HCI's Monthly Review of the Healthcare Industry
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Robert J. Stilley
President, CEO
HeartCare Imaging, Inc.
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Dear Colleague-
As we’ve discussed numerous times in this newsletter, HCI has a large footprint in the rural healthcare space. We’re passionate and dedicated to helping make a positive difference for our rural partners by providing solutions that improve patient care and outcomes while also helping the hospital’s bottom line. We use what we learn not only by collaborating with our rural partners throughout the country but also by sharing innovative solutions that we’ve helped develop with our university partners. The first article in our newsletter this month will help you understand why we’re so passionate about our mission in rural health. The article published in the ‘JACC’ and titled Rural-Urban Disparities in Outcomes of Myocardial Infarction, Heart Failure, and Stroke in the United States
clearly shows rural health inequities that result in devastating effects for those that live and work in rural America. There is talk of help from Washington, but it’s clear that more needs to be done sooner rather than later. At HCI we aren’t waiting on Washington, we will continue to do all that we can to help on a daily basis.
The second article focuses on celebratory binge drinking and atrial fibrillation. As a fan of the University of Florida Gators and Pittsburgh Steelers I’ve not had to worry about this, but I thought I’d include it for any of our friends in LA and Cincinnati…be careful in a couple of weeks!
I hope you find this newsletter interesting and helpful. We look forward to a great 2022 with you!
Sincerely,
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Rural-Urban Disparities in Outcomes of Myocardial Infarction, Heart Failure, and Stroke in the United States
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U.S. policy efforts have focused on reducing rural-urban health inequities. However, it is unclear whether gaps in care and outcomes remain among older adults with acute cardiovascular conditions.
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Celebratory Binge Drinking a Potential Trigger for New-Onset AF
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Emergency department (ED) visits for atrial fibrillation (AF) appear to go up on days around some annual events in the United States that many people commemorate by consuming alcohol in excess — think Christmas, New Year's Day, and Super Bowl Sunday.
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AI can help predict risk of heart disease complications, study shows
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Scientists at University of Utah Health in Salt Lake City partnered with Salt Lake City-based Intermountain Primary Children's Hospital physicians to use an artificial intelligence tool to examine whether a patient is susceptible to heart disease, according to a study published Jan. 18 in PLOS Digital Health.
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HF may be tied to cancer incidence, mortality in those 50 years and older
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HF may be associated with cancer incidence as well as risk for cancer-related mortality, especially among individuals aged 50 to 70 years, according to new data published in JACC: CardioOncology.
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Sensydia wins FDA breakthrough nod to expand uses for its cardiac monitoring device
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Los Angeles-based Sensydia designed CPS as a non-invasive cardiac monitoring device that reports critical heart performance measurements to physicians for the comprehensive evaluation of patients with advanced and persistent heart failure. It can make the measurements without an in-hospital catheterization procedure or ultrasound assessment, according to the company.
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Dilated Cardiomyopathy Gene Mutations Point to Possible Therapeutic Strategy
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Place article copy here. Be sure to make the articles short and concise as people tend not to read much more than a couple of paragraphs. Place article copy here.
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Cardiac resynchronization therapy boosts care for older HFrEF patients
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When treating older heart failure (HF) patients, cardiac resynchronization therapy with a defibrillator (CRT-D) is associated with better outcomes than treatment with an implantable cardioverter-defibrillator (ICD) alone, according to new findings published in JACC: Heart Failure.
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Even mild COVID-19 cases can result in lingering heart issues
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Mild and moderate COVID-19 infections can cause lingering changes to a patient’s heart and cardiovascular system, according to a new analysis published in European Heart Journal.
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Rare genetic variants may raise risk of fatal arrhythmias in patients with less advanced coronary artery disease
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Advanced coronary artery disease and the cardiac hypertrophy often associated with it is the most common cause of sudden cardiac death. However, in some cases, less advanced coronary artery disease and cardiac hypertrophy are established among the underlying causes of sudden death. According to the study, specific rare genetic variants may increase the risk of fatal arrhythmias and sudden death in patients with less advanced coronary artery disease.
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Can individuals' walking pace impact their heart failure risk?
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In a study in the Journal of the American Geriatrics Society of postmenopausal women, those who reported a faster walking pace had a lower risk of developing heart failure.
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Family Participation in Discharge Is Protective in Heart Failure
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HF-related events, the composite primary outcome of the study, included HF-related deaths, repeat hospitalizations, and emergency department visits for exacerbation of HF.
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Breastfeeding linked to reduced cardiovascular disease risk in mothers
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Women who breastfed were less likely to develop heart disease or a stroke, or die from cardiovascular disease than women who did not breastfeed, according to a meta-analysis published today in a pregnancy spotlight issue of the Journal of the American Heart Association (JAHA), an open access, peer-reviewed journal of the American Heart Association.
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PSMA-PET validates commonly used system measuring risk of prostate cancer recurrence
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The U.S. Food and Drug Administration’s recent approval of 68Ga-PSMA-11 to target PSMA during PET scans in men with prostate cancer enabled the researchers to fine tune their risk assessment categories. PSMA-PET scans, in turn, helped them to identify patients with early-stage, undetected cancer and distant metastatic disease.
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Severe Daytime Sleepiness Linked With Parkinsonian-Like Symptoms, Study Finds
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A recent study published in the Journal of Clinical Neurology found that the severity of excessive daytime sleepiness was associated with Parkinsonian-like (P-L) symptoms in Korean adults aged 50-64 years. While the mechanisms behind this observation are not yet known, population-based studies using simple questionnaires could play a key role in future research, according to study authors.
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Researchers determine the number of intervention sessions needed to prevent cognitive decline
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Physical activity, nutrition and cognitively stimulating activities are all known to be good ways to prevent Alzheimer's disease and dementia. And older adults at risk can access a variety of lifestyle services to that end, including diet regimes and exercises for their body and mind.
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Stable BMI linked to improved protection from dementia progression - study
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Does one's body mass index (BMI) play a role in progressive cognitive decline as adults age? According to a new study, the answer seems to be yes. But rather than higher or lower BMIs being the issue, the main problem was that increases and decreases in BMI over time are what may be linked to speeding up a loss of cognition.
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Reverse Dipping Blood Pressure Common for Inpatients With Advanced Parkinson Disease
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Inpatients with Parkinson disease (PD) were observed to exhibit reverse dipping, in which night-time systolic blood pressure (BP) increased, according to study findings published in Brain and Behavior.
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Bereavement over loss of child linked to increased stroke risk
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Bereavement-related stress, particularly from the death of a child, may slightly increase risk for stroke, according to a bi-national, population-based cohort study published in Neurology.
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Omicron surge is undermining care for other health problems
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The omicron surge this winter has not only swamped U.S. hospitals with record numbers of patients with COVID-19, it has also caused frightening moments and major headaches for people trying to get treatment for other ailments.
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FAPI-PET may improve diagnosis of gastric cancer
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Hybrid PET/MR imaging with an experimental gallium-68 (Ga-68)-labeled fibroblast activation protein inhibitor (FAPI) radiotracer outperforms standard molecular imaging for diagnosing gastric cancer, according to a study published in the January issue of the Journal of Nuclear Medicine.
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SNMMI warns of omicron's impact on PET/CT scans
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The COVID-19 omicron variant appears to cause an unusual imaging pattern on FDG-PET/CT scans in cancer patients, according to a statement released January 14 by the Society of Nuclear Medicine and Molecular Imaging (SNMMI) COVID-19 Task Force.
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Alpha-synuclein Plays ‘Critical’ Role in Immune Responses to Inflammation
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The protein alpha-synuclein, which has a well-established role in the development of Parkinson’s disease, is necessary for the body to mount a normal immune response against infections.
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Nature Papers Find Genetic Risk Factor for Smell, Taste Loss in COVID-19; Analyze TB Granulomas
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Place article copy here. Be sure to make the articles short and concise as people tend not to read much more than a couple of paragraphs. Place article copy here.
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Nature Papers Find Genetic Risk Factor for Smell, Taste Loss in COVID-19; Analyze TB Granulomas
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A genome-wide association study using data from thousands of patients in the US and abroad has identified a genetic risk factor of the loss of taste or smell that sometimes accompanies SARS-CoV-2 infection. In the study, which appears in this week's Nature Genetics, a team led by scientists from 23andMe analyzed online survey data from 69,841 individuals in the UK and US, identifying a genome-wide significant locus in the vicinity of the UGT2A1 and UGT2A2 genes. Both genes are expressed in the olfactory epithelium and play a role in metabolizing odorants, the researchers write. "Notably, the variant identified in this study also appears to be associated with general ability to smell, which may suggest that those with heightened smell or taste sensitivity may be more prone to notice a loss of these senses resulting from a SARS-CoV-2 infection." GenomeWeb has more on this, here.
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Transplant Tests Edited Pig Kidneys
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A team at the University of Alabama-Birmingham has transplanted genetically modified pig kidneys into a brain-dead human patient, the Associated Press reports.
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Epstein-Barr Virus Found to Trigger Multiple Sclerosis
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A connection between the human herpesvirus Epstein-Barr and multiple sclerosis (MS) has long been suspected but has been difficult to prove. Epstein-Barr virus (EBV) is the primary cause of mononucleosis and is so common that 95 percent of adults carry it. Unlike Epstein-Barr, MS, a devastating demyelinating disease of the central nervous system, is relatively rare. It affects 2.8 million people worldwide. But people who contract infectious mononucleosis are at slightly increased risk of developing MS. In the disease, inflammation damages the myelin sheath that insulates nerve cells, ultimately disrupting signals to and from the brain and causing a variety of symptoms, from numbness and pain to paralysis.
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15% of US hospitals critically understaffed, 24% anticipate shortages: Numbers by state
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Almost 15 percent — or 886 of 6,033 — of hospitals reporting staffing levels in the U.S. are experiencing critical staffing shortages, according to HHS data posted Jan. 20.
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Most 2021 breaches stemmed from hacking, IT incidents
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Nearly three-quarters of healthcare data breaches reported to the federal government last year were attributed to hacking or information-technology incidents, according to a review of the latest data from the Health and Human Services Department's Office for Civil Rights.
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How providers can identify and prevent bias in EHRs
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Language norms used by providers in patient medical records have perpetuated racial and economic bias, identifying a need for clinicians to be more intentional at exploring and articulating the root of a person's health problems.
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Department of Justice fires back over Texas physicians’ surprise billing lawsuit
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Texas doctors are concerned about the new dispute-resolution process’ focus on the “qualifying payment amount” — essentially the median contracted in-network rate for a service. Under Congress’ original intent, independent arbitrators were supposed to consider several factors before reaching a final reimbursement amount. But physicians believe the Biden administration’s interpretation of the final rule misunderstands lawmakers’ guidance, places too much weight on the QPA, and tips the scales in favor of insurers.
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State officials want more time, money to resume Medicaid renewals
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The end of the public health emergency will create an enormous amount of work for state Medicaid agencies and related departments. The agencies suffer from the same workforce shortages and high turnover seen in other industries right now, said Jeff Nelson, bureau director of eligibility policy for the Utah Department of Health, and Jeremy Vandehey, director of the health policy and analytics division for the Oregon Health Authority at a Medicaid and CHIP Payment and Access Commission meeting.
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Competition drives Medicare Advantage plans to offer special benefits in 2022
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A quarter of Medicare Advantage plans now offer chronically ill beneficiaries healthy food, transportation and other special supplemental benefits in 2022, representing a nearly 40% year-over-year increase in carrier uptake of these unconventional services, a new study found.
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CMS vaccine policy now enforceable in all 50 states
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A judge in the United States District Court for the Northern District of Texas granted a temporary block of the Centers for Medicare and Medicaid Services requirement that employees at Medicare and Medicaid-certified facilities be fully vaccinated against COVID-19 in Texas.
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Lawmakers ratchet up pressure on CMS to change Part B premiums after Aduhelm price drop
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House Democrats are ramping up pressure on the Biden administration to lower Medicare Part B premiums after the price for controversial drug Aduhelm was slashed in half.
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US renews COVID-19 emergency declaration for 8th time
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HHS Secretary Xavier Becerra on Jan. 14 renewed a public health emergency declaration over the COVID-19 pandemic for the eighth time.
The declaration, set to expire Jan. 16, will now remain in effect for at least another 90 days.
The declaration grants healthcare providers resources and flexibility to care for COVID-19 patients, among other benefits.
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HHS awards grants to tackle health worker burnout, well-being
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The money, made available through the American Rescue Plan Act and distributed by the Health Resources and Services Administration, will be split among 45 grantees. The grants place a specific focus on programs in underserved and rural communities, according to a HRSA news release. The dollars will fund projects including hiring resiliency trainers to support healthcare staff, establishing health system-wide wellness programs and devising initiatives to overcome the stigma associated with healthcare workers seeking mental health treatment.
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For over 25 years, HRSI has provided Authorized User (AU) classroom and laboratory training to physicians. HRSI's training is recognized by the U.S. Nuclear Regulatory Commission (NRC) and fulfills the didactic training required by law.
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HeartCare Imaging, Inc. | Phone: 561-746-6125 | Fax: 561-741-2036 | info@heartcareimaging.com
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