Pregnant women with gestational diabetes who received a tailored letter with personalized recommendations for gestational weight management were more likely to meet the Institute of Medicine guidelines for gestational weight gain, compared with those who received usual care, according to a study in Diabetes Care. Researchers used a cohort of 2,014 women and found that those in the intervention group were also less likely to have babies born large for gestational age, compared with the usual care group.
The Joint Commission has issued recommendations to healthcare organizations that involve seven steps needed to address physical and verbal workplace violence. "In order to truly eliminate workplace violence, it is critical that nurses, other healthcare professionals, and their employers shift the professional and workplace culture to adopt a mindset of zero tolerance that diminishes barriers to reporting," said Cheryl Peterson, ANA's vice president of nursing programs.
A time and motion study evaluated the various workflow interruptions that disrupt emergency department nurses during EMR documentation and caring for their patients. The findings, published in the International Journal of Human-Computer Interaction, showed that the five most common interruptions were of phone calls, colleagues, residents, doctors and patients' relatives.
The World Health Organization has issued a recommendation that anyone receiving the dengue vaccine should first undergo diagnostic testing to determine if they have been exposed to the disease. The new guideline was issued in light of controversies regarding the effect of Sanofi Pasteur's dengue vaccine Dengvaxia on children younger than 9 years who were vaccinated in the Philippines.
Elevated levels of inflammatory markers are a result of poor sleep quality in women of menopausal age based on data from a study conducted on 295 women, whose blood tests and sleep-monitoring results were analyzed by researchers. Data showed that 75% slept less than seven hours, with half of the group experiencing short and disrupted sleep, and those with disturbed sleep patterns or trouble falling asleep manifesting higher circulating levels of interleukin-6 and/or von Willebrand factor antigen, according to the journal Sleep.
Researchers from the Duke University School of Medicine developed a single-page questionnaire called the Clinic Satisfaction Tool that asks patients what they want to discuss during appointments, whether their concerns were addressed and if they were satisfied with the experience. Testing at Duke's specialty clinics indicated that the tool is useful for enhancing the patient experiences.
Doctors should maintain as much eye contact with patients as possible to improve their relationship with patients and their "computer-side manner," Dr. Wei Wei Lee said during a presentation at the American College of Physicians Internal Medicine meeting. She said computers can be a distraction during appointments, but doctors can mitigate the issue by reviewing a patient's chart before entering the examination room, taking the first minute to focus on the patient exclusively and other measures.
Researchers found a higher prevalence of type 1 diabetes among both adults and children in areas in New York with more fast food restaurants, and higher type 2 diabetes rates among adults in areas with a high prevalence of junk food. The findings in the Journal of the Endocrine Society, based on data on diabetes patients who visited an emergency hospital ward in New York between 2009 and 2013, revealed that young individuals were at an increased risk of developing type 1 diabetes if they reside in predominately black communities.
An application has been released by data analytics startup Trayt for use in monitoring behavioral and nonbehavioral symptoms in patients with neurodevelopmental and brain disorders, including autism and attention-deficit/hyperactivity disorder. The app, which uses a comorbid rating scale, measures effectiveness of treatments and delivers progress reports and actionable insights.
Dynavax Technologies' hepatitis B vaccine Heplisav-B was recommended by the CDC's Advisory Committee on Immunization Practices for use by patients aged 18 years and older. The recommendation was published in the CDC's Morbidity and Mortality Weekly Report.