News

Feb 16, 2019

The Centers for Medicare & Medicaid Services (CMS) released maintenance updates for several National Coverage Determinations (NCDs) to reflect recent code changes. It is essential for health care providers to review these policies to see how the code changes will affect coverage for services they provide to their patients.

Feb 16, 2019

Numerous human errors can compromise patient privacy, even with the best software and firewalls. Hence, no photographs of a patient should appear anywhere outside of his or her chart — for example, nothing should ever be posted on the practice's Website or newsletter, or on an employee's social media. This and many other pointers are included in this article that physicians should take note of.

Feb 14, 2019

Initial trials in humans found that a new drug, tisotumab vedotin(TV), shows significant promise in the treatment of persistent tumors in several late-stage cancers. What is so exciting about this treatment is that its mechanism of action is completely novel — it acts like a Trojan horse to sneak into cancer cells and kill them from the inside.

Journal Abstracts

Feb 13, 2019

This study examined early perioperative complications and subsidence following total hip arthroplasty (THA) with a short femoral stem. A retrospective review of 207 consecutive patients (247 hips) having undergone THA via the direct anterior approach produced only six perioperative complications. Cementless THA with a direct anterior approach with a short femoral stem provides a clinical and radiographic advantage while maintaining low complication rates.

Feb 13, 2019

In a double-blind trial, they randomly assigned adults with community-acquired bacterial pneumonia to receive omadacycline or moxifloxacin. Results suggest omadacycline was noninferior to moxifloxacin for the treatment of community-acquired bacterial pneumonia in adults.

Feb 13, 2019

Bo‐Lin Ho et al assessed the safety and persistence of dabigatran after co-medication with statins. Participants in the study were stroke patients with nonvalvular atrial fibrillation (NVAF) who started dabigatran therapy within 3 months after a clinically evident ischemic cerebrovascular event between 2013 and 2017. A total of 652 patients followed dabigatran therapy for one year. According to findings, co-prescription with a statin was related to a lower risk of bleeding complications for secondary prevention of stroke in patients with NVAF who were taking dabigatran etexilate [a direct thrombin inhibitor that clinicians increasingly prescribe to prevent stroke in patients with NVAF].

Recent Articles

Feb 16, 2019

The Centers for Medicare & Medicaid Services (CMS) released maintenance updates for several National Coverage Determinations (NCDs) to reflect recent code changes. It is essential for health care providers to review these policies to see how the code changes will affect coverage for services they provide to their patients.

Feb 16, 2019

This video shows a question and answer session where the presenter debates the merits of reason for surgery over type of surgery when coders document details of a surgical procedure undergone by a patient. The video will clear the idea about what is more important and relevant in the documents of the patient's surgical history.

Feb 16, 2019

Numerous human errors can compromise patient privacy, even with the best software and firewalls. Hence, no photographs of a patient should appear anywhere outside of his or her chart — for example, nothing should ever be posted on the practice's Website or newsletter, or on an employee's social media. This and many other pointers are included in this article that physicians should take note of.

Clinical Research

Feb 12, 2019

Massachusetts General Hospital Pediatric Epilepsy Brain Imaging Research Study is recruiting children with benign childhood epilepsy (benign rolandic epilepsy, benign epilepsy with centrotemporal spikes) and healthy children without epilepsy, aged 6 years old and above, for a non-invasive brain imaging study to identify markers to predict ongoing seizure risk or cognitive effects in childhood epilepsy using Magnetic Resonance Imaging (MRI), Magnetoencephalography (MEG), electroencephalography (EEG), and neuropsychological testing

Feb 12, 2019

Treatment with ACTHAR Gel will result in a reduction of ocular inflammation in patients with active ocular sarcoidosis that requires systemic immunosuppressant therapy (hypothesis)

 

Feb 12, 2019

The aims of this study are: 1) to identify genes that play a role in human pubertal development and reproduction, 2) to characterize the phenotypic spectrum of patients with these gene defects, and 3) to discern the mode of inheritance for disorders caused by these gene defects. We are specifically interested in genes that cause Kallmann syndrome, idiopathic hypogonadotropic hypogonadism (IHH), precocious (early) puberty, and delayed puberty. Individuals do not have to travel to Boston to participate in this study.

 

Feb 12, 2019

Treatment with ACTHAR Gel will result in a reduction of ocular inflammation in patients with active ocular sarcoidosis that requires systemic immunosuppressant therapy (hypothesis)

 

Feb 12, 2019

The aims of this study are: 1) to identify genes that play a role in human pubertal development and reproduction, 2) to characterize the phenotypic spectrum of patients with these gene defects, and 3) to discern the mode of inheritance for disorders caused by these gene defects. We are specifically interested in genes that cause Kallmann syndrome, idiopathic hypogonadotropic hypogonadism (IHH), precocious (early) puberty, and delayed puberty. Individuals do not have to travel to Boston to participate in this study.

 

Feb 12, 2019

This study is testing a medication, called hydroxychloroquine (HCQ) to assess safety and effectiveness to prevent individuals at risk of type 1 diabetes (T1D) from progressing to type 1 diabetes. HCQ is approved by the U.S. Food and Drug Administration as a treatment for malaria, lupus, and rheumatoid arthritis. HCQ has been used extensively for treatment of autoimmune disease in adults, children, and during pregnancy. This medication has not previously been studied as a treatment to prevent T1D. The goal of this study is to learn if HCQ can help prevent or delay progression from normal glucose tolerance (Stage 1) to abnormal glucose tolerance (Stage 2) or type 1 diabetes (Stage 3). The study involves 5 visits in the first 6 months, then 1 visit every 6 months for the remainder of the study.

 

Feb 12, 2019

A multicentre two-group parallel single-blind (outcome assessor) randomized controlled trial (RCT). A cost-effectiveness study alongside a clinical trial using a payer and societal perspective to study the cost-effectiveness of geriatric assessment and management compared to usual care will be conducted. Participants allocated to the control group will receive usual oncology care. Participants allocated to the intervention group will receive a comprehensive geriatric assessment and management in addition to their usual oncology care. The intervention will take 6 months to be completed. Total study follow-up will be 12 months for each participant.

Publications

Feb 13, 2019

The second edition of Pediatric Neurology by James Bale et.al. focuses on comprehensive, practical, and straightforward information regarding the nervous system. It is useful for cases of infants, children, and adolescents. It consists of additional information on umors of the nervous system, autism and related conditions, and practice parameters in child neurology.

Feb 13, 2019

Oxford Textbook of Interventional Cardiology covers key procedures and fully revised and updated to include the latest trials, technology, and new techniques. This new edition stresses upon aspects of interventional cardiology according the European curriculum, and covers the evidence-based guidelines for a comprehensive view of the field.

Feb 13, 2019

Clinical Endocrinology and Diabetes at a Glance has been created by keeping in mind the need to promote and enhance teaching of clinical endocrinology and diabetes. It is a book created in collaboration with Diabetes UK and the Association of British Clinical Diabetologists to provide complete information in undergraduate education. 

Feb 13, 2019

Oxford Textbook of Interventional Cardiology covers key procedures and fully revised and updated to include the latest trials, technology, and new techniques. This new edition stresses upon aspects of interventional cardiology according the European curriculum, and covers the evidence-based guidelines for a comprehensive view of the field.

Feb 13, 2019

Clinical Endocrinology and Diabetes at a Glance has been created by keeping in mind the need to promote and enhance teaching of clinical endocrinology and diabetes. It is a book created in collaboration with Diabetes UK and the Association of British Clinical Diabetologists to provide complete information in undergraduate education. 

Feb 13, 2019

This book covers the preparation, principle, techniques, and damage control of complications in endoscopic therapy and is thus of great help in guidance of endoscopic management of IBD. It has contributions from international leading experts in the field along with recommendations of experts from the field. 

Feb 13, 2019

CT Scan in Abdominal Emergency Surgery is an easy to read book on practical information for acute care surgeons and radiologists. Every Chapter has a description of a specific acute abdominal disorder. It focuses on the diagnostic impact of CT scans in severe abdominal trauma and in non-traumatic acute abdomen.

Videos

Feb 16, 2019

This video shows a question and answer session where the presenter debates the merits of reason for surgery over type of surgery when coders document details of a surgical procedure undergone by a patient. The video will clear the idea about what is more important and relevant in the documents of the patient's surgical history.

Feb 15, 2019

Watch Dr. Ulas Cikla, M.D., Dr. Kutluay Uluc, M.D., and Dr. Mustafa K. Baskaya, M.D. from the Department of Neurological Surgery, University of Wisconsin, Madison, Wisconsin present a 66-year-old man with seizure, aphasia, and hemiparesis. Work-up revealed a giant partially thrombosed aneurysm of the internal carotid artery bifurcation with surrounding vasogenic edema. He underwent clip reconstruction of the aneurysm via a cranio-orbital approach. Although we prepared for bypass with the radial artery and/or the superficial temporal artery, we were able to clip-reconstruct the aneurysm without bypass. The patient improved upon his pre-morbid state after surgery and made an excellent recovery.

 

Feb 15, 2019

Watch Dr. Ulas Cikla, M.D., Dr. Kutluay Uluc, M.D., and Dr. Mustafa K. Baskaya, M.D. from the Department of Neurological Surgery, University of Wisconsin, Madison, Wisconsin present a 66-year-old man with seizure, aphasia, and hemiparesis. Work-up revealed a giant partially thrombosed aneurysm of the internal carotid artery bifurcation with surrounding vasogenic edema. He underwent clip reconstruction of the aneurysm via a cranio-orbital approach. Although we prepared for bypass with the radial artery and/or the superficial temporal artery, we were able to clip-reconstruct the aneurysm without bypass. The patient improved upon his pre-morbid state after surgery and made an excellent recovery.

 

Feb 15, 2019

Patients with early breast cancer who are found to have the residual invasive disease after neoadjuvant chemotherapy plus HER2-targeted therapy have a greater risk of recurrence or death than patients with a pathological complete response.

Case Studies

Feb 15, 2019

A 7-month-old twin boy presented with increased respiratory rate, failure to thrive. He had to be transferred to the ICU due to respiratory failure. Chest X Ray demonstrated bilateral interstitial edema with bilateral pleural effusions . Diagnosis of chylothorax was made on pleural effusion drainage. Inspite of all measures taken to manage the condition the child expired 9 weeks post admission due to severe Hypoxia. 

Feb 15, 2019

A 60-year-old man k/c/o multiple sclerosis and chronic left residual hemiparesis came c/o generalized weakness post fall. ECG showed ST elevation and a high suspicion of type 1 Brugada syndrome arose. Coronary Angio revealed nonobstructive coronary artery disease. Post Initial management he was advised OPD follow-up to consider monitor or loop recorder. 

Feb 15, 2019

A 36-year-old male k/c/o CKD, came c/o altered mental status. Investigations revealed Hypoglycemia and considering the nature of results a suspicion of Insulinoma arose. But on microscopic examination pancreatic islets with elongated cells and clear cytoplasm compatible with nesidioblastosis were seen. However during his hospital stay patient developed pneumonia and succumbed. 

Feb 15, 2019

An 85-year-old male came for evaluation of anemia, weight loss, and positive stool occult blood. Esophagogastroduodenoscopy revealed a large mass in the gastric antrum along with gastric outlet obstruction. CT showed a homogeneous submucosal mass of 5 cm x 2.5 cm size. Combining the findings a diagnosis of benign gastric lipoma was made. Both the conditions were treated endoscopically. Histopathology confirmed the presence of Gastric Lipoma.