Managed care programs have placed a major portion of health care delivery squarely in the community. The new book, Nurse-Social Worker Collaboration in Managed Care: A Model of Community Case Management, examines ways in which nurses and social workers can collaborate effectively in the community-based care era.
An unlikely team of heart surgeons and brain chemistry experts at Johns Hopkins has experimental evidence that some common drugs including anti-seizure medications may reduce or eliminate the most feared risk to people facing heart bypass surgery -- inevitable, if often subtle, brain damage.
Doctors at St. Jude Children's Research Hospital today announced new brain tumor research protocols they hope will improve survival rates and reduce side effects of radiation therapy among pediatric cancer patients.
A North Carolina State University biochemist has developed a blood test that provides a quicker and much more accurate way of predicting the likelihood of heart disease than other blood analysis methods.
Research over the past 10 years has shown that acute leukemia is in fact a genetic disorder. It arises when genes essential to correct blood cell function are not expressed at the appropriate times. In many cases, the failure of gene expression can be traced to an altered protein known as a transcription factor.
A new study has found that filtering leukocytes (white blood cells) out of transfused blood and blood that passes through a heart-lung machine during cardiac surgery resulted in significantly decreased length of stay and therefore, cost of care, for a majority of patients.
Initial outcomes for participants in Diabetes Treatment Centers of America's (DTCA) comprehensive health care management system, Diabetes NetCareTM, show a 26%, or $141 per member per month, reduction in direct health care costs within six months of implementation, according to the current issue of Managed Healthcare magazine.
Older people with chronic congestive heart failure can significantly improve their functional independence by exercising moderately three times a week, according to a study led by Johns Hopkins physicians.
A daily supplement of 1000 micrograms (mcg) of chromium picolinate can have "pronounced" beneficial effects on the management of adult-onset diabetes, according to a new study published in the November Diabetes, the journal of the American Diabetes Association.
There is no established correlation between the U.S. Pharmacopeia (USP) dissolution test and the body's ability to absorb multivitamin supplements. None the less, The Tufts University Health and Nutrition Letter tries hard to make a story out of the fact that two out of ten brands of multivitamins failed to pass a USP dissolution test.
Long-term use of multi-vitamins may reduce the risk of colon cancer by 50 percent. Consumption of 200 international units (IU) of vitamin E per day may reduce the risk by 57 percent. A new study published in the October journal of Cancer, Epidemiology, Biomarkers and Prevention showed that there was a significant relationship between multivitamin use and supplemental use of vitamins A, C, E, folic acid, and calcium and lower colon cancer rates.
From the Journals of the American Society for Microbiology , November 1997: 1) More evidence of role of Chlamydia in Heart Disease, 2) Possible Vaccine Target for Ulcer Bacteria, 3) Airlines Carry Infectious Diseases in Lavatory Sewage
Muzak may be capable of reducing stress in a "high stress" work environment and help reduce the risk of the common cold at the same time. That's the implication of a new study, "The Influence of Muzak on Stress and Immune System Function in a Newspaper Newroom," by two professors at Wilkes University in Wilkes-Barre, PA. It is being presented at the annual meeting of the International Congress of Applied Psychology which takes place in San Francisco during August 1998.
Although the benefits of breast reconstruction for mastectomy patients have been well documented, the costs associated with surgery have led some insurance companies to resist or even deny coverage for covered participants. A 1996 survey conducted by the American Society of Plastic and Reconstructive Surgeons revealed that 84 percent of plastic surgeons across the country reported up to ten patients each who were denied coverage for breast reconstruction surgery in a one-year period.
A color additive extracted from dried bugs and commonly used in cosmetics, clothing fibers, fruit drinks, candy, yogurt and other foods can cause life-threatening allergic reactions, a University of Michigan physician has confirmed. As a "natural" ingredient, the color additive is often not listed on labels.
1) Sore Feet Don't Need to Be Your Achilles' Heel, 2) Tonsils May Cause Child's Restless Nights, Daytime Problems, 3) Baby Talk Can Be Stimulating Conversation, 4) Impotence Is Commonly Treated Without Surgery, 5) Supplement Your Calcium Knowledge, 6) Slimming Procedures Still Being Tested
A new study found that chronic heartburn is increasing while patients suffer and ignore potentially serious consequences. The study also found that many of these heartburn sufferers use over-the-counter (OTC) medications on a regular basis, even though they may not be getting adequate symptom resolution.
Neurosurgeons at the Stanford University School of Medicine have shown that they can cure a relatively common type of brain tumor, called a meningioma, without performing open surgery in the skull base, an extremely vulnerable area.
A new series explores how evidence-based emergency medicine can close the gap between research and practice in the November issue of Annals of Emergency Medicine. New studies also are released on how telemedicine technology can be used to improve health care in underserved areas and how emergency departments can be used to identify alcohol-related problems.
Most children with early-stage non-Hodgkin's lymphoma can be cured. That's good, but what's even better is the news that the standard chemotherapy regimen for many of these children can be reduced by more than two-thirds with no negative consequences.
More women with heart disease are surviving to adulthood and contemplating pregnancy, but precautions may be needed to prevent complications in both the mother and child, according to a study in today's Circulation, a journal of the American Heart Association.
A new study of more than 20,000 children on three continents has found significant differences in blood cholesterol -- particularly in cholesterol's healthiest component, abbreviated HDL.
-- Putting portable defibrillators in commercial airliners and at airports would save both lives and money for the airlines, according to a study published in today's Circulation, an American Heart Association journal.
People with heart failure fared far better in the care of cardiologists and trained specialists than in the hands of internists and family physicians with limited expertise in treating the condition, a new study published today in the American Heart Association journal Circulation shows.
Even small weight gains can increase a person's risk of having a heart attack, according to a report that stresses the importance of a low-fat diet and regular physical activity to prevent obesity.
What does it mean if your doctor is not among those listed as "Best Doctors"? Maybe nothing in terms of good care, says Dr. Arthur Hartz, University of Iowa professor of family medicine.
Two studies presented at the Annual Meeting of the American College of Gastroenterology highlighted the importance of colorectal cancer screening for individuals suffering from inflammatory bowel disease and for African Americans, who are thought to have an increased incidence of colorectal cancer.
Unlocking some of the mysteries of genetic materials offers some promising early results in a new treatment approach to Crohn's disease, a type of inflammatory bowel disease that affects over 2 million people in the United States.
The common domestic cat is not a carrier for H. pylori, the bacterium that causes most ulcers, according to a study presented to the American College of Gastroenterology. This news counters the suggestion that cats might be a reservoir and transmission source for H. pylori infection.
Data presented to the Annual Scientific Meeting of the American College of Gastroenterology revealed no statistically significant differences between Caucasians and African Americans in their experience of inflammatory bowel disease ("IBD").
Patients who tested positive for the bacterium H. pylori were unlikely to present pathological changes to the esophagus indicating severe complications according to a Mayo Clinic study presented at the Annual Meeting of the American College of Gastroenterology.
Ten percent of Internet sites offering treatment advice for gastrointestinal (GI) diseases posted remedies that are of no proven benefit, according to a study presented at the Annual Scientific Meeting of the American College of Gastroenterology.
An analysis of the lifesaving benefits of colorectal cancer screening, presented to the American College of Gastroenterology, showed that without proper screening, colorectal cancer decreases life expectancy by more than eight months for adults in their early 50's.
Compliance with colorectal cancer screening suffers because of factors related to health insurance coverage and encouragement, as well patient perceptions of the screening experience, according to studies presented to the American College of Gastroenterology.
A study presented at the Annual Meeting of the American College of Gastroenterology found that although a surgical procedure used to treat severe GERD is viewed as curative, as many as 64% of patients experienced persistent reflux symptoms and significantly impaired quality of life afterwards.
The use of non-steroidal anti-inflammatory drugs among the elderly is associated with significant complications of gastroesophageal reflux disease, including peptic stricture, according to a study presented at the annual meeting of the American College of Gastroenterology in Chicago.
The world's most comprehensive database of genetic and other information on flu viruses is providing the medical community a new resource in the fight against this potentially deadly contagion.
A 50-year-old medical test has proven more reliable than high-tech diagnostic tools in pinpointing some back disorders, according to a researcher at University of Michigan Medical Center. The process called electromyography can determine where subtle nerve damage or paralysis occurs in various muscles by inserting thin needle electrodes into them.
Attendance at religious services may actually improve physical health and psychological well-being for the elderly according to two reports, co-authored by Ellen Idler, Ph.D., assoc prof of sociology at Rutgers' Institute for Health, Health Care Policy and Aging Research, and Stanislav Kasl, Ph.D., prof of epidemiology at Yale University School of Medicine.
University of Maryland School of Pharmacy are reporting on a new cancer drug delivery system that reduces toxicity, on a laser for measuring levels of a cancer drug in the body , and on the effectiveness of caffeine and sleeping aids for women in all three phases of their menstrual cycle, at the annual meeting of the American Association of Pharmceutical Scientists Nov. 2-6 in Boston.
Researchers have determined which combination of diagnostic and treatment techniques is most cost-effective in preventing a repeated stroke in persons having their first stroke. Those stroke patients who receive a relatively new imaging procedure called transesophageal echocardiography (TEE) and have their treatment based on the tests results likely will have significantly fewer strokes later on, with improved quality of life and decreased medical costs. In contrast, another older imaging method widely used in stroke patients, transthoracic echocardiography (TTE), often does not see clots in a particular region of the heart where many clots form, thus leaving patients vulnerable to recurrent strokes and higher medical costs. The study appeared in the November 1 issue of the Annals of Internal Medicine.
1. Young people that develop type 2 diabetes benefit from aggressive method to keep blood glucose near normal, but older patients need not be treated as aggressively, 2. Ethic minority cancer patients do not receive adequate pain control, 3. Recommendations for clinical software systems, 4. Let's call Internal Medicine Adult Medicine, an editorial writer suggests.
Listed below are story ideas from the Columbia University Naomi Berrie Diabetes Center at the Columbia-Presbyterian MedicalCenter: 1) Holiday Treats & Diabetes: Can The Two Mix? 2) Giving The "Sweet Talk" On Diabetes Management, 3) No Such Thing As "A Touch Of Sugar," Especially In Pregnancy, 4)Columbia University Researchers "Gaining Ground" On Obesity And Diabetes
Presidential Address of president of the Central Association of Obstetricians and Gynecologists
Press conference from the American College of Gastroenterology to discuss new technologies used to diagnose colon cancer, ulcers and Barrett's esophagus. Available via telephone.
Press conference from the American College of Gastroenterology to discuss new research and treatments for common GI conditions: heartburn, GERD, ulcers, Chron's disease. Available via telephone.
Post-phen/fen treatment of obesity: surgery or drugs? Experts from the American College of Gastroenterology are available via telephone from the College's Annual Scientific Meeting.
The discovery of the "two-faced" gene Pax-5 by a William and Mary research is yielding tantalizing new clues about the genesis of some types of cancer. Pax-5 is a member of a group of genes that have the unusual ability to produce multiple proteins with many different functions, some of which may lead to cancer.
If more people would take an aspirin when they experience chest pain or other symptoms of a severe heart attack, 5,000 to 10,000 lives could be saved in the United States each year, according to an American Heart Association scientific statement published today in the association's journal Circulation.
Dr. Florence Haseltine of the NIH is heading an expert panel put together by the American College of Gastroenterology to discuss gender-based science and its relevance for research and clinical practice. Interviews are available via telephone.
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