Culture

Why patients with epidermolysis bullosa suffer extreme pain

For patients suffering from epidermolysis bullosa (EB), a hereditary skin disease, even a gentle touch is extremely painful. Now Dr. Li-Yang Chiang, Dr. Kate Poole and Professor Gary R. Lewin of the Max Delbrück Center for Molecular Medicine (MDC) in Berlin-Buch have discovered the causes underlying this disease. Due to a genetic defect, individuals with EB cannot form laminin-332, a structural molecule of the skin that in healthy individuals inhibits the transduction of tactile stimuli and neuronal branching (Nature Neuroscience, doi: 10.1038/nn.2873)*.

Adult stem cells may improve cardiac function in angina patients

CHICAGO -- New research published online today in Circulation Research found that injections of adult patients' own CD34+ stem cells reduced reports of angina episodes and improved exercise tolerance time in patients with chronic, severe refractory angina (severe chest discomfort that did not respond to other therapeutic options).

Stem cell injections may offer hope to patients with no other options

An injection of stem cells into the heart could offer hope to many of the 850,000 Americans whose chest pain doesn't subside even with medicine, angioplasty or surgery, according to a study in Circulation Research: Journal of the American Heart Association.

Patients who received the new treatment reported half as many chest pain episodes and improved exercise capability compared to those who received a placebo.

MU study identifies protective factors that help women recover from childhood violence

COLUMBIA, Mo. –Children who witness domestic violence are more likely to be in abusive intimate relationships and experience psychological problems such as post traumatic stress disorder (PTSD) in adulthood, according to the Centers for Disease Control and Prevention. A University of Missouri researcher has found that certain protective factors foster resilience and increase the likelihood that the cycle of violence will end for women who, as children, were exposed to their mothers' battering.

New report explains why physicians are reluctant to share patient data

OTTAWA, July 7, 2011 – Family doctors are reluctant to disclose identifiable patient information, even in the context of an influenza pandemic, mostly in an effort to protect patient privacy. A recently published study by Dr. Khaled El Emam the Canada Research Chair in Electronic Health Information at the University of Ottawa and the Children's Hospital of Eastern Ontario Research Institute recently found that during the peak of the H1N1 pandemic in 2009, there was still reluctance to report detailed patient information for public health purposes.

Research shows generic medications are changing the economics of treating chronically ill patients

WOONSOCKET, R.I. – July 7, 2011 – As the nation seeks to expand health care coverage to more citizens without adding burdensome costs, researchers from Harvard University, Brigham and Women's Hospital and CVS Caremark reported that preventative health care may be significantly less costly than previously thought, due to expanded use of cost-effective generic medications for the treatment and prevention of chronic disease.

Half-matched transplants widen pool of donors for leukemia and lymphoma

Identifying a suitable donor for leukemia and lymphoma patients who need bone marrow transplants may be far easier now that results of two clinical trials show transplant results with half-matched bone marrow or umbilical cord blood are comparable to fully matched tissue, thanks in large part to the availability of effective antirejection drugs and special post-transplant chemotherapy. The finding means that nearly all patients in need of a transplant can find donors, according to Johns Hopkins scientists who participated in the trials.

Low adherence to biopsy guidelines affects celiac disease diagnosis in the United States

NEW YORK, NY (July 6, 2011) - A new study has found that most patients undergoing biopsy of the small intestine do not have the recommended number of samples to diagnose celiac disease. The study, published in the July 2011 issue of Gastrointestinal Endoscopy, analyzed a national database of biopsy specimens maintained by Caris Life Sciences (Irving, TX). More than 100,000 patients had a biopsy of the small intestine, but only 35 percent of them had at least four samples taken, the number recommended by professional guidelines.

New research points to a possible gender link in knee injuries

SAN DIEGO, CA – Gender may be associated with an increased risk of cartilage lesions in anterior cruciate ligament (ACL) injured knees, according to research being presented at the American Orthopaedic Society for Sports Medicine's Annual Meeting in San Diego.

Graft size and patient age may be predictor of need for future ACL revisions

SAN DIEGO, CA – A smaller sized hamstring graft in an anterior cruciate ligament (ACL) reconstruction patient less than 20 years old may increase revision rates, according to research presented at the American Orthopaedic Society for Sports Medicine's Annual Meeting in San Diego today.

Medicaid increases use of health care, decreases financial strain, improves health

Boston, MA -- Researchers from Harvard School of Public Health (HSPH), Massachusetts Institute of Technology (MIT), the National Bureau of Economic Research (NBER), and Providence Health & Services have found that expanding low income adults' access to Medicaid substantially increases health care use, reduces financial strain on covered individuals, and improves their self-reported health and well-being. This is the first study to evaluate the impact of insuring the uninsured in the U.S. using a randomized controlled trial, the gold standard in medical and scientific studies.

Outcomes for cardiac valve procedure patients are affected by insurance status

CHICAGO (July 6, 2011) – The type of primary insurance patients carry affects outcomes of cardiac valve operations in the United States according to a study in the May issue of the Journal of the American College of Surgeons. As a result, the type of primary insurance should be considered as an independent risk factor during preoperative risk stratification and planning, the researchers reported. They found that uninsured and Medicaid patients incur worse unadjusted and risk-adjusted outcomes following cardiac valve operations compared with those who carry private insurance.

Future labor shortfalls of medical professionals predicted due to new demands of health-care reform

CHICAGO (July 6, 2011) – One consequence of the expanded access to health care facilitated by health care reform will be a shortfall in the necessary numbers of physicians and other advanced medical professionals. According to a study published in the June issue of the Journal of the American College of Surgeons, the United States will face serious shortages in the combined workforce of physicians, advance practice nurses, and physician assistants over the next two decades. The study concluded that, without an adequate supply of advanced medical professionals, the U.S.

Middle-school students educate community on proper computer posture

Move over, boy bands of America—there's a new group in town. Four middle-school students from Carmel Valley Middle School in San Diego, California, entered The Christopher Columbus Awards Competition, a science, technology, engineering, and math (STEM) program that challenges middle-school students to identify a community problem and solve it using science and technology. Taking a cue from the popular group the Backstreet Boys, the students call themselves the Back Straight Boys.

Discovery of why sunburn hurts could lead to new pain relief for inflammatory conditions

Researchers at King's College London have found a molecule in the body which controls sensitivity to pain from UVB irradiation, identifying it as a new target for medicines to treat pain caused by other common inflammatory conditions such as arthritis.

The molecule, called CXCL5, is part of a family of proteins called chemokines, which recruit inflammatory immune cells to the injured tissue, triggering pain and tenderness. This is the first study to reveal this molecule's role in mediating pain.