Tag: Medical Care

Researchers at The Scripps Research Institute in La Jolla, CA and at Vanderbilt University in Nashville, TN have created the most detailed 3-D picture yet of a membrane protein that is linked to learning, memory, anxiety, pain, and brain disorders such as schizophrenia, Parkinson’s, Alzheimer’s, and autism. The research, which focuses on the mGlu₁ receptor, was reported in the March 6^th, 2014 issue of the journal Science.

Patients with post-surgical complications are likelier to be readmitted within 30 days than are those that don’t have the complications, according to a study published in JAMA Surgery. The research also found that using a simple online tool can help health-care practitioners predict which patients are at high risk of readmission.

Prehospital stroke alerts by emergency medical services personnel can shorten the time to effective treatment with "clot-busting" drugs for patients who have had a stroke, according to a report in the March issue of Neurosurgery, official journal of the Congress of Neurological Surgeons.  

By David Longworth, MDof the Cleveland Clinic

 

You just waited two hours for a doctor who’s running late. Once in the office, the doctor zips through a jargon-filled speech, orders a test, writes a prescription and sends you on your way. You leave in a cloud of confusion, realizing that you never even asked a question.

A simple change in how the hospital laboratory reports urine culture results may help improve antibiotic prescribing practices and patient safety, according to a proof-of-concept study conducted in 2013 at Mount Sinai Hospital in Toronto and published online in March 2014 in the journal Clinical Infectious Diseases.

The diaphragm of stethoscopes turned out to be more contaminated than all regions of the physicians’ hand except the fingertips in a study at the University of Geneva Hospitals and published in the March 2014 issue of Mayo Clinic Proceedings. Not only that, but the tube of the stethoscope was more heavily contaminated than the back of the physician's hand. Similar results were observed when contamination was due to methicillin-resistant S.aureus (MRSA) after examining MRSA-colonized patients.

People in their 80s are often prescribed drugs to ward off a stroke when the risk of a stroke is not that high and the drugs have other side effects, according to research doneby Dr. Kit Byatt of the Department of Geriatric Medicine at The County Hospital in Hereford, UK and published online in the journal Evidence Based Medicine. Byatt maintains that people in this age group are being "over-treated" and that doctors need to rethink their priorities and beliefs about stroke prevention.  

Back when your kids were in school, you may well have had to do battle with head lice and chances are that you bought special products such as prescription-only Kwell or over-the-counter RID. Now, though, if the grandchildren end up with eggs from head lice, also called nits, you may find that ordinary conditioner works just as well. That’s the conclusion of new research published in February 2015 in the Journal of Medical Entomology.

The millions of Americans living with more than one chronic disease are at high risk of poor health outcomes, and account for a disproportionate share of health care costs. A special March supplement to Medical Carepresents updates from the Agency for Healthcare Research and Quality's (AHRQ) Multiple Chronic Conditions (MCC) Research Network, formed to address knowledge gaps and research challenges in meeting the complex health care needs of this growing population.  

Although studies have found that the quality of care delivered to rural patients is as good or better than that available in urban areas, the belief persists that top-quality primary care is only available in big cities. However, a new study done at Massachusetts General Hospital and published in the National Rural Health Association's Journal of Rural Health finds few meaningful differences between rural and urban primary care physicians on key measures of professionalism, including their attitudes about participation in quality care improvement.

Online sites to rate physicians have proliferated in recent years, and about 25 percent of patients now use them, according to a new study.

Additionally, 65 percent of respondents reported awareness of online physician ratings.

The study, reported in JAMA, analyzed responses from a nationally representative sample of the U.S. population.

Although trauma, heart, and stroke patients benefit from being transferred from a local hospital to a higher-level care facility via medical air ambulances, patients transferred with non-urgent medical conditions show at least a 30 percent higher death rate than had they stayed put, according to researchers from Case Western Reserve University’s nursing school in Cleveland. The team set out to find out why this happens.

A release from the university quotes Andrew Reimer, PhD, RN as saying, “We think the answer is somewhere in the medical records.”

Medicines can enter the body in many different ways, including through an inhaler, a skin patch, a pill or a hypodermic needle. As drugs make their way through the body, many steps happen along the way. Understanding how medicines work in your body can help you learn why it is important to use medicines safely and effectively. In this section on taking medicines, we’ll focus on medicines you take by mouth, since those are the most common.

Entering and Circulating in the Body

An 8-year trial at the University of California-Los Angeles found that with the help of paramedics in the field, intravenous medications can frequently be administered to stroke victims within the "golden hour" during which they have the best chance to survive and avoid debilitating, long-term neurological damage. However, the same study found that giving stroke patients intravenous magnesium within an hour of the onset of symptoms does not improve stroke outcomes. Dr.

A study led by Johns Hopkins engineers has used the skill of juggling to gather critical clues about how vision and the sense of touch help control the way humans and animals move their limbs in a repetitive way, such as in running. The findings eventually may aid in the treatment of people with neurological diseases and could lead to prosthetic limbs and robots that move more efficiently. The study has been published online by the Journal of Neurophysiology and will be the cover article for the journal's March 2014 print edition.

As part of an ongoing effort to empower patients to be informed partners with their health care providers, the Department of Health and Human Services (HHS) has taken action to give patients or a person designated by the patient a means of direct access to the patient’s completed laboratory test reports.

Researchers say there might be one good thing about being fatigued: we make better health-care decisions when we’re feeling tired and run down.

“We proposed that people are more motivated to engage in healthful behavior when they are depleted and perceive their safety to be at stake,” write authors Monika Lisjak, of Erasmus University, and Angela Y. Lee, of the Kellogg School of Management, Northwestern University.

Diaphragm pacing, a system that gained nationwide attention when Raymond Onders, MD of University Hospitals Case Medical Center in Clevelandimplanted the stimulator in actor Christopher Reeve, has now been shown to be successful not only in weaning patients from mechanical ventilators but also in bridging patients to independent respiration. The study, done at the center, was published in the Journal of Trauma and Acute Care Surgery.