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Professional Medical News from Leading Journals


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07/17/2008
Exception Reporting Improves Pay-for-Performance Benefits
Pay-for-performance programs benefit from use of exclusion reporting, whereby certain patients are excluded from quality calculations, and the practice of excluding patients to disguise missed targets, known as gaming, is rare, according to study findings published in the July 17 issue of the New England Journal of Medicine.
07/17/2008
Bacterial Infection Linked to Reduced Childhood Asthma
Childhood infection with Helicobacter pylori reduces the likelihood of developing asthma and related illnesses, according to an article published online July 3 in the Journal of Infectious Diseases. A related review in the May issue of Gut discusses the current evidence and possible mechanisms linking H. pylori infection, asthma and allergy.
07/17/2008
Pseudoaneurysm After Spinal Device Migration Treatable
Pseudoaneurysm of the aorta due to device migration is a rare but treatable complication following placement of an anterior spinal device, according to an article published in the July issue of The Spine Journal.
07/17/2008
Nerve Changes Occur After Organophosphate Poisoning
Intermediate syndrome (IMS), or muscle paralysis or weakness caused by organophosphates found in pesticides and nerve agents, is associated with distinct changes in nerve activity that improve with recovery, according to an article published online July 15 in PLoS Medicine.
07/17/2008
PET Scans Offer Information on Breast Cancer Survival
Positron emission tomography (PET) provides predictive information regarding survival in women with locally advanced breast carcinoma, according to research published online July 14 in the Journal of Clinical Oncology.
07/16/2008
Costs, Medical Services Use High for Pulmonary Patients
Patients with chronic obstructive pulmonary disease alone or with asthma use more medical services and incur higher costs than patients with asthma alone, according to the results of a study in the July issue of Chest.
07/16/2008
Heparin Improves Outcomes After Knee Arthroscopy
One week of low-molecular-weight heparin prevents deep venous thrombosis better than graduated compression stockings in adults having knee arthroscopy, according to an article published in the July 15 issue of the Annals of Internal Medicine.
07/16/2008
Visit Companions Improve Satisfaction with Care
Visit companions are actively engaged in the care of older patients and influence patient satisfaction with physician care, according to an article published in the July 14 issue of the Archives of Internal Medicine.
07/16/2008
Alterations Often Observed with Medical Interpreters
Interpreters who translate medical information between clinicians and the families of patients with limited English proficiency have about a 50 percent chance of altering the meaning, with potentially negative consequences, according to a report in the July issue of Chest.
07/16/2008
Combination Therapy Superior for Rheumatoid Arthritis
Etanercept plus methotrexate is superior to methotrexate alone for clinical remission and radiographic non-progression of rheumatoid arthritis, according to an article published online July 16 in The Lancet.
07/16/2008
Fall Prevention Program Efficacious and Cost-Effective
A multidisciplinary educational program geared towards clinicians to help them prevent falls in their elderly patients resulted in fewer serious fall-related injuries in patients aged 70 and older, according to an article published in the July 17 issue of the New England Journal of Medicine.
07/16/2008
Mediterranean and Low-Carb Diets Show Benefits
Low-carbohydrate and Mediterranean diets appear to be safe, effective alternatives to low-fat diets for weight loss, and offer some metabolic benefits, according to research published in the July 17 issue of the New England Journal of Medicine.
07/15/2008
Self-Rated Cardiac Risk Linked to Cardiovascular Mortality
Cardiovascular mortality is lower in men -- but not in women -- who rate themselves as having a lower-than-average cardiovascular risk. Also, an integrated care intervention may improve medication adherence in older adults who are on antihypertensive and antidepressant therapy, according to two studies published in the July/August issue of the Annals of Family Medicine.
07/15/2008
Many People Unable to Recognize Need to Slim Down
The threshold at which overweight people perceive their weight to be cause for concern has risen dramatically over the past eight years, according to the results of a U.K. study published online July 10 in BMJ Online First.
07/15/2008
Adult Arthritis Drug Also Effective in Children
Abatacept, a drug effective for adults with rheumatoid arthritis, is also effective compared with placebo in children with juvenile idiopathic arthritis who had already shown an initial response to the drug and failed other treatments, according to an article published online July 15 in The Lancet.
07/15/2008
Many Elderly Patients Not Offered Joint Replacement
While recovery may be lengthy, most elderly patients undergoing joint replacement have excellent outcomes, according to an article published in the July 14 issue of the Archives of Internal Medicine.
07/15/2008
Statewide Care Program May Be National Model
In North Carolina, an innovative community care program improves quality and reduces costs and may be a model for other states to follow, according to an article published in the July/August issue of the Annals of Family Medicine.
07/15/2008
AMA Actions Fostered U.S. Medical Racial Divide
From the post-Civil War years to the civil rights era a century later, the American Medical Association (AMA) made decisions that helped support a division between white and black Americans in the field of medicine in the United States, according to an article in the July 16 issue of the Journal of the American Medical Association.
07/14/2008
Low Job Satisfaction Seen Among Obstetrician-Gynecologists
The workforce of obstetrician-gynecologists in the United States is facing a future shortage, exacerbated by low levels of job satisfaction, researchers report in the July issue of the American Journal of Obstetrics & Gynecology.
07/14/2008
Muscle Stem Cells Can Treat Mouse Muscular Dystrophy
Muscle stem cells can be purified and used to improve muscle function in a mouse model of muscular dystrophy, according to the results of a study published in the July 11 issue of Cell.
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