Culture

WASHINGTON, DC —The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 ("Parity Act") increased access to mental health and substance use services in hospitals, yet consumers continued to pay more out-of-pocket for substance use admissions than for other types of hospital admissions, finds a new Health Care Cost Institute (HCCI) report.

The largest randomised study of the vitamin niacin in patients with occlusive arterial disease (narrowing of the arteries) has shown a significant increase in adverse side-effects when it is combined with statin treatment.

Results from the HPS2-THRIVE study (Heart Protection Study 2 – Treatment of HDL to Reduce the Incidence of Vascular Events), including the reasons patients stopped the study treatment, are published online today (Wednesday) in the European Heart Journal [1].

As such, the researchers say "it should not be used as a tool to achieve improvements in generic health related quality of life or psychological outcomes."

Telehealth uses technology to help people with health problems live more independently at home. For example, blood pressure or blood glucose levels can be measured at home and electronically transmitted to a health professional, reducing the need for hospital visits.

Depression is a major cause of disability worldwide and effective management of this is a key challenge for health care systems. Evidence suggests 'low-intensity' interventions provide significant clinical benefit. Initial severity of depression is one of the key variables determining who gets 'low' or 'high' intensity treatment, but this is largely based on epidemiological studies and clinical experience rather than high quality evidence.

Among patients with heart failure with preserved ejection fraction, long-term treatment with the medication spironolactone improved left ventricular diastolic function but did not affect maximal exercise capacity, patient symptoms, or quality of life, according to a study appearing in the February 27 issue of JAMA.

Police, firefighters and other protective services workers who are repeatedly exposed to traumatic events and are new to their profession are at greater risk of developing a psychiatric disorder, according to a new study led by researchers at the Johns Hopkins Bloomberg School of Public Health. The researchers also found that protective services workers do not appear to have a higher prevalence of mental health problems than workers in other occupations. The study results are featured in the February 2013 issue of Disaster Medicine and Public Health Preparedness.

Alexandria, Va.—February 26, 2013— More than two-thirds (67%) of small business leaders say basic research funded by the federal government is important to private sector innovation, according to a new nationwide survey of small business owners/operators commissioned by Research!America. In addition, nearly half (45%) say medical research funding to universities and other non-governmental research institutions should not be cut as part of sequestration, and a plurality (40%) say that such across-the-board cuts are not a smart strategy for reducing the deficit.

The latest episode in the Global Challenges/Chemistry Solutions podcast series reports a new process for blowing up grains of rice to produce a super-nutritious form of puffed rice, with three times more protein and a rich endowment of other nutrients. That makes it ideal for breakfast cereals, snack foods and nutrient bars for school lunch programs.

Lower-income patients want to communicate electronically with their doctors, but the revolution in health care technology often is not accessible to them, due to inadequate health information services within the health care clinics they frequent, according to a survey by UC San Francisco researchers.

Increasing numbers of health care systems are offering online services to patients in order to manage care outside of office visits, and this often includes the ability for patients to communicate electronically with health care providers.

One in three people who survived stays in an intensive care unit (ICU) and required use of a mechanical ventilator showed substantial post-traumatic stress disorder (PTSD) symptoms that lasted for up to two years, according to a new Johns Hopkins study of patients with acute lung injury.

Because acute lung injury (ALI) — a syndrome marked by excessive fluid in the lungs and frequent multi-organ failure — is considered an archetype for critical illness, the researchers suspect PTSD is common among other ICU survivors as well.

A new study from Karolinska Institutet in Sweden shows that cortisone – a hormone used in certain medicines – increases the risk of acute pancreatitis. The results are published in the scientific journal JAMA Internal Medicine. According to the researchers, they suggest that patients treated with cortisone in some forms should be informed of the risks and advised to refrain from alcohol and smoking.

TORONTO, Feb. 25, 2013—Some family physicians' offices discriminate against people of low socio-economic status, even when there is no economic incentive to do so under Canada's system of publicly funded universal health insurance, new research has shown.

At the same time, offices appear to give preference to people with chronic health conditions, according to the research led by Dr. Stephen Hwang of St. Michael's Hospital.

Massachusetts General Hospital (MGH) researchers have identified what may be a major factor behind the increased risk of two adverse outcomes in pregnancies conceived through in vitro fertilization (IVF). Two papers published in the journal Fertility and Sterility support the hypothesis that extremely high estrogen levels at the time of embryo transfer increase the risk that infants will be born small for their gestational age and the risk of preeclampsia, a dangerous condition that can threaten the lives of both mother and child.

People of high socioeconomic status are more likely to be able to access primary care than those of low socioeconomic status, even within a universal health care system in which physicians are reimbursed equally for each patient, found an article published in CMAJ (Canadian Medical Association Journal).

Patients with Bell palsy who received acupuncture that achieves de qi, a type of intense stimulation, had improved facial muscle recovery, reduced disability and better quality of life, according to a randomized controlled trial published in CMAJ (Canadian Medical Association Journal).

Bell palsy is sudden onset of facial paralysis that is usually temporary, resolving within weeks or months, although it can sometimes be permanent.