MedWorm: Hospital Management

Study: Rapid bone loss as possible side effect of anti-obesity drug now in clinical trials

UT Southwestern Medical Center News — Tue, 07 Feb 2012 07:29:12 +0100

An endocrine hormone used in clinical trials as an anti-obesity and anti-diabetes drug causes significant and rapid bone loss in mice, raising concerns about its safe use, have shown. (Source: UT Southwestern Medical Center News)

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Capitol Business: GOP serious about blocking regulations (even one of their own)

bizjournals.com Health Care:Hospitals headlines — Tue, 07 Feb 2012 07:13:04 +0100

Colorado House Republicans vowed to help businesses create jobs by cutting regulation this legislative session. And on Monday, they proved their commitment to that tenet by killing a professional licensing bill that was brought by one of the members of their own caucus. The House Agriculture, Livestock and Natural Resources Committee voted 7-5 against House Bill 1060, which would have created a voluntary licensing program for dietitians. The vote, which was largely along party lines, came as proponents and opponents gave differing views on what the measure would mean for jobs... (Source: bizjournals.com Health Care:Hospitals headlines)

Management and outcome of severely elevated blood pressure in primary care: A prospective observational study.

Swiss Medical Weekly — Tue, 07 Feb 2012 05:36:02 +0100

CONCLUSION: The majority of 164 patients who presented with acutely and severely elevated blood pressure (BP >180 +/or >110 mm Hg) to their GPs was asymptomatic, had pre-existing hypertension and was managed in GP's office unless a hypertensive emergency was present. At three month follow-up mean systolic BP was still above target values. PMID: 22287296 [PubMed - in process] (Source: Swiss Medical Weekly)

House and Senate at Impasse on Medicare

NYT Health — Tue, 07 Feb 2012 02:43:09 +0100

Lawmakers in both parties say they want to give doctors a small increase in Medicare payments, but they cannot agree on how to pay for it. (Source: NYT Health)

Microsoft co-founder Paul Allen: most generous living donor

bizjournals.com Health Care:Hospitals headlines — Tue, 07 Feb 2012 02:09:52 +0100

The Chronicle of Philanthropy reported Monday that Microsoft co-founder Paul Allen was the third most generous donor in America last year, and the most generous one still alive. This is Allen’s 10th year on the list. Only two donors have made the list more times: software billionaire Larry Ellison, and Eli and Edythe L. Broad, whose background is in finance and real estate. Last year, Allen committed $372.6 million to a variety of foundations, including $295 million to his own Paul G. Allen Family Foundation, which supports the arts, culture, education and social service programs... (Source: bizjournals.com Health Care:Hospitals headlines)

House and Senate at Impasse on Medicare Payments to Doctors

NYT Health — Tue, 07 Feb 2012 01:37:18 +0100

Lawmakers in both parties say they want to give doctors a small increase in Medicare payments, but they cannot agree on how to pay for it. (Source: NYT Health)

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Top Congressional stock picks: Microsoft beats Apple

bizjournals.com Health Care:Hospitals headlines — Tue, 07 Feb 2012 01:14:20 +0100

Microsoft ranks No. 4 on a list of the top stocks owned by members of Congress, according to a report by The Center for Responsive Politics. Stock ownership by members of Congress has been an issue recently after several media reports that were critical of what some viewed as politicians capitalizing on inside information about the financial crisis, including a featured report on CBS news program "60 Minutes." On Thursday the U.S. Senate approved a bill that prohibits legislators and their family members, as well as staffers, from trading stocks if they have non-public information... (Source: bizjournals.com Health Care:Hospitals headlines)

Genomic Health's Randy Scott to lead new genetics subsidiary

bizjournals.com Health Care:Hospitals headlines — Mon, 06 Feb 2012 22:57:34 +0100

Longtime Genomic Health Inc. executive Randy Scott is leaving the company — sort of. Scott, most recently executive chairman of Genomic Health (NASDAQ: GHDX), will become CEO of a wholly-owned Genomic Health subsidiary that will focus on medical applications of the human genome. He will continue to serve on the board of the Redwood City-based cancer diagnostic test developer. Genomic Health initially will fund the company with $20 million over two years. The company will be established March 1 and provide its first commercial service in 2013, according to a Genomic Health press release... (Source: bizjournals.com Health Care:Hospitals headlines)

UCSF study: Boosting cigarette tax could bolster California economy by $2 billion

bizjournals.com Health Care:Hospitals headlines — Mon, 06 Feb 2012 22:51:45 +0100

A June 5 ballot initiative designed to boost the tax on cigarettes by $1 a pack could create 12,000 new permanent jobs right away and add nearly $2 billion in economic activity in the Golden State annually, according to a new study by UC San Francisco. The positive impacts would come, UCSF says, because “Californians would smoke less and spend their money in other ways.” Roughly 4 dollars in every 5 spent on cigarettes goes to out-of-state manufacturers and farmers, since no tobacco is grown here and no cigarettes are made here... (Source: bizjournals.com Health Care:Hospitals headlines)

Coventry renews contract with CEO Allen Wise

bizjournals.com Health Care:Hospitals headlines — Mon, 06 Feb 2012 22:22:39 +0100

Coventry Health Care Inc. has extended CEO Allen Wise's contract for two years, securing his services through Dec. 31, 2013, and boosting his compensation to new heights. Effective Jan. 1, Wise earns $900,000 in base salary annually and will be eligible for up to $1.8 million in bonuses each year, according to a Securities and Exchange Commission filing made public Monday. Furthermore, Wise will receive $7.6 million worth of stock awards in both 2012 and 2013 that would become payable upon the the health insurer's reaching earnings-per-share and revenue targets... (Source: bizjournals.com Health Care:Hospitals headlines)

Five Prime Therapeutics Inc. makes interim CEO official

bizjournals.com Health Care:Hospitals headlines — Mon, 06 Feb 2012 22:21:06 +0100

Five Prime Therapeutics Inc. made Lewis Williams, M.D., president and CEO, thus confirming him in a job he’s held temporarily since August. Williams, who started Five Prime, worked in the past at Chiron Corp. and at the University of California, San Francisco. He was also on the faculty at Harvard Medical School and was a staff cardiologist at Massachusetts General Hospital. He’s been temporary CEO of Five Prime since Julia Gregory quit as CEO last summer. Gregory herself had replaced CEO Gail Maderis in 2009... (Source: bizjournals.com Health Care:Hospitals headlines)

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Lincare income drops despite revenue gain

bizjournals.com Health Care:Hospitals headlines — Mon, 06 Feb 2012 21:58:50 +0100

Lincare Holdings Inc. reported net income for 2011 of $177.3 million, or $1.93 a share, compared to net income of $181.6 million, or $1.87 a share, in 2010. Although profit dropped, earnings per share increased in 2011 because Lincare had about 10.2 million fewer shares outstanding as of Dec. 31. Revenue for 2011 was $1.85 billion, a 10.7 percent increase over revenue of $1.7 billion in 2010, a statement from the company said. For the fourth quarter of 2011, Lincare reported net income of $44... (Source: bizjournals.com Health Care:Hospitals headlines)

Cardica loses $3.2 million in Q2, borrows $2 million

bizjournals.com Health Care:Hospitals headlines — Mon, 06 Feb 2012 21:52:48 +0100

Cardica Inc., which makes surgical devices, lost $3.2 million in the December quarter, its second, and borrowed $2 million from Century Medical Inc. on Dec. 27. Redwood City-based Cardica (NASDAQ: CRDC) had an earlier secured debt deal with Japan’s Century Medical, an arrangement with $2 million left on it. Cardica made a distribution deal with Century Medical in September, and had already borrowed $2 million on the $4 million total allowed in the debt agreement. In the second quarter, Cardica lost $3... (Source: bizjournals.com Health Care:Hospitals headlines)

Parkland: Monitor's report 'humbling'

bizjournals.com Health Care:Hospitals headlines — Mon, 06 Feb 2012 21:41:45 +0100

Parkland Memorial Hospital's board released a statement today calling the results of an outside safety monitor's report "humbling" but refused to release the findings. "While Parkland can be proud of our many accomplishments, the report makes it clear that we have not consistently delivered on our commitment to safety and accountability," said a statement read by Dr. Lauren McDonald, chairwoman of the Parkland Board of Managers. "We must change. We have begun, and we will continue." The statement said the board weighed the duty to be open with the public against the duty to protect the rights of patients and Parkland as an institution and decided not to release the report... (Source: bizjournals.com Health Care:Hospitals headlines)

Surgical Treatment of Persistent Fetal Vasculature and Visual Rehabilitation: One-Year Followup

Advances in Urology — Mon, 06 Feb 2012 12:46:42 +0100

We present the management and postoperative course of a persistent fetal vasculature (PFV) case. A four-year-old girl visited the Eye Department of Hippokration, General Hospital of Thessaloniki due to reduced visual acuity of her left eye. She was diagnosed with PFV and underwent surgery (lensectomy, capsulorhexis of the posterior capsule, insertion of an intraocular lens in the posterior chamber, and posterior vitrectomy) in order to dissect the PFV. Along with the postoperative medical care, she underwent intensive treatment for amblyopia. The postoperative course was uncomplicated, and the visual acuity of her left eye improved from hand movement to 20/25 with proper correction. Patients with unilateral PFV and gradually deteriorating visual acuity could be good candidates for a combin...

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Impact of atrial fibrillation and oral anticoagulation on hospital costs and length of stay.

American Journal of Health-System Pharmacy : AJHP — Mon, 06 Feb 2012 12:06:33 +0100

Conclusion Hospitalizations of patients with a secondary diagnosis of AF are significantly longer and more costly than those of patients without a secondary diagnosis of AF, especially when warfarin is used during the hospital stay. Among patients with a primary diagnosis of AF, warfarin therapy during hospitalization is associated with significant increases in mean LOS and hospital costs. PMID: 22302258 [PubMed - in process] (Source: American Journal of Health-System Pharmacy : AJHP)

Government bailout likely for seven trusts hit by PFI debt

OnMedica Latest News — Mon, 06 Feb 2012 05:00:00 +0100

Hospital trusts in line for £1.5 million cash boost in bid to keep goingRelated items from OnMedicaNHS faces 'most severe financial challenge' ever'Ditch' private management consultants from the NHSIndependent sector overpaid by £927 million NHS finances in dire straits warn health leadersCutting NHS IT could compromise safety (Source: OnMedica Latest News)

What Are the Major Diseases Involving Copper Metabolism?

PediatricEducation.org — Mon, 06 Feb 2012 00:08:49 +0100

Discussion Nutritional problems can occur in all parts of the world and in all socioeconomic strata. Caloric and/or protein inadequacy unfortunately plagues too many people because of inadequate supplies or availability. Supplemental food programs around the world attempt to provide appropriate nutrition, but can be stymied because of war, political instability, economic instability and many other social factors. The most common specific nutrient deficiencies are iron and Vitamin D deficiencies. Minerals important for essential nutrition include copper, iodine, selenium and zinc. A typical mixed diet usually provides enough minerals. In the United States, mineral deficiencies are usually uncommon unless there is an underlying disease process or abnormal food restrictions or diet. Vegan an...

Swedish Medical Center deploys new interactive patient care solution

Hospital Management — Mon, 06 Feb 2012 00:00:00 +0100

US-based Swedish Medical Center has deployed Aceso UpCare technology at its newly opened Issaquah campus. (Source: Hospital Management)

Sarasota Memorial Hospital deploys new PD diagnosis technology

Hospital Management — Mon, 06 Feb 2012 00:00:00 +0100

Sarasota Memorial Hospital in the US state of Florida has deployed what it claims to be the first and only FDA-approved test to diagnose Parkinson's disease (PD). (Source: Hospital Management)

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iPads and health care – health IT managers slow down physicians’ clinical adoption

ICMCC: The International Council on Medical and Care Compunetics — Sun, 05 Feb 2012 17:50:22 +0100

Source: Jane Sarasohn-Kahn, Health Populi Content: “Doctors are using iPads in huge numbers for personal life project management. 80% of doctors are excited about using them in clinical practice. But when it comes to clinical applications, don’t confuse physicians’ desire for mobility with their current use of iPads in everyday practice. What’s surprising is the “why” [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

2012 Annual Women's Health Symposium set for Feb. 7

UT Southwestern Medical Center News — Sat, 04 Feb 2012 07:48:47 +0100

The annual Carolyn P. Horchow Women's Health Symposium, scheduled for Feb. 7, is titled “It’s What’s Inside That Counts.” (Source: UT Southwestern Medical Center News)

Slide show: Top 10 regional conventions and trade shows in Seattle

bizjournals.com Health Care:Hospitals headlines — Sat, 04 Feb 2012 07:43:05 +0100

Conventions and trade shows impact the Puget Sound area economy to the tune of millions of dollars — and they attract millions of enthusiastic attendees from the region, nation and the world. Some of the more colorful events include the Northwest Flower & Garden Show and two conventions that welcome legions of costume-clad comics fans: Emerald City ComiCon and Sakura-Con. Other exhibitions cater to prospective college students, motorcycle lovers, and engaged couples planning weddings. The Puget Sound Business Journal has compiled a list of the top 24 regional conventions and trade shows staged at the Washington State Convention Center in 2011... (Source: bizjournals.com Health Care:Hospitals headlines)

Abercrombie to sign organ transplant funding bill into law

bizjournals.com Health Care:Hospitals headlines — Sat, 04 Feb 2012 00:50:56 +0100

Hawaii lawmakers on Friday passed legislation for about $1.8 million in emergency funds for kidney and liver transplants in the state. Gov. Neil Abercrombie plans to sign House Bill 608 into law on Saturday at The Queen's Medical Center. The law will appropriate emergency funds, subject to private matching funds, for the transplants, as well as to support a chronic kidney disease management program. Hawaii was left without an organ transplant center after the closure last month of Hawaii Medical Center East, which ran the state's only organ transplant program before it stopped taking patients in December... (Source: bizjournals.com Health Care:Hospitals headlines)

DIY science: should you try this at home?

Guardian Unlimited Science — Fri, 03 Feb 2012 22:59:00 +0100

When Richard Handl was arrested for attempting to split the atom on his stove, he joined a growing band of home experimenters cooking up all kinds of trouble behind the kitchen doorÄngelholm is a pretty southern Swedish town, famed for its clay cuckoo manufacturing, a clay cuckoo being a kind of ocarina, which is a kind of flute. The crime rate here is practically zero. Except one of its residents was last year arrested for trying to split the atom in his kitchen. His name is Richard Handl and he buzzes me into his first-floor flat.I wanted to meet Richard because I keep seeing reports of home science experimenters clashing with the authorities. There's been a spate of them this past year or two.I glance into Richard's kitchen and recognise his cooker from the news. It was horrendously, a...

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Response Genetics raises $7.8 million in stock sale

bizjournals.com Health Care:Hospitals headlines — Fri, 03 Feb 2012 21:52:34 +0100

Response Genetics Inc. said it has raised more than $7.8 million through the private placement of 5.3 million in newly issued stock. The Los Angeles-based company, which makes molecular diagnostic tests for cancer, said it sold the shares to undisclosed investors for $1.50 a share, a premium of 27 percent above its closing stock price of $1.18 a share on Wednesday. New investors accounted for the majority of the financing, while existing investors, as well as board members and senior management, made up the remainder, Response Genetics said... (Source: bizjournals.com Health Care:Hospitals headlines)

Cempra enjoys modest gain on trading

bizjournals.com Health Care:Hospitals headlines — Fri, 03 Feb 2012 21:28:05 +0100

Shares of Chapel Hill drug developer Cempra (Nasdaq: CEMP) opened at $6.20 on its first day of trading as a public company, up 3.3 percent from the IPO price of $6. A total of 8.4 million shares at a price well below the expected $11 to $13. For more, go here. Cempra is headed by CEO Prabha Fernandes. (Source: bizjournals.com Health Care:Hospitals headlines)

Alabama lawmakers file bills to legalize medical marijuana

bizjournals.com Health Care:Hospitals headlines — Fri, 03 Feb 2012 21:02:59 +0100

Two Alabama House members from opposing parties have filed similar bills seeking to legalize the medical use of marijuana. With the 2012 session to begin Tuesday, Rep. Patricia Todd, D-Birmingham, is again carrying a bill that would allow qualifying patients to possess up to 2.5 ounces of marijuana if prescribed by a physician. Meanwhile, Rep. K.L. Brown, R-Jacksonville, a funeral home owner who says his sister used marijuana to control pain before her death from breast cancer 25 years ago, has filed a similar bill... (Source: bizjournals.com Health Care:Hospitals headlines)

President, CFO leave HealthSpring following Cigna deal

bizjournals.com Health Care:Hospitals headlines — Fri, 03 Feb 2012 20:56:19 +0100

Two executives have left HealthSpring following the company's merger with Cigna, which closed earlier this week. Karey Witty, executive vice president and chief financial officer of HealthSpring, and Michael Mirt, president of the company, are no longer with the company, as of Jan. 31, the day Cigna’s $3.8 billion acquisition of Franklin-based HealthSpring was finalized. Mirt's duties will split between two HealthSpring executive vice presidents, Shawn Morris and Scott Huebner. Morris will be president of operations, and Huebner president of development and innovations... (Source: bizjournals.com Health Care:Hospitals headlines)

Stanley Black & Decker, Adventist cutting 242 jobs in Baltimore area

bizjournals.com Health Care:Hospitals headlines — Fri, 03 Feb 2012 20:52:21 +0100

Stanley Black & Decker is closing a West Baltimore facility and cutting 142 jobs, according to a notice with the state’s labor department. Meanwhile, Adventist Behavioral Health is closing a Crownsville facility and laying off 100 people, a separate filing with the state said. Stanley Black & Decker plans to close its Baltimore Protection Net Center on Sisson Street, the filing said. The layoffs will take place in waves, starting April 1-14, and ending with a Oct. 23-Nov. 6 wave. Adventist is closing a treatment facility and school in Crownsville on March 31... (Source: bizjournals.com Health Care:Hospitals headlines)

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Austin-based Hanger revamps its brand

bizjournals.com Health Care:Hospitals headlines — Fri, 03 Feb 2012 20:44:49 +0100

Hanger Orthopedic Group Inc., a manufacturer and provider of prosthetics, orthotics and related services, has unveiled a new name, logo and strategy. The Austin-based company plans to shorten its name to Hanger (NYSE: HGR), and change its clinic business, now called Hanger Prosthetics & Orthotics, to Hanger Clinic. The company’s shareholders are expected to approve the name changes at the annual shareholder meeting in May. The company has developed a new logo to compliment the name changes called Empower Mark, that “symbolizes a beacon of hope for Hanger’s clients,” company officials said... (Source: bizjournals.com Health Care:Hospitals headlines)

Talon leukemia drug gets date with FDA advisory panel

bizjournals.com Health Care:Hospitals headlines — Fri, 03 Feb 2012 20:10:41 +0100

Talon Therapeutics Inc. must hurdle a Food and Drug Administration advisory panel March 21 before its experimental leukemia drug can be approved. San Mateo-based Talon (OTCBB: TLON) said Friday that its drug Marqibo will be assessed by the FDA’s oncology drugs advisory committee for treating adult Philadelphia chromosome-negative acute lymphoblastic leukemia, a rare blood cancer. “We believe Marqibo has the potential to help a near end-stage leukemia population of patients without good treatment options,” Talon President and CEO Dr... (Source: bizjournals.com Health Care:Hospitals headlines)

Susan G. Komen reverses Planned Parenthood funding move

bizjournals.com Health Care:Hospitals headlines — Fri, 03 Feb 2012 20:04:26 +0100

The Susan G. Komen for the Cure Foundation on Friday said it has reversed its decision about funding grants for Planned Parenthood. The organization, which has Cincinnati affiliate, said earlier this week that it would not fund grant applications to groups under federal investigation, which includes Planned Parenthood. Culture Map reports that after the initial Komen announcement, Planned Parenthood received more than $400,000 in donations in 24 hours. A Friday statement from Nancy Brinker, the founder of the foundation, apologized for upsetting its supporters and partners with the funding removal, and said the foundation will “ensure that politics has no place in our grant process... (Source: bizjournals.com Health Care:Hospitals headlines)

Postoperative spondilodiscitis

International Orthopaedics — Fri, 03 Feb 2012 17:12:18 +0100

Conclusions Appropriate management requires aggressive medical treatment and, at times, surgical intervention. If recognised early and treated appropriately, a full recovery can often be expected. Therefore, clinicians should be aware of the clinical presentation of such infections to improve patient outcome. A review of the literature was done to advance our understanding of the diagnosis, treatment, prevention and outcome of these infections. Content Type Journal ArticleCategory Review ArticlePages 1-6DOI 10.1007/s00264-011-1442-0Authors Antoine Gerometta, Spine Services, Lenox Hill Hospital, 130 East, 77th street, 7th floor, New York, NY 10075, USAFabian Bittan, Spine Services, Lenox Hill Hospital, 130 East, 77th street, 7th floor, New York, NY 10075, USAJuan Ca...

Vaginal repair of supratrigonal vesicovaginal fistulae—a 10-year review

International Urogynecology Journal — Fri, 03 Feb 2012 17:11:02 +0100

Conclusions Majority of supratrigonal VVF can be approached vaginally with success rate comparable to abdominal approach. Content Type Journal ArticleCategory Original ArticlePages 1-4DOI 10.1007/s00192-012-1665-7Authors N. Rajamaheswari, Department of Urogynecology, Government Kasturba Gandhi Hospital & Institute of Social Obstetrics, Madras Medical College, Trilplicane, Chennai, 600005 IndiaArchana Bharti, Department of Urogynecology, Government Kasturba Gandhi Hospital & Institute of Social Obstetrics, Madras Medical College, Trilplicane, Chennai, 600005 IndiaK. Seethalakshmi, Department of Urogynecology, Government Kasturba Gandhi Hospital & Institute of Social Obstetrics, Madras Medical College, Trilplicane, Chennai, 600005 India Journal International Urogyn...

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Men with Strokes Call for Help Quicker Than Women, Mayo Clinic Study Says

Mayo Clinic Arizona News — Fri, 03 Feb 2012 16:45:46 +0100

A Mayo Clinic study, presented at the American Stroke Conference in New Orleans in early February, says that men experiencing a stroke call for emergency help quicker than women, especially if they are married. (Source: Mayo Clinic Arizona News)

Paying for quality: an analysis of the impact of the 2012/11 Commissioning for Quality and Innovation Scheme (CQUINs) in London

The Kings Fund - Health Management Specialist Collection — Fri, 03 Feb 2012 14:13:43 +0100

This report provides a detailed analysis of the impact of CQUINs in London, examining which issues were incentivised in 2010/11, how providers performed against their targets, as well the financial impact of this performance. It found that in 2010/11, London hospitals missed out on nearly £22 million of revenue as a result of failing to meet CQUIN goals – some 23% of the total available. Report MHP Health Mandate - news (Source: The Kings Fund - Health Management Specialist Collection)

New device removes stroke-causing blood clots better than standard treatment

UCLA Newsroom: Health Sciences — Fri, 03 Feb 2012 14:00:00 +0100

An experimental device for removing blood clots in stroke patients dramatically outperformed the standard mechanical treatment, according to research presented by UCLA Stroke Center director Dr. Jeffrey L. Saver at the American Stroke Association's 2012 international conference in New Orleans on Feb. 3. The SOLITAIRE Flow Restoration Device is among an entirely new generation of devices designed to remove blood clots from blocked brain arteries in patients experiencing stroke. It has a self-expanding, stent-like design and, once inserted into a clot using a thin catheter tube, it compresses and traps the clot. The clot is then removed by withdrawing the device, thus reopening the blocked blood vessel. In the first U.S. clinical trial of SOLITAIRE, the device opened blocked ve...

Corporate Whistle Blower Center Urges ER Physicians Or Hospital...

PRWeb: Medical Pharmaceuticals — Fri, 03 Feb 2012 06:24:02 +0100

The Corporate Whistle Blower Center is urging Emergency Room Physicians, nursing managers, or hospital accounting, or coding staff to turn in their hospital for Medicare, or Medicaid fraud, if the...(PRWeb February 01, 2012)Read the full story at http://www.prweb.com/releases/2012/2/prweb9156050.htm (Source: PRWeb: Medical Pharmaceuticals)

Radio Frequency Ablation vs. Bipolar Umbilical Cord Coagulation in the Management of Complex Monochorionic Pregnancies

Ultrasound in Obstetrics and Gynecology — Fri, 03 Feb 2012 05:00:00 +0100

CONCLUSION: Despite the smaller caliber of the instrument, RFA is not associated with a decrease in the overall complication rate for selective termination procedures. The technique used for selective termination should still be determined by technical considerations but patients should be informed of the survival associated with each technique. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd. (Source: Ultrasound in Obstetrics and Gynecology)

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A national survey of the use of physical restraint in long‐term care hospitals in Japan

Journal of Clinical Nursing — Fri, 03 Feb 2012 05:00:00 +0100

Conclusions. Physical restraint is still prevalent in Japanese long‐term care hospitals, and nurses need to develop effective intervention approach to redesigning practice related to physical restraints. Specialised intervention approach seems needed depending on the types of restraint.Relevance to clinical practice. Specific approach should be developed to minimise the physical restraint in long‐term care hospitals in Japan. (Source: Journal of Clinical Nursing)

Nurse preparedness for the non‐communicable disease escalation in Thailand: A cross‐sectional survey of nurses

Nursing and Health Sciences — Fri, 03 Feb 2012 05:00:00 +0100

AbstractChronic diseases are now the largest cause of mortality in Thailand, and form an increasingly large portion of the healthcare landscape. In the Thai health system, many patients with chronic conditions receive care and disease management services from nurses, yet specialized training in chronic diseases is not currently part of standard nursing degree programs. Given the evolving epidemiology of the Thailand population, we questioned whether practicing nurses remain confident in their knowledge and skills in chronic disease management. We conducted a cross‐sectional, self‐efficacy survey of nurses in eight randomly‐selected provinces in Thailand, receiving 468 responses. Nurse self‐efficacy was analyzed in prominent chronic disease types, including cancer, hypertension, dia...

Acute Genital Ulcers in Nonsexually Active Young Girls: Case Series, Review of the Literature, and Evaluation and Management Recommendations

Pediatric Dermatology — Fri, 03 Feb 2012 05:00:00 +0100

Abstract: Acute genital ulcers rarely occur in nonsexually active young girls. When present, they can cause significant physical and emotional distress for the patient and her parents, and prompt an evaluation for sexual abuse and sexually transmitted diseases. With this review, we aim to further characterize acute genital ulcers in nonsexually active young girls by reviewing the medical records of patients with this disorder and to offer an approach to the diagnosis, evaluation, and treatment of acute genital ulcers based on our understanding and knowledge of this condition. We retrospectively review our understanding and knowledge of acute genital ulcers in nonsexually active girls at a pediatric hospital. A review of the recent literature on acute genital ulcers and a multidisciplina...

Anger management interventions for adults with learning disabilities living in the community: a review of recent (2000–2010) evidence

British Journal of Learning Disabilities — Fri, 03 Feb 2012 05:00:00 +0100

This study looks at research on helping adults with learning disabilities to manage their anger.• More research needs to be carried out to find better ways of helping adults with learning disabilities to manage their anger.SummaryEstimates suggest that around a quarter of adults with learning disabilities living in the community have difficulties controlling their anger. Angry or aggressive behaviour can have serious repercussions, including loss of residential or day placements, admission to hospital and reduced quality of life. In addition, the psychological well being of both paid and family carers can be adversely affected. A previous review of this area (Whitaker 2001) suggested equivocal results for cognitive‐behavioural (CBT) approaches. The current study provides an update to...

Deaths higher in patients admitted at weekends

OnMedica Latest News — Fri, 03 Feb 2012 05:00:00 +0100

Yet less patients die in hospital at the weekendRelated items from OnMedicaWaiting times peak as budgets are squeezedNHS finances in dire straits warn health leadersGPs say PCTs are slow to make decisionsNHS reliant on doctors working ‘goodwill’ hours'Ditch' private management consultants from the NHS (Source: OnMedica Latest News)

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Excessive daytime sleepiness and narcolepsy - An approach to investigation and management.

European Journal of Internal Medicine — Fri, 03 Feb 2012 00:28:21 +0100

Authors: Morrison I, Riha RL Abstract Excessive daytime sleepiness is a common presentation to physicians both in general practice and hospital settings. In this review, we provide an update on the latest theories on the pathogenesis of the condition, and discuss the approach to investigation of the sleepy patient, with particular reference to narcolepsy. Recommended therapy is reviewed for both narcolepsy and cataplexy, to provide physicians with an important reference on the investigation and management of these troubling conditions. PMID: 22284238 [PubMed - in process] (Source: European Journal of Internal Medicine)

Quick diagnosis units or conventional hospitalisation for the diagnostic evaluation of severe anaemia: A paradigm shift in public health systems?

European Journal of Internal Medicine — Fri, 03 Feb 2012 00:26:51 +0100

CONCLUSIONS: For diagnostic purposes, patients with severe anaemia can be managed similarly in a QDU or in-hospital setting, but the QDU model is more cost-saving than traditional hospitalisation. Most QDU patients preferred the QDU model to hospital admission. PMID: 22284247 [PubMed - in process] (Source: European Journal of Internal Medicine)

Bulletin Bullets

BWH News — Fri, 03 Feb 2012 00:00:00 +0100

(Source: BWH News)

Shikora Begins as Director of the Center for Metabolic Health and Bariatric Surgery

BWH News — Fri, 03 Feb 2012 00:00:00 +0100

Scott Shikora, MD, FACS, was recently named director of the BW/F Center for Metabolic Health and Bariatric Surgery. (Source: BWH News)

Doors Opened at Mass. Mental Health Center

BWH News — Fri, 03 Feb 2012 00:00:00 +0100

With the promise of a wide array of services and a state-of-the-art facility for those suffering from serious mental illness, a pair of golden scissors cut the ribbon at the official opening of the new Massachusetts Mental Health Center (MMHC) (Source: BWH News)

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Counseling Can Help Manage Diabetes

BWH News — Fri, 03 Feb 2012 00:00:00 +0100

Keeping diabetes under control shouldn’t be something a person has to do alone, according to a new study by Alexander Turchin, MD, MS, director of Informatics Research in the BWH Division of Endocrinology. (Source: BWH News)

BW/F Performs World’s First Single Port Robotic Myomectomy

BWH News — Fri, 03 Feb 2012 00:00:00 +0100

A team of reproductive surgeons at the BWH Center for Robotic Surgery at Faulkner Hospital is on the forefront of innovation for myomectomy, or surgical removal of uterine fibroids. (Source: BWH News)

Strategic Planning Report Available

BWH News — Fri, 03 Feb 2012 00:00:00 +0100

Brigham and Women’s and Faulkner Hospitals have been involved for the past year in a strategic planning effort to define and implement sustainable change to best advance the institution’s mission and vision well into the future. (Source: BWH News)

Save the Date: Martin Luther King, Jr., Celebration

BWH News — Fri, 03 Feb 2012 00:00:00 +0100

The legacy of Dr. Martin Luther King, Jr., has left an indelible mark on the civil rights movement and the history of this nation. (Source: BWH News)

The Art of Team Building

BWH News — Fri, 03 Feb 2012 00:00:00 +0100

Drs. Ralph Blair and Jessica Manning, Nurse in Charge Casey Burnett, RN, and Ray Williams discuss a work of art during a recent workshop at the Museum of Fine Art. (Source: BWH News)

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Heart Truth Campaign Marks 10 Years

BWH News — Fri, 03 Feb 2012 00:00:00 +0100

In 2002, only around two out of every 10 women could identify heart disease as their leading health risk. (Source: BWH News)

US hospital deploys acute care electronic health record solution

Hospital Management — Fri, 03 Feb 2012 00:00:00 +0100

NorthCrest Medical Center in Springfield, Tennessee, US, has chosen Allscripts's Sunrise Clinical Manager (SCM), an acute care electronic health record (EHR) solution, to help boost the facility. (Source: Hospital Management)

White Paper: The Value of the Home Health Solution for CHF and COPD

Hospital Management — Fri, 03 Feb 2012 00:00:00 +0100

The white paper explains how congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) are two of the most serious chronic health conditions affecting the rapidly growing population of older Americans. (Source: Hospital Management)

CQC warns Great Western Hospital over essential standards

Hospital Management — Fri, 03 Feb 2012 00:00:00 +0100

The UK Care Quality Commission (CQC) has reported that the Great Western Hospital in Swindon failed to meet two essential standards. (Source: Hospital Management)

California Acute-Care Teaching Hospital Turns to McKesson to Centralize Billing

McKesson News — Thu, 02 Feb 2012 23:16:17 +0100

McKesson Revenue Management Solutions Expected to Boost Efficiency, Enhance Patient Service (Source: McKesson News)

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Wisconsin Women Urged to Observe "National Wear Red Day" by Learning About Heart Disease and Stroke Risk Factors

Wisconsin DHFS Press Releases — Thu, 02 Feb 2012 21:43:00 +0100

February 3rd is “National Wear Red Day”, an American Heart Association event to raise awareness about heart disease and stroke risks for women, and state officials are urging Wisconsin women to learn about these major health threats. (Source: Wisconsin DHFS Press Releases)

Gray taps Elaine Crider to serve on UMC board

bizjournals.com Health Care:Pharmaceuticals headlines — Thu, 02 Feb 2012 21:08:04 +0100

D.C. Mayor Vincent Gray has tapped Elaine Crider, an independent project management consultant from Ward 8, to join the United Medical Center board of directors. He has also asked Virgil McDonald to remain on the board for another term. D.C. Council must approve both appointments, which would run through 2014. If confirmed, Crider will replace Robin-Eve Jasper, the former director of the D.C. Department of Real Estate Services, who was first appointed to the board by then-Mayor Adrian Fenty shortly after the District seized the hospital in 2010... (Source: bizjournals.com Health Care:Pharmaceuticals headlines)

Lodox/Statscan facilitates the early detection of commonly overlooked extracranial injuries in patients with traumatic brain injury

European Journal of Trauma and Emergency Surgery — Thu, 02 Feb 2012 18:16:54 +0100

Conclusion The Lodox/Statscan can provide benefits for surveying extracranial injuries in patients with diminished level of consciousness. The Lodox/Statscan also emits a notably low dose of radiation and appears to be a relatively inexpensive adjunct to screen torso or extremity injuries in TBI patients. Content Type Journal ArticleCategory Original ArticlePages 1-8DOI 10.1007/s00068-012-0176-zAuthors H.-C. Huang, Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404 Taiwan, ROCC.-Y. Fu, Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404 Taiwan, ROCC.-H. Hsieh, Trauma and Emergency Center, China Medical University Hospital, No. 2 Yuh-Der Road, Taichung, 404 Taiwan, ROCY.-...

Utility of preoperative examination and magnetic resonance imaging for diagnosis of anterior vaginal wall masses

International Urogynecology Journal — Thu, 02 Feb 2012 18:15:41 +0100

Conclusions Preoperative diagnosis using exam, MRI, and cystourethroscopy have a high diagnostic accuracy for anterior vaginal wall masses. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00192-012-1666-6Authors Tirsit S. Asfaw, Department of Obstetrics and Gynecology, Division of Urogynecology, New York Presbyterian Hospital/Weill Cornell Medical Center, 525 East 68th Street, J-130, New York, NY 10065, USAJoy A. Greer, Department of Obstetrics and Gynecology, Division of Urogynecology, Hospital of the University of Pennsylvania, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104-3339, USAParvati Ramchandani, Department of Radiology, Hospital of the University of Pennsylvania, Perelman School of Medicine at t...

Clinicopathological Profile, Airway Management, and Outcome in Huge Multinodular Goiters: An Institutional Experience from an Endemic Goiter Region

World Journal of Surgery — Thu, 02 Feb 2012 18:12:35 +0100

Conclusions Long-standing huge goiters are common in iodine-deficient endemic areas. The majority of patients have symptomatic or clinicoradiological evidence of airway involvement. The incidence of RSE, airway deformity, intubation difficulty, and tracheomalacia is high with huge goiters. The surgery is technically demanding with greater associated chances of injury to native structures. Malignancy influences the presentation and outcome in smaller goiters. In centers with experienced endocrine surgeons and dedicated anesthetists, huge goiters can be successfully managed with minimal short-term and long-term morbidity. Content Type Journal ArticlePages 1-6DOI 10.1007/s00268-012-1447-xAuthors Amit Agarwal, Department of Endocrine Surgery, Sanjay Gandhi Post Gradua...

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Rapidly involuting congenital haemangioma (RICH) of the liver

Pediatric Radiology — Thu, 02 Feb 2012 18:08:25 +0100

Conclusion RICH should be suspected in neonates who present with a solitary liver lesion and normal-for-age serum alpha-fetoprotein. Serial US scans should be used to confirm a progressive shrinkage of the lesion. Corticosteroids and β2-adrenergic antagonists have no proven effect in treating RICH. If the lesion grows, percutaneous needle biopsy is recommended to exclude a malignant tumour and to direct further management. Infants with cardiac failure should be treated medically. Embolization (with or without needle biopsy) should only be performed when this strategy fails. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00247-011-2268-zAuthors Derek Roebuck, Department of Radiology, Great Ormond Street Hospital for Sick Children, Great ...

Young Children Exposed to Anesthesia Multiple Times Show Elevated Rates of ADHD

Mayo Clinic Rochester News — Thu, 02 Feb 2012 17:40:21 +0100

Mayo Clinic researchers have found that multiple exposures to anesthesia at a young age are associated with higher rates of attention-deficit/hyperactivity disorder (ADHD). (Source: Mayo Clinic Rochester News)

Flexibility from hospitals needed for data use to reach its potential

ICMCC: The International Council on Medical and Care Compunetics — Thu, 02 Feb 2012 14:40:00 +0100

Source: Dan Bowman, FierceHealthIT Content: “Information silos in healthcare settings are a primary reason why available data often isn’t used to its fullest potential, concludes Russ Richmond, M.D., CEO of McKinsey Healthcare’s Objective Health consulting firm, in a new post that appears on The Health Care Blog. Such a failure to “connect the dots” Richmond says, [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

In United Kingdom, Clinical Pathology Laboratories Must Transform to Help Primary Care Physicians Achieve Improved Patient Outcomes

Dark Daily — Thu, 02 Feb 2012 11:00:32 +0100

Frontiers in Laboratory Medicine (FiLM) attracted another record crowd of clinical laboratory managers and pathologists DATELINE—BIRMINGHAM, ENGLAND: Healthcare in the United Kingdom is undergoing a host of reforms. Consequently, medical laboratories in this country are scrambling to evolve in ways that allow them to serve the new line-up of primary care trusts and hospital trusts, [...] (Source: Dark Daily)

Long-term follow-up of invasive ocular surface squamous cell carcinoma treated with excision, cryotherapy, and topical mitomycin C

Graefe's Archive for Clinical and Experimental Ophthalmology — Thu, 02 Feb 2012 06:54:32 +0100

Conclusion The combination of surgical excision, cryotherapy, and post-operative topical mitomycin-C was effective treatment for ocular surface invasive SCC in long-term follow-up. Content Type Journal ArticleCategory OncologyPages 1-6DOI 10.1007/s00417-012-1931-xAuthors Mohsen Bahmani Kashkouli, Eye Research Center, Rassoul Akram Hospital, Tehran University of Medical Sciences, Sattarkhan-Niayesh Street, Tehran, 14455-364 IranAbtin Heirati, Eye Research Center, Rassoul Akram Hospital, Tehran University of Medical Sciences, Sattarkhan-Niayesh Street, Tehran, 14455-364 IranFarzad Pakdel, Eye Research Center, Rassoul Akram Hospital, Tehran University of Medical Sciences, Sattarkhan-Niayesh Street, Tehran, 14455-364 IranVictoria Kiavash, Eye Research Center, Rassoul Akr...

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Visualization versus Neuromonitoring of Recurrent Laryngeal Nerves during Thyroidectomy: What About the Costs?

World Journal of Surgery — Thu, 02 Feb 2012 06:53:59 +0100

Conclusions The regional DRG tariff for thyroid surgery is barely sufficient to cover conventional surgery costs. Intraoperative neural monitoring accounts for 5–7% of the hospitalization costs for a thyroidectomy. Content Type Journal ArticlePages 1-7DOI 10.1007/s00268-012-1452-0Authors Gianlorenzo Dionigi, Department of Surgical Sciences, Endocrine Surgery Research Center, University of Insubria Varese-Como, Via Guicciardini, 21100 Varese, ItalyAlessandro Bacuzzi, Department of Anesthesia, University of Insubria, 21100 Varese, ItalyLuigi Boni, Department of Surgical Sciences, Endocrine Surgery Research Center, University of Insubria Varese-Como, Via Guicciardini, 21100 Varese, ItalyStefano Rausei, Department of Surgical Sciences, Endocrine Surgery Research Center...

Hospital management and outcomes of stroke in Indigenous Australians: evidence from the 2009 Acute Care National Stroke Audit

International Journal of Stroke — Thu, 02 Feb 2012 05:00:00 +0100

ConclusionsAustralian Indigenous patients with stroke received a reduced quality of care in hospitals and experienced worse outcomes than non‐Indigenous patients. Indigenous patients require the provision of evidence‐based care to increase their opportunities for optimal health outcomes following stroke. Further research to explain the differences is needed. (Source: International Journal of Stroke)

The effect of medication reconciliation in elderly patients at hospital discharge

NeLM - Care of Older People — Thu, 02 Feb 2012 05:00:00 +0100

Source: International Journal of Clinical Pharmacy Area: Evidence > Medicines Management > References Objective: To assess the impact of medication reconciliation interventions on medication error rates when elderly patients are discharged from hospital to community care or nursing homes. Setting: Elderly patients (older than 65 years) in Sweden, living in nursing homes or in their own homes with care provided by the community nursing system. Method: All medical records containing information on drug treatment were collected from hospital departments, the community care service and GPs. We then identified whether there were any changes in the transfer of information i.e. if the drugs were not the same as before the transfer. Two different persons independently...

Reducing the burden of morbidity and medical utilization of older patients by outpatient geriatric services: Implications to primary health‐care settings

Geriatrics and Gerontology International — Thu, 02 Feb 2012 05:00:00 +0100

Conclusion: Outpatient GEM could effectively reduce growth of BOM and medical utilization for relatively healthy elderly patients in Taiwan where elderly patients haverelatively free access to general and specialty care. The results of this study implied the potential benefits of systematically implementing GEM in primary health‐care settings to improve the quality of care and slow down the growth of BOM for elderly patients. Geriatr Gerontol Int 2012; ••: ••–••. (Source: Geriatrics and Gerontology International)

UK hospital installs AeroScout Asset Tracking & Management solution

Hospital Management — Thu, 02 Feb 2012 00:00:00 +0100

University Hospitals Bristol NHS Foundation Trust has installed AeroScout's Asset Tracking & Management solution. (Source: Hospital Management)

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DM Healthcare opens new multi-speciality hospital in India

Hospital Management — Thu, 02 Feb 2012 00:00:00 +0100

Dubai-based DM Healthcare has opened the Aster-Aadhar Hospital, a multi-speciality hospital in Kolhapur, Maharashtra, India. (Source: Hospital Management)

Fears over 'destabilising' C difficile fines to be investigated

HSJ — Thu, 02 Feb 2012 00:00:00 +0100

The possibility that fines for C difficile infections will have a “destabilising” effect on some hospitals next year is to be investigated by the Healthcare Financial Management Association. (Source: HSJ)

Greenville Hospital System Joins The US Oncology Network

McKesson News — Wed, 01 Feb 2012 23:00:00 +0100

Network’s first direct hospital cancer program management services relationship furthers integrated approach to enhance patient care (Source: McKesson News)

Testimony of Secretary Dennis G. Smith on An Evaluation of Medical Assistance Program Report 11-15

Wisconsin DHFS Press Releases — Wed, 01 Feb 2012 18:00:00 +0100

Let me begin by thanking the LAB staff for the conscientious and thorough approach on the audit and for their thoughtful recommendations. I appreciate the courtesy and professionalism that they exhibited during the course of their review. (Source: Wisconsin DHFS Press Releases)

How to Manage When Anxiety Manages You

Psychology Today Anxiety Center — Wed, 01 Feb 2012 17:25:07 +0100

For the past three months, I've been working in a hospital. Surrounded by countless pump-dispensers of medical-grade hand sanitizer, my consciousness about illness has been raised.read more (Source: Psychology Today Anxiety Center)

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NHS tests John Lewis-style management

FT.com - Drugs and Healthcare — Wed, 01 Feb 2012 17:25:00 +0100

A Cambridgeshire hospital is testing the politically toxic issue of private sector involvement (Source: FT.com - Drugs and Healthcare)

Review of Inhaled Nitric Oxide in the Pediatric Cardiac Surgery Setting

Pediatric Cardiology — Wed, 01 Feb 2012 17:13:49 +0100

Abstract Surgical intervention for congenital heart disease (CHD) can be complicated by pulmonary hypertension (PH), which increases morbidity, mortality, and medical burden. Consequently, postoperative management of PH is an important clinical consideration to improve outcomes. Inhaled nitric oxide (iNO) is a widely accepted standard of care for PH and has been studied in the context of cardiac surgery for CHD. However, large randomized, double-blind, placebo-controlled, multicenter clinical trials in pediatric patients are limited. This review will provide an overview of the clinical studies in this setting and will discuss general treatment considerations to facilitate a better understanding of the clinical use of iNO for PH after pediatric cardiac surgery. Content ...

Management of Smell Dysfunction

Current Allergy and Asthma Reports — Wed, 01 Feb 2012 17:13:10 +0100

Abstract Olfaction is an essential chemosensory system in the living world. Although less appreciated in humans, smell impairment significantly affects many aspects of quality of life. Smell disorders may be caused by an impaired nasal airway or by lesions in the olfactory system, leading to reduced or distorted smell perception. The most common causes of smell disorders are aging, upper respiratory tract infection, sinonasal disease, and head trauma. Recovery is rarely complete. Counseling is important in progressive or severe smell loss. In patients with distorted smell perception, antidepressant medication is sometimes necessary. Best response to treatment is achieved for nasal obstruction and sinonasal inflammatory disease. Treatment of olfactory impairment caused by s...

ADAMTS13 and Von Willebrand factor in patients undergoing hemodialysis

Journal of Thrombosis and Thrombolysis — Wed, 01 Feb 2012 17:11:00 +0100

This study included 195 patients on HD for more than 6 months. HD patients were allocated into two groups according to the occurrence or not of previous episode of VAT; HD with VAT (N = 46) and HD without VAT (N = 149). ADAMTS13 and VWF were performed by ELISA. There was no significant difference between HD patients with and without VAT for ADAMTS13 and VWF levels. However, VWF levels were higher (P < 0.001) and ADAMTS13 were lower (P < 0.001) in HD patients, comparing to the control group composed by healthy subjects without kidney disease, age and sex-matched (N = 80). Taken together our data suggest a potential role of the kidneys function compromised on ADAMTS13 synthesis or metabolism, regardless other known sources of ...

A review of patch options in the repair of congenital diaphragm defects

Pediatric Surgery International — Wed, 01 Feb 2012 17:10:05 +0100

Abstract Repair of congenital diaphragmatic hernia (CDH) continues to pose a dilemma for the pediatric surgeon. While the management of CDH has evolved from surgical urgency to delayed repair after medical optimization with substantial improvements in mortality, morbidity continues to perplex clinicians. Significant morbidity occurs with recurrence, re-recurrence and complications such as obstructions, principally with mesh repair. When primary closure is not possible, mesh repair is indicated. While there are several non-absorbable prosthetic, absorbable biosynthetic and composite mesh types available, the ideal mesh remains elusive. In this article, we reviewed the current materials, reported advantages, and animal and clinical studies of non-absorbable prosthetic, absor...

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VIDEO: Private company takes over hospital

BBC News | Health | UK Edition — Wed, 01 Feb 2012 14:24:17 +0100

Hinchingbrooke Hospital in Huntingdon has become the first NHS hospital in Britain to be managed by a private company. (Source: BBC News | Health | UK Edition)

Minnesota Partnership Researchers Close in on Drug to Fight Fungal Infections

Mayo Clinic Rochester News — Wed, 01 Feb 2012 12:46:47 +0100

Researchers from the University of Minnesota in Minneapolis and Mayo Clinic in Rochester, Minn., are another step closer to developing a drug to combat fungal infections - one of the major problems confronting patients with compromised immune systems. (Source: Mayo Clinic Rochester News)

Could Hinchingbrooke set a benchmark for health organisation ownership?

HSJ — Wed, 01 Feb 2012 11:00:00 +0100

Circle’s takeover of Hinchingbrooke hospital has opened a debate on hospital ownership and management, which could, Kevin Jacquiss says, inspire the government to look at new ideas to secure a sustainable future for health service organisations. (Source: HSJ)

NHS Trust implements tracking & management solution

Hospital IT Europe — Wed, 01 Feb 2012 10:50:00 +0100

University Hospitals Bristol NHS Foundation Trust improves operations and efficiency (Source: Hospital IT Europe)

Uses and abuses of paediatric electroencephalography.

Hong Kong Med J — Wed, 01 Feb 2012 05:00:00 +0100

CONCLUSION. An effective electroencephalogram service was being provided, though abuses were common. These were mainly because of misconceptions regarding the role and limitations of standard electroencephalograms. Through an educative, non-confrontational approach, and with time to explain guideline recommendations to clinicians, sustainable change in practice could be achieved so as to benefit patients, clinicians, and service provision. PMID: 22302907 [PubMed - in process] (Source: Hong Kong Med J)

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Functions and Outcomes of a Clinical Medical Ethics Committee: A Review of 100 Consults.

Pain Physician — Wed, 01 Feb 2012 05:00:00 +0100

Conclusion: PCCS availability and growth throughout the hospital may have influenced EC consult requests. EC consults regarding family opposition to withdrawing LST and EC recommendations for patient/family support declined. PMID: 22302457 [PubMed - as supplied by publisher] (Source: Pain Physician)

Patient and hospital characteristics associated with traditional measures of inpatient quality of care for patients with heart failure

American Heart Journal — Wed, 01 Feb 2012 05:00:00 +0100

Background: The purpose of this study was to determine patient and hospital characteristics associated with 4 measures of quality of inpatient heart failure care used by both the primary payer of heart failure care in the United States (Center for Medicare and Medicaid Services) and the main hospital accrediting organization (The Joint Commission).Methods: We used data from Get With The Guidelines Program for patients hospitalized with heart failure. Eligibility for receiving care based on the Center for Medicare and Medicaid Services performance measures was determined for assessment of left ventricular ejection fraction (LVEF; n = 60,601), use of angiotensin-converting enzyme inhibitors (ACEi) or angiotensin receptor blockers (ARB) if LVEF (Source: American Heart Journal)

Healthcare service utilization in substance abusers receiving contingency management and standard care treatments

Addiction — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions: Initiating outpatient substance abuse treatment is associated with changes in general healthcare service utilization, independent of the type of treatment offered. (Source: Addiction)

Peripartum cardiomyopathy: Post-transplant outcomes from the united network for organ sharing database

The Journal of Heart and Lung Transplantation — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions: This large report shows outcomes of graft failure and death are inferior for recipients with PPCM, which may be partly explained by younger age, higher allosensitization, higher pre-transplant acuity, and increased rejection. More research is needed to determine management strategies to improve outcomes in PPCM heart transplant recipients. (Source: The Journal of Heart and Lung Transplantation)

The utility of Gram stains and culture in the management of limb ulcers in persons with diabetes

International Wound Journal — Wed, 01 Feb 2012 05:00:00 +0100

In Tanzania, limited laboratory services often preclude routine identification of microorganisms that cause infections in persons with diabetes. Thus, we carried out this study to determine the utility of a Gram stain alone versus culture in guiding appropriate antimicrobial therapy. During February 2006 to December 2007 (study period), deep tissue biopsies were obtained from persons with diabetes presenting to the Muhimbili National Hospital (MNH) with infected limb ulcers. Specimens were Gram‐stained then cultured for bacteria and fungi. Biopsies were obtained from 128 patients. Of 128 cultures, 118 (92%) yielded bacterial or fungal growth; 59 (50%) of these 118 cultures yielded mixed growth (80% included Gram‐negative organisms); 38 (32%) and 20 (17%) yielded Gram‐negative and Gra...

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Neonatal Drug Withdrawal

PEDIATRICS — Wed, 01 Feb 2012 05:00:00 +0100

Maternal use of certain drugs during pregnancy can result in transient neonatal signs consistent with withdrawal or acute toxicity or cause sustained signs consistent with a lasting drug effect. In addition, hospitalized infants who are treated with opioids or benzodiazepines to provide analgesia or sedation may be at risk for manifesting signs of withdrawal. This statement updates information about the clinical presentation of infants exposed to intrauterine drugs and the therapeutic options for treatment of withdrawal and is expanded to include evidence-based approaches to the management of the hospitalized infant who requires weaning from analgesics or sedatives. (Source: PEDIATRICS)

Future Directions in the Evaluation and Management of Neonatal Sepsis

NeoReviews recent issues — Wed, 01 Feb 2012 05:00:00 +0100

Although sepsis is one of the important etiologies of illness in hospitalized infants, it is often difficult to determine if an infant is truly infected and, moreover, how to treat these infections. To address the first issue, researchers have begun to examine techniques to shorten the amount of time it takes to culture and identify organisms. On the clinical side, the development of biomarkers may help physicians to better identify infants who are likely ill from infection versus those infants who are unstable from other processes. The ability to distinguish between these cohorts will help to curtail excessive use of empirical antibiotics. Even if infants are determined to truly have infection on the basis of a positive culture, it is becoming more challenging to appropriately treat causa...

How does lean work in emergency care? A case study of a lean-inspired intervention at the Astrid Lindgren Children's Hospital, Stockholm, Sweden

BMC Health Services Research — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions: Drawing on Spear and Bowen's theoretical propositions, this study explains how a package of lean-like changes translated into better care process management. It adds new knowledge regarding how lean principles can be beneficially applied in healthcare and identifies changes to professional roles as a potential challenge when introducing lean thinking there. This knowledge may enable health care organizations and managers in other settings to configure their own lean program and to better understand the reasons behind lean's success (or failure). (Source: BMC Health Services Research)

Effectiveness of a multidisciplinary care program on recovery and return to work of patients after gynaecological surgery; design of a randomized controlled trial

BMC Health Services Research — Wed, 01 Feb 2012 05:00:00 +0100

DiscussionThe discrepancy between expected physical recovery and actual return to work after gynaecological surgery contributes to the relevance of this study. There is strong evidence that long periods of sick leave can result in work disability, poorer general health and increased risk of mental health problems. We expect that this multidisciplinary care program will improve peri-operative care, contribute to a faster return to work of patients after gynaecological surgery and, as a consequence, will reduce societal costs considerably.Trial registration: Netherlands Trial Register NTR2087 (Source: BMC Health Services Research)

Predictive index for lymph node management of major salivary gland cancer

The Laryngoscope — Wed, 01 Feb 2012 05:00:00 +0100

Conclusions:A predictive index using the clinicopathologic factors described in this report can effectively stratify patients into risk groups for nodal metastasis. Comprehensive management based on this risk index should improve treatment outcomes for patients with salivary gland cancer. (Source: The Laryngoscope)

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NHS Diabetes guideline for the perioperative management of the adult patient with diabetes*

Diabetic Medicine — Wed, 01 Feb 2012 05:00:00 +0100

AbstractThese Joint British Diabetes Societies guidelines, commissioned by NHS Diabetes, for the perioperative management of the adult patient undergoing surgery are available in full in the Supporting Information.This document goes through the seven stages of the patient journey when having surgery. These are: primary care referral to surgical outpatients; preoperative assessment; hospital admission; surgery; post‐operative care; discharge. Each stage is given its own considerations, outlining the roles and responsibilities of each group of healthcare professionals. The evidence base for the recommendations made at each stage, discussion of controversial areas and references are provided in the report.This document has two key recommendations. Firstly, that the management of the electiv...

[How is burnout treated? : Treatment approaches between wellness, job-related prevention of stress, psychotherapy, and social criticism].

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz — Wed, 01 Feb 2012 05:00:00 +0100

[How is burnout treated? : Treatment approaches between wellness, job-related prevention of stress, psychotherapy, and social criticism]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012 Feb;55(2):190-6 Authors: Hillert A Abstract The subjective illness burnout is often described as the combination of workload-related suffering and job dissatisfaction, thus, leading to depressive symptoms. Burnout is a serious model of personal illness perception, but not useful as a diagnosis term because of its lack of specification and reliability. In this respect, burnout therapy cannot be regarded as a specific form of psychotherapy or any other form of therapy, but rather a pragmatic procedure focusing on the burnout clients' needs. When applying scientific standard...

[Management abilities of the head surgeon: essential for survival!]

Der Chirurg — Wed, 01 Feb 2012 05:00:00 +0100

Authors: Jähne J Abstract Due to increased economic challenges in the management of hospitals head surgeons do not only need excellent surgical expertise but also significant management qualities. The personality of head surgeons should include authenticity, sincerity, fairness and the ability to cooperate. Visionary leadership, strategic thinking and strategic management of the personnel are further prerequisites for success. Besides good abilities in communication head surgeons need knowledge of the operating figures for interpretation. To keep up with the own capabilities time and self-management is essential. A survival as head surgeon is likely if these qualities and abilities exist. PMID: 22290224 [PubMed - as supplied by publisher] (Source: Der Chirurg)

Epidemiological features and risk factor analysis of children with acute lung injury.

World Journal of Pediatrics : WJP — Wed, 01 Feb 2012 05:00:00 +0100

CONCLUSIONS: ARDS has a high mortality rate in PICU, especially in those with extra-pulmonary diseases. In addition to aggressive medical management of comorbidity, lung protection and avoidance of discharge against medical advice will decrease the mortality. PMID: 22282381 [PubMed - in process] (Source: World Journal of Pediatrics : WJP)

Gates Foundation invites the world in with new visitors center

bizjournals.com Health Care:Hospitals headlines — Wed, 01 Feb 2012 04:02:54 +0100

Several months ago, I saw a young mother with a baby strapped to her in a sling walk through the front doors of the Bill & Melinda Gates Foundation, wander up to the front desk and ask, “What do you guys do?” The people at the front desk stifled a laugh and clearly weren't sure what to say. They told her the foundation does a lot of things. They handed her one of the pamphlets sitting on the counter and she wandered away, apparently no more enlightened than when she walked in. Should the woman come back to visit the foundation next week, she would probably walk away with a better answer after a tour through the brand-new Gates Foundation visitors’ center, opening Feb... (Source: bizjournals.com Health Care:Hospitals headlines)

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Kaiser, union play a numbers game with strike

bizjournals.com Health Care:Hospitals headlines — Wed, 01 Feb 2012 00:43:35 +0100

The Kaiser strike became a numbers game Tuesday afternoon, with different numbers tossed from different sides. Whether 80 percent walked the line, honored the picket — or crossed the line — depends on who’s talking. More than 21,000 nurses, mental health providers, optical workers and others were called to strike against Kaiser Permanente Tuesday by three different unions. The National Union of Healthcare Workers called the one-day strike to draw attention to stalled contract negotiations at bargaining tables across the state... (Source: bizjournals.com Health Care:Hospitals headlines)

Arizona DHS approves Rural/Metro purchase of PMT

bizjournals.com Health Care:Hospitals headlines — Wed, 01 Feb 2012 00:10:50 +0100

The Arizona Department of Health Services has approved Rural/Metro Corp.’s acquisition of Professional Medical Transport and its sister companies in Arizona. The deal was announced last fall, but has been waiting approval from the state health department. Today ADHS Director Will Humble approved the deal, but with some qualifications. “I wanted to make sure this didn’t result in a rate increase,” Humble told the Phoenix Business Journal. He is not allowing Rural/Metro to increase its rates for three years... (Source: bizjournals.com Health Care:Hospitals headlines)

Nuffield Health deploys new diagnostic ultrasound system

Hospital Management — Wed, 01 Feb 2012 00:00:00 +0100

Nuffield Health Exeter Hospital in the UK has deployed the ACUSON S2000 diagnostic ultrasound system from Siemens Healthcare. (Source: Hospital Management)

Capital Health deploys new molecular breast imaging device

Hospital Management — Wed, 01 Feb 2012 00:00:00 +0100

US-based medical network Capital Health has deployed GE Healthcare's Discovery NM 750b, a specialised breast scanner that enables advanced functional imaging of breast cancer, at its New Jersey Hopewell medical centre. (Source: Hospital Management)

Sigma-Aldrich completes acquisition of BioReliance

bizjournals.com Health Care:Hospitals headlines — Tue, 31 Jan 2012 23:13:04 +0100

Officials at Sigma-Aldrich Corp. said today that the company completed its acquisition of BioReliance Holdings Inc. from Avista Capital Partners for $350 million in cash. St. Louis-based Sigma-Aldrich, a life-science and speciality chemical company, funded the acquisition with a combination of cash on hand and credit facilities. The company announced the deal earlier this month. Rockville, Md.-based BioReliance Holdings provides biologic, specialized toxicology and animal health testing to companies and employs more than 650 worldwide... (Source: bizjournals.com Health Care:Hospitals headlines)

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Kaiser strike apparently fizzles

bizjournals.com Health Care:Hospitals headlines — Tue, 31 Jan 2012 22:57:12 +0100

The Kaiser strike that promised to be the largest walkout in the company’s history — wasn’t. More than 21,000 nurses, mental health providers, optical workers and others were called to strike Kaiser Permanente Tuesday, but far fewer appeared to have shown up at the picket lines by the middle of the day. The numbers remain in dispute, however. Two-thirds of the Kaiser nurses in Northern California crossed the picket line, Kaiser said. “Nonsense,” countered Chuck Idelson, a spokesman with the California Nurses Association... (Source: bizjournals.com Health Care:Hospitals headlines)

HCA will build emergency department early at StoneSpring campus

bizjournals.com Health Care:Hospitals headlines — Tue, 31 Jan 2012 22:39:21 +0100

HCA Virginia will put the spurs to its hospital-development plans in Dulles, erecting a $10 million emergency center that will open more than two years ahead of the rest of the hospital, Tim McManus, the company's regional market president, said Tuesday. HCA Virginia, which owns Reston Hospital Center, won regulatory approval in 2009 to build the full-service, 164-bed StoneSpring Medical Center at the corner of U.S. Route 50 and Gum Spring Road. However, the hospital is not expected to open until late 2015, and HCA officials wanted to begin offering care there sooner... (Source: bizjournals.com Health Care:Hospitals headlines)

Flinn Foundation: Arizona bioscience jobs on the rise

bizjournals.com Health Care:Hospitals headlines — Tue, 31 Jan 2012 21:31:23 +0100

Despite the recession, bioscience jobs are on the increase, according to the Flinn Foundation’s Arizona Bioscience Roadmap update, released today. The number of bioscience jobs increased by 7.4 percent during the postrecessionary period of 2009-10, compared with a 1.8 percent decline for the state’s overall private sector, according to the annual study conducted by the Battelle Technology Partnership Practice. “Through the most trying economic circumstances of our lifetimes, bio in Arizona more than held its own,” said Walter Plosila, senior adviser to the Battelle practice... (Source: bizjournals.com Health Care:Hospitals headlines)

Oregon MDs nab $2.5 million in IT grants

bizjournals.com Health Care:Hospitals headlines — Tue, 31 Jan 2012 21:28:10 +0100

Oregon’s medical providers collected more than $2.5 million in federal health care grants that helped them install new health record technology systems. So says the Portland Interhospital Physicians Association, which helps local doctors manage their practices. Some 125 state providers have received health care reform funds intended to defray costs of installing and using new electronic health records. The money helped “early adopter” physicians add the new systems that will allow them to meet reform-driven requirements... (Source: bizjournals.com Health Care:Hospitals headlines)

Portland Archbishop blasts U.S. gov't over contraception

bizjournals.com Health Care:Hospitals headlines — Tue, 31 Jan 2012 21:06:14 +0100

Portland Archbishop John G. Vlazny has called a requirement that employers include contraception in their health care plans a "severe assault on religious liberty." In a letter written to his "Brothers and Sisters in Christ" and republished by several media outlets, Vlazny took aim at a Jan. 20 Health and Human Services ruling that health insurance plans cover all FDA-approved forms of contraception without charging a co-pay, co-insurance or deductible. Similar letters were written by other U.S... (Source: bizjournals.com Health Care:Hospitals headlines)

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Musicians’ union drops unfair labor practice claim against Louisville Orchestra

bizjournals.com Health Care:Hospitals headlines — Tue, 31 Jan 2012 20:44:29 +0100

The Louisville Federation of Musicians Local 11-637 has withdrawn its unfair labor practice claim against the Louisville Orchestra board and management. As Business First previously reported, the musicians had filed a complaint against Louisville Orchestra Inc. with the National Labor Relations Board, alleging that orchestra management has not bargained in good faith regarding a new labor contract. Gary Muffley, director of the labor board’s Cincinnati Regional Office, confirmed that the claim was withdrawn Monday... (Source: bizjournals.com Health Care:Hospitals headlines)

Transportation Service for Medicaid Enrollees Surpasses 857,000 Rides in First Six Months

Wisconsin DHFS Press Releases — Tue, 31 Jan 2012 20:30:00 +0100

The state's non-emergency medical transportation manager, LogistiCare, has received more than 380,000 calls from Medicaid enrollees and coordinated more than 857,000 trips to physician and dental visits, mental health outpatient therapy appointments, physical, occupational or speech therapy, and hospital stays, according to Department of Health Services (DHS) officials. (Source: Wisconsin DHFS Press Releases)

How to manage HIV-infected patients with chronic kidney disease in the HAART era

Clinical and Experimental Nephrology — Tue, 31 Jan 2012 16:47:49 +0100

Abstract As human immunodeficiency virus (HIV)-infected patients now live longer while receiving highly active antiretroviral therapy (HAART), chronic kidney disease (CKD) has emerged as a significant cause of morbidity and mortality among urban HIV population. Risk factors associated with CKD in such HIV-infected population include aging, hypertension, diabetes mellitus, co-infection with hepatitis C virus, low CD4 cell count, and high HIV viral load. Clinical experience has shown that HIV-infected individuals often have one or more concurrent risk factors for CKD. The cumulative effect of multiple risk factors on the development of CKD should be noted in this population. Glomerular disease directly related to HIV infection, so-called HIV-associated nephropathy, rema...

Disputing the claims for physiological fitness and health adaptations from purposeful training using off-road vehicles

European Journal of Applied Physiology — Tue, 31 Jan 2012 16:46:35 +0100

Content Type Journal ArticleCategory Letter to the EditorPages 1-3DOI 10.1007/s00421-012-2310-3Authors Chris Milburn, Emergency Department, Cape Breton Regional Hospital, 1482 George, Sydney, NS B1P 13P, CanadaKeith MacCormick, Emergency Department, Annapolis Valley Regional Hospital, 150 Exhibition Street, Kentville, NS B4N 5E3, CanadaGlyn Bissix, School of Recreation Management and Kinesiology, Acadia University, 550 Main Street, Wolfville, NS B4P 2R6, CanadaRené Murphy, School of Recreation Management and Kinesiology, Acadia University, 550 Main Street, Wolfville, NS B4P 2R6, Canada Journal European Journal of Applied PhysiologyOnline ISSN 1439-6327Print ISSN 1439-6319 (Source: European Journal of Applied Physiology)

Grisel’s syndrome: a comprehensive review with focus on pathogenesis, natural history, and current treatment options

Child's Nervous System — Tue, 31 Jan 2012 16:45:16 +0100

Conclusion GS remains a rare, but potentially lethal children condition. Early diagnosis and treatment is crucial to its management and prognosis. Content Type Journal ArticleCategory Review PaperPages 1-5DOI 10.1007/s00381-012-1706-zAuthors Stephen Osiro, Department of Anatomical Sciences, School of Medicine, St. George’s University, Grenada West IndiesKevin J. Tiwari, Department of Anatomical Sciences, School of Medicine, St. George’s University, Grenada West IndiesPetru Matusz, Department of Anatomy, Victor Babes University of Medicine and Pharmacy, Timisoara, RomaniaJerzy Gielecki, Department of Anatomy, Medical School Varmia and Mazuria, Olsztyn, PolandR. Shane Tubbs, Pediatric Neurosurgery, Children’s Hospital, Birmingham, AL, USAMarios Loukas, Department...

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Management of newly diagnosed patients with type 2 diabetes: what are the attitudes of physicians? A SUBITO!AMD survey on the early diabetes treatment in Italy

Acta Diabetologica — Tue, 31 Jan 2012 16:45:12 +0100

Abstract Early intensive therapy in type 2 diabetes can prevent complications. Nevertheless, metabolic control is often sub-optimal in newly diagnosed patients. This web-based survey aimed to evaluate opinions of physicians about treatment, priorities, and barriers in the care of patients first referred to diabetes clinics. Data on physician attitudes toward therapeutic preferences for two clinical case models (same clinical profile, except HbA1c levels of 8.6 and 7.3% at the first access, respectively) were collected. Participants were asked to rank from 1 (most important) to 6 (least important) a list of priorities and barriers associated with the care of new patients. Overall, 593 physicians participated. In both case models, metformin and education were primary options...

Mayo Clinic Releases Book With Action Plan to Help Beat Heart Disease

Mayo Clinic Rochester News — Tue, 31 Jan 2012 13:22:30 +0100

A new book, Mayo Clinic Healthy Heart For Life! provides the latest, clinically proven information on heart disease prevention and a step-by-step quick-start plan that breaks through the clutter and helps people understand exactly where to focus. (Source: Mayo Clinic Rochester News)

Perioperative Management of a Patient with Recently Placed Drug-Eluting Stents Requiring Urgent Spinal Surgery

Journal of General Internal Medicine — Tue, 31 Jan 2012 07:11:13 +0100

We report the case of a woman who required spinal surgery 3 months after she underwent placement of two drug-eluting stents. The patient’s clopidogrel was stopped 5 days prior to surgery and an infusion of eptifibatide was used to “bridge” antiplatelet therapy during the perioperative period. Postoperatively, anticoagulation therapy was reinstituted using aspirin with clopidogrel. This case serves as a successful example of bridging therapy using a short acting and gycoprotein (GP) IIb/IIIa inhibitor as a means of maintaining antiplatelet therapy during the perioperative period to minimize the risk of stent thrombosis and the risk of intraoperative bleeding. Content Type Journal ArticleCategory Clinical Practice: Clinical VignettesPages 1-4DOI 10.1007/s11606-012-1...

The Effect of Imaging on the Clinical Management of Breast Pain

Journal of General Internal Medicine — Tue, 31 Jan 2012 07:11:11 +0100

CONCLUSIONS Initial imaging for women with breast pain increased the odds of subsequent clinical utilization and did not increase reassurance in ruling out malignancy. Content Type Journal ArticleCategory Original ResearchPages 1-8DOI 10.1007/s11606-011-1982-4Authors Mary Beth Howard, Women’s Health Unit, Section of General Internal Medicine, Department of Medicine, and Women’s Health Interdisciplinary Research Center, Boston University School of Medicine, 801 Massachusetts Avenue, Suite 470, Boston, MA 02118, USATracy Battaglia, Women’s Health Unit, Section of General Internal Medicine, Department of Medicine, and Women’s Health Interdisciplinary Research Center, Boston University School of Medicine, 801 Massachusetts Avenue, Suite 470, Boston, MA 02118, USA...

Erratum to: High expression of MAGE-A10 cancer-testis antigen in triple-negative breast cancer

Medical Oncology — Tue, 31 Jan 2012 07:11:08 +0100

Content Type Journal ArticleCategory ErratumPages 1-1DOI 10.1007/s12032-012-0172-5Authors Tanja Badovinac-Črnjević, Oncology Department, University Hospital Zagreb, Kispaticeva 12, Zagreb, CroatiaGiulio Spagnoli, Institute of Research and Hospital Management, University of Basel, Basel, SwitzerlandAntonio Juretić, Oncology Department, University Hospital Zagreb, Kispaticeva 12, Zagreb, CroatiaJasminka Jakić-Razumović, Pathology Department, University Hospital Zagreb, Kispaticeva 12, Zagreb, CroatiaPaula Podolski, Oncology Department, University Hospital Zagreb, Kispaticeva 12, Zagreb, CroatiaNera Šarić, Oncology Department, University Hospital Zagreb, Kispaticeva 12, Zagreb, Croatia Journal Medical OncologyOnline ISSN 1559-131XPrint ISSN 1357-0560 (Source: Medical Oncolog...

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K-ras Mutation is Strongly Associated with Perineural Invasion and Represents an Independent Prognostic Factor of Intrahepatic Cholangiocarcinoma after Hepatectomy

Annals of Surgical Oncology — Tue, 31 Jan 2012 07:11:03 +0100

Conclusions The prevalence of K-ras mutations in a considerably large cohort of ICC was 22%. K-ras mutation is strongly associated with perineural invasion phenotypically. K-ras mutation is an independent prognostic factor of ICC after hepatectomy. Content Type Journal ArticleCategory Translational Research and BiomarkersPages 1-7DOI 10.1245/s10434-012-2224-7Authors Tse-Ching Chen, Department of Pathology, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, TaiwanYi-Yin Jan, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, TaiwanTa-Sen Yeh, Department of Pathology, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan Journal Annals of Surgical OncologyOnline ISSN 1534-4681Print ISSN 1068-9265 (Sourc...

Surgical Management of Melanoma Lung Metastasis: An Analysis of Survival Outcomes in 292 Consecutive Patients

Annals of Surgical Oncology — Tue, 31 Jan 2012 07:11:03 +0100

Conclusions The results support the role of pulmonary metastasectomy in selected patients with MLM. Patients with small (<2 cm) and solitary tumors that can be completely resected with a negative margin are most likely to experience prolonged survival. Content Type Journal ArticleCategory MelanomasPages 1-8DOI 10.1245/s10434-011-2197-yAuthors Terence C. Chua, Melanoma Institute Australia, Royal Prince Alfred Hospital, Sydney, NSW, AustraliaRichard A. Scolyer, Melanoma Institute Australia, Royal Prince Alfred Hospital, Sydney, NSW, AustraliaCatherine W. Kennedy, Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, Sydney, NSW, AustraliaTristan D. Yan, Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, Sydney, NSW, AustraliaBrian...

Diagnosis and management of bilateral diaphyseal femoral fracture

Endocrine — Tue, 31 Jan 2012 07:10:32 +0100

Content Type Journal ArticleCategory Letter to the EditorPages 1-2DOI 10.1007/s12020-012-9615-1Authors Antonia García-Martín, Bone Metabolic Unit, Endocrinology Division, Hospital Universitario San Cecilio, Av. Dr. Olóriz 16, 18012 Granada, SpainRebeca Reyes-García, Bone Metabolic Unit, Endocrinology Division, Hospital Universitario San Cecilio, Av. Dr. Olóriz 16, 18012 Granada, SpainMariela Varsavsky, Bone Metabolic Unit, Endocrinology Division, Hospital Universitario San Cecilio, Av. Dr. Olóriz 16, 18012 Granada, SpainManuel Muñoz-Torres, Bone Metabolic Unit, Endocrinology Division, Hospital Universitario San Cecilio, Av. Dr. Olóriz 16, 18012 Granada, Spain Journal EndocrineOnline ISSN 1559-0100Print ISSN 1355-008X (Source: Endocrine)

Environmental Measures in Domicilliary Interventions of Asthmatic Children

Indian Journal of Pediatrics — Tue, 31 Jan 2012 07:09:36 +0100

Conclusions Respiratory symptoms decreased significantly among asthmatic children following environmental interventions. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s12098-011-0674-8Authors Asit Kumar Mishra, Department of Pediatrics, Tata Main Hospital, Jamshedpur, IndiaAoyon Sengupta, Department of Pediatrics, Tata Main Hospital, Jamshedpur, IndiaKeshav Kumar, Department of Chemistry, Indian Institute of Technology-Madras, Chennai, India Journal Indian Journal of PediatricsOnline ISSN 0973-7693Print ISSN 0019-5456 (Source: Indian Journal of Pediatrics)

Outcomes Following Laparoscopic Choledochoduodenostomy in the Management of Benign Biliary Obstruction

Journal of Gastrointestinal Surgery — Tue, 31 Jan 2012 07:06:42 +0100

Conclusion Laparoscopic choledochoduodenostomy is a useful technique in patients with benign, refractory common bile duct obstruction. This technically demanding procedure is feasible; however, the associated comorbidities in this complex group of patients result in a relatively high complication rate. Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s11605-011-1768-3Authors Yashodhan S. Khajanchee, Hepatobiliary and Pancreatic Surgery Program, Providence Portland Medical Center, Portland, OR, USAMaria A. Cassera, Hepatobiliary and Pancreatic Surgery Program, Providence Portland Medical Center, Portland, OR, USAChet W. Hammill, Hepatobiliary and Pancreatic Surgery Program, Providence Portland Medical Center, Portland, OR, USALee L. Swanströ...

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Implantable Cardioverter-Defibrillators and the Young Athlete: Can the Two Coexist?

Pediatric Cardiology — Tue, 31 Jan 2012 07:04:41 +0100

Abstract Since the incorporation of implantable cardioverter-defibrillators (ICDs) into the management of life-threatening arrhythmias in the 1980s, tremendous advances in device and lead technology have allowed the implantation of ICD systems in younger and smaller patients. The majority of these young patients with “electrical” cardiac disease and a significant number of those with other indications for ICD placement have near normal to normal cardiac function, which has resulted in a large population of young ICD patients with minimal to no symptoms. This population has pushed the boundaries of published guidelines on activity restrictions for the disease state and the presence of an ICD, creating a dilemma for the patient, the family, and the health care team with ...

Effectiveness of a High End Users Program for Persons with Psychiatric Disorders.

Community Mental Health Journal — Tue, 31 Jan 2012 05:00:00 +0100

Authors: Rothbard AB, Chhatre S, Zubritsky C, Fortuna K, Dettwyler S, Henry RJ, Smith M Abstract To evaluate the effectiveness of an intensive system of case management for high end users of inpatient care in reducing psychiatric inpatient utilization. A pre-post study design with a contemporaneous comparison group was employed to determine the effects of a State designed intervention to reduce inpatient care for adults with a mental health disorder who had high utilization of inpatient psychiatric care between 2004 and 2007. Logit and negative binomial regression models were used to determine the likelihood, frequency and total days of inpatient utilization in the post period as a function of the intervention. Data from administrative reporting forms and Medicaid claims were used ...

Miliary Tuberculosis Complicated by Pulmonary Cavitations and Pneumothorax in a 14-Month Old Boy.

Annals of Thoracic and Cardiovascular Surgery — Tue, 31 Jan 2012 05:00:00 +0100

We report a case of a 14-month-old boy with miliary tuberculosis and recurrent pneumothorax due to cavities in the left lung. This boy had no previous medical history and was referred to our hospital for a severe pneumonia. Initial chest radiograph showed bilateral miliary pattern. Direct microscopy of gastric lavage showed the presence of tubercle bacilli, providing definitive diagnosis. In spite of effective medication, his status rapidly worsened. A cardiac resuscitation was followed by intubation, and he required high-pressure ventilation for four weeks. He developed left pneumothorax, for which several drainages were performed. Computed tomography revealed a huge cavern system involving the entire lingula and surrounded by the left pneumothorax. Eventually, a massive enlargement of th...

Rheumatic Heart Disease in Pregnancy – cardiac and obstetric outcomes

Internal Medicine Journal — Tue, 31 Jan 2012 05:00:00 +0100

Conclusion: RHD has a major impact on maternal cardiac outcomes. However, with current management practices maternal and fetal mortality are low, and the incidence of complications is predictable based on known risk factors. (Source: Internal Medicine Journal)

Cochleo-vestibular clinical findings among drug resistant Tuberculosis Patients on therapy-a pilot study.

International Archives of Medicine — Tue, 31 Jan 2012 05:00:00 +0100

Conclusions: A multi-disciplinary close surveillance of MDR and XDR TB patients on therapy is imperative. Finally researches into therapeutic trials on antidotes and potent safer substitutes for aminoglycosides in the management are recommended. (Source: International Archives of Medicine)

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Parathyroid cancer: Outcome analysis of 16 patients treated at the princess margaret hospital

Head and Neck — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionIn patients with parathyroid carcinoma, definition of prognostic factors and the role of adjuvant radiation treatment has still to be elucidated. Nevertheless, angioinvasion and positive resection margins are critical factors regarding disease‐free survival in patients with parathyroid carcinomas. © 2012 Wiley Periodicals, Inc. Head Neck, 2012 (Source: Head and Neck)

Long‐term effect of the self‐management comprehensive coping strategy program on quality of life in patients with breast cancer treated with high‐dose chemotherapy

Psycho-Oncology — Tue, 31 Jan 2012 05:00:00 +0100

ConclusionsThe CCSP improved QOL for patients at 1‐year follow‐up. Patients overwhelmingly reported that CCSP was beneficial. The CCSP as an effective coping intervention has potential as a self‐management program for breast cancer survivors. Copyright © 2012 John Wiley & Sons, Ltd. (Source: Psycho-Oncology)

Comparison of adverse events during 5‐fluorouracil versus 5‐fluorouracil/oxaliplatin adjuvant chemotherapy for stage III colon cancer

Cancer — Tue, 31 Jan 2012 05:00:00 +0100

CONCLUSIONS:The incremental harms of adjuvant chemotherapy with 5FU/oxaliplatin versus 5FU alone were modest in patients with stage III colon cancer who were insured by Medicare and Medicaid. The additional harms in patients aged ≥75 years largely were restricted to outpatient events and did not extend to an increased rate of hospitalization or early death. Cancer 2012. © 2012 American Cancer Society (Source: Cancer)

toutenkamion-European Leader for Mobile Medical Units

Hospital Management — Tue, 31 Jan 2012 00:00:00 +0100

toutenkamion is the European leader in the category of custom-built mobile medical units on 3.5t chassis, trucks and trailers as well as large expandable semi-trailers. All our vehicles are designed to the specific requirements of our clientele. (Source: Hospital Management)

KishHealth System introduces new clinical surveillance system

Hospital Management — Tue, 31 Jan 2012 00:00:00 +0100

KishHealth System in DeKalb, Illinois, US, has been using the Pharmacy Xpert clinical surveillance and intervention system from Thomson Reuters to capture interventions and improve patient care. (Source: Hospital Management)

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German hospital deploys IntraOp Mobetron for IOERT

Hospital Management — Tue, 31 Jan 2012 00:00:00 +0100

Helios Berlin Buch, a German hospital, has deployed IntraOp Medical's Mobetron system for intra-operative electron radiation therapy (IOERT). (Source: Hospital Management)

Analysing hospital variation in health outcome at the level of EQ-5D dimensions

The Kings Fund - Health Management Specialist Collection — Mon, 30 Jan 2012 16:19:38 +0100

This paper aims to measure variation in hospital quality using a new, routinely collected dataset on patient‐reported outcome measures (PROMs). It explores hospital performance with respect to self‐reported health outcomes for hip replacement patients at the level of the individual, disaggregated PROM responses. Paper CHE - publications (Source: The Kings Fund - Health Management Specialist Collection)

Substance abuse and suicide risk among adolescents

European Archives of Psychiatry and Clinical Neuroscience — Mon, 30 Jan 2012 16:07:15 +0100

Abstract The aim of this paper was to review the literature concerning the relationship between suicide and substance abuse behaviours among adolescents, focusing on epidemiology, comorbidity and preventive programmes. We performed a Pubmed/Medline, Scopus, PsycLit and PsycInfo search to identify all papers and book chapters during the period between 1980 and 2011. Adolescents with substance abuse disorder who attempt or complete suicide can be characterized as having mood disorders, stressful life events, interpersonal problems, poor social support, lonely lives and feelings of hopelessness. The research supports the existence of a strong relationship between suicide and substance abuse. Preventive programmes should be based on the detection of risk factors associated wit...

Randomized clinical trial of antibiotics in acute uncomplicated diverticulitis

British Journal of Surgery — Mon, 30 Jan 2012 14:17:47 +0100

Conclusion:Antibiotic treatment for acute uncomplicated diverticulitis neither accelerates recovery nor prevents complications or recurrence. It should be reserved for the treatment of complicated diverticulitis. Registration number: NCT01008488 (http://www.clinicaltrials.gov). Copyright © 2012 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. (Source: British Journal of Surgery)

Outpatient Move Saves Hospital

News stories via the Rural Assistance Center — Mon, 30 Jan 2012 06:00:00 +0100

HealthLeaders Media article tells how an expanded physical therapy program helped save a 22-licensed-bed critical access hospital in Illinois, a facility that nearly shut down because of fiscal and management problems. (Source: News stories via the Rural Assistance Center)

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What makes a midwifery model of care safe?

Women and Birth — Mon, 30 Jan 2012 05:00:00 +0100

Over the past 10 years, in particular, I have been observing, reading about and contributing to the discussion on midwifery models of care. Issue of safety have been particularly heated when midwives provide care during labour and birth outside of the obstetric unit context. I watched with enthusiasm as a Birthing Services was established under the leadership of Anne Saxton the Director of Maternity Service, Andrew Bisits as Director of Obstetrics and Carolyn Hastie as the Midwifery Unit Manager at the stand-alone birthing service situated at Belmont (20min from John Hunter, the major obstetrics units). The midwifery model of care at Belmont was designed to be high quality. The unit was commenced with a staff comprised of only skilled and experienced midwives. There was extensive and ongoi...

Acute medicine in the united kingdom: First‐hand perspectives on a parallel evolution of inpatient medical care

Journal of Hospital Medicine — Mon, 30 Jan 2012 05:00:00 +0100

(Source: Journal of Hospital Medicine)

Impact of Guideline‐Concordant Antibiotics and Macrolide/β‐lactam Combinations in 3203 Patients Hospitalized with Pneumonia: Prospective Cohort Study

Clinical Microbiology and Infection — Mon, 30 Jan 2012 05:00:00 +0100

In conclusion, guideline‐concordant antibiotics were not associated with decreased mortality for patients hospitalized with pneumonia, but were associated with decreases in the composite endpoint of death or ICU admission. Our findings do not support any clinical advantage to macrolide/β‐lactam compared to respiratory fluoroquinolone monotherapy. (Source: Clinical Microbiology and Infection)

Computerized nursing staffing: a software evaluation

Revista da Escola de Enfermagem da USP — Mon, 30 Jan 2012 03:57:48 +0100

A complexidade para operacionalizar o método de dimensionamento de profissionais de enfermagem, diante das inúmeras variáveis relativas à identificação da carga de trabalho, do tempo efetivo de trabalho dos profissionais e do Índice de Segurança Técnica (IST), evidenciou a necessidade de desenvolver um software, denominado: Dimensionamento Informatizado de Profissionais de Enfermagem (DIPE). Este estudo exploratório descritivo teve como objetivo avaliar a qualidade técnica e o desempenho funcional do DIPE. Participaram como sujeitos da pesquisa dezoito avaliadores, sendo dez enfermeiros docentes ou enfermeiros gerentes de unidades de saúde hospitalar e oito especialistas em informática em saúde. A avaliação do software baseou-se na norma NBR ISO/IEC 9126-1, considerando as ...