Body

This week in BMJ Case Reports: Rugby injuries, dental infection, harms of poppers

Unusual sporting injuries in young rugby players

Acetabular fractures affect the socket of the hip bone, and are generally sustained after violent trauma, such as road traffic accidents.

But a group of doctors in Ireland, writing in the journal BMJ Case Reports, describe these injuries in three young rugby players and say "we have not previously encountered these injuries in a juvenile sporting population"

Hospitals participating in accountable care organizations tend to be large and urban

 A new study led by researchers from the The Dartmouth Institute for Health Policy and Clinical Practice examines the extent and ways in which accountable care organizations (ACOs) involve hospitals in their operations.

Retail clinics may increase health spending, study finds

Retail clinics, seen as a convenient and cost-saving alternative to physician offices and hospital emergency departments, may actually drive up medical spending by creating demand for new medical services, according to a new study.

Where prostate cancer spreads in the body affects survival time

DURHAM, N.C. -- In the largest analysis of its kind, researchers at the Duke Cancer Institute and other top cancer centers have found that the organ site where prostate cancer spreads has a direct impact on survival.

Patients with lymph-only metastasis have the longest overall survival, while those with liver involvement fare worst. Lung and bone metastasis fall in the middle.

Holding mirror to docs who overprescribe addictive drugs doesn't stem prescriptions

Researchers at Columbia University's Mailman School of Public Health, with colleagues at the White House Social and Behavioral Sciences Team, the Massachusetts Institute of Technology, and the Centers for Medicare and Medicaid Services (CMS), conducted a randomized trial of informative letters aimed at suspected inappropriate prescribers of addictive substances like opioids and amphetamines. Top prescribers of these substances were identified and sent a letter informing them of their high prescribing rate.

Quality of life not notably better for women choosing double mastectomy

DURHAM, N.C. - Although having a double mastectomy has shown little impact on reducing deaths among women with cancer in only one breast, increasing numbers of women are electing to undergo the procedure.

Given that trend, researchers at the Duke Cancer Institute asked whether the decision to remove both breasts might result in a positive impact on women's quality of life if not their length of life.

Their study, reported online March 7 in the Journal of Clinical Oncology, found little evidence to support improved quality of life.

Molecular-level relationships key to deciphering ocean carbon

From beach shallows to the ocean depths, vast numbers of chemical compounds work together to reduce and store atmospheric carbon in the world's oceans.

In the past, studying the connections between ocean-borne compounds and microbes has been impractical because of the sheer complexity of each. Three University of Georgia faculty members--along with an international team of scientists--bring to the forefront technological developments that are providing scientists with the analytical tools needed to understand these molecular-level relationships.

Penn team reverses signs of naturally occurring chronic periodontitis

Periodontitis, a gum disease present in nearly half of all adults in the United States, involves inflammation, bleeding and bone loss. In its severe form, it is associated with systemic inflammatory conditions such as atherosclerosis and rheumatoid arthritis. Few treatment options exist beyond dental scaling and root planing, done in an attempt to reduce plaque and inflammation.

Now, with findings from a study led by University of Pennsylvania researchers, there is new hope that the disease can be effectively reversed.

New drug class offers potential new treatment for lethal bacteria

A new class of drugs has shown promise for treating the bacteria that cause legionnaires' disease, a potentially fatal lung infection.

The discovery that 'BH3-mimetic' drugs obliterate cells infected with Legionella bacteria could lead to new treatments for a variety of bacterial infections, even those that are resistant to antibiotics.

Treeing it up: Research team documents design of wood-based polymers

Richard Wool was a pioneer in green engineering and author of the first book to systematically describe the chemistry and manufacture of bio-based polymers and composites derived from plants.

Although the University of Delaware chemical engineering professor died in 2015, his legacy lives on, not only in the book but also in the inspiration he provided to others.

Potential Western Atlantic spawning area found for Atlantic bluefin tuna

Scientists from NOAA's National Marine Fisheries Service (NOAA Fisheries) and the University of Massachusetts Boston have found evidence of Atlantic bluefin tuna spawning activity off the northeastern United States in an area of open ocean south of New England and east of the Mid-Atlantic states called the Slope Sea.

Drug-loaded nanocarriers in tumor targeted drug delivery

Cancer is a group of diseases characterized by the uncontrolled growth and spread of abnormal cells. It is a leading cause of death and the burden is expected to grow worldwide due to the growth and aging of the population, mainly in less developed countries, in which about 82% of the world's population resides. By 2030, the global burden is expected to grow to 21.7 million new cancer cases and 13 million cancer deaths simply due to the growth and aging of the population.

New therapeutic target in myeloma discovered

Despite new therapies, Multiple Myeloma (MM) remains incurable causing most patients to ultimately develop drug resistance and succumb to the disease. The pursuit of drugs that inhibit cell cycle regulators especially cyclin-dependent kinases (CDKs), has been an intense focus of research in cancer. A new study by researchers at The Tisch Cancer Institute at the Icahn School of Medicine at Mount Sinai has shown that targeting both CDK4 and ARK5, proteins responsible for maintaining energy balance within the cell, was extremely effective in causing cell death in myeloma.

Children know best whether an allergy spray works for them

A recent 14-day study that compared the efficacy of an allergy spray in 304 children aged 6-11 years with seasonal allergic rhinitis showed that the result depended on who assessed symptoms: children themselves or their caregiver.

Children reported significant improvement in their symptoms when they received MP-AzeFlu (Dymista®) compared with placebo. Caregivers, on the other hand, where unable to accurately gauge the severity of symptoms on their children's behalf.

Blood clots pose major risks for patients undergoing bladder cancer surgery

In a study of 3879 patients who underwent radical cystectomy to treat bladder cancer, 3.6% were diagnosed with a venous thromboembolism (VTE)--which occurs when a blood clot forms in a vein, potentially breaking loose and traveling to the lung--within 1 month of their surgical admission date. This increased to 4.7% at 2 months and 5.4% at 3 months. Fifty-five percent of VTE events occurred after hospital discharge, generally when patients are not treated prophylactically with drugs to decrease this risk.