Monday, May 31, 2010

Medical News

Medical News


Study supports COPD link to systemic inflammation

Posted: 31 May 2010 05:00 PM PDT

Results from a Spanish population-based study support an independent association between chronic obstructive pulmonary disease and low-grade systemic inflammation.

Early antibiotic treatment may improve COPD exacerbation outcomes

Posted: 31 May 2010 05:00 PM PDT

Early antibiotic treatment is associated with a reduced need for mechanical ventilation, risk for in-patient mortality, and risk for readmission among patients hospitalized for an exacerbation of chronic obstructive pulmonary disease, US study results show.

<i>MRP1</i> gene variants linked to COPD severity

Posted: 31 May 2010 05:00 PM PDT

Single nucleotide polymorphisms in the multidrug resistance-associated protein-1 gene are associated with lung function and inflammation in patients with chronic obstructive pulmonary disease, say Dutch researchers.

Bipolar disorder linked to certain positive psychological traits

Posted: 31 May 2010 05:00 PM PDT

Patients with bipolar disorder frequently display positive psychological traits including spirituality, empathy, creativity, realism, and resilience at a level equal or higher to that of mentally healthy controls, a review of the literature shows.

Cannabis use linked to better cognitive function in schizophrenia

Posted: 31 May 2010 05:00 PM PDT

Schizophrenia patients with a history of cannabis use disorder show better function on a range of cognitive tests compared with their peers with no such history, study results show.

ATHENA post-hoc analysis conflicts with ANDROMEDA on dronedarone

Posted: 31 May 2010 05:00 PM PDT

A post-hoc analysis of a large trial has shown no increased risk of death with the anti-arrhythmic dronedarone in patients with congestive heart failure, in contrast with a previous trial.

Health Informatics News

Health Informatics News


Medics overwhelmed by injured

Posted:

 1/14/2010 © New York Times First aid responders and doctors tried to triage the massive number of injured in Haiti as the death toll estimate rose to 45,000. They didn't even have aspirin, much less anesthesia.

Insurers, state reach pact on cancer

Posted:

By Christine Jordan Sexton 1/13/2010 © Health News Florida The state’s largest insurance companies on Wednesday said they have signed a voluntary pact committing them to cover routine medical treatments for cancer patients who enroll in clinical trials. 

Sunday, May 30, 2010

Medical News

Medical News


Image cytometry predicts high-grade dysplasia and adenocarcinoma in BE patients

Posted: 30 May 2010 05:00 PM PDT

Barrett's esophagus patients who have cells with abnormal chromosome numbers or DNA ploidy, identified using image cytometric DNA analysis, are significantly more likely to develop high-grade dysplasia or adenocarcinoma than those who do not, say researchers.

Gender differences in schizophrenia may extend to Chinese patients

Posted: 27 May 2010 05:00 PM PDT

Gender differences in patients with schizophrenia may not be dependent on cultural differences, suggest researchers.

Glutamate neurotransmission elevated in bipolar disorder

Posted: 27 May 2010 05:00 PM PDT

Elevated cortical glutamate levels in patients with bipolar disorder are likely to be due to increased glutamate neurotransmission rather than alterations in glutamate metabolism or cycling, say UK researchers.

Cannabis use increases psychosis-related outcomes

Posted: 26 May 2010 05:00 PM PDT

Researchers report evidence from a sibling pair analysis that supports the association between early cannabis use and psychosis-related outcomes.

Benefit of antihypertensive treatment greatest in Type 2 diabetics with advanced CKD

Posted: 26 May 2010 05:00 PM PDT

An analysis of the ADVANCE trial shows that treatment with fixed-combination perindopril plus indapamide is most effective for reducing cardiovascular and renal outcomes versus placebo in patients with Type 2 diabetes and stage 3 or above chronic kidney disease.

BP rise warns of ICH in patients taking antithrombotics

Posted: 26 May 2010 05:00 PM PDT

A rise in blood pressure increases the risk for intracranial hemorrhage among patients taking antithrombotic medication, say Japanese researchers.

Gender-specific gene expression found in new-onset HF

Posted: 26 May 2010 05:00 PM PDT

Researchers have found gender-specific differences in gene expression profiles in endomyocardial biopsy tissue taken from new-onset heart failure patients.

Strong depression and anxiety covariation in bipolar disorder

Posted: 26 May 2010 05:00 PM PDT

Researchers have found that anxiety is strongly and persistently associated with depressive symptoms in patients with bipolar disorder.

Paranoid tendencies may evolve in prodromal phase of schizophrenia

Posted: 25 May 2010 05:00 PM PDT

Patients with a first episode of psychosis and those considered to be at ultra-high risk for psychosis show an attribution bias towards perceived hostility in others, study results show.

Swine flu may cause obstetric complications in pregnant women

Posted: 25 May 2010 05:00 PM PDT

Results from a US study show that pregnant women with H1N1 influenza are at increased risk for obstetric complications.

Hypertension control improved over past two decades

Posted: 25 May 2010 05:00 PM PDT

Hypertension control has improved significantly since the late 1980s, with most of the improvement occurring after 1999, analysis of US NHANES data shows.

Online chart helps bipolar disorder patients log mood

Posted: 25 May 2010 05:00 PM PDT

Patients with bipolar disorder are more likely to regularly fill out an online mood chart than the standard paper-based version, and generally give more detail about their current condition online, study results show.

Emotional processing deficits questioned in schizophrenia

Posted: 24 May 2010 05:00 PM PDT

Schizophrenia patients with relatively preserved intellectual ability show no deficits in identifying facial emotion expressions compared with mentally healthy controls, study results show.

ALLHAT/JNC7 dissemination may have upped thiazide prescriptions

Posted: 24 May 2010 05:00 PM PDT

The ALLHAT/JNC7 Dissemination Project, providing clinicians with face-to-face education by investigators trained to explain trial findings and guidelines, was associated with a small increase in thiazide-type diuretic prescriptions, a report shows.

Bipolar disorder patients show significant morbidity after episodes

Posted: 24 May 2010 05:00 PM PDT

Patients with bipolar disorder spend 11 months on average in a morbid state of illness in the 2 years following their first major lifetime episode, study results show.

Health Informatics News

Health Informatics News


State agencies on trial today

Posted:

By Sammy Mack 2/9/2010 © Health News Florida A landmark lawsuit that seeks to rewrite Florida's Medicaid policy resumed today in Miami, with plaintiffs charging that state agencies' low pay for doctors and dentists and tendency to switch plans without notice often leave children with no access to care. A related story in Florida Today shows the struggle of dentists who take Medicaid. 

Some defend DOH secrecy

Posted:

By Carol Gentry 2/8/2010 © Health News Florida  The state Department of Health's decision to withhold information on its consumer web site about pending actions against health professionals -- including arrests --- is entirely appropriate, say attorneys who defend doctors. The public's reaction was different. As one woman said, "I was horrified."

Uninsured Mexicans find care

Posted:

2/2/2010 © Orlando Sentinel When Josefina de la Rosa was diagnosed with cancer in 2007, she could not afford treatment. In stepped nonprofit Casa de Mexico, which finds doctors to help.

Patient or fetus -- whose rights prevail?

Posted:

1/26/2010 © Associated Press The case of Samantha Burton, who was forced to remain in the hospital for the welfare of her fetus, is drawing attention to the question of whether pregnancy deprives patients of their rights.

As records go digital, cultures clash

Posted:

By Sammy Mack 1/21/2010 © Health News Florida The switch to electronic medical records has been rocky for doctors in Broward who refused to pay what they called unwarranted charges and were turned over to collections. More disputes are arising as midcareer physicians bump up against the world of high-tech software sales.

Doctor wrote 1,000 scripts/week

Posted:

By Carol Gentry 1/15/2010 © Health News Florida Since 2004, a Miami psychiatrist has prescribed almost 14 million pills to Medicaid patients at a cost to taxpayers of $43 million, a feverish pace of 1,000 prescriptions a week. A state senator says the doctor should be the "poster boy for tougher enforcement actions."

Saturday, May 29, 2010

Health Informatics News

Health Informatics News


ONC to Award Additional $30.3 Million to Beacon Communities

Posted: 27 May 2010 12:10 PM PDT

The Office of National Coordinator for Health Information Technology (ONC) has announced two new awards in The Beacon Community Cooperative Agreement Program totaling $30.3 million. In early May ONC awarded $220 million to 15 Beacon Communities that demonstrate meaningful use of health IT and achieve measurable improvements in health care quality, safety, efficiency, and population health. The additional awards will be made in the form of approximately two 31-month cooperative agreements to non-profit organizations or government entities representing geographic healthcare communities. Selected communities must already be national leaders in the advancement of health IT, workflow redesign and care coordination, or quality monitoring and feedback. The cooperative agreements will be awarded in August of 2010.

MedWaitTime Launches in Chicago

Posted: 27 May 2010 09:40 AM PDT

MedWaitTime , a new Web and mobile service aimed to help patients determine if their doctor is running late for an appointment, has launched in Chicago. The technology, developed by orthopedic surgeon Dr. Vishal Mehta with two partners, is live with 10 Chicago-area doctors, with plans to be incorporated into local emergency rooms as well. Patients who sign up with the service receive text messages to notify them when their doctor is late, and Mehta is planning to launch an iPhone app for the service as well. The group has spent more than $200,000 on developing and testing the service and they plan to charge $50 a month per doctor and $300 a month for each hospital department.

Intel to Expand Health Guide in Europe

Posted: 27 May 2010 08:01 AM PDT

Intel  (Santa Clara, Calif.) has announced that it will be expanding availability of the Intel Health Guide in Europe and is working with industry partners in France, Germany, Spain and The Netherlands to bring localized versions of the Intel Health Guide to market in the coming year. The announcement was made at the  World Congress for Information Technology in Amsterdam. The Intel Health Guide combines an in-home patient device with an online interface to allow physicians to remotely and securely monitor patients in their homes, addressing challenges of chronic conditions for patients. Chronic conditions currently account for 70 percent of total health expenditure in Europe. The Intel Health Guide is already commercially available in the United Kingdom, United States, Ireland and Australia. Intel is working on a pilot project with the  Martini Hospital and CurIT in Groningen to use the Intel Health Guide for pregnant women with diabetes.

Kaiser: Home Monitoring May Improve Blood Pressure

Posted: 26 May 2010 07:51 AM PDT

A new study led by  Kaiser Permanente Colorado in conjunction with the American Heart Association and  Microsoft Corp. finds that the use of at-home blood pressure monitors and web-based reporting tools that connect clinicians and patients via the Internet appears to significantly improve patients’ ability to manage their high blood pressure to healthy levels. The study involved 348 patients with uncontrolled hypertension aged 18-85 years. Participants were randomized into a usual care group, where blood pressure was checked during regular office visits, and a home monitoring group, where a Kaiser Permanente application automatically transferred the home blood pressure readings to Kaiser Permanente’s electronic disease registry. At six months, patients in the home monitoring group were 50 percent more likely to have their blood pressure controlled to healthy levels compared to the usual care group. As many as 73 million Americans have high blood pressure, a leading predictor of heart disease.

KLAS: Healthcare IT Consultants in High Demand

Posted: 25 May 2010 09:00 AM PDT

A new report from Orem, Utah-based research firm  KLAS shows that as the healthcare industry moves towards meaningful use, the demand for skilled consultants is high. The report, Shifting Demand for Consultants: Who's Hot, Who's Not, and Why , is based on interviews with 118 healthcare providers and finds that nearly 70 percent of those interviewed expect to hire a professional services firm to help with the demands of achieving meaningful use. The study also notes that, in 2007, just five firms enjoyed significant provider mindshare, while today thirteen do. The KLAS report also details which consulting firms are being considered the most by providers looking to hire outside help, with CSC (formerly FCG) topping that list and being considered in 17 percent of deals. The study notes that the number of firms enjoying significant provider mindshare has incread from five in 2007 to 13 in 2010. Firms highlighted in the KLAS report include Accenture, ACS, Beacon Partners, CSC, CTG, Dearborn Advisors, Deloitte, IBM, maxIT Healthcare, and Navin, Haffty & Associates (NHA).

New Mexico HIE Meets ARRA Stimulus Requirements

Posted: 25 May 2010 08:30 AM PDT

The US Office of the National Coordinator for Health Information Technology has announced that New Mexico is the first state to meet all requirements for strategic and operational planning as part of the American Recovery and Reinvestment Act (ARRA) state health information exchange (HIE) cooperative agreement program. Many states have previously secured ARRA planning funding, but New Mexico is the first and only state to execute on its plan to meet ONC criteria and receive approval for implementation funds. Using the $7 million ARRA grant, The New Mexico Health Information Collaborative (NMHIC) will be able to accelerate its plan to serve two million patients statewide. Currently, NMHIC has one million unique patients in its database, with access to patient record information from more than ten hospitals, two major medical groups, and two major laboratories. The NMHIC network is largely powered by Centergy Data Exchange Services from Cincinnati,Ohio-based MedPlus , the healthcare information technology subsidiary of Quest Diagnostics Incorporated.

Shands takes surprise hit

Posted:

 By Jim Saunders 5/28/2010 © Health News Florida Gov. Charlie Crist vetoed $371 million from the new state budget today, largely sparing health- and human-services programs. But he immediately raised questions by vetoing millions of dollars for the Shands Healthcare System --- and by trying to prevent rate cuts for nursing homes.

Friday, May 28, 2010

Medical News

Medical News


Elevated INR does not protect chronic liver disease patients against VTE

Posted: 27 May 2010 05:00 PM PDT

Physicians should not rely on "auto-anticoagulation" to protect patients with chronic liver disease against venous thromboembolism, US researchers caution.

CREST published: Supports ‘individualized’ treatment choices

Posted: 27 May 2010 05:00 PM PDT

CREST finds similar long-term outcomes among patients allocated to carotid artery stenting or carotid endarterectomy, as reported in the New England Journal of Medicine.

Ustekinumab improves depression, anxiety in psoriasis patients

Posted: 27 May 2010 05:00 PM PDT

Ustekinumab improves symptoms of anxiety, depression, and skin-related quality of life in patients with psoriasis, US study findings show.

Low-risk prostate cancer patients frequently harbor bilateral disease

Posted: 27 May 2010 05:00 PM PDT

Two-thirds of men with low-risk unilateral prostate cancer at biopsy have bilateral or non-organ-confined disease at radical prostatectomy, German study results show.

Many prostate tumors upgraded upon prostatectomy

Posted: 27 May 2010 05:00 PM PDT

Many prostate tumors graded as Gleason score 6 at biopsy in men with low and intermediate prostate-specific antigen scores, are subsequently upgraded to a score of 7 or higher at prostatectomy, researchers report.

Mitochondrial DNA content predicts tumor response to anthracyclines

Posted: 27 May 2010 05:00 PM PDT

Low mitochondrial DNA content in breast cancer cells renders the cells more vulnerable to anthracycline-based chemotherapy via enhanced production of reactive oxygen species, researchers from Taiwan report.

Low-risk prostate cancer patients frequently harbor bilateral disease

Posted: 27 May 2010 05:00 PM PDT

Two-thirds of men with low-risk unilateral prostate cancer at biopsy have bilateral or non-organ-confined disease at radical prostatectomy, German study results show.

Many prostate tumors upgraded upon prostatectomy

Posted: 27 May 2010 05:00 PM PDT

Many prostate tumors graded as Gleason score 6 at biopsy in men with low and intermediate prostate-specific antigen scores, are subsequently upgraded to a score of 7 or higher at prostatectomy, researchers report.

Apo B changes may drive diet-induced falls in inflammation, insulin resistance

Posted: 27 May 2010 05:00 PM PDT

Women who achieve a reduction in apolipoprotein B through dieting also achieve reductions in inflammation and insulin resistance, shows research.

Physician–patient communication about dyslipidemia falls short

Posted: 27 May 2010 05:00 PM PDT

Physicians often fail to inform patients with mixed dyslipidemia about their condition in a way that will promote treatment adherence, say researchers.

Factors determining Type 2 diabetics’ response to insulin therapy identified

Posted: 27 May 2010 05:00 PM PDT

Age, body mass index, glycated hemoglobin level, and type of insulin all influence response to insulin therapy in patients with Type 2 diabetes, report researchers.

Adolescents exposed to GDM have increased risk for overweight, metabolic syndrome

Posted: 27 May 2010 05:00 PM PDT

Young adolescents who have been exposed to a hyperinsulinemic environment in the womb are more likely to have the metabolic syndrome or be overweight than those who have not, suggest study results.

Poor oral hygiene linked to increased CVD risk

Posted: 27 May 2010 05:00 PM PDT

People who brush their teeth less than once a day are at increased risk for cardiovascular disease compared with those who brush their teeth twice daily, report researchers.

Swedish 1-year death risk not elevated after unexplained chest pain

Posted: 27 May 2010 05:00 PM PDT

Patients admitted to hospital with chest pain who have acute myocardial infarction ruled out are no more likely to die over the next year than the general population, Swedish study findings suggest.

Mitochondrial DNA content predicts tumor response to anthracyclines

Posted: 27 May 2010 05:00 PM PDT

Low mitochondrial DNA content in breast cancer cells renders the cells more vulnerable to anthracycline-based chemotherapy via enhanced production of reactive oxygen species, researchers from Taiwan report.