Culture

Adolescents discharged from hospitals in England after an admission for violent, drug- or alcohol-related, or self-inflicted injuries have increased risks of subsequent death and emergency re-admission up to a decade later, according to a study published this week in PLOS Medicine. The study, conducted by Annie Herbert at University College London, UK, and colleagues, showed that in England, risks of death after all types of adversity-related injury were higher than after accident-related injury (61% (95% CI 43%-82%) higher in girls and 113% (95% CI 98%-129%) higher in boys).

Treating multidrug-resistant tuberculosis (MDR TB) with regimens that include a greater number of drugs may improve outcomes, and baseline drug susceptibility testing (DST) could identify drugs with the greatest likelihood of success, according to a paper published this week in PLOS Medicine. The prospective cohort study, conducted by Peter Cegielski of the Centers for Disease Control, Atlanta, Georgia, and colleagues, used information on regimen composition, baseline DST, and time to sputum conversion from 1,137 adults with MDR TB, from nine countries.

Does legal marijuana tempt pot users to consume more alcohol -- or are they likely to opt for cannabis instead of chardonnay?

A University of Washington team of researchers sought to address those questions in the context of evolving marijuana policies in the United States. Their findings, published online Dec. 21 in the journal Alcoholism: Clinical & Experimental Research, highlight the difficulties of gauging the impact of a formerly illicit drug as it moves into the mainstream.

Guerilla tactics such as suicide attacks and roadside bombs may trigger more posttraumatic stress than conventional warfare, suggests a Veterans Affairs study of 738 men and women who served in Iraq.

The findings appeared online Dec. 14, 2015, in the journal Psychological Trauma: Theory, Research, Practice, and Policy.

The study authors are with the Behavioral Science Division of the National Center for PTSD, based at the VA Boston Healthcare System, and with Boston University School of Medicine.

Boston - A study led by Boston Medical Center (BMC) indicates that most patients with chronic pain who are hospitalized after a nonfatal opioid overdose continue to receive prescription opioids after the overdose and are at high risk for experiencing a repeated overdose.

More than 90 percent of patients with chronic pain continue to receive prescription opioids after an overdose and are at high risk for experiencing a repeated overdose, according to an article published in Annals of Internal Medicine.

TEMPE, Ariz. - Teams of researchers in the American Southwest and North Atlantic Islands have found that historic and prehistoric peoples in these regions who had created vulnerabilities to food shortfall were especially susceptible to impacts from climate challenges. Their "natural" disasters were human made in conjunction with climate challenges.

WASHINGTON (Dec. 28, 2015) -- Heart attack patients who had previously undergone coronary artery bypass graft surgery were less likely than other heart attack patients, including those with prior angioplasty, to be treated within the 90-minute recommended 'door-to-balloon time,' according to a study published today in the JACC: Cardiovascular Interventions.

Door-to-balloon time refers to the time from a patient's arrival at the hospital to treatment to restore blood flow to the heart with angioplasty and a stent.

While hospitals have made strides in reducing the time it takes to treat heart attack patients once they arrive at the hospital, patient delays recognizing symptoms and seeking treatment are associated with increased damage to the heart, according to a study published online today in JACC: Cardiovascular Interventions.

Diabetes is one of the leading causes of death. Patients with type 1 diabetes have their insulin secreting cells destroyed by the immune system and require daily insulin injections. Pancreatic islet transplantation is an effective treatment that can dramatically reduce daily doses or even eliminate dependence on external insulin. Insulin producing cells are injected into a recipient liver. After an adaptation period they start to produce sufficient hormone needed by diabetic patients.

NEW YORK, NY - Cannabidiol (CBD), a medical marijuana derivative, was effective in reducing seizure frequency and well-tolerated and safe for most children and young adults enrolled in a year-long study led by epilepsy specialists at NYU Langone Medical Center.

Patients with Chronic Obstructive Pulmonary Disease (COPD) and other chronic respiratory disorders who received music therapy in conjunction with standard rehabilitation saw an improvement in symptoms, psychological well-being and quality of life compared to patients receiving rehabilitation alone, according to a new study by researchers at The Louis Armstrong Center of Music and Medicine at Mount Sinai Beth Israel (MSBI). Study findings were published this week in Respiratory Medicine and suggest that music therapy may be an effective addition to traditional treatment.

An analysis based on data from previously published literature suggests it is more cost effective to treat all suspected cases of nail fungus (onychomycosis) with the oral medication terbinafine than to perform confirmatory diagnostic tests beforehand, although confirmatory testing before treatment with the expensive topical medicine efinaconazole, 10 percent, was associated with reduced costs, according to an article published online by JAMA Dermatology.

Two studies and an editorial published online by JAMA Dermatology examine the relationship between skin disorders and endocrine diseases.

In the first study, Dipankar De, M.D., of the Postgraduate Institute of Medical Education and Research, Chandigarh, India, and coauthors looked at the association between insulin resistance and metabolic syndrome in male patients with acne (ages 20 to 32). The study included 100 men with acne and 100 men without.

A survey of patients with glaucoma in Washington, D.C., showed that the perception of the legality and acceptability of marijuana use was significantly associated with intentions to use marijuana for the treatment of glaucoma, even though research has indicated it is of limited benefit, according to a study published online by JAMA Ophthalmology.