Ductal carcinoma in situ (DCIS), or non-invasive breast cancer, is typically treated with either breast-conserving surgery—with or without follow-up radiation—or mastectomy. The treatment choice depends on clinical factors, the treating surgeon, and patient preferences, with long-term health outcomes (disease-free survival) depending on the treatments received.
Hospitalized children in the United States are more frequently becoming infected with the bacteria Clostridium difficile, according to a report posted online and appearing in the May print issue of Archives of Pediatrics & Adolescent Medicine , one of the JAMA/Archives journals. C. difficile can colonize the gastrointestinal tract and lead to infection.
Radiologists and referring clinicians frequently use portable media (CDs, DVDs) to review patient medical images acquired at outside imaging centers, including magnetic resonance imaging (MRI) and computed tomography (CT) scans, but issues regarding access, importability, and viewing of these portable media still exist, according to a study in the January issue of the Journal of the American College of Radiology (www.
While regulations have been put in place to restrict the work hours of doctors in training, no such regulations exist for fully trained physicians. An editorial in this week's New England Journal of Medicine argues that sleep-deprived physicians should not be permitted to proceed with an elective surgery without a patient's informed, written consent.
A multidisciplinary clinical practice guideline, Tonsillectomy in Children , will be published in the January issue of Otolaryngology—Head and Neck Surgery . The new guideline provides evidence-based recommendations on the pre-, intra-, and postoperative care and management of children 1 - 18 years of age under consideration for tonsillectomy.
Postoperative adhesions are a major complication in strabismus surgery, so amniotic membrane has been used in the hopes of preventing these adhesions by forming a biological barrier during healing. In the December 2010 issue of the Journal of AAPOS , the Official Publication of the American Association of Pediatric Ophthalmology and Strabismus, a team of researchers from Cairo University have discovered that the new approach may also have the opposite effect.
A report published in the January issue of the Journal of Vascular Surgery® evaluates the rate of reinterventions and readmissions after initial abdominal aortic aneurysm (AAA) repair, 30-day mortality and the effect on long-term survival. The cases of over 45,000 Medicare beneficiaries who underwent AAA-related or laparotomy-related EVAR or open repair from 2001 to 2004 were reviewed by researchers from Beth Israel Deaconess Medical Center and the Department of Health Policy at Harvard Medical School.
Fizan Abdullah, M.D. Children who live in areas with fewer pediatricians are more likely to suffer life-threatening ruptures of the appendix than those in areas with more pediatricians, even when accounting for other factors such as the number of hospitals, imaging technology, insurance coverage and the number of surgeons in an area, according to a study from the Johns Hopkins Children’s Center.
Lauran Neergaard, AP Medical Writer WASHINGTON (AP) — Loud snoring may do more than irritate your spouse: It can signal sleep apnea, depriving you of enough zzzz's to trigger a car crash, even a heart attack. Now scientists are beginning to test if an implanted pacemaker-like device might help certain sufferers, keeping their airways open by zapping the tongue during sleep.
All three unconnected errors happened since September. Dr. Kenneth Sands is the senior vice president of health care quality at Beth Israel Deaconess Medical Center. He tells The Boston Globe the surgeons apparently miscounted the patients' vertebrae and operated directly above or below where they were supposed to.
Russell Contreras, Associated Press BOSTON (AP) — Growing up in segregated Memphis, Tenn., during the Jim Crow era, Augustus White III knew about those certain places off-limits to him as a black man — restrooms, diners and schools. He just didn't pay racial barriers much mind.
(AP) Pennsylvania officials say a woman faked having cancer to collect nearly $100,000 in insurance money. The state attorney general's office says 50-year-old Deborah Brown of Canonsburg was charged with altering hospital paperwork to make it appear she had cancer and filing fraudulent claims for treatment she never got.
Amanda Lee Myers, AP The Roman Catholic Diocese of Phoenix stripped a major hospital of its affiliation with the church recently because of a surgery that ended a woman's pregnancy to save her life. Bishop Thomas Olmsted called the 2009 procedure an abortion and said St. Joseph's Hospital and Medical Center — recognized internationally for its neurology and neurosurgery practices — violated ethical and religious directives of the national Conference of Catholic Bishops.
In this week's PLoS Medicine , Robert Chad Swanson from Brigham Young University, and colleagues, present a set of 10 guiding principles for strengthening health systems. It was developed from a comprehensive review of the literature and consultation with industry experts. 1. Holism. Consider all systems components, processes, and relationships simultaneously.
Busy doctors can miss important details about a patient's care during an office examination. To prevent that, Northwestern Medicine researchers have created a smart assistant for physicians which entails using electronic health records to alert doctors when a patient's care is amiss during an exam.