Culture

Boston – Hospital readmissions are a costly problem for patients and for the United States health care system with studies showing nearly 20 percent of Medicare patients are readmitted to the hospital within 30 days of discharge at an annual cost of $17 billion. Preventing avoidable readmissions could result in improved patient care and significant cost savings.

The advent of social networking sites like Facebook and Twitter have made us all more connected, but long-distance social networks existed long before the Internet.

An article published this week in the Proceedings of the National Academy of Sciences sheds light on the transformation of social networks in the late pre-Hispanic American Southwest and shows that people of that period were able to maintain surprisingly long-distance relationships with nothing more than their feet to connect them.

Contrary to convention, vegetation, when well-maintained, can lower the rates of certain types of crime, such as aggravated assault, robbery and burglary, in cities, according to a Temple University study, "Does vegetation encourage or suppress urban crime? Evidence from Philadelphia, PA," published in the journal, Landscape and Urban Planning.

EAST LANSING, Mich. — In the wake of President Obama's "college scorecard," new research finds that government attempts to grade educational institutions can backfire when done for political or policy purposes.

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Checking blood pressure annually instead of at every outpatient office visit may improve the screening test's ability to correctly identify those without hypertension (specificity) without sacrificing its ability to identify those with hypertension (sensitivity).

CHICAGO, IL – Treatment of large cartilage knee defects with an allograft osteoarticular transplant (OATS) may not allow some military personnel to return to full active duty status, say researchers presenting their work at the American Orthopaedic Society for Sports Medicine's Specialty Day in Chicago, IL.

Orthopaedic surgeons have debated the effectiveness of the single versus double-bundle method of anterior cruciate ligament (ACL) repair for years. However new data shows both techniques lead to similarly effective outcomes for patients, according to researchers presenting their work today at the American Orthopaedic Society for Sports Medicine's Specialty Day in Chicago, IL.

Healthcare providers tend to "preach what they practice."

Physically active healthcare providers were more likely than their inactive counterparts to advise patients to lead an active lifestyle in a study presented at the American Heart Association's Epidemiology and Prevention/Nutrition, Physical Activity and Metabolism 2013 Scientific Sessions.

BOGOTÁ, COLOMBIA (21 March 2013)—A new study reveals that governments in Latin America have returned to natural resources extraction to fuel development—while paying scant attention to the impact mining, oil exploration and other activities have on the environment or on the people who own the land.

Philadelphia – Research has long shown the negative effects cigarette smoking has on cardiovascular health. But now, a new study from the Department of Orthopaedic Surgery at the Perelman School of Medicine at the University of Pennsylvania corroborates early evidence showing that cigarette smoking leads to longer healing times and an increased rate of post-operative complication and infection for patients sustaining fractures or traumatic injuries to their bone.

(SACRAMENTO, Calif.) —An evaluation of practice patterns in California hospitals showed a large variation in the use of metal devices called inferior vena cava filters, or VCFs, despite little evidence of their safety and effectiveness.

NEW YORK (March 21, 2013) -- In its 2001 report Crossing the Quality Chasm, the Institute of Medicine outlined six domains of quality in medical care: safety, effectiveness, patient-centeredness, timeliness, efficiency and equity. But, Dr. Tara Bishop writes in a new viewpoint article published online March 21, in the Journal of the American Medical Association (JAMA), current quality measures for the outpatient setting do not include all of these domains.

CHICAGO — In addition to improving life quality and diminishing pain, total hip replacement (THR) is associated with reduced mortality, heart failure, depression and diabetes rates in Medicare patients with osteoarthritis, according to a new study presented today at the 2013 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). The procedure also is cost effective with the 7-year costs of THR only $6,366 higher than the cost of treating an osteoarthritis patient for hip pain without THR.

CHICAGO – In a study, presented today at the 2013 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), researchers obtained and compared the hospital purchasing records from 45 academic medical centers on the unit costs and volume of spinal products – pedicle screws (PS), anterior cervical plates (ACP) and posterior interbody cages – purchased from a total of seven vendors.

Among the results:

Yoga and acupressure could both play an important role in helping patients with atrial fibrillation (AF). Two abstracts presented at the at the European Society of Cardiology's EuroHeart Care Congress, which takes place in Glasgow, 22 to 23 March, 2013, show the potential for medical yoga¹ and acupressure², in addition to pharmacological therapies, to reduce blood pressure and heart rates in patients with AF.