with tDCS compared with veterans who received virtual reality and sham stimulation.Mascha van ’t Wout-Frank, Ph.D., of the VA Providence (R.I.) Healthcare System and colleagues recruited 54 participants (94% male; mean age 46 years) from the system who had PT...
Source: Psychiatr News - March 7, 2024 Category: Psychiatry Tags: exposure therapy post-traumatic stress disorder PTSD Transcranial Direct Current Stimulation veterans virtual reality VR war zone Source Type: research
Menopause Not Associated With Universal Risk for Depression, Review Shows
APA ’s Good Faith Estimates Survey: Please Respond TodayThe No Surprises Actrequires clinicians to provide patients who are uninsured or are insured but choose not to submit claims through their health plan with a Good Faith Estimate of the cost of care. The Centers for Medicare and Medicaid Services has asked APA for your feedback on efforts to comply with these requirements and any educational support you may need from CMS. The deadline isFriday, March 8.TAKE SURVEYThe transition into menopause by itself does not appear to raise the risk of depression in women, according to areview inThe Lancet. However, a subset of wo...
Source: Psychiatr News - March 6, 2024 Category: Psychiatry Tags: depression depressive symptoms hormonal changes menopause The Lancet transition women Source Type: research
Catastrophic health expenditures: a disproportionate risk in uninsured ethnic minorities with diabetes
ConclusionsOur findings indicate that uninsured patients with diabetes are at significantly elevated risks for CHE. These risks are further found to be disproportionately higher among uninsured racial/ethnic minorities, suggesting that CHE may present a channel through which structural economic and health disparities are perpetuated. (Source: Health Economics Review)
Source: Health Economics Review - March 6, 2024 Category: International Medicine & Public Health Source Type: research
Catastrophic health expenditures: a disproportionate risk in uninsured ethnic minorities with diabetes
Chargemaster prices are the list prices that providers and health systems assign to each of their medical services in the US. These charges are often several factors of magnitude higher than those extended to ... (Source: Health Economics Review)
Source: Health Economics Review - March 6, 2024 Category: Health Management Authors: Sebastian Linde and Leonard E. Egede Tags: Research Source Type: research
Catastrophic health expenditures: a disproportionate risk in uninsured ethnic minorities with diabetes
ConclusionsOur findings indicate that uninsured patients with diabetes are at significantly elevated risks for CHE. These risks are further found to be disproportionately higher among uninsured racial/ethnic minorities, suggesting that CHE may present a channel through which structural economic and health disparities are perpetuated. (Source: Health Economics Review)
Source: Health Economics Review - March 6, 2024 Category: International Medicine & Public Health Source Type: research
Frequent Cannabis Use Raises Risk of Heart Attack and Stroke
Frequent cannabis use may raise the risk of heart attack and stroke, astudy in theJournal of the American Heart Association has found.Abra Jeffers, Ph.D., M.S., M.Phil., of Massachusetts General Hospital and colleagues examined data from the Behavioral Risk Factor Surveillance Survey (BRFSS) between 2016 and 2020. The BRFSS is an annual telephone survey of adults in which participants report on their health behaviors and whether health care professionals had ever diagnosed them with a health condition. Jeffers and colleagues drew data from 434,104 adults aged 18 to 74 years across 27 states and two territories to assess th...
Source: Psychiatr News - March 5, 2024 Category: Psychiatry Tags: cannabis heart attack heart disease myocardial infarction risk factors smoking stroke Source Type: research
PrEP Uptake and Methamphetamine Use Patterns in a 4-Year U.S. National Prospective Cohort Study of Sexual and Gender Minority People, 2017 –2022
AbstractMethamphetamine use is on the rise among sexual and gender minority people who have sex with men (SGMSM), escalating their HIV risk. Despite pre-exposure prophylaxis (PrEP) being an effective biomedical HIV prevention tool, its uptake in relation to methamphetamine use patterns in SGMSM has not been studied. In a U.S. cohort study from 2017 to 2022, 6,253 HIV-negative SGMSM indicated for but not using PrEP were followed for four years. Methamphetamine use was categorized (i.e., newly initiated, persistently used, never used, used but quit), and PrEP uptake assessed using generalized estimating equation (GEE), adjus...
Source: AIDS and Behavior - March 4, 2024 Category: Infectious Diseases Source Type: research
Prevalence and Factors Associated With Patient-Clinician Discordance Among Patients With Rheumatoid Arthritis Initiating Advanced Therapy
CONCLUSION: Results suggest positive discordance is common among real-world patients with RA initiating their first biologic or JAKi. The identified risk factors associated with patient-clinician discordance will help clinicians foster a more patient-centric discussion in treatment decisions.PMID:38429905 | DOI:10.1002/acr2.11587 (Source: Pain Physician)
Source: Pain Physician - March 2, 2024 Category: Anesthesiology Authors: Jeffrey R Curtis Robert R McLean I-Heng Lee Rachel H Mackey Page C Moore Richard Haubrich Jeffrey D Greenberg Alicea Wu Source Type: research
Prevalence and Factors Associated With Patient-Clinician Discordance Among Patients With Rheumatoid Arthritis Initiating Advanced Therapy
CONCLUSION: Results suggest positive discordance is common among real-world patients with RA initiating their first biologic or JAKi. The identified risk factors associated with patient-clinician discordance will help clinicians foster a more patient-centric discussion in treatment decisions.PMID:38429905 | DOI:10.1002/acr2.11587 (Source: Pain Physician)
Source: Pain Physician - March 2, 2024 Category: Anesthesiology Authors: Jeffrey R Curtis Robert R McLean I-Heng Lee Rachel H Mackey Page C Moore Richard Haubrich Jeffrey D Greenberg Alicea Wu Source Type: research
Home-Based Care as a New Medical Model: An Opportunity for Nurse Practitioners
Much attention has been given to the use of the emergency department (ED) by the uninsured patient, whereas the insured patient actually uses ED more frequently. The focus of this article is how to reduce costs for the geriatric insured chronically ill patient using nurse practitioners in a home-based program. Patients in this category are enrolled and offered scheduled and urgent visits. Patients are asked to contact the home-based company when considering an ED visit. Assuming the patient ’s needs can be served at home, nurse practitioners are dispatched to diagnose infections; administer breathing treatments: order me...
Source: The Journal for Nurse Practitioners - March 2, 2024 Category: Nursing Authors: Carolyn Jane Bogan, Elizabeth Reifsnider Tags: Featured Article Source Type: research
Factors Associated With Racial and Ethnic Disparities in Locally Advanced Rectal Cancer Outcomes
CONCLUSIONS AND RELEVANCE: The findings of this cohort study suggest that disparate treatment outcomes for Hispanic and non-Hispanic Black patients are likely multifactorial in origin. Future investigation into additional social determinants of health and biological variables is warranted.PMID:38421650 | DOI:10.1001/jamanetworkopen.2024.0044 (Source: Cancer Control)
Source: Cancer Control - February 29, 2024 Category: Cancer & Oncology Authors: Rebecca M Shulman Mengying Deng Elizabeth A Handorf Joshua E Meyer Shannon M Lynch Sanjeevani Arora Source Type: research
Racial disparities in staging, treatment, and mortality in non-small cell lung cancer
CONCLUSIONS: We found racial, gender, and socioeconomic disparities in NSCLC diagnosis stage, receipt of stage-appropriate treatment, and reasons for guideline discordance in receipt of curative intent surgery for early-stage NSCLC. While insurance type and marital status were associated with worse OS, race alone was not. This suggests racial differences in outcomes may not be associated with race alone, but rather worse SDOH disproportionately affecting Black individuals. Efforts to understand advanced diagnosis and reasons for failure to receive stage-appropriate treatment by vulnerable populations is needed to ensure eq...
Source: Cell Research - February 26, 2024 Category: Cytology Authors: Francesca C Duncan Nawar Al Nasrallah Lauren Nephew Yan Han Andrew Killion Hao Liu Ahmad Al-Hader Catherine R Sears Source Type: research
A Comparative Analysis of the Demographics and Zip Codes of Patients Seen at the Indiana University Student Outreach Clinic
AbstractWithin a small geographic area, Marion County contains a stark spectrum of health outcomes and socioeconomic statuses. The Indiana University Student Outreach Clinic (IUSOC) serves as a safety net provider, offering free health and social services in the Near Eastside neighborhood of Indianapolis. The aim of this study was to characterize the demographics and geographic distribution of the IUSOC ’s patient population. From January to September 2023, 612 patients visited the IUSOC, and 460 self-identified as Marion County residents. 63.9% of patients were between 45 and 64 years old. 66.8% were Non-Hispanic (NH) B...
Source: Journal of Community Health - February 26, 2024 Category: International Medicine & Public Health Source Type: research
County-Level Factors Associated With Influenza and COVID-19 Vaccination in Indiana, 2020 ‒2022
Conclusions. Factors associated with COVID-19 and influenza vaccinations varied. Variables reflecting access to care (e.g., insurance) and higher risk of severe disease (e.g., smoking) are notable. Programs to improve access and target high-risk populations may improve vaccination rates. (Am J Public Health. Published online ahead of print February 29, 2024:e1-e9. https://doi.org/10.2105/AJPH.2023.307553).PMID:38386970 | DOI:10.2105/AJPH.2023.307553 (Source: American Journal of Public Health)
Source: American Journal of Public Health - February 22, 2024 Category: International Medicine & Public Health Authors: Monica L Kasting Alfu Laily Heather N Burney Katharine J Head Joanne K Daggy Gregory D Zimet Laura M Schwab-Reese Source Type: research
