Here are what the editors at HealthDay consider to be the most important developments in Neurology for September 2019. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.
Recommendations Updated for Management of Pediatric ADHD
MONDAY, Sept. 30, 2019 (HealthDay News) — In a clinical practice guideline from the American Academy of Pediatrics, published online Sept. 30 in Pediatrics, updated recommendations are presented for the evaluation and management of attention-deficit/hyperactivity disorder (ADHD) in children.
Clinical Practice Guideline
Perspective (subscription or payment may be required)
2009 to 2017 Saw Pediatric Developmental Disability Increase
FRIDAY, Sept. 27, 2019 (HealthDay News) — Between 2009 and 2017, the prevalence of developmental disability increased among U.S. children aged 3 to 17 years, according to a study published online Sept. 26 in Pediatrics.
Average Annual Premium for Workers Increased in 2019
THURSDAY, Sept. 26, 2019 (HealthDay News) — In 2019, the average annual health insurance premium for workers increased slightly for single coverage and family coverage, according to a report published online Sept. 25 in Health Affairs.
Deep Learning Models Classify Disease From Medical Imaging
THURSDAY, Sept. 26, 2019 (HealthDay News) — Early evidence suggests that diagnostic performance of deep learning models is equivalent to that of health care professionals for interpreting medical imaging, according to a study published online Sept. 25 in The Lancet Digital Health.
Walking Speed Predicts Return to Work for Younger Stroke Patients
THURSDAY, Sept. 26, 2019 (HealthDay News) — For younger patients with stroke, walking speed is a strong predictor for return to employment, according to a study published online Sept. 26 in Stroke.
Oral Health Symptoms in Seniors Associated With Cognitive Decline
THURSDAY, Sept. 26, 2019 (HealthDay News) — Among U.S. Chinese older adults, oral (teeth and gums) health symptoms are associated with a decline in cognitive function, according to a study published online Aug. 12 in the Journal of the American Geriatrics Society.
Racial/Ethnic Disparities in Mortality Persist in the U.S.
WEDNESDAY, Sept. 25, 2019 (HealthDay News) — There are still racial and ethnic disparities in mortality, and these disparities are widening for some age groups, according to a study published online Sept. 24 in the American Journal of Preventive Medicine.
Exposure to Insecticide Might Explain ‘Sonic Attack’ in Cuba
TUESDAY, Sept. 24, 2019 (HealthDay News) — In 2016, American and Canadian diplomats in Cuba complained of vertigo, ringing in the ears, pain, blurred vision, dizziness, and memory and concentration problems.
CNN Article
Girls Take Longer to Recover From Concussion Than Boys
TUESDAY, Sept. 24, 2019 (HealthDay News) — Young female athletes take longer than young male athletes to recover from sports-related concussion (SRC), according to research published in the September issue of the Clinical Journal of Sport Medicine.
Protected Health Info Breaches Compromise Sensitive Data
MONDAY, Sept. 23, 2019 (HealthDay News) — Most protected health information (PHI) breaches compromise sensitive demographic and/or financial information, according to a research letter published online Sept. 23 in the Annals of Internal Medicine.
Connecticut Sees First Death This Year From Mosquito-Borne EEE
MONDAY, Sept. 23, 2019 (HealthDay News) — A Connecticut resident has died from eastern equine encephalitis (EEE), the first such death in the state since 2013, health officials report. In addition, another person in the state has contracted the infection, as an outbreak grows.
CNN Article
More Information: CDC
Rate of Vaping Has Doubled Since 2017 Among U.S. Adolescents
MONDAY, Sept. 23, 2019 (HealthDay News) — Vaping is increasing among adolescents, with significant increases seen from 2018 to 2019, according to a research letter published online Sept. 18 in the New England Journal of Medicine.
Exercise May Slow Brain Deterioration in Alzheimer Disease
MONDAY, Sept. 23, 2019 (HealthDay News) — Exercising may delay brain deterioration in people at high risk for Alzheimer disease, according to a proof-of-concept study published Sept. 17 in the Journal of Alzheimer’s Disease.
More Aggressive Tx Needed for Familial Hypercholesterolemia
MONDAY, Sept. 23, 2019 (HealthDay News) — Even with care in specialty clinics, low-density lipoprotein cholesterol (LDL-C) persists above target levels in more than half of patients with familial hypercholesterolemia (FH), according to a study published in the October issue of Atherosclerosis.
Medical Students Not Ready to Provide Nutritional Care
THURSDAY, Sept. 19, 2019 (HealthDay News) — Medical education does not equip students to provide high-quality, effective nutrition care, according to a review published in the September issue of The Lancet Planetary Health.
Anemia in Early Pregnancy May Harm Child Neurodevelopment
WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Anemia diagnosed during the first 30 weeks of pregnancy is associated with an increased risk for autism spectrum disorder (ASD), attention-deficit/hyperactivity disorder (ADHD), and intellectual disability (ID), according to a study published online Sept. 18 in JAMA Psychiatry.
Seniors Should Undergo Annual Cognitive Health Assessment
WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Adults aged 65 years and older should undergo annual cognitive health assessments to improve recognition of mild cognitive impairment (MCI), according to a special article published online Sept. 18 in Neurology.
Nonphysician Providers Rarely Interpret Diagnostic Images
WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Despite increasing roles of nonphysician providers (NPPs) in health care (nurse practitioners and physician assistants), they still rarely interpret diagnostic imaging studies, according to a study published online Sept. 11 in the American Journal of Roentgenology.
Migraines Linked to Higher Risk for Dementia, Alzheimer Disease
WEDNESDAY, Sept. 18, 2019 (HealthDay News) — Migraines are a significant risk factor for Alzheimer disease (AD) and all-cause dementia, according to a study published online Sept. 4 in the International Journal of Geriatric Psychiatry.
Stepwise Approach Effective for Primary Care Dementia Screening
TUESDAY, Sept. 17, 2019 (HealthDay News) — Assessment of dementia risk using three common screening tools at baseline predicts incident dementia over the course of about seven years, according to a study published in the September/October issue of the Annals of Family Medicine.
Headache From Epidural for Labor May Up Subdural Hematoma Risk
TUESDAY, Sept. 17, 2019 (HealthDay News) — The presence of presumed postdural puncture headache after neuraxial anesthesia (epidural or spinal) in childbirth is associated with an increased risk for being diagnosed with an intracranial subdural hematoma, according to a study published online Sept. 16 in JAMA Neurology.
Combo Antithrombotic Therapy Increases Bleeding Risk
TUESDAY, Sept. 17, 2019 (HealthDay News) — Patients with chronic coronary artery disease or peripheral artery disease treated with the combination of rivaroxaban and aspirin face a greater risk for bleeding versus patients treated with aspirin alone, according to a study published in the Sept. 24 issue of the Journal of the American College of Cardiology.
Tablet App Seems Reliable, Fast for Cognitive Assessment in MS
MONDAY, Sept. 16, 2019 (HealthDay News) — The Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS) tablet application (iCAMS) seems to be a reliable and fast method of assessment, according to a study recently published in the International Journal of MS Care.
Biopsychosocial Frailty Measure Predicts Risk for Dementia
MONDAY, Sept. 16, 2019 (HealthDay News) — Biopsychosocial frailty (BF) can predict short- and longer-term dementia risk, according to a study published in the August issue of Alzheimer’s & Dementia.
Acetaminophen in Pregnancy May Affect Childhood Behavior
MONDAY, Sept. 16, 2019 (HealthDay News) — Acetaminophen use in mid-to-late pregnancy may have an adverse effect on early childhood neurocognitive outcome, according to a study published online Sept. 15 in Paediatric and Perinatal Epidemiology.
Donepezil Ups Risk for Hospital Admission for Rhabdomyolysis
MONDAY, Sept. 16, 2019 (HealthDay News) — Initiating donepezil to manage symptoms of Alzheimer disease or other dementias is associated with a higher risk for 30-day admission to the hospital with rhabdomyolysis compared with initiating rivastigmine or galantamine, according to a study published in the Sept. 16 issue of CMAJ, the journal of the Canadian Medical Association.
MCI Linked to Lower Use of Cardiac Catheterization in AMI
FRIDAY, Sept. 13, 2019 (HealthDay News) — Preexisting mild cognitive impairment (MCI) is associated with a lower use of cardiac catheterization and coronary revascularization after acute myocardial infarction (AMI), according to a study published online Aug. 13 in the Journal of General Internal Medicine.
Helmets Are Underutilized by Cyclists in the United States
FRIDAY, Sept. 13, 2019 (HealthDay News) — From 2002 to 2012, only 22 percent of bicyclists with head/neck injury in the United States wore helmets, according to a study published online Sept. 13 in Brain Injury.
Brain Changes Differ for β-Amyloid, Cerebrovascular Burden
FRIDAY, Sept. 13, 2019 (HealthDay News) — β-amyloid (Aβ) and cerebrovascular disease burden have divergent effects on longitudinal default mode network and executive control network functional connectivity (FC) changes in amnestic mild cognitive impairment (MCI) and subcortical vascular MCI, according to a study published online Sept. 11 in Neurology.
Prevalence of Short Sleep Duration Up From 2010 to 2018
FRIDAY, Sept. 13, 2019 (HealthDay News) — The prevalence of short sleep duration increased among working American adults from 2010 to 2018, according to a study published online Sept. 5 in the Journal of Community Health.
Most Diagnosed With Dementia Do Not Receive Specialty Care
THURSDAY, Sept. 12, 2019 (HealthDay News) — The majority of older adults diagnosed with dementia do not receive specialty care, according to a study published online Sept. 4 in Alzheimer’s & Dementia.
Imaging Technique May Help Predict Stroke-Related Dementia
THURSDAY, Sept. 12, 2019 (HealthDay News) — Diffusion tensor image segmentation technique (DSEG), which characterizes microstructural damage across the cerebellum, identifies damage in cerebral small vessel disease (SVD) and can predict dementia, according to a study published online Sept. 12 in Stroke.
Cancer Survival Increasing in High-Income Countries
THURSDAY, Sept. 12, 2019 (HealthDay News) — Cancer survival is continuing to increase across high-income countries, although there are international disparities, according to a study published online Sept. 11 in The Lancet Oncology.
EPA to Phase Out Chemical Testing on Mammals
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The eventual elimination of chemical testing on mammals was announced Tuesday by the U.S. Environmental Protection Agency.
The New York Times Article
More Information: EPA
Mild Cognitive Impairment Incidence Higher for WTC Responders
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The incidence of mild cognitive impairment (MCI) is increased in World Trade Center (WTC) responders, according to a study published online Sept. 6 in Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring.
Spending Up With Treatment in Hospital-Owned Practices
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Financial integration between physicians and hospitals raises patient spending but does not impact care quality, according to a study published online Sept. 3 in the Journal of General Internal Medicine.
Serum Biomarker Linked to Brain Atrophy in Multiple Sclerosis
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — Serum neurofilament light chain (sNFL) levels are significantly associated with clinical and neuroimaging outcomes in multiple sclerosis (MS), according to a study published online Aug. 12 in JAMA Neurology.
New Tool Measures Patients’ Perceptions of Stroke Care
WEDNESDAY, Sept. 11, 2019 (HealthDay News) — The STROKE Perception Report is a valid and reliable measure of patients’ and family surrogates’ perceptions of the quality of acute stroke hospital services, according to a study published in the October issue of the Journal of Neuroscience Nursing.
USPSTF: Evidence Lacking for Cognitive Screening in Older Adults
TUESDAY, Sept. 10, 2019 (HealthDay News) — The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is currently inadequate for weighing the benefits and harms of screening for cognitive impairment among older adults. These findings form the basis of a draft recommendation statement published online Sept. 10 by the USPSTF.
Draft Evidence Review
Draft Recommendation Statement
Comment on Recommendation
Poverty Rate Drops, but Fewer Americans Have Health Insurance
TUESDAY, Sept. 10, 2019 (HealthDay News) — The percentage of Americans living in poverty declined in 2018, but the rate of those without health insurance increased, according to a U.S. Census Bureau report.
Two More Cases of EEE Virus Confirmed in Massachusetts
MONDAY, Sept. 9, 2019 (HealthDay News) — Two new human cases of mosquito-borne Eastern equine encephalitis were confirmed on Friday by the Massachusetts Department of Public Health.
U.S. College Students’ Marijuana Use Reaches 35-Year High
FRIDAY, Sept. 6, 2019 (HealthDay News) — Marijuana use by U.S. college students in 2018 was the highest in 35 years, researchers report.
Hearing Aid Use Tied to Lower Risk for Dementia, Depression, Falls
FRIDAY, Sept. 6, 2019 (HealthDay News) — Use of hearing aids is associated with lower risks for being diagnosed with Alzheimer disease, dementia, depression, anxiety, and injurious falls among elderly adults diagnosed with hearing loss, according to a study published online Sept. 5 in the Journal of the American Geriatrics Society.
Racial, Ethnic Underrepresentation Found in Med School Matriculants
FRIDAY, Sept. 6, 2019 (HealthDay News) — Among medical school matriculants, black, Hispanic, and American Indian or Alaska Native (AIAN) students are underrepresented, according to a study published online Sept. 4 in JAMA Network Open.
Majority of U.S. Doctors Believe ACA Has Improved Access to Care
THURSDAY, Sept. 5, 2019 (HealthDay News) — Sixty percent of U.S. physicians believe that the Affordable Care Act (ACA) has improved access to care and insurance after five years of implementation, according to a report published in the September issue of Health Affairs.
Psychedelic Research Center Created at Johns Hopkins University
THURSDAY, Sept. 5, 2019 (HealthDay News) — A research center that will assess the use of psychedelic drugs to treat conditions such as addiction, alcoholism, and depression was announced by Johns Hopkins University.
ABC News Article
Algorithm Based on Response, Biology Guides Neuroblastoma Tx
THURSDAY, Sept. 5, 2019 (HealthDay News) — Use of a response- and biology-based treatment algorithm for intermediate-risk neuroblastoma is associated with excellent survival and reduces treatment for some patients, according to a study published online Aug. 6 in the Journal of Clinical Oncology.
Postictal Serotonin Levels Associated With Periictal Apnea
WEDNESDAY, Sept. 4, 2019 (HealthDay News) — Seizure-related increases in serum serotonin (5-HT) levels are associated with a reduced incidence of seizure-related breathing dysfunction, according to a study published online Sept. 4 in Neurology.
Autism Rates Up, Particularly Among Minority Children
WEDNESDAY, Sept. 4, 2019 (HealthDay News) — The prevalence of autism spectrum disorder (ASD) has increased significantly during the past 10 to 20 years and will continue to increase among all race and ethnicity groups in the coming years, according to a study published online Aug. 21 in the Journal of Autism and Developmental Disorders.
Higher Risk for Noncommunicable Diseases Seen in Cerebral Palsy
TUESDAY, Sept. 3, 2019 (HealthDay News) — Adults with cerebral palsy (CP) have an increased risk for noncommunicable disease, particularly cardiovascular and respiratory disease, according to a study published online Aug. 28 in Neurology.
Marriage Associated With Lower Dementia Risk
TUESDAY, Sept. 3, 2019 (HealthDay News) — People who remain married in older age may have a lower dementia risk, according to a study recently published in The Journals of Gerontology: Series B.
Adolescent Oral Contraceptive Use Tied to Later Depression Risk
TUESDAY, Sept. 3, 2019 (HealthDay News) — There is a long-term association between adolescent oral contraceptive (OC) use and depression risk in adulthood, according to a study published online Aug. 28 in the Journal of Child Psychology and Psychiatry.
Evidence Says Antipsychotics Do Not Prevent Delirium in Adults
TUESDAY, Sept. 3, 2019 (HealthDay News) — Current evidence does not support routine use of haloperidol or second-generation antipsychotics for prevention or treatment of delirium in hospitalized adults, according to two reviews published online Sept. 3 in the Annals of Internal Medicine.
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