Culture

Higher death rates for weekend hospital stays regardless of day of admission

People hospitalised with COPD or pneumonia are more likely to die during a weekend stay in hospital, according to a new study.

The research, published online today (15 May 2014) in the European Respiratory Journal, is the first to assess death rates among patients staying in hospital over the weekend, irrespective of the day of admission.

Too much prolonged high-intensity exercise risks heart health

Overdosing on high intensity exercise may actually increase the risk of death from a heart attack or stroke in those with existing heart disease, suggests German research published online in the journal Heart.

Similarly, a second Swedish study in the journal suggests that young men undertaking endurance exercise for more than five hours a week may increase their risk of developing an irregular heart rhythm in later life.

Scrap 'iniquitous' and 'outdated' NHS prescription charges, urges DTB

The NHS prescription charge is 'iniquitous' and 'outdated' and should be scrapped, urges the Drug and Therapeutics Bulletin (DTB) in an editorial published in this month's issue.

England remains the only UK country still stumping up for this additional 'tax' on medicines, it says.

There are a host of exemptions to payment of the charge, including age, pregnancy, and some chronic conditions, such as diabetes and epilepsy, but these exemptions also extend to unrelated conditions for qualifying groups.

Cancer patient demands rarely lead to unnecessary tests and treatments

PHILADELPHIA—Despite claims suggesting otherwise, inappropriate cancer patient demands are few and very rarely lead to unnecessary tests and treatments from their health care providers, according to new results from a study that will be presented by researchers in the Abramson Cancer Center (ACC) and the Perelman School of Medicine at the University of Pennsylvania during the annual meeting of the American Society of Clinical Oncology (ASCO) in Chic

Extended-release medication offers promise for treating alcohol, opioid dependence

PORTLAND, Ore. – A comparatively new form of a medication for alcohol and opioid dependence that's injected once a month instead of taken orally once a day appears to be significantly more effective than some other medications – because more patients actually continue the prescribed regimen.

The findings, published in the Journal of Substance Abuse Treatment by researchers from Oregon State University and other institutions, offer support for a wider use of medications that may help reduce or prevent substance abuse and related hospital admissions.

A better way to treat ACE inhibitor angioedema in the ED

CINCINNATI—Investigators at the University of Cincinnati have found a safe and effective treatment for life-threatening angioedema attacks in the emergency department.

In angioedema, patients experience a rapid swelling of the skin and subcutaneous tissues—which, in some cases, can lead to airway obstruction and suffocation. Physicians usually treat angioedema like an allergic reaction with corticosteroids and antihistamines.

But that therapy doesn't always work for another version of the condition, thought to be caused by taking a class of drugs known as ACE inhibitors.

Critical access hospitals have higher transfer rates after surgery

Hospital transfers happened more often after surgery at critical access hospitals (CAHs) but the proportion of patients using post-acute care was equal to or less than that of patients treated at non-CAHs.

The CAH designation was created to provide financial support to rural hospitals. As such, they are exempt from Medicare's Prospective Payment System and instead are paid cost-based reimbursement. The proliferation of CAHs after the payment policy change has increased interest in the quality and cost of care these facilities provide.

Different approaches needed to control cardiovascular disease risks for those with HIV

Even if treated, hypertension and high cholesterol are increasingly common for people with human immunodeficiency virus (HIV), according to a new study from researchers at Mount Sinai St. Luke's and Mount Sinai Roosevelt hospitals in New York and the University of California, Davis.

The finding – published online in the Journal of Acquired Immune Deficiency Syndromes – leads the study authors to recommend greater emphasis on cardiology in HIV treatment and research.

Obesity associated with longer hospital stays, higher costs in total knee replacement patients

ROSEMENT, Ill.─ Obesity is associated with longer hospital stays and higher costs in total knee replacement (TKR) patients, independent of whether or not the patient has an obesity-related disease or condition (comorbidity), according to a new study published in the Journal of Bone and Joint Surgery (JBJS).

Snubbing lion hunters could preserve the endangered animals

For hundreds of years young men from some ethnic groups in Tanzania,called "lion dancers" because they elaborately acted out their lionkilling for spectators, were richly rewarded for killing lions thatpreyed on livestock and people. Now when a lion dancer shows up hemight be called a rude name rather than receive a reward, accordingto a new UC Davis study.

Societies publish recommendations to guide minimally invasive valve therapy programs for patients

WASHINGTON, D.C., BEVERLY, MA, and CHICAGO (May 15, 2014) – As minimally invasive therapies are increasingly used to treat diseased heart valves, newly published recommendations provide guidance on best practices for providing optimal care for patients. The document released today offers first-time guidance from four professional medical associations on developing and maintaining a transcatheter mitral valve therapy program, emphasizing collaboration between interventional cardiologists and cardiac surgeons.

Study finds free fitness center-based exercise referral program not well utilized

Eliminating financial barriers to a fitness center as well as providing physician support, a pleasant environment and trained fitness staff did not result in widespread membership activation or consistent attendance among low income, multi-ethnic women with chronic disease risk factors or diagnoses according to a new study from Boston University School of Medicine.

Who should be saved? Study gets diverse MD community views on healthcare disaster planning

BALTIMORE—In the event of a flu pandemic, who should have priority access to life-saving ventilators, and who should make that determination? Few disaster preparedness plans have taken community values regarding allocation into account, but a new study is aiming to change that through public engagement with Maryland residents.

Prevent premature deaths from heart failure, urges the Heart Failure Association

Athens, 14 May 2014. The Heart Failure Association (HFA) of the European Society of Cardiology (ESC) is calling for global policy change relating to heart failure. An international white paper, Heart failure: preventing disease and death worldwide, will be presented at an endorsement event on 16 May 2014 in Athens, Greece, immediately before the Heart Failure 2014 Congress.

Understanding the 1918 flu pandemic can aid in better infectious disease response

COLUMBIA, Mo. – The 1918 Flu Pandemic infected over 500 million people, killing at least 50 million. Now, a researcher at the University of Missouri has analyzed the pandemic in two remote regions of North America, finding that despite their geographical divide, both regions had environmental, nutritional and economic factors that influenced morbidity during the pandemic. Findings from the research could help improve current health policies.