Culture

Imagine the following scenarios: a co-worker is spoken to condescendingly, excluded from a meeting, or ignored by a supervisor. How does it make you feel? Do you feel differently depending on whether your co-worker is a man or a woman? According to a new study, workers who witness incivility towards colleagues feel negative emotions – especially when the incivility is aimed at workers of the same sex.

All patients with hip fractures should be fast-tracked through hospital emergency departments and operated on within 48 hours of admission, according to new consensus guidelines developed by UK experts in anaesthesia, orthopaedics, geriatrics and emergency medicine and published in the January issue of Anaesthesia.

Visual rehabilitation will continue to increase in importance in the near future, particularly because the number of older patients is rising. Susanne Trauzettel-Klosinski summarizes the present state of knowledge in the current issue of the Deutsches Ärzteblatt International (Dtsch Arztebl Int 2011; 108[51/52]: 871-8).

A worldwide study has shown that physical activity during work and leisure time significantly lowers the risk of heart attacks in both developed and developing countries. Ownership of a car and a television was linked to an increased risk of heart attacks, particularly in low- and middle-income countries.

Giving overweight or obese patients a gut hormone that suppresses appetite leads to clinically beneficial weight loss as well as reduced blood pressure and cholesterol levels, finds a study published on bmj.com today.

Glucagon-like peptide-1 (GLP-1) is a hormone that is secreted from the intestine when we eat. GLP-1 based therapy was recently introduced as a new treatment for patients with type 2 diabetes because of its ability to regulate blood sugar levels.

Jason Nickerson and Amir Attaran of the University of Ottawa, Canada examine in this week's PLoS Medicine the vast inequities in medical pain relief around the world, arguing that the imbalance has arisen from restrictive drug laws designed to prevent access to illegal substances, and proposing that the global control of licit narcotics be shifted from the International Narcotic Control Board to WHO.

Despite popular belief about women's weight concerns and exaggerated statements that the media are making females self conscious, it turns out the opposite is true; young women commonly fail to even recognize, much less be concerned about, recent gain of as many as 11 pounds, putting them at risk for cardiovascular disease and other obesity-related conditions. Self-perception of weight gain also appears to be significantly influenced by race, ethnicity and contraceptive methods, according to a study in Journal of Women's Health.

Care for Asian-American heart attack patients improved between 2003 and 2008, according to a study published today in Circulation: Cardiovascular Quality and Outcomes, an American Heart Association journal. The study found Asian-Americans and whites received about the same level of care, and that differences in care between the two groups decreased over time. The study is significant because little is known about the treatment and outcomes of Asian-Americans who've suffered a heart attack.

CHICAGO – A review of 16 prognostic indices used to predict risk of death in older adults in a variety of clinical settings, such as in nursing homes and hospitals, found that there is insufficient evidence to recommend the widespread use of these indices in clinical practice, according to a study in the January 11 issue of JAMA.

CHICAGO – Compared to individuals without dementia, persons who developed dementia subsequently had a significantly higher rate of hospital admissions for all causes and admissions for ambulatory care-sensitive conditions for which proactive care may have prevented hospitalizations, according to a study in the January 11 issue of JAMA.

CHICAGO – Patients hospitalized after a heart attack who had blood potassium levels of between 3.5 and less than 4.5 mEq/L (milliEquivalents per liter) had a lower risk of death than patients with potassium levels that were higher or lower than this range, according to a study in the January 11 issue of JAMA. Clinical practice guidelines recommend maintaining serum potassium levels between 4.0 and 5.0 mEq/L in patients after a heart attack.

SEATTLE–Compared to individuals without dementia, people who subsequently developed dementia had a significantly higher rate of hospital admissions for all causes. They also had more admissions for "ambulatory care-sensitive" conditions, for which proactive care may have prevented hospitalizations. This suggests opportunities for improving outpatient care of seniors with dementia, according to research in the January 11 Journal of the American Medical Association.

Older patients with cirrhosis have significant functional disability, require twice the amount of informal caregiving, and contribute added strain on the health care system, according to U-M research published in Hepatology.

Given the increase in obesity and aging of those with hepatitis C (HCV), researchers expect the prevalence of cirrhosis to climb among older Americans..

(SACRAMENTO, Calif.) —Greater access to features of high-quality primary care -- comprehensiveness, patient-centeredness and extended office hours -- is associated with lower mortality, according to a new national UC Davis study. Published in the January-February issue of the Annals of Family Medicine, the research is the first to link the availability of three specific attributes of primary care with reduced risk of death.

New research shows that older Americans with cirrhosis have significantly worse health status and greater functional disability compared to those without this potentially deadly disease. In fact, findings now published in Hepatology, a peer-reviewed journal of the American Association for the Study of Liver Diseases, show that elderly patients with cirrhosis require twice the amount of informal caregiving and contribute added strain on the health care system.