Bethesda, MD — Pay-for-performance—reimbursing health care providers based on the results they achieved with their patients as a way to improve quality and efficiency—has become a major component of health reforms in the United States, the United Kingdom, and other affluent countries. Although the approach has also become popular in the developing world, there has been little evaluation of its impact.
Culture
Low-molecular-weight heparin is commonly used in surgeries to prevent dangerous blood clots. But when patients experience the other extreme – uncontrolled bleeding – in response to low-molecular-weight heparin, there is no antidote.
Now researchers at the University of North Carolina at Chapel Hill and Rensselaer Polytechnic Institute have created a synthetic form of low-molecular-weight heparin that can be reversed if things go wrong and would be safer for patients with poor kidney function.
Montreal, February 26, 2014 — New acquaintances are often judged by their handshake. Research has now recognized the simple squeeze as an important diagnostic tool in assessing strength and quality of life among critical care patients.
In a study published in the journal, Support Care Cancer, Concordia professor Robert Kilgour and his colleagues at the McGill Nutrition and Performance Laboratory confirmed a link between handgrip strength and survival rates.
A study led by Dr. Roderic Guigó from the Centre for Genomic Regulation in Barcelona, as part of the Chronic Lymphatic Leukaemia Genome Consortium, has made new advances in the study of this disease. The work, which was published (in print version) last week in the journal Genome Research, scrutinised the functional profile of the genes and mutations associated with leukaemia.
How would you rate your own physical fitness? Is it good, satisfactory or maybe even poor? Surprisingly, your answer may reveal your future risk of getting dementia.
Suicide among young men is a major public health concern in many countries, despite great efforts to find effective prevention strategies. By interviewing close relatives and friends of apparently well-functioning young men who unexpectedly took their own life, Norwegian researchers found there had been no signs of serious mental disorder. This contradicts previous research which suggests that depression or other mental illness is an important risk factor in suicide.
Mass strandings of whales have puzzled people since Aristotle. Modern-day strandings can be investigated and their causes, often human-related, identified. Events that happened millions of years ago, however, are far harder to analyze—frequently leaving their cause a mystery. A team of Smithsonian and Chilean scientists examined a large fossil site of ancient marine mammal skeletons in the Atacama Desert of Northern Chile—the first definitive example of repeated mass strandings of marine mammals in the fossil record.
The Lancet reported today the results of a study in 9 European countries documenting that hospital nurse staffing and the proportion of nurses with bachelor’s education are associated with significantly fewer deaths after common surgery. A team of researchers led by the University of Pennsylvania School of Nursing in the U.S.
One of the first, largest, and longest-running multipayer trials of patient-centered medical home medical practices in the United States was associated with limited improvements in quality and was not associated with reductions in use of hospital, emergency department, or ambulatory care services or total costs of care over 3 years, according to a study in the February 26 issue of JAMA.
In an analysis that included more than two million patients who underwent a percutaneous coronary intervention (PCI; procedures such as balloon angioplasty or stent placement used to open narrowed coronary arteries), there was considerable variation in red blood cell transfusion practices among hospitals across the U.S., and receiving a transfusion was associated with an increased risk of in-hospital heart attack, stroke or death, according to a study in the February 26 issue of JAMA.
Washington, DC—Patients were twice as likely to have a diabetic foot ulcer heal within eight weeks when they were treated with a tissue repair drug versus a placebo, according to new research accepted for publication in the Endocrine Society's Journal of Clinical Endocrinology & Metabolism (JCEM).
National support for marijuana ("cannabis") legalization is increasing in the United States (US). Recreational use was recently legalized in the states of Colorado and Washington; other states across the country are expected to follow suit. To date, an additional 15 states have decriminalized marijuana use, and 19 states and the District of Columbia now allow medical marijuana to be prescribed.
Phase 2 trial results published in the March issue of Hepatology, a journal of the American Association for the Study of Liver Diseases, suggests the potential for Glycerol Phenylbutyrate (GPB) to reduce hepatic encephalopathy episodes in patients with cirrhosis, with a safety profile similar to placebo.
EAST LANSING, Mich. — Solitary confinement does not make supermax prison inmates more likely to re-offend once they're released, finds a study on the controversial penitentiaries led by a Michigan State University criminologist.
The study – one of the first to examine recidivism rates among supermax inmates – refute critics' claims that serving extended time in isolation leads to more crime. Super-maximum security units, known as supermax units or prisons within prisons, are designed to house problematic inmates by keeping them isolated for as long as 23 hours a day.
A study led by Manchester scientists has shown promising results for a new treatment approach in follicular lymphoma.
Follicular lymphoma is a type of non-Hodgkin's lymphoma– a blood cancer - that usually develops slowly. The majority of patients are diagnosed when their disease is at an advanced stage.