Culture

ROCHESTER, Minn. — Jan. 21, 2014 — More people die and emergency hospital treatment takes longer for heart attack victims who arrive at the hospital during off-hours (nights and weekends), compared with patients who arrive during regular daily hours, according to a Mayo Clinic study published online in the British Medical Journal on Jan. 21.

Mayo Clinic researchers analyzed results of 48 studies published between 2001 and 2013 involving 1.8 million patients in the United States, Europe and Canada to assess the effect of off-hour hospital arrival for heart attack patients.

Looking strictly at the economic costs and benefits of three different roof types—black, white and "green" (or vegetated)—Lawrence Berkeley National Laboratory (Berkeley Lab) researchers have found in a new study that white roofs are the most cost-effective over a 50-year time span. While the high installation cost of green roofs sets them back in economic terms, their environmental and amenity benefits may at least partially mitigate their financial burden.

The ESCAPE study * investigates the effects of air pollution on health. In eleven participating population groups in Finland, Sweden, Denmark, Italy and Germany the association between air pollution and incidence of coronary events has now been determined. The results show that high particulate matter concentration at the residence location may increase the risk for an acute coronary event.

(Santa Barbara, Calif.) — A device that can monitor the levels of specific drugs as they flow through the bloodstream may soon take the guesswork out of drug dosing and allow physicians to tailor prescriptions to their patients' specific biology. Developed by UC Santa Barbara researchers Tom Soh, Kevin Plaxco and Scott Ferguson, the biosensor combines engineering and biochemistry and has far-reaching potential.

BOSTON – January 21, 2013 – Patient centered medical homes (PCMHs) have been found to be an effective way to help care for patients with chronic diseases such as diabetes. Dr. Robert Gabbay, M.D., Ph.D., FACP, Chief Medical Officer and Senior Vice President at Joslin Diabetes Center, and his team conducted a study that shows the strategic placement of care managers in PCMHs can further improve patient outcomes for high-risk diabetes patients.

URBANA, Ill. – Fast food restaurants take a lot of heat for the rise in obesity in the United States, but is it really their fault? A research survey conducted by two food economists revealed that most people believe individuals are to blame for their own obesity – not restaurants, grocery stores, farmers, or government policies. One implication from this research is that creating and enforcing public policies to help reduce obesity and/or encourage healthier food choices may not be as effective as policy makers would like.

A UCLA team has developed an easy-to-use "risk calculator" that helps predict heart failure patients' chances of survival for up to five years and assists doctors in determining whether more or less aggressive treatment is appropriate.

Given that heart failure impacts more than 5 million Americans and numerous variables affect patient outcomes, this type of risk-assessment tool can be very helpful to physicians and patients in assessing prognosis over time and guiding medical decision-making, the researchers say.

Appearing in Lancet Oncology, long term results of EORTC trial 22921 with 10.4 years median follow-up show that 5-FU (fluorouracil) based adjuvant chemotherapy after preoperative (chemo)-radiotherapy for patients with cT3-resectable T4 M0 rectal cancer does not improve survival or disease-free survival.

On 22 January 2014 the German Institute for Quality and Efficiency in Health Care (IQWiG) published the results of a literature search for evidence-based clinical practice guidelines on the treatment of people with asthma. The aim of the report is to identify those recommendations from current guidelines of high methodological quality that may be relevant for the planned revision of the disease management programme (DMP). According to the results of the report, there is no compelling need for revision of any part of the DMP.

INDIANAPOLIS -- Nearly half of hospitalized American adults age 65 and older require decision-making assistance from family members or other surrogates because the patient is too impaired to make decisions independently, according to a new study from the Regenstrief Institute and the Indiana University Center for Aging Research. The vast majority of surrogates are children or spouses, and some patients have two or more family member making decisions together.

ROCHESTER, Minn. — Jan. 21 — A comparative long-range study by Mayo Clinic ophthalmology researchers shows that the probability of blindness from glaucoma 20 years after diagnosis has dropped by half in the last generation. The findings appear online in the "in press" section of the journal Ophthalmology.

From the world of nanotechnology we've gotten electronic skin, or e-skin, and electronic eye implants or e-eyes. Now we're on the verge of electronic whiskers. Researchers with Berkeley Lab and the University of California (UC) Berkeley have created tactile sensors from composite films of carbon nanotubes and silver nanoparticles similar to the highly sensitive whiskers of cats and rats. These new e-whiskers respond to pressure as slight as a single Pascal, about the pressure exerted on a table surface by a dollar bill.

DURHAM, N.H. – Thirty-nine percent of unemployed Americans are experiencing long-term unemployment in the wake of the 2008 recession, which is more than double the percent unemployed more than six months but actively seeking work in 2007, according to new research about trends in long-term unemployment since the recession from the Carsey Institute at the University of New Hampshire.

MISSOULA – A recent study by University of Montana faculty and graduate students found that wolf predation of cattle contributes to lower weight gain in calves on western Montana ranches. This leads to an economic loss at sale several times higher than the direct reimbursement ranchers receive for a cow killed by wolves.

The study found that wolves living on the landscape with cattle have no effect on herd weight, but once a ranch has a confirmed wolf kill, average calf weight decreases relative to if that ranch had not experienced a wolf depredation.

There is much value in training hospital and nursing home staff in the basics of palliative care to make the last days of a dying patient's life as comfortable and dignified as possible. So says F. Amos Bailey of the Birmingham Veterans Affairs Medical Center and the University of Alabama at Birmingham in the US. Bailey is the leader of a study¹ that saw the benefits of introducing palliative care strategies, typical of hospices, within the setting of Veterans Affairs Medical Centers.