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New study examines medical practice patterns over time

 E-Mail Harmful medical practices, like inappropriate prescribing of opioids and racial and income-based discrimination in clinical settings, can vary across medical practices and individuals. Patients may find that even common primary care health services, like getting a chest x-rays or a referral to a heart or lung specialist, can differ widely depending on your doctor or clinic location. These variations in medical practice can have serious consequences for the quality, equity and cost of one s health care; however, it s unclear whether these disparities can be attributed to individual differences, from one doctor to another or to changes in your doctor s individual practice over time, perhaps in response to shifts in clinical guidelines or advancements in diagnostic technologists. Is it person-to-person variation or variation over time? A group of Israeli researchers sought to answer this question in a retrospective cohort study using a decade of data from the largest health c

COVID-19 news from Annals of Internal Medicine

1. Saliva sampling could be a similarly sensitive, less costly alternative to nasal swabs for COVID-19 testing Nasopharyngeal swabs are the primary sampling method used for detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), but they require a trained health care professional and extensive personal protective equipment. Saliva-based sampling for detecting SARS-CoV-2 has the potential to address many barriers associated with nasopharyngeal swabs. Authors from McGill University summarize evidence comparing the sensitivities for detection of SARS-CoV-2 infection between nasopharyngeal swabs and saliva samples. They found that saliva sampling to be a similarly sensitive and less costly alternative that could replace nasopharyngeal swabs for collection of clinical samples for SARS-CoV-2 testing.

Prevalence of patients receiving dialysis in China may exceed 800,000 by 2025

 E-Mail IMAGE: Prediction curve of prevalence and number of dialysis patients in China from 2013 to 2025. Note: The age- and sex-standardized prevalence was calculated by the direct method using the 2010. view more  Credit: Yang et al, AJKD © 2021 by the National Kidney Foundation, Inc. Study published in the American Journal of Kidney Diseases (AJKD) projects that prevalence of patients receiving dialysis in China will increase from 384.4 patients per million (PPM) in 2017 to 629.7 PMP in 2025 with a predicted 874,373 patients receiving dialysis in 2025. The national prevalence of dialysis in China has not been well studied due to its large population and limited resources. Insurance claims data provide a unique opportunity to understand the burden of kidney failure and have been used to characterize dialysis patients in the United States. Using a large nationwide claims database, the age-and sex-standardized prevalence of kidney disease treated with dialysis in C

U S mental health system needs broad changes to improve access and quality

 E-Mail Conditions are ripe for transforming the U.S. mental health care system, with scientific advances, the growth of Medicaid and political consensus on the importance of improving mental health creating the possibility that goals once thought out of reach may be possible, according to a new RAND Corporation study. Broad changes will be needed to improve how Americans receive mental health care, such as integrating behavioral health care into general health care settings, providing supportive housing to the homeless and promoting comprehensive mental health education. Federal mental health parity legislation is one recent promising development that aims to put coverage for mental health treatment and general health care on equal footing, but researchers say that more effort is needed to enforce the law.

KAIST Mobile Clinic Module helps to fill negative pressure ward shortage

Loading video. VIDEO: The MCM ward (450 m2 or 15m X 30m) accommodates four negative pressure bed rooms, nurse station, locker room, and treatment room. view more  Credit: KAIST A team from KAIST has developed a low-cost and ready-for-rapid-production negative pressure room called a Mobile Clinic Module (MCM). The MCM is expandable, moveable, and easy to store through a combination of negative pressure frames, air tents, and multi-function panels. The MCM expects to quickly meet the high demand for negative pressure beds in the nation and eventually many other countries where the third wave of COVID-19 is raging. The module is now ready to be rolled out after a three-week test period at the Korea Cancer Center Hospital.

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