Managing hospital waste is a complex but important process. Through the use of disposal products, protective equipment, prudent practices, and the implementation of fluid management systems, hospitals and other medical facilities are able to dispose of hospital waste in a way that minimizes the spread of infection. In general, the practices and safeguards are working. But there are still areas where hospitals can improve.
A scoring system based on four clinical variables has the potential to pre-operatively identify patients likely to have remission of diabetes after Roux-en-Y gastric bypass (RYGB) surgery, investigators reported. The 22-point, insulin-weighted system had a strong inverse association with diabetes remission, ranging from 88 percent of patients who had scores of 0 to 2 to a low of 2 percent for patients with scores of 18 to 22.
Surgeons within the Veterans Affairs health system have become less likely to perform coronary artery bypass grafting (CABG) without the support of cardiopulmonary bypass in recent years, researchers found. The use of off-pump CABG peaked in 2003 -- when it accounted for 24 percent of such operations -- and fell to about 19 percent by 2011.
The American Society of Anesthesiologists (ASA) slammed a draft of a new Veterans Health Administration (VHA) nursing handbook that calls for advance practice nurse anesthetists within the system to attain independent status and function without the support, oversight, or supervision of a physician.
There have been several lapses in reporting problems with robotic surgical equipment, a new study has found. The equipment, called the da Vinci system, is made by Intuitive Surgical Inc. of Sunnyvale, Calif. It has been on the market for more than a decade; more than a million procedures have been performed with it. Between January 2000 and August 2012, thousands of mishaps were reported to the FDA.
A new stent coating showed promise for limiting restenosis while promoting vascular repair, an animal study suggested. Blocking the expression of CTP synthase 1 (CTPS1) suppressed the proliferation of smooth muscle cells, which cause neointimal hyperplasia -- "one of the major obstacles limiting the long-term clinical efficiency" of percutaneous coronary intervention (PCI).
Health officials in New Hampshire said eight neurosurgery patients at one hospital in the state may have been unwittingly exposed to Creutzfeldt-Jakob disease (CJD). Surgical instruments used on a patient later given a tentative diagnosis of sporadic CJD were subsequently used in at least eight other patients after ordinary sterilization, which is not adequate to reliably eliminate the prion proteins responsible for CJD.
An orthopedic surgeon accused of faking operations surrendered his medical license voluntarily Monday and has admitted to guilt in some of the cases against him, according to New York State court documents. Dr. Spyros Panos, who formerly worked for the Mid Hudson Medical Group in Poughkeepsie, N.Y., surrendered his license to practice medicine in New York this week following charges of medical misconduct.
Americans could save billions of dollars in health care costs each year if hospitals did a better job of curbing preventable infections, according to a new study. Research released today by JAMA Internal Medicine found that infections acquired during the course of medical treatment cost $9.8 billion annually. Researchers reviewed published data from 1998 through April 2013 and adjusted the costs for inflation in 2012 dollars.
Emerging technology might provide a more personalized approach to help reduce the death and morbidity in atrial fibrillation patients, according to a European consensus statement. Management and treatment of Afib patients should encompass the integration of atrial morphology and damage, brain and heart imaging, information on genetic predisposition, systemic or local inflammation, and blood-based biomarkers.
Western Maryland Health Systems, the major hospital serving this poor and isolated region, is carrying out an experiment that could leave a more profound imprint on the delivery of health care than President Obama’s reforms. The goal, seemingly so simple, has so far proved elusive elsewhere: as much as possible, keep people out of hospitals, where the cost of health care is highest. Here, the experiment seems to be working.
Intraoperative cholangiography failed to reduce the risk of common-duct injury during cholecystectomy, an instrumental variable analysis of 92,000 cases showed. Use of intraoperative imaging was associated with an injury rate of 0.21 percent compared with 0.36 percent for cholecystectomy procedures performed without cholangiography.
In order for a patient to make an informed decision on whether surgery is appropriate, doctors and patients must be on equal ground regarding the specific risk factors involved. The ACS Surgical Risk Calculator is a free-to-use tool, compiled from statistical data collected from just under 1.5 million patients, that allows surgeons to adjust risk factors for a more personalized risk estimate.
Long-term follow-up in children undergoing hemispherectomy for refractory epilepsy showed that most were seizure-free and able to walk independently, but deficits in many areas of daily function were common, researchers said. Among 115 children with a mean of 6.05 years of follow-up, 70 were seizure-free and 96 were able to walk without assistance, according to Ajay Gupta, MD, of the Cleveland Clinic in Ohio, and colleagues.
A 3-month-old Indian baby is the center of a medical mystery as doctors are trying to determine if the infant suffered from spontaneous human combustion, according to the New York Times. The infant is being treated at the Kilpauk Medical College Hospital in Chennai, India, after his parents claimed he caught on fire four separate times.