Maine Medicine Weekly Update - 06/10/2019  (Plain Text Version)

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In this issue:
•  Governor Signs Bill Enacting "Prudent Layperson" Standard
•  Maine Public Health Association Awards to Dr. Lani Graham and Others
•  Maine Medical Center Wins $14 Million Grant from AMA
•  Women Officers Highlight 2019 AMA Annual Meeting
•  CVS-Aetna Merger Hearing Concludes
•  This Week's Public Health Updates from the AMA
•  New HIPAA Guidelines for Business Associates
•  MedHelp Maine Seeks Data on Unaffordable Medicines
•  MMA Legislative Call Tuesday, June 11th
•  Firearm Safe Storage Bill Fails in House, and Other State House Highlights of the Week
•  Upcoming Specialty Society Meetings
•  Quality Counts: Rapid Induction Starting in the ED (RISE) Training, Webinars, ECHO Program
•  MICIS 2019 Clinical and Legal Opioid Update - June 5 in Augusta
•  Maine Professionals Health Program 1-day wellness conference June 13, 2019 - Augusta Civic Center
•  2019 Jurisdiction K Listening Tour - June 18 - South Portland
•  Assessing and Managing Non-Suicidal Self-Injury and Suicide Risk in Healthcare Settings - 3 Hour CME Training for Healthcare Professionals at MMA on Friday, June 21, 2019
•  The Maine Concussion Management Initiative Will Be Offering Training Programs June 21 and October 29
•  2019 Mary Cushman, MD Award for Exceptional Humanitarian Service as a Medical Volunteer
•  Maine Independent Clinical Information Service 2019 Presentations
•  Family Medicine Specialist or an Internist
•  Physician (BC/BE in Family Medicine)
•  BC/BE Family Medicine or Internal Medicine Physician
•  Family Medicine Opportunity in Beautiful Western Maine
•  Outpatient Internal Medicine Physician Bangor, Maine
•  Opportunities at the VA for Volunteer Physicians
•  Volunteer Opportunity with Partners for World Health


This Week's Public Health Updates from the AMA

Click through for a brief update on recent public health issues, provided by the American Medical Association's electronic publication, Morning Rounds. [This article is updated weekly.]


Older patients fare worse than younger patients after surgery, studies say

The New York Times (6/7, Span) reported that “perhaps unsurprisingly, older surgical patients often fare worse than younger ones” following surgical procedures. One study published in the Journal of the American Geriatrics Society analyzing “major, nonemergency surgery in 165,600 adults over 65 found that mortality and complications increased with age; hospital stays often lengthened.” Patients in their 80s who undergo “major surgery for lung, esophageal and pancreatic cancer have substantially higher mortality rates than those aged 65 to 69, another study [published in the Journal of the American College of Surgeons] found; they’re also more likely to go to nursing homes afterward.” This is because “older patients often have chronic health problems...and take long lists of drugs.” Furthermore, “the hospital itself, where they risk acquiring infections or losing mobility after days in bed, can endanger them.”

Vitamin D appears not to prevent T2D, researchers say

Reuters (6/7, Emery) reported researchers have “found that taking 4000 international units (IU)” of vitamin D “per day, which is on the upper limit of the recommended intake, may double the amount of vitamin D in the blood but it gives most people roughly the same chance of developing” type 2 diabetes (T2D) “as people who don’t take the vitamin.” Included in the study were “2,423 volunteers who were at high risk for developing the adult-onset version” of diabetes. The findings were published online in the New England Journal of Medicine and presented at a medical conference.

Growing number of people convinced smartphones accelerate student anxiety

The AP (6/7, Thompson) reported that “a growing number of teachers, parents, medical professionals and researchers [are] convinced that smartphones are now playing a major role in accelerating student anxiety.” In 2018, “an editorial in the American Academy of Pediatrics’ flagship journal recommended that doctors ask adolescent patients about their social media use as part of routine screening, alongside older questions about home life and drug and sexual activity.” The editorialists wrote, “Aberrant and/or excessive social media usage may contribute to the development of mental health disturbance in at-risk teenagers, such as feelings of isolation, depressive symptoms, and anxiety.”

Chickenpox vaccine may reduce child’s risk of shingles years later, study suggests

The New York Times (6/10, Bakalar) reports a new study found children who were “vaccinated against chickenpox had a 78 percent lower rate of shingles than their unvaccinated peers.” The study, published in Pediatrics, “included 6.4 million children under 18, half of whom had the chickenpox vaccine.” The Times adds that the CDC “recommends two doses of the vaccine, at age 1 year and then between 4 and 6.”

Device helps insulin-dependent patients with T2D see decline in blood sugar levels

Reuters (6/8, Joseph) reported, “Insulin-dependent patients with type 2 diabetes [T2D] saw a significant drop in their blood sugar levels after wearing Abbott Laboratories Inc.’s continuous glucose monitoring system for three months compared with those who use routine fingerstick testing,” researchers concluded after assessing “the medical records of 363 type 2 diabetics in France, Germany and Austria between three and six months.” The findings were presented at a medical conference.