Experienced nurses understand what it means to instinctively know that there is something off with their patient based on "gut feelings" that "are agglomerations of observations and experiences that over time have turned into finely tuned clinical judgment," writes hospice nurse Theresa Brown. "There's now solid evidence that when a nurse says she's got a bad feeling about a patient, the entire care team needs to listen," Brown writes.
The FDA's approval of Novartis' Kymriah, or tisagenlecleucel, to treat pediatric patients with acute lymphoblastic leukemia brings into focus the need for an educated interdisciplinary team that can recognize most common chimeric antigen receptor T-cell therapy-related toxicities, according to Kris Mahadeo, section chief and medical director of pediatric stem cell transplantation and cellular therapy at the University of Texas MD Anderson Cancer Center. Pediatric-focused guidelines recognize that toxicities among children may be difficult to recognize.
CDC researchers found that 6-month-old infants born to mothers with hepatitis B virus and HIV who received tenofovir during pregnancy didn't have significantly reduced bone mineral content or bone mineral density, compared with those whose mothers didn't take tenofovir. The findings were published in The Pediatric Infectious Disease Journal.
Researchers suggest that the reason why migraines are more common in women may have to do with relationships between sex-specific hormones and the trigeminal system. These interactions make neurons more sensitive to migraine triggers, according to their model, and estrogen may play a key role.
Officials at MedSpring Urgent Care in Austin, Texas, notified 13,034 patients who used its centers in Illinois about a possible data breach after an employee got caught in an email phishing scam on May 8. The incident could have compromised patients' names, medical record numbers, dates of medical services and account numbers.
A Coverys report showed that radiologists accounted for 15% of diagnosis-related malpractice claims, second to general medicine practitioners, with 80% of those claims pertaining to alleged clinical test misinterpretations that led to permanent injury or death. Radiologists should utilize decision support tools, standard treatment protocols and report templates with specific criteria; develop criteria to determine the need for a second image reading; use patient EHR notes; and implement EHR applications and order tracking within the EHR to reduce the risk of malpractice claims, according to the report.
The National Health Law Program filed a lawsuit against the Trump administration to stop the implementation of Medicaid work requirements in Arkansas, arguing the administration has no authority to impose such provisions without action from Congress.
Google's parent firm Alphabet plans to invest $375 million in Oscar Health, and the New York City-based health insurer said it intends to use the money to enter the Medicare Advantage market in 2020 and expand its presence in the individual and small-group markets. Oscar has focused on data science and technology to improve the consumer experience and contain costs, with more than 60% of interactions between the health care system and members occurring on a virtual basis.
CVS Health's pharmacy benefit manager unit, CVS Caremark, launched a new program that will let employers and insurers assess cost-effectiveness of therapies and exclude coverage of drugs with extremely high launch prices. The program, which aims to pressure drugmakers to reduce drug costs, will not target drugs with FDA breakthrough status.
Smoking and nonsmoking women who were exposed to secondhand smoke in childhood had increased odds of developing rheumatoid arthritis, compared with those who were not exposed to secondhand smoke as children, researchers reported in the journal Rheumatology. The findings were based on data involving 98,995 French women followed for up to 30 years.