Culture

Prolonging life carries more weight

Los Angeles, CA (May 26, 2011) Doctors are more apt to recommend a more costly therapy to patients if it were determined to prolong the patient's life rather than just improve quality, according to a recent study from Medical Decision Making (published by SAGE).

33-country survey reports 50 percent increase in sustainably managed tropical forests

BERN, SWITZERLAND (7 JUNE 2011)—A comprehensive assessment of tropical forest management reports a 50 percent increase in the area of tropical forest under sustainable management in just five years, but cautions that key drivers of that increase—growing demand for certified timber and funding for climate change initiatives—could have only a marginal impact in the long-term.

Virtual water: Junk math cannot remedy freshwater shortage

The implementation of 'virtual water' into trading deals has been touted as a solution to solving the global 'inequality' - deserts have less than other areas - of renewable freshwater, but new research recognizes that it won't work.

Cognitive behavioral therapy may benefit patients in residential substance abuse treatment programs

Patients in residential treatment programs for drug and alcohol abuse may benefit from cognitive behavioral therapy for depressive symptoms, according to a report in the June issue of Archives of General Psychiatry, one of the JAMA/Archives journals.

Study examines impact of Massachusetts health law on emergency department visits

BOSTON – While overall emergency department use in Massachusetts continues to rise, the number of low-severity visits dropped slightly since the implementation of the state's health care reform law, according to an Annals of Emergency Medicine study published online.

"Our study suggests other factors play a role in determining access to care and use of the ED in addition to one's insurance status," writes Peter Smulowitz, MD, MPH, the study's lead author and an emergency physician at Beth Israel Deaconess Medical Center.

Intravenous nutrition in critically ill patients should be delayed, study finds

Patients in the intensive care unit who do not tolerate adequate nutrition from tube feeding should wait a week before receiving intravenous (IV) feeding because, compared with early IV feeding, it enhances recovery from critical illness. Results of a new multicenter study from Belgium will be presented Saturday at The Endocrine Society's 93rd Annual Meeting in Boston.

Molecular imaging detects ischemic heart disease in diabetics

San Antonio, Texas (June 6, 2011)—Research introduced at SNM's 58th Annual Meeting may lead to much-needed cardiovascular disease screening for diabetic patients at risk of ischemic heart disease, a disorder marked by significantly reduced blood flow in the heart. Ischemia of the myocardium, or cardiac muscle, can signal diminished oxygenation of the heart tissue and trigger a heart attack if left untreated.

Irregular breathing can affect accuracy of 4-D PET/CT

San Antonio, Texas (June 6, 2011)—A study presented at SNM's 58th Annual Meeting focuses on the effect that breathing irregularities have on the accuracy of 4D positron emission tomography (PET) scans and outlines a PET imaging method that reduces "motion artifacts" or image blurring arising from respiratory motion. Non-gated PET imaging with 4D computed tomography may be useful for imaging patients who do not benefit from the use of respiratory gating, most notably patients with erratic breathing.

Oatmeal-labeling ideal for molecular imaging of stomach emptying

San Antonio, Texas (June 6, 2011)—Patients undergoing molecular imaging to evaluate their stomach's ability to clear food are going to have an altogether new kind of breakfast. A study presented at SNM's 58th Annual Meeting has confirmed that nuclear medicine technologists can effectively use oatmeal products radiolabeled with a medical isotope to target and image the emptying of the stomach.

ABCD2 score to identify people at risk of stroke has limited clinical application

The ABCD2 score used to identify people at risk of stroke after suffering a transient ischemic attack — a "mini" or "warning" stroke — is not sensitive enough to distinguish between high- and low-risk patients and has limited clinical application, states an article in CMAJ (Canadian Medical Association Journal) (pre-embargo link only) http://www.cmaj.ca/embargo/cmaj101668.pdf.

Tens of thousands of lives could potentially be saved by key heart failure therapies

A national study has found that nearly 68,000 deaths potentially could be prevented each year by optimally implementing key national guideline–recommended therapies, including critical medications and cardiac devices, for all eligible heart failure patients.

Although heart failure is a major cause of death, morbidity and health care expenditures in the U.S., the routine clinical use of scientifically proven treatments that reduce mortality and improve quality of life has been slow and inconsistent.

Women's risk of heart disease after gestational diabetes differs by race

New research finds that gestational diabetes, or pregnancy-related diabetes, may not raise the risk of heart disease independent of other cardiovascular risk factors except in certain high-risk populations, such as Hispanics. The results will be presented Monday at The Endocrine Society's 93rd Annual Meeting in Boston.

Support for Massachusetts landmark health reform law rises in 2011

A new poll by the Harvard School of Public Health and The Boston Globe finds 63% of Massachusetts residents support the health care reform legislation enacted in 2006, 21% oppose it while 6% are not sure and 9% have not heard or read about the law. The percentage of residents supporting the law has increased since a 2009 poll (53%).[1] Support for the law varied by party affiliation, with 77% of Democrats, 60% of Independents, and 40% of Republicans saying they support the legislation. The poll was conducted May 24-26, 2011.

Experts recommend screening for vitamin D deficiency in at-risk populations

Today, The Endocrine Society released "Evaluation, Treatment, and Prevention of Vitamin D Deficiency: An Endocrine Society Clinical Practice Guideline." The clinical practice guideline (CPG) is published in the July 2011 issue of the Journal of Clinical Endocrinology & Metabolism (JCEM), a publication of The Endocrine Society.

Study finds high levels of vitamin D needed for bone density drugs to work

To fully optimize a drug therapy for osteoporosis and low bone mineral density (BMD), patients should maintain vitamin D levels above the limits recently recommended by the Institute of Medicine (IOM), according to a new study by researchers from Hospital for Special Surgery in New York. The study will be presented at the Endocrine Society's Annual Meeting in Boston, June 4-7.