Culture

High health care costs? The cultural guns turn on commercial screening groups

Appropriate use of screening tests can improve the health of the population and reduce health care costs through the avoidance of expensive care for advanced disease. Recent publications have emphasized the importance of shared decision-making between physicians and patients who are fully informed about the benefits and harms of screening for common and chronic conditions.

Is long-term weight loss possible after menopause?

Philadelphia, PA, August 28, 2012 – Many people can drop pounds quickly in the early phases of a diet, but studies have found that it is difficult to keep the weight off in the long term. For post-menopausal women, natural declines in energy expenditure could make long-term weight loss even more challenging. A new study finds that in post-menopausal women, some behaviors that are related to weight loss in the short term are not effective or sustainable for the long term. Interventions targeting these behaviors could improve long-term obesity treatment outcomes.

Pharmacists provide additional line of defense for detecting knee osteoarthritis

Canadian researchers have determined that community-based pharmacists could provide an added resource in identifying knee osteoarthritis (OA). The study, published in Arthritis Care & Research, a journal of the American College of Rheumatology (ACR), represents the first evidence supporting a collaborative approach to managing knee OA. Findings suggest that involving pharmacists, physiotherapists, and primary care physicians in caring for OA patients improves the quality of care, along with patient function, pain, and quality of life.

Study questions validity of quality measure for stroke care

One of the key indicators of the quality of care provided by hospitals to acute stroke victims is the percentage of patients who die within a 30-day period. A new study shows that the decisions made by patients and their families to stop care may account for as many as 40 percent of these stroke-related deaths, calling into question whether it is a valid measure of a hospital's skill in providing stroke care.

ASGE initiative examines real-time imaging of Barrett's esophagus

Working moms spend less time daily on kids' diet, exercise, study finds

When it comes to cooking, grocery shopping and playing with children, American moms with full-time jobs spend roughly three-and-half fewer hours per day on these and other chores related to their children's diet and exercise compared to stay-at-home and unemployed mothers, reports a new paper by a Cornell University health economist.

Study explores injury risk in military Humvee crashes

A new report by researchers from the Johns Hopkins Center for Injury Research and Policy examines the risk factors for injuries to U.S. military personnel from crashes involving highly mobile multipurpose wheeled vehicles (HMMWVs), more commonly known as Humvees. According to the study, involvement in combat and serving as the vehicle's operator or gunner posed the greatest risk for injury. It is the first published analysis of factors associated with Humvee injury risk in a deployed setting, and is in the August issue of the journal Military Medicine.

Johns Hopkins team finds ICU misdiagnoses may account for as many annual deaths as breast cancer

Each year as many as 40,500 critically ill U.S. hospital patients die with an unknown medical condition that may have caused or contributed to their death, Johns Hopkins patient safety experts report in a recent study.

In a discussion of their findings, described online in BMJ Quality & Safety, researchers say that although diagnostic errors in the intensive care unit (ICU) may claim as many lives each year as breast cancer, they remain an underappreciated cause of preventable patient harm.

People of normal weight with belly fat at highest death risk, Mayo Clinic study

ROCHESTER, Minn. -- People who are of normal weight but have fat concentrated in their bellies have a higher death risk than those who are obese, according to Mayo Clinic research presented today at the European Society of Cardiology Congress in Munich. Those studied who had a normal body mass index but central obesity -- a high waist-to-hip ratio -- had the highest cardiovascular death risk and the highest death risk from all causes, the analysis found.

Healthy lifestyle reduces the risk of hypertension by two thirds

Munich, Germany – Healthy behaviours regarding alcohol, physical activity, vegetable intake and body weight reduce the risk of hypertension by two thirds, according to research presented at the ESC Congress today. The findings were presented by Professor Pekka Jousilahti from National Institute for Health and Welfare.

Psoriasis patients at high risk of diabetes

Munich, Germany – Patients with psoriasis are at high risk of new-onset diabetes mellitus, according to research presented at ESC Congress 2012. The findings were presented at the press conference by Dr Ole Ahlehoff from Copenhagen University Hospital, Gentofte, Denmark and at the scientific session by Usman KHALID.

Normal weight individuals with belly fat at highest CVD risk

Munich, Germany – Normal weight individuals who carry weight concentrated in their belly have a higher death risk than obese individuals, according to research presented at ESC Congress 2012. The results were presented by Dr Karine Sahakyan from the Mayo Clinic.

Limiting TV time -- Effective strategy for preventing weight gain in children

Philadelphia, PA, August 27, 2012 – Reducing television viewing may be an effective strategy to prevent excess weight gain among adolescents, according to a new study released in the September/October 2012 issue of the Journal of Nutrition Education and Behavior.

The PROTECT study

Munich, Germany – Rates of stent thrombosis at three years were low and comparable between zotarolimus-eluting and sirolimus-eluting stents, according to findings from the PROTECT study described here today at ESC Congress 2012.

The FAST-MI program study

Munich, Germany – Data from four French nationwide registries of STEMI (ST-elevation myocardial infarction) patients initiated five years apart and covering more than 15 years show that mortality rate decreased by 68% over this period, from 13.7% to 4.4%. Around one quarter of this mortality reduction could be attributed to a change in patient characteristics.