Culture

Decision aid helps families, clinicians communicate about care decisions

ATS 2011, DENVER – Surrogate decision-makers faced with the difficult task of overseeing loved ones' medical care may find help thanks to a new decision aid aimed at patients with prolonged mechanical ventilation. According to a study conducted by researchers in North Carolina, Pennsylvania and Washington who developed and tested the aid, surrogates reported the aid significantly improved the often daunting decision-making process.

The study results will be presented at the ATS 2011 International Conference in Denver.

Can vital signs predict cardiac arrest on the wards? Yes, but...

ATS 2011, DENVER--Researchers at the University of Chicago Medical Center attempting to identify the vital signs that best predict those hospitalized patients at greatest risk for cardiac arrest found that a composite index used in some hospitals to activate a rapid response team and by emergency room physicians to assess the likelihood of a patient dying was a better predictor of cardiac arrest than any single vital sign.

Ohio residents: Medical and health research important to state's economy, jobs and incomes

ROOTSTOWN, Ohio—May 16, 2011—Ohioans broadly support a strong commitment to medical and health research and recognize its direct link to job creation and the state's and the nation's economy, according to a new statewide poll conducted by IBOPE Zogby for Research!America and Northeast Ohio Medical University (NEOMED).

A strong majority of Ohioans (86%) thinks medical and health research is important—42% say very important—to the state's economy. Eight in 10 believe spending money on scientific research is important to Ohio's economy in terms of jobs and incomes.

Mescalerolemur horneri: Anthropologist discovers new fossil primate species in Devil's Graveyard

AUSTIN, Texas–Physical anthropologist Chris Kirk has announced the discovery of a previously unknown species of fossil primate, Mescalerolemur horneri, in the Devil's Graveyard badlands of West Texas.

California Department of Corrections and Rehabilitation study yields quality measurements

Los Angeles, CA (May 13, 2011) New studies released in the April issue of the Journal of Correctional Health Care (JCHC) (published by SAGE) are helping the California Department of Corrections and Rehabilitation (CDCR) to establish a set of prison health care quality measurements.

The JCHC issue highlights a research project conducted by the RAND Corporation for the CDCR to help it address problems related to access to care and quality of care, and to gain a better understanding of the strengths and weakness of its health care services.

Study finds many gastroenterologists unaware of appropriate immunizations for IBD patients

(Boston) – Researchers from Boston University School of Medicine (BUSM), along with clinicians from Boston Medical Center (BMC), have found gastroenterologist knowledge of the appropriate immunizations to recommend to the inflammatory bowel disease (IBD) patient is limited. These findings, which currently appear on-line in Inflammatory Bowel Diseases, may be the primary reason why the majority of gastroenterologists believe that the primary care provider (PCP) should be responsible for vaccinations.

U of T researchers find link between childhood physical abuse, chronic fatigue syndrome

TORONTO, ON – Childhood physical abuse is associated with significantly elevated rates of functional somatic syndromes such as chronic fatigue syndrome, fibromyalgia and multiple chemical sensitivities among women, according to new findings by University of Toronto researchers. The research will be published in this month's issue of the Journal of Aggression, Maltreatment & Trauma.

If oceans rise, seaports need a plan for weathering climate change

Though Hurricane Katrina was not caused by climate change, a Stanford group says the majority of seaports around the world are unprepared for hurricanes like it that would result from climate change in the coming century.

In a survey posed to port authorities around the world, the Stanford team found that most officials are unsure how best to protect their facilities from rising sea levels and more frequent Katrina-magnitude storms, which scientists say could be a consequence of global warming. Results from the survey are published in the journal Climatic Change.

Ancient cropland patterns give insight into early Hawaiian society

COLUMBUS, Ohio – A pattern of earthen berms, spread across a northern peninsula of the big island of Hawaii, is providing archeologists with clues to exactly how residents farmed in paradise long before Europeans arrived at the islands.

The findings suggest that simple, practical decisions made by individual households were eventually adopted by the ruling class as a means to improve agricultural productivity.

The research was reported in the latest issue of the journal Proceedings of the National Academy of Sciences.

Novel therapy improves cardiovascular health in central sleep apnea patients

ATS 2011, DENVER--Researchers have demonstrated the effectiveness of a novel treatment that stimulates the nerve that controls the diaphragm to normalize the breathing of patients who suffer from both heart failure and central sleep apnea.

"Many heart failure patients suffer from central sleep apnea, which a number of studies have shown increases mortality in these patients," said Shahrokh Javaheri, MD, professor emeritus of medicine at the University of Cincinnati and medical director of Sleepcare Diagnostics in Mason, Ohio.

Clinicians' attention lacking in discussions of end-of-life care

ATS 2011, DENVER – Clinicians consistently fall short in discussing end-of-life care with patients with chronic obstructive pulmonary disorder (COPD), according to a study completed by researchers in Washington. The study focused on the communication skills of staff physicians, physician trainees and advanced practice nurses.

Results of the study will be presented at the ATS 2011 International Conference in Denver.

Computer program aids patients in end-of-life planning

ATS 2011, DENVER – A new program developed by researchers at Pennsylvania State College of Medicine and Pennsylvania State University may make it easier for patients with moderate/severe chronic obstructive pulmonary disease (COPD) to make critical decisions regarding their care as their disease worsens. The computer-based decision aid (CDA) is designed to educate patients about planning for end-of-life decisions without diminishing hope, according to the researchers.

The results of the study will be presented at the ATS 2011 International Conference in Denver.

Telemonitoring may not offer improved outcomes for critically ill patients

ATS 2011, DENVER – Telemonitoring may offer promise for patients in remote locations without access to specially trained intensive care physicians. However, a recent study indicates telemonitoring does not offer improved clinical outcomes compared to patients who receive standard care.

The study will be presented at the ATS 2011 International Conference in Denver.

Targeted regeneration could be key to boosting coalfield communities

Decades after the pit closures, coalfield communities still face significant health problems and economic difficulties, according to new research.

A Durham University-led study shows that health problems including long term limiting illnesses such as chronic arthritis, asthma and back problems, are significantly more likely in some of these areas.

However, the results, published in the Journal, Health and Place, also reveal that some less deprived coalfield areas are faring relatively well in terms of health.

Younger doctors prescribe more drugs to reduce heart risk but offer less lifestyle advice

Patients with heart disease risks are more likely to be prescribed cardiovascular (CV) drugs if they see a younger doctor and recommended to change their lifestyle if they see an older doctor, according to research in the June issue of IJCP, the International Journal of Clinical Practice.

Italian researchers studied the attitudes and prescribing trends of 1,078 family doctors, cardiologists and diabetologists, together with clinical data on 9,904 of their outpatients, after inviting the doctors to take part in an educational training programme on managing CV risk.