All news from General Medicine
According to a study, researchers examined that the safety of discharging adult patients recovering from a critical illness directly home from the intensive care unit (ICU) is unknown. Direct discharge home from the ICU does not increase health care utilization or mortality. The study was published in JAMA Internal Medicine.
Researchers from many international institutions have teamed up to design a more effective drug for liver cancer therapy. Their compound may help improve survival rates and reduce adverse effects. Hepatocellular carcinoma, or primary liver cancer, tend to grow and expand at a fast rate.
If it is not caught early, this means that people who have been diagnosed with it may not survive longer than 11 months. Recent studies show that in the United States, hepatocellular carcinoma is the ninth leading cause of cancer-related deaths. The study was published in the journal PNAS.
According to a study, researchers examined half as many women in labor who were given a drug called remifentanil to help manage their pain needed a subsequent epidural, compared to the women given pethidine the current standard of care, according to an open-label randomized controlled trial of 400 women from 14 maternity units in the UK. The study was published in The Lancet.
According to a study, researchers identified carers for people with cancer are between 5 and 7 times more likely to have mental health problems than the general population. The Dimbleby Cancer Care funded study identifies a major public health concern. The study was published in the journal Palliative Medicine.
The NHS in England has saved an additional 1,600 patients with severe injuries since major trauma centers were established in 2012. New findings show the creation of major traumas centers has led to the survival of more than 1,600 patients who have suffered some of the most severe and complicated injuries thanks to top teams of surgeons, doctors, and clinical staff. Patients also spent fewer days in the hospital and had improved quality of life after receiving critical care.
The independent report, which features in the latest issue of Eclinical medicine published by The Lancet, has been compiled by the Trauma Audit and Research Network (TARN) based at The University of Manchester supported by experts at the Universities of Leicester and Sheffield.
Falls are the leading cause of illness and death among Americans aged 65 and older. In 2014, some 2.8 million older adults visited the emergency department (ED) for a fall-related injury. And over time, the ED visit rate for falls among older adults has grown to 68.8 per 1,000 older adults (as of 2010).
Older adults who visit the ED for a fall are at high risk for both revisiting the ED and dying. In fact, some estimates show that 25 percent of older adults visiting the ED for a fall returned for at least one additional fall-related visit. Fifteen percent of those older adults died within the following year.
The researcher examined the raising concerns about an outbreak of a severe trauma-related mental disorder known as traumatic withdrawal syndrome, or resignation syndrome. The recent legal action resulted in the urgent medical evacuation of a child in an unconscious state following a progressive social withdrawal and failure to speak, eat or drink. The child was unresponsive, dehydrated and at risk of death from the physical complications of this extreme state.
A study of overt hypothyroidism in which participants were treated with levothyroxine to normalize serum TSH levels and measured other objective markers of thyroid hormone signaling. The standard of care for overt hypothyroidism is levothyroxine at doses that normalize serum TSH levels. Whether this approach universally restores thyroid hormone signaling is unknown. The study was published in The Journal of Clinical Endocrinology & Metabolism.
Researchers reviewed the medical records of 733 admitted patients who received calls for medical emergency teams during hospitalization. The median age was 68 years but a third of the patients were older than 80 years.
Aggressive Life-saving Treatments
UNSW medical researchers are calling for restraint on the use of aggressive life-saving treatments for frail elderly patients at the end of their lives, saying the focus should instead be placed on making patients' last days comfortable and dignified. The study was published in the Joint Commission Journal on Quality and Patient Safety.
By exploring differences in the way younger and older adults respond to sounds, Western neuroscientists have found that our brains become more sensitive to sounds as we age, likely leading to hearing challenges over a lifetime.
BrainsCAN Postdoctoral Scholar Björn Herrmann and Ingrid Johnsrude, Western Research Chair in Cognitive Neuroscience, examined the auditory cortex responses of participants in their 20s and 60s. What they found was differences in responses to soft and loud sounds. The study was published in the Journal of Neuroscience.
Researchers showed that treating children with severe atopic dermatitis remains a challenge because there are so few effective and approved therapies. But there is hope that pipeline therapies, including Janus kinase (JAK) inhibitors and a monoclonal antibody against the IL-31 receptor for the treatment of itch, may address some needs among severely impacted children.
The study was published in the Current Allergy and Asthma Reports. The researchers reviewed what is known about severe atopic dermatitis in children and identified gaps in treatment and knowledge.
The researcher has investigated that muscle cells prepare for the particular metabolic challenges of the day. The study has uncovered a metabolic network which is, contrary to expectations, not controlled by the brain but rather by the 'circadian clock' of muscle cells. The study was published in PLOS Biology.