The increased use of cardiac catheterization in New York relative to Ontario appears related to selecting more patients at low risk of obstructive coronary artery disease, with the subsequent diagnostic yield (i.e., the proportion of tested patients in whom disease was diagnosed) of this procedure in New York significantly lower than in Ontario, according to a study in the July 10 issue of JAMA.
Culture
Research examines differences in rates of cardiac catheterization between New York State and Ontario
Dual antiplatelet therapy following coronary stent implantation is associated with improved outcomes
Emmanouil S. Brilakis, M.D., Ph.D., of the VA North Texas Health Care System and University of Texas Southwestern Medical Center at Dallas, and colleagues conducted a review of medical literature regarding optimal medical therapy after percutaneous coronary intervention (PCI; procedures such as balloon angioplasty or stent placement used to open narrowed coronary arteries). The researchers identified 91 studies for inclusion in the review.
London, 9 July 2013: An analysis of almost 10,000 first cycles of egg donation treatment at oneof Europe's largest IVF centres shows that female obesity reduces the receptivity of the uterusto embryo implantation and thereby compromises reproductive outcome. The investigatorsreport that excess female weight "impairs human reproduction" and that "the reduction ofuterine receptivity is one of the mechanisms involved". As a result they advise weight reductionbefore pregnancy in any type of conception, including ovum donation.
Sophia Antipolis -- A resurgence in cardiovascular R&D is urgently needed to curb a new epidemic of cardiovascular diseases, according to leading cardiologists and industry representatives in the Cardiovascular Round Table (CRT).
The CRT is an independent forum established by the European Society of Cardiology (ESC) and comprised of cardiologists and representatives of the pharmaceutical and medical device industries. The group's views are outlined in "Championing Cardiovascular Health Innovation in Europe", published in European Heart Journal.(1)
CHICAGO -- Antibiotic-resistant superbugs like carbapenem-resistant Enterobacteriaceae (CRE) present a challenge to healthcare professionals as patients move from different care settings and facilities, unknowingly spreading healthcare-associated infections. In a new study, researchers screened all patients for CRE at admission to a long-term acute care hospital (LTACH). They found patients colonized with CRE coming into the LTACH from hospitals, but they also found transmission occurring among patients in the LTACH.
Before scientists and engineers can realize the dream of using stem cells to create replacements for worn out organs and battle damaged body parts, they'll have to develop ways to grow complex three-dimensional structures in large volumes and at costs that won't bankrupt health care systems.
As modern Egypt searches for a new leader, Israeli archaeologists have found evidence of an ancient Egyptian leader in northern Israel.
At a site in Tel Hazor National Park, north of the Sea of Galilee, archeologists from the Hebrew University of Jerusalem have unearthed part of a unique Sphinx belonging to one of the ancient pyramid-building pharaohs.
Ben Goldacre, research fellow at the London School of Hygiene and Tropical Medicine, says we need all the evidence to make informed decisions about medicines.
The lack of progress on transparency has been startling, he writes. Current estimates suggest that around half of all trials for the treatments being used today have gone unpublished; and that trials with positive results are twice as likely to be published.
HUNTSVILLE, TX (7/9/13) -- Texas has the second largest sex offender registry in the country, but relatively few people are accessing it or using it to develop protective actions against future sex crimes, a study by the Crime Victims' Institute at Sam Houston State University found.
In contrast to the oft-expressed concerns that increasing patient complexity impedes the delivery of preventive services because of competing demands, researchers find the presence of chronic illness is positively associated with receipt of recommended preventive services.
In a study of 667,379 adult patients from 148 primary care practices across the United States, researchers found strong positive associations between the receipt of clinical preventive services and the presence of chronic illnesses.
Geriatric persons are significantly more likely than younger people to suffer self-inflicted gunshot wounds, especially to the head.
In other words, they commit suicide.
An author in Annals of Internal Medicine believes doctors can safeguard geriatric people as well as the rest of the population by advocating more physician engagement regarding gun ownership in the brief few moments they spend with each patient.
PHILADELPHIA (July 8, 2013)— If all medical errors were counted together as a single cause, they would likely rank as the third leading cause of death in the United States. As health care personnel race to improve the quality of their care to save lives and prevent unneeded harm, a new study indicates there is more they can do to learn about what errors are occurring and why.
Ever since the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, the number of enrollees in Medicare Advantage, Medicare's managed care program, has jumped from 5.3 million to 14.4 million in 2013. While most individuals in Medicare opt for the traditional, fee-for-service benefit, many more are enrolling in HMOs and other managed care options.
Philadelphia -- Patients with low socioeconomic status use emergency and hospital care more often than primary care because they believe hospital care is more affordable and convenient, and of better quality than care provided by primary care physicians, according to the results of a new study from researchers at the Perelman School of Medicine at the University of Pennsylvania.
Patients with epilepsy who had amnestic mild cognitive impairment (aMCI) or Alzheimer disease (AD) presented earlier with cognitive decline than patients who did not have epilepsy, according to a report published by JAMA Neurology, a JAMA Network publication.
AD increases a patient's risk of risk of seizures, and patients with AD and seizure disorders have greater cognitive impairment, more rapid progression of symptoms and more severe neuronal loss at autopsy than those without seizures, according to the study background.