The Cochrane Library newsletter, 2005, issue 3
... were overweight, had type 2 diabetics and were on intensive metformin were also less likely to be affected by stroke, heart attacks, and are less likely to die. The authors could not compare metformin with newer drugs, because trials of more recently available drugs such as new sulphonylureas, thiazolidinedio...Study reveals potential for new treatment of paralysis and brain disease
...ble to isolate KDI from the larger molecule. After intensive study of its effects in the central nervous system, she began to recognise KDI's enormous therapeutic potential. "One of the wonderful things about this is that Dr. Liesi's discoveries are ready now for prime-time testing in patients. We do not have ...Combination scanner may increase accuracy in detecting spread, recurrence of head, neck cancer
...ombined chemotherapy and radiation treatment. Such intensive treatments may cause difficulties swallowing and speaking, severe pain and other problems. In addition to detecting distant metastasis, the study found the PET/CT more than 70 percent accurate in evaluating cancer recurrence. Future PET/CT studies a...Hey doc, do I still need this catheter?
...ers are now a routine part of patient care in UMHS intensive care units. "Through our involvement with the Keystone statewide initiative to improve patient safety within ICUs, we have made the daily consideration of invasive line discontinuation a key element of our daily patient safety review," she says. Sain...Largest study of unrelated bone marrow transplantation for leukemia serves as benchmark
...entation, number of admissions to the hospital and intensive care unit, hospital costs, and health quality of life. "While the T-cell depletion approach was very effective in reducing the risk of GVHD, a higher risk of viral infection in general and higher risk of disease recurrence specifically in patients...Wake up, doc: Lack of sleep affects young doctors just like alcohol does
...our weeks of day shifts in the hospital's wards or intensive care units, and also had to be in the hospital and awake overnight once every four or five nights to care for patients. (In hospital jargon, a resident who has just completed a period of such intense duty is said to be "post-call.") Depending on the...Researchers recommend multidisciplinary approach of low back pain
...e costs for low back pain are higher due to a more intensive use of surgery and consequently, the long-term management of failed back surgery syndrome. Data show that when the available treatment possibilities are used in a multidisciplinary and step-wise approach, more invasive surgical treatment options may ...National critical care program benefits families, patients, and hospitals
...ped to support families visiting loved ones in the intensive care unit (ICU) has significant benefits for families, patients, and team members in the ICU, shows a new study. As reported in a supplement to the September issue of CHEST, the peer-reviewed journal of the American College of Chest Physicians (ACCP)...Treating individuals with substance-abuse disorders who have attempted suicide
...s. Additionally, these findings suggest that more intensive treatments may be particularly helpful for suicida...serve as a reminder that there is a place for more intensive treatment," said Ilgen, "that outpatient treatment is a positive thing, but we shouldn't overact and...At Johns Hopkins: Emphasis on improved care and faster access to services shortens hospital stays
...ith a shorter length of stay, Hopkins began a more intensive look at its practices after a nearby community hospital closed in 2000. Hopkins physicians feared a spillover effect and influx of new patients that would strain its capacity. Any significant increases in demand for beds, they decided, could not be...Groundbreaking consensus: pediatric cardiology training recommendations
... cardiac catheterization and intervention; cardiac intensive care; adult congenital heart disease; and research participation. "The field has evolved in the past few years to include many new therapies," said Dr. Graham. "There has been a huge increase in the number of pediatric patients who have interventiona...Heavy smokers who cut their smoking in half may reduce their risk of lung cancer
...n combine pharmacological therapy and referral for intensive behavioral support from a trained counselor. Those patients who cannot quit smoking despite all efforts should be strongly encouraged to cut down on their cigarette consumption as much as possible, since doing so will significantly decrease their ris...Adult stem cells aid recovery in animal model of cerebral palsy
...ally be something that can be used in the neonatal intensive care unit in babies with severe asphyxial brain injuries," Dr. Carroll says of cerebral palsy patients. He and other pediatric neurologists and neonatologists already have begun to discuss such possibilities. "These results suggest another promising ...Pulmonary artery catheter use neutral for patient outcomes
...t PACs should not be used routinely in patients in intensive care units (ICU), patients with severe heart failure or patients undergoing surgery, until further studies can uncover any correlations between outcomes from the use of the device with specific treatments. In using the device, physicians insert a cat...Study identifies risk factors for multiple melanoma skin cancer
...k of developing MPM and should be enrolled in more intensive dermatologic surveillance programs. This high-risk subset of patients should also be further characterized genetically to further elucidate the biology and etiology of melanoma," the authors conclude. (JAMA.2005; 294:1647-1654. Available pre-embarg...Use of pulmonary artery catheterization does not show benefit for severe heart failure patients
...cornerstone of critical care and a hallmark of the intensive care unit (ICU). Approximately 1 million PACs are used annually in the United States. However, despite widespread use of these devices, there is conflicting data about their effectiveness, and whether they increase risk of illness and death. Since th...Study finds patients with melanoma are at increased risk for new tumors
...rimary melanomas (MPM). Researchers recommend more intensive follow up for these high-risk patients. The result...al Association (JAMA), emphasize the importance of intensive dermatologic screenings for this population to identify melanoma at its earliest stage. "Since mela...Trauma victims' survival may depend on which trauma center treats them
... operating room, surgical personnel and a surgical intensive care unit (ICU) physician. The designation also requires a surgically directed and staffed ICU service, in-house computed tomography scan technician, magnetic resonance imaging, acute hemodialysis, a minimum annual volume of patients and extramural t...March of Dimes receives federal grant to help meet needs of pregnant women and infants in Louisiana
...002. Baton Rouge area hospitals and their neonatal intensive care units (NICUs) are expected to handle 6,000 additional births in the next six months.......safety concern for patients whose resultant LDL on intensive therapy was lower than current guidelines. There w...le the main results of the trial demonstrated that intensive statin therapy is superior to moderate statin therapy in patients following acute coronary syndromes...