Culture

No increase in patient deaths or readmissions following restrictions to residents' hours

PHILADELPHIA - In the first year after the Accreditation Council for Graduate Medical Education (ACGME) reduced the number of continuous hours that residents can work, there was no change in the rate of death or readmission among hospitalized Medicare patients, according to a new study published in JAMA. The study was led by researchers at the Perelman School of Medicine at the University of Pennsylvania and The Children's Hospital of Philadelphia.

Study assesses hospice use in and out of nursing homes and by patients in transition

INDIANAPOLIS -- As hospice for nursing home patients grows dramatically, a new study from the Regenstrief Institute and the Indiana University Center for Aging Research compares the characteristics of hospice patients in nursing homes with hospice patients living in the community. The study also provides details on how hospice patients move in and out of these two settings.

Increased BMI in the normal range has a negative effect on cardiometabolic risk markers

Increases in excess fat adversely affect multiple cardiometabolic risk markers even in lean young adults according to a new study published this week in PLOS Medicine. The study by Peter Würtz from the University of Oulu, Finland, and colleagues suggests that, even within the range of body-mass index (BMI) considered to be healthy, there is no threshold below which a BMI increase does not adversely affect the metabolic profile of an individual.

Altered movement of white blood cells may predict sepsis in patients with major burns

A team of Massachusetts General Hospital (MGH) investigators has identified what may be a biomarker predicting the development of the dangerous systemic infection sepsis in patients with serious burns. In their report in the open-access journal PLOS ONE, the researchers describe finding that the motion through a microfluidic device of the white blood cells called neutrophils is significantly altered two to three days before sepsis develops, a finding that may provide a critically needed method for early diagnosis.

Computer system more effective than doctors at producing comprehensive patient reports

LOS ANGELES (Dec. 09, 2014) - A computer system was more effective than doctors at collecting information about patient symptoms, producing reports that were more complete, organized and useful than narratives generated by physicians during office visits, according to a Cedars-Sinai study.

Investigators said the research, published in the American Journal of Gastroenterology, highlights the potential of computers to enhance the quality of medical care and improve outcomes by harnessing accurate and thorough patient information.

Higher earning clinicians make more money by ordering more procedures per patient

In results characterized as "very surprising," UCLA researchers found for the first time that higher-earning clinicians make more money by ordering more procedures and services per patient rather than by seeing more patients, which may not be in patients' best interest.

Online students give instructors higher marks if they think instructors are men

A new study shows that college students in online courses give better evaluations to instructors they think are men - even when the instructor is actually a woman.

"The ratings that students give instructors are really important, because they're used to guide higher education decisions related to hiring, promotions and tenure," says Lillian MacNell, lead author of a paper on the work and a Ph.D. student in sociology at NC State. "And if the results of these evaluations are inherently biased against women, we need to find ways to address that problem."

Certain factors influence survival and prognosis for premature infants

Several factors influence how well a severely premature infant (23 weeks gestation) will do after birth and over the long term, according to researchers at Loyola University Medical Center. These findings were published in the latest issue of the American Journal of Perinatology.

Improving health through smarter cities: Debut of a major new global science collaboration

Aiming to empower planners and policy-makers to achieve better health for billions of people living in fast-growing urban areas, world health, environmental, behavioural and social science experts today launched a major new interdisciplinary scientific collaboration.

Programme goals:

Heart disease patients advised to avoid being outside in rush hour traffic

Sophia Antipolis, 09 December 2014: Heart disease patients have been advised to avoid being outside during rush hour traffic in a paper published today in European Heart Journal.1 The position paper on air pollution and cardiovascular disease was written by experts from the European Society of Cardiology and also recommends decreasing the use of fossil fuels.

Tramadol associated with increased risk of hospitalization for hypoglycemia

The opioid pain-reliever tramadol appears to be associated with an increased risk of hospitalization for hypoglycemia, a potentially fatal condition caused by low blood sugar, according to a report published online by JAMA Internal Medicine.

Tramadol hydrochloride is a weak opioid whose use has increased steadily worldwide. However, concerns have been raised about the drug and an increased risk for hypoglycemia.

Impossible? Can researchers develop 100 drugs in 10 years?

Salt Lake City - Develop 100 drugs in 10 years. That's the ambitious goal set by a group of scientists and engineers at the University of Utah, founders of Recursion Pharmaceuticals, a start-up company that is able to quickly and affordably identify unexpected ways a drug could be used by testing it on diseased cells.

The disruptive approach to drug development, aided by custom-designed software capable of tracking changes, or signs of healing, in cells, could speed discovery of therapies for so-called "orphan" diseases.

Each dollar spent on kids' nutrition can yield more than $100 later

There are strong economic incentives for governments to invest in early childhood nutrition, reports a new paper from the University of Waterloo and Cornell University. Published for the Copenhagen Consensus Centre, the paper reveals that every dollar spent on nutrition during the first 1,000 days of a child's life can provide a country up to $166 in future earnings.

New model helps boost fishery profits and sustainability

DURHAM, N.C. -- By identifying the most efficient fishing practices and behaviors, a new model developed by economists at Duke University and the University of Connecticut could help fishermen land larger paychecks while reducing the risk of fishery depletion.

"We're not talking about a trivial improvement. In some cases, we found that identifying the most efficient practices led to a 20 percent annual increase in total revenues if the fishery is managed differently," said Martin D. Smith, professor of environmental economics at Duke's Nicholas School of the Environment.

Is natural gas a 'bridge' to a hotter future?

Washington, D.C.-- Natural gas power plants produce substantial amounts of gases that lead to global warming. Replacing old coal-fired power plants with new natural gas plants could cause climate damage to increase over the next decades, unless their methane leakage rates are very low and the new power plants are very efficient.