When a patient makes a request for assistance with suicide, the physician's response should not be a simple yes or no. Instead, the caregiver should engage the patient in a dialogue exploring the meanings behind the request. Only then can the physician determine whether the request is "rational" or driven by other factors, writes a Columbia-Presbyterian psychiatrist in JAMA.
Radiation treatment for breast cancer slightly raises a woman's long-term risk for esophageal cancer, according to a study conducted by epidemiologists at Columbia-Presbyterian Medical Center.
Enhanced external counterpulsation, a noninvasive, outpatient therapy for chronic angina, is safe and effective, according to a multicenter trial led by Columbia-Presbyterian. Results of the trial, the first randomized study of EECP, were presented at the annual meeting of the AHA in Orlando.
A novel technique for repairing leaky mitral valves, involving the placement of a single suture, is undergoing clinical trials at Columbia-Presbyterian. It may be possible to perform the repair with minimally invasive techniques, eliminating the need for open-heart surgery. Two studies of the new procedure were presented at the annual meeting of the AHA.
A Columbia-Presbyterian study has demonstrated that patients under general anesthesia are capable of processing certain types of auditory information such as word-pair associations. The findings, presented at the annual meeting of the AHA, raise the possibility that words or music played during surgery can be used to condition patients to respond better during recovery.
A Columbia-Presbyterian study has demonstrated that brain scans and neuropsychiatric tests can help doctors determine whether psychiatric problems are due to Lyme disease or a primary psychiatric disorder.
Columbia-Presbyterian Medical Center has announced the opening of the Center for Menopause, Hormonal Disorders, and Women's Health, the first of its kind in the New York metropolitan area.
Borrowing from the field of dentistry, otolaryngologists are using titanium bone implants to create permanent anchors for prosthetic ears. This is a major advance for people who are missing an ear because of cancer, trauma, or birth defects.
A breathable liquid for treating children in acute respiratory distress is undergoing clinical trials Columbia-Presbyterian Medical Center. The liquid, called perflubron, is administered to the lungs with a conventional respirator.
Researchers at Columbia-Presbyterian Medical Center have found that population-wide sperm counts vary significantly from year to year, and that these variations coincide with yearly changes in birth rates. The findings, to be published in the March issue of the Journal of Urology, may also explain why previous fertility studies have concluded that sperm counts around the world are declining.
Neurologists and nutritionists at Columbia-Presbyterian Medical Center are using a high-fat, low-carbohydrate diet to control seizures in epileptic children who do not respond to, or cannot tolerate, medication. The "ketogenic diet" was actually devised in the 1920s, but fell out of favor with the advent of effective anti-seizure medications.
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