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Weight loss surgery may lessen urinary symptoms
Medscape (free login required)
Weight loss surgery may lessen the frequency and severity of lower urinary tract symptoms, according to findings from two new studies. The findings appear to result in large part from the correction of metabolic abnormalities. Both studies were published online Dec. 8 in BJU International. The investigators of a study examining the effect of bariatric surgery note that it is not a surprise that many lower urinary tract symptoms and medical problems associated with obesity improve when weight loss occurs.
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Robotic surgery can now treat previously inoperable tumors
Medical News Today
Tumors found deep within the head and neck were previously considered to be either inoperable or treatable only with highly invasive surgical techniques. However, thanks to the development of a groundbreaking new surgery method, such concerns could be a thing of the past. The pioneering method makes use of a minimally invasive procedure known as Trans Oral Robotic Surgery (TORS), during which a specially trained physician performs surgery while controlling a surgical robot, complete with robotic "arms" and a 3-D, high-definition video camera.
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In healthcare, managing access rights is a necessary mandate
By Dean Wiech
Access to critical data is paramount criteria for business success. Physicians and nurses need access to patients' records to insure proper delivery of care, and encumbering employees and internal stakeholders by placing too many restrictions or complicated access methodologies upon internal systems can have catastrophic consequences. However, too little control or restrictions to information in internal systems can lead to violations for healthcare organizations. It can also create a potential breach opportunity, potentially leading to costly legal actions or fines.
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Timing of test, surgery, insurance examined in sleep-disordered-breathing cases
Medical Xpress
Children with public insurance waited longer after initial evaluation for sleep-disordered breathing (SDB) to undergo polysomnography and also waited longer after PSG to have surgery to treat the condition with adenotonsillectomy (AT) compared with children who were privately insured, according to a report published online by JAMA Otolaryngology-Head & Neck Surgery. Low socioeconomic status (SES) is a barrier to quality care and improved health outcomes. SDB is a spectrum of sleep disruption that ranges from snoring to obstructive sleep apnea (OSA).
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ONC data shows money is a major motivator for EHR adoption
By Scott E. Rupp
According to a data brief released recently by the Office of the National Coordinator for Health IT, and as reported by Healthcare IT News, financial incentives and potential penalties are key motivators for physicians adopting electronic health records since 2009. The brief, based on data from the 2013 National Ambulatory Medical Care Survey, details why physicians have chosen to adopt — or not adopt — EHRs.
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Restricting surgical residents' hours doesn't improve outcomes
Medical Xpress
Controversial restrictions on hospital residents' duty hours imposed in 2011 did not improve surgery patients' outcomes, reports a large new Northwestern Medicine study of U.S. hospitals, one of the first national evaluations of the results of the restrictions. The restrictions also did not result in any differences in surgical residents' performance on exams.
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Factor XI inhibitor cuts VTE risk in orthopedic surgery
Medscape (free login required)
Treatment with an antisense oligonucleotide (ISIS-FXIRx, Isis Pharmaceuticals) that inhibits factor XI in patients undergoing primary unilateral total-knee arthroplasty significantly reduced the risk of venous thrombosis compared with enoxaparin without increasing the risk of bleeding, in a phase 2 study published online Dec. 7 in the New England Journal of Medicine. "This study really shows for the first time that if you target factor XI, you can push venous-thrombosis rates down to 4 percent, which has never been seen before," Dr. Harry R Büller told heartwire.
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New kind of knee surgery provides much needed relief for patients
Ortho Spine News
A new kind of knee surgery is providing much needed relief for patients in the greater Houston, Texas, area. For many years, anterior cruciate ligament (ACL) reconstructions have been frequently performed to correct instability in the knee, however many patients never return to their pre-injury level of activity following surgery. That is changing, says orthopaedic surgeon Dr. William Hayes, because surgeons are now addressing injuries to the anterolateral ligament (ALL) in the knee as well. Trained specifically in sports medicine, Dr. Hayes is currently the only surgeon in the Houston area performing ALL reconstruction.
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Missed last week's issue? See which articles your colleagues read most.

    'Dead' hearts give life to transplant patients (By Alan Kelsky)
9 medical apps for orthopedic surgeons to keep up with literature (iMedicalApps)
Are cameras in the OR a HIPAA violation? (Outpatient Surgery)
A safer anesthetic (Outpatient Surgery)
Emergency cardiopulmonary bypass creates potential for saving the nearly dead (JEMS)

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