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Internet-based cognitive behavioral therapy effective for body dysmorphic disorder

...omized 94 patients with a confirmed diagnosis of BDD to receive either BDD-NET or online supportive therapy for 12 weeks. At the end of the study period, there was a significantly higher number of patients that responded to treatment in the BDD-NET group compared to online supportive therapy. Patients who received BDD-NET demonstrated significant improvement in BDD symptom severity compared to patients who received supportive therapy. Additionally...

Residents of disadvantaged neighborhoods who are discharged from safety-net hospitals have high hospital readmission...

...tes After Medicare’s Hospital Readmissions Reduction Program Within Safety-Net and Non–Safety-Net Hospitals In-Depth [retrospective cohort]: The authors conducted a retrospective observational study utilizing Maryland’s data during the 2015 fiscal year (1 July 2014 to 30 June 2015). They assessed two main risk factors, hospital safety-net, which was defined as the mean disadvantage (mean ADI) of the hospital’s discharged patients, as well as the a...

Mass administration of ivermectin may decrease prevalence of scabies and impetigo

...ficant decrease in scabies prevalence in the standard care, permethrin and ivermectin groups. However, the greatest reduction was seen in the ivermectin group with a relative reduction rate of 94%. The prevalence of impetigo also declined in all study groups, with the greatest relative reduction of 67% in the ivermectin group. Mild adverse events were reported and occurred most frequently in the ivermectin group. Strengths of this study include tr...

Patients who utilize online health services make greater use of in-person services

...rial in JAMA By [CH] and [LH] More from this author: Screening mammography linked to overdiagnosis; may have lesser impact on mortality than thought , UK research funding for infectious diseases inconsistent with global burden of disease , High degree of local and regional variation in health care spending among Medicare patients © 2012 2minutemedicine.com. All rights reserved. No works may be reproduced without written consent from 2minutemedicin...

Physician recourse to online reviews may be futile

...ising that physicians may attempt to seek legal solutions or try to defend online negative reviews. In direct response to online criticism, physicians are largely unable to respond to allegations due to HIPAA’s Privacy Rule. The rule protects information that may reveal the identity of a patient, even if patients themselves volunteer information about their care in their review. There are two types of legal tools physicians may employ to defend th...

Insecticidal bed nets linked with reduced transmission of lymphatic filariasis

...filarial medication treatments between 1994 through 1998. A nationwide bed-net intervention in 2009 led to an increase in self-reported bed net usage from 3.8% to 12.4% to 75.0 to 90.6% of households. 20, 345 anopheline mosquitoes were collected in the 26 months before bed-net distribution, and 1,554 in the 11 months after distribution; 2 villages were selected for long-term assessment of mosquito biting rates up to 3 years following intervention....

Direct-access online care model may effectively manage chronic atopic dermatitis

...to assess atopic dermatitis severity. The average age of the direct-access online group and in-person group was comparable at 27.4 and 28, respectively. Using IGA scores, the direct-access online group showed 38.4% (95% CI, 27.7% to 49.3%) of patients achieved near-clearance of their disease as compared to 43.65% (95% CI, 32.6%-54.6%) in the in-person group. The POEM metric demonstrated that the direct-access online group’s scores improved by mont...

#VisualAbstract: Safety-Net Hospitals, Neighborhood Disadvantage, and Readmissions Under Maryland’s All-Payer Program

...er association observed between readmission risk and the hospital’s safety-net index compared to the patient’s neighborhood disadvantage status. Evidence Rating Level: 2 (Good) Study Rundown: The term safety-net hospital refers to a center that cares for a large number of significantly disadvantaged patients. The authors of this study evaluated the independent contributions of patients’ neighborhoods and the hospital’s service area with respect to...

Rivaroxaban has no net clinical benefit over enoxaparin for thromboprophylaxis in acutely ill patients

...ly relevant bleeding compared to enoxaparin. The study did not establish a net clinical benefit of choosing rivaroxaban over enoxaparin after accounting for both efficacy and safety. This study affirms that an optimal treatment for thromboprophylaxis has yet to emerge. Better patient stratification based on bleeding risks is needed in order to maximize the clinical benefit of rivaroxaban. Click to read the study in NEJM [/tab] [tab] Image: PD 1. R...

USPSTF Update: Screening adults for unhealthy drug use has moderate net benefit

...er the age of 18 for unhealthy drug use by asking questions had a moderate net benefit, if patients can be provided with further diagnostic testing, treatment, and supportive care. They suggested clinicians consider the use of screening tools such as NIDA Quick Screen, ASSIST, TAPS, and PRO. Additionally, treatment with pharmacotherapy, including buprenorphine, methadone, and naltrexone for opioid use disorder reduced relapse rate and improved ret...

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