A study appearing in JAMA detailed how more than 100,000 patients who received implantable cardioverter-defibrillators (ICDs) found that about 20 percent did not meet evidence-based guidelines for receipt, and that these patients had a significantly higher risk of in-hospital death than individuals who met criteria for receiving an ICD.
Physicians now have help in their battle against methicillin resistant Staphylococcus aureus (MRSA), a potentially deadly infection that initially was limited to hospitals and health care facilities but has become a growing problem in healthy children and adults. The Infectious Diseases Society of America (IDSA) has released its first guidelines for the treatment of increasingly common MRSA infections.
Severely injured patients transported by helicopter from the scene of an accident are more likely to survive than patients brought to trauma centers by ground ambulance, according to a new study published in The Journal of Trauma: Injury, Infection, and Critical Care . The study is the first to examine the role of helicopter transport on a national level and includes the largest number of helicopter-transport patients in a single analysis.
According to a report produced by Reportlinker, demand for products used in cosmetic surgery is forecast to increase 6.5 percent per year to $2.8 billion in 2014, when 16.1 million cosmetic procedures are expected to be performed. The economic recession that began in December 2007 impacted the cosmetic surgery industry most profoundly in surgical procedures, which suffered large drops in 2008 and 2009.
Carla K. Johnson, AP The first large study to examine the use of X-rays, CT scans and other medical radiation in children estimates the average child will get more than seven radiation scans by age 18. Most of the scans involve X-rays, which use relatively little radiation, but there is growing concern about CT scans, which entail far more radiation and can raise the risk for cancer, particularly in children.
(AP) — A Las Vegas doctor has agreed to pay the federal government $1.25 million after prosecutors say he inflated health care claims for surgeries and supplies. U.S. Attorney Daniel Bogden announced that anesthesiologist Brian Lemper made the payment to resolve allegations that he defrauded a federal health care insurance program that benefits military members and their families.
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.