Family Doctors Will Keep Electronic Medical Records.
More than two-thirds of dynasty doctors now use electronic vigorousness records, and the percentage doing so doubled between 2005 and 2011, a untrodden study finds. If the trend continues, 80 percent of family doctors - the largest categorize of primary care physicians - will be using electronic records by 2013, the researchers predicted. The findings provision "some encouragement that we have passed a critical threshold," said workroom author Dr Andrew Bazemore, director of the Robert Graham Center for Policy Studies in Primary Care, in Washington, DC "The significant preponderance of primary care practitioners appear to be using digital medical records in some contrive or fashion".
The promises of electronic record-keeping include improved medical tribulation and long-term savings. However, many doctors were slow to adopt these records because of the turned on cost and the complexity of converting paper files. There were also privacy concerns. "We are not there yet," Bazemore added. "More exert oneself is needed, including better information from all of the states".
The Obama delivery has offered incentives to doctors who adopt electronic health records, and penalties to those who do not. For the study, researchers mined two resident data sets to see how many family doctors were using electronic robustness records, how this number changed over time, and how it compared to use by specialists. Their findings appear in the January-February emergence of the Annals of Family Medicine.
Nationally, 68 percent of family doctors were using electronic fitness records in 2011, they found. Rates varied by state, with a low of about 47 percent in North Dakota and a excessive of nearly 95 percent in Utah. Dr Michael Oppenheim, sinfulness president and chief medical information officer for North Shore Long Island Jewish Health System in Great Neck, NY, said electronic record-keeping streamlines medical care.
Tuesday, 4 March 2014
Saturday, 1 March 2014
Acquired Leukoderma Linked To Immune System Dysfunction
Acquired Leukoderma Linked To Immune System Dysfunction.
Scientists have discovered several genes linked to acquired leukoderma (vitiligo) that verify the pelt condition is, indeed, an autoimmune disorder. Vitiligo is a pigmentation disturb that causes white splotches to appear on the skin; the at an advanced hour pop star Michael Jackson suffered from the condition. The finding could lead to treatments for this confounding condition, the University of Colorado researchers said.
So "If you can construe the pathway that leads to the putting to death of the skin cell, then you can block that pathway," reasoned Dr Doris Day, a dermatologist with Lenox Hill Hospital in New York City. More surprisingly, however, was an minor conception related to the deadly skin cancer melanoma: People with vitiligo are less likely to reveal melanoma and vice-versa.
But "That was absolutely unexpected," said Dr Richard A Spritz, contribute to author of a paper appearing in the April 21 online issue of the New England Journal of Medicine. This finding, too, could superintend to better treatments for this insidious skin cancer. Vitiligo, similarly to a collection of about 80 other diseases including rheumatoid arthritis, type 1 diabetes and lupus, was strongly suspected to be an autoimmune scuffle in which the body's own immune set-up attacks itself, in this case, the skin's melanocytes, or pigment-producing cells.
People with the disorder, which typically appears around the long time of 20 or 25, develop white patches on their skin. Vitiligo it is fairly common, affecting up to 2 percent of the population. But the mystery of whether or not vitiligo really is an autoimmune infection has been a controversial one, said Spritz, a professor in the Human Medical Genetics Program at the University of Colorado School of Medicine in Aurora.
At the urging of various sedulous groups, these authors conducted a genome-wide link study of more than 5,000 individuals, both with and without vitiligo. Several genes found to be linked with vitiligo also had associations with other autoimmune disorders, such as breed 1 diabetes and rheumatoid arthritis.
Scientists have discovered several genes linked to acquired leukoderma (vitiligo) that verify the pelt condition is, indeed, an autoimmune disorder. Vitiligo is a pigmentation disturb that causes white splotches to appear on the skin; the at an advanced hour pop star Michael Jackson suffered from the condition. The finding could lead to treatments for this confounding condition, the University of Colorado researchers said.
So "If you can construe the pathway that leads to the putting to death of the skin cell, then you can block that pathway," reasoned Dr Doris Day, a dermatologist with Lenox Hill Hospital in New York City. More surprisingly, however, was an minor conception related to the deadly skin cancer melanoma: People with vitiligo are less likely to reveal melanoma and vice-versa.
But "That was absolutely unexpected," said Dr Richard A Spritz, contribute to author of a paper appearing in the April 21 online issue of the New England Journal of Medicine. This finding, too, could superintend to better treatments for this insidious skin cancer. Vitiligo, similarly to a collection of about 80 other diseases including rheumatoid arthritis, type 1 diabetes and lupus, was strongly suspected to be an autoimmune scuffle in which the body's own immune set-up attacks itself, in this case, the skin's melanocytes, or pigment-producing cells.
People with the disorder, which typically appears around the long time of 20 or 25, develop white patches on their skin. Vitiligo it is fairly common, affecting up to 2 percent of the population. But the mystery of whether or not vitiligo really is an autoimmune infection has been a controversial one, said Spritz, a professor in the Human Medical Genetics Program at the University of Colorado School of Medicine in Aurora.
At the urging of various sedulous groups, these authors conducted a genome-wide link study of more than 5,000 individuals, both with and without vitiligo. Several genes found to be linked with vitiligo also had associations with other autoimmune disorders, such as breed 1 diabetes and rheumatoid arthritis.
Thursday, 27 February 2014
Surgeons Found The Role Of Obesity In Cancer
Surgeons Found The Role Of Obesity In Cancer.
Obesity and smoking proliferate the danger of implant failure in women who undergo breast reconstruction soon after knocker removal, according to a new study. Researchers analyzed data from nearly 15000 women, aged 40 to 60, who had instinctive reconstruction after breast removal (mastectomy). They found that the risk of implant depletion was three times higher in smokers and two to three times higher in obese women. The more paunchy a woman, the greater her risk of early implant failure, according to the study, which was published in the December originate of the Journal of the American College of Surgeons.
Other factors associated with a higher imperil of implant loss included being older than 55, receiving implants in both breasts, and undergoing both teat removal and reconstruction with implants in a single operation. "Less than 1 percent of all patients in our investigation experienced implant failure ," study lead author Dr John Fischer, a compliant surgery resident at the Perelman School of Medicine at the University of Pennsylvania, said in a weekly news release.
Obesity and smoking proliferate the danger of implant failure in women who undergo breast reconstruction soon after knocker removal, according to a new study. Researchers analyzed data from nearly 15000 women, aged 40 to 60, who had instinctive reconstruction after breast removal (mastectomy). They found that the risk of implant depletion was three times higher in smokers and two to three times higher in obese women. The more paunchy a woman, the greater her risk of early implant failure, according to the study, which was published in the December originate of the Journal of the American College of Surgeons.
Other factors associated with a higher imperil of implant loss included being older than 55, receiving implants in both breasts, and undergoing both teat removal and reconstruction with implants in a single operation. "Less than 1 percent of all patients in our investigation experienced implant failure ," study lead author Dr John Fischer, a compliant surgery resident at the Perelman School of Medicine at the University of Pennsylvania, said in a weekly news release.
An Involuntary Tics Can Be Suppressed Through Self-Hypnosis
An Involuntary Tics Can Be Suppressed Through Self-Hypnosis.
Children and infantile adults with Tourette syndrome can move further control over their involuntary tics through self-hypnosis, a puny new study suggests. But a specialist in the condition said the research is too preliminary to hint whether the strategy actually works. In the study, reported in the July/August issue of the Journal of Developmental & Behavioral Pediatrics, researchers in use a video to teach 33 people grey 6 to 19 how to relax through self-hypnosis.
The participants all had the tics caused by Tourette syndrome. "Once the passive is in his or her highly focused 'special place,' work is then done on controlling the tic. We demand the patient to imagine the feeling right before that tic occurs and to put up a stop sign in front of it, or to fancy a tic switch that can be turned on and off like a light switch," study co-author Dr Jeffrey Lazarus, when the world was young of the Case Western Reserve University School of Medicine and now in undisclosed practice, said in a news release from the journal's publisher.
Children and infantile adults with Tourette syndrome can move further control over their involuntary tics through self-hypnosis, a puny new study suggests. But a specialist in the condition said the research is too preliminary to hint whether the strategy actually works. In the study, reported in the July/August issue of the Journal of Developmental & Behavioral Pediatrics, researchers in use a video to teach 33 people grey 6 to 19 how to relax through self-hypnosis.
The participants all had the tics caused by Tourette syndrome. "Once the passive is in his or her highly focused 'special place,' work is then done on controlling the tic. We demand the patient to imagine the feeling right before that tic occurs and to put up a stop sign in front of it, or to fancy a tic switch that can be turned on and off like a light switch," study co-author Dr Jeffrey Lazarus, when the world was young of the Case Western Reserve University School of Medicine and now in undisclosed practice, said in a news release from the journal's publisher.
Monday, 24 February 2014
The Role Of The Man In The American Family Changes Every Year
The Role Of The Man In The American Family Changes Every Year.
For dads aiming at marital bliss, a unripe turn over suggests just two factors are especially important: being busy with the kids, for sure - but also doing a fair allocate of the household chores. In other words, just taking the children outside for a game of catch won't snip it. "In our study, the wives thought father involvement with the kids and participation in household piece are all inter-related and worked together to improve marital quality," said Adam Galovan, premier author of the study and a researcher at the University of Missouri, in Columbia in June 2013. "They expect being a good father involves more than just doing things involved in the care of children".
Galovan found that wives be aware more cared for when husbands are involved with their children, yet helping out with the day-to-day responsibilities of running the household also matters. But Galovan was surprised to stumble on that how husbands and wives specifically divide the work doesn't seem to weight much. Husbands and wives are happier when they share parenting and household responsibilities, but the chores don't have to be divided equally, according to the study.
What matters is that both parents are actively participating in both chores and child-rearing. Doing household chores and being affianced with the children seem to be urgent ways for husbands to connect with their wives, and that interplay is related to better relationships, Galovan explained. The research was recently published in the Journal of Family Issues.
For the study, the researchers tapped text from a 2005 study that pulled federation licenses of couples married for less than one year from the Utah Department of Health. Researchers looked at every third or fourth union license over a six-month period. From that data, Galovan surveyed 160 couples between 21 and 55 years quondam who were in a first marriage. The majority of participants - 73 percent - were between 25 and 30 years old.
Almost 97 percent were white. Of participants, 98 percent of the husbands and 16 percent of the wives reported they were employed very time, while 24 percent worked quarter time. The run-of-the-mill link had been married for about five years, and the average income of the participants was between $50000 and $60000 a year.
For dads aiming at marital bliss, a unripe turn over suggests just two factors are especially important: being busy with the kids, for sure - but also doing a fair allocate of the household chores. In other words, just taking the children outside for a game of catch won't snip it. "In our study, the wives thought father involvement with the kids and participation in household piece are all inter-related and worked together to improve marital quality," said Adam Galovan, premier author of the study and a researcher at the University of Missouri, in Columbia in June 2013. "They expect being a good father involves more than just doing things involved in the care of children".
Galovan found that wives be aware more cared for when husbands are involved with their children, yet helping out with the day-to-day responsibilities of running the household also matters. But Galovan was surprised to stumble on that how husbands and wives specifically divide the work doesn't seem to weight much. Husbands and wives are happier when they share parenting and household responsibilities, but the chores don't have to be divided equally, according to the study.
What matters is that both parents are actively participating in both chores and child-rearing. Doing household chores and being affianced with the children seem to be urgent ways for husbands to connect with their wives, and that interplay is related to better relationships, Galovan explained. The research was recently published in the Journal of Family Issues.
For the study, the researchers tapped text from a 2005 study that pulled federation licenses of couples married for less than one year from the Utah Department of Health. Researchers looked at every third or fourth union license over a six-month period. From that data, Galovan surveyed 160 couples between 21 and 55 years quondam who were in a first marriage. The majority of participants - 73 percent - were between 25 and 30 years old.
Almost 97 percent were white. Of participants, 98 percent of the husbands and 16 percent of the wives reported they were employed very time, while 24 percent worked quarter time. The run-of-the-mill link had been married for about five years, and the average income of the participants was between $50000 and $60000 a year.
Monday, 17 February 2014
For The Early Diagnosis Of HIV Can Use Genetic Techniques
For The Early Diagnosis Of HIV Can Use Genetic Techniques.
In a deed to overhaul the methods for early detection of HIV, researchers sought to adjudge if a program using "nucleic acid testing" (NAT) would increase the number of cases that could be detected early, and found that it did so by 23 percent. Nucleic acid tests aspect for traces of genetic secular from an infecting organism. This differs from standard detection methods that rely on spotting inoculated system antibodies to the pathogen.
Despite decades of prevention programs in the United States, the HIV degree rate has remained stable, the study authors noted in a University of California, San Diego report release. The earliest stages of HIV infection are when people are most likely to infect others, so premature and accurate detection is crucial in efforts to control the spread of HIV, the virus that causes AIDS, they explained.
In a deed to overhaul the methods for early detection of HIV, researchers sought to adjudge if a program using "nucleic acid testing" (NAT) would increase the number of cases that could be detected early, and found that it did so by 23 percent. Nucleic acid tests aspect for traces of genetic secular from an infecting organism. This differs from standard detection methods that rely on spotting inoculated system antibodies to the pathogen.
Despite decades of prevention programs in the United States, the HIV degree rate has remained stable, the study authors noted in a University of California, San Diego report release. The earliest stages of HIV infection are when people are most likely to infect others, so premature and accurate detection is crucial in efforts to control the spread of HIV, the virus that causes AIDS, they explained.
Thursday, 13 February 2014
The Genetic History Of The Father Also Affect Cancers Of Female Organs
The Genetic History Of The Father Also Affect Cancers Of Female Organs.
Women with female relatives who have had tit or ovarian cancer are often acutely in the know of their own increased danger and may seek genetic counseling. But they should also pay acclaim to their father's family history, one genetic counselor warns. The inherited genetic predisposition to bust and ovarian cancer is mostly caused by a mutation in one or both of the BRCA1 or BRCA2 tumor suppressor genes, said Jeanna McCuaig, a genetic counselor at Princess Margaret Hospital in Toronto.
And, she penetrating out, "if your mom or your dad has a BRCA1 or BRCA2 mutation, you would have a 50 percent come to pass of inheriting it from either one". That explains why a father's classification history is as important to consider as a mother's, she said. "Anecdotally, I've had patients come in and say, 'I never prospect about my dad's side,'" McCuaig said. She clear to do some research into the implications of that statement. "We took two years of resolved charts referred to our clinic, referred as new patients, and looked to see how many had relatives with heart or ovarian cancers on the mom's side versus the dad," she said.
She found that patients who came to her Familial Breast and Ovarian Cancer Clinic at the health centre were more than five times more likely to be referred with a devoted family history of breast or ovarian cancer than a paternal history of such cancers. To get the vow out, she wrote a commentary on the subject, published online in The Lancet Oncology.
Women with female relatives who have had tit or ovarian cancer are often acutely in the know of their own increased danger and may seek genetic counseling. But they should also pay acclaim to their father's family history, one genetic counselor warns. The inherited genetic predisposition to bust and ovarian cancer is mostly caused by a mutation in one or both of the BRCA1 or BRCA2 tumor suppressor genes, said Jeanna McCuaig, a genetic counselor at Princess Margaret Hospital in Toronto.
And, she penetrating out, "if your mom or your dad has a BRCA1 or BRCA2 mutation, you would have a 50 percent come to pass of inheriting it from either one". That explains why a father's classification history is as important to consider as a mother's, she said. "Anecdotally, I've had patients come in and say, 'I never prospect about my dad's side,'" McCuaig said. She clear to do some research into the implications of that statement. "We took two years of resolved charts referred to our clinic, referred as new patients, and looked to see how many had relatives with heart or ovarian cancers on the mom's side versus the dad," she said.
She found that patients who came to her Familial Breast and Ovarian Cancer Clinic at the health centre were more than five times more likely to be referred with a devoted family history of breast or ovarian cancer than a paternal history of such cancers. To get the vow out, she wrote a commentary on the subject, published online in The Lancet Oncology.
Tuesday, 11 February 2014
Research On Animals Has Shown That Women Are More Prone To Stress
Research On Animals Has Shown That Women Are More Prone To Stress.
When it comes to stress, women are twice as credible as men to come out stress-induced disease, such as gloom and/or post-traumatic stress, and now a new study in rats could relieve researchers understand why. The team has uncovered evidence in animals that suggests that males service from having a protein that regulates and diminishes the brain's stress signals - a protein that females lack. What's more, the crew uncovered what appears to be a molecular double-whammy, noting that in animals a promote protein that helps process such stress signals more effectively - rendition them more potent - is much more effective in females than in males.
The differing dynamics, reported online June 15 in the history Molecular Psychiatry, have so far only been observed in male and female rats. However, Debra Bangasser of the Children's Hospital of Philadelphia and colleagues suggest that if this psychopathology is at reflected in humans it could move to the development of new drug treatments that target gender-driven differences in the molecular processing of stress.
When it comes to stress, women are twice as credible as men to come out stress-induced disease, such as gloom and/or post-traumatic stress, and now a new study in rats could relieve researchers understand why. The team has uncovered evidence in animals that suggests that males service from having a protein that regulates and diminishes the brain's stress signals - a protein that females lack. What's more, the crew uncovered what appears to be a molecular double-whammy, noting that in animals a promote protein that helps process such stress signals more effectively - rendition them more potent - is much more effective in females than in males.
The differing dynamics, reported online June 15 in the history Molecular Psychiatry, have so far only been observed in male and female rats. However, Debra Bangasser of the Children's Hospital of Philadelphia and colleagues suggest that if this psychopathology is at reflected in humans it could move to the development of new drug treatments that target gender-driven differences in the molecular processing of stress.
Friday, 7 February 2014
Blood Pressure Rises As A Result Of Long-Term Air Pollution From Road Traffic
Blood Pressure Rises As A Result Of Long-Term Air Pollution From Road Traffic.
Long-term disclosing to the quality pollution particles caused by trade has been linked to an increase in blood pressure, US researchers say. In the unfledged report, researchers analyzed data from 939 participants in the Normative Aging Study, who were assessed every four years between 1995 and 2006.
A computer nonesuch was used to estimate each participant's risk to traffic air pollution particles during the entire study period and for the year preceding each four-year assessment. Increased conversancy to traffic pollution particles was associated with higher blood pressure, especially when the outlook occurred in the year preceding a four-year assessment (3,02 mm Hg improve in systolic blood pressure, 1,96 mm Hg increase in diastolic pressure, and 2,30 mm Hg broaden in mean arterial pressure), the study authors reported in a communication release from the American Heart Association.
This link between long-term exposure to traffic air dirtying particles and higher blood pressure readings may help explain the association between traffic fouling and heart attacks and cardiovascular deaths reported in previous studies, study author Joel Schwartz, of Harvard School of Public Health in Boston, and colleagues eminent in the news release. The findings were to be presented Thursday at the American Heart Association's Cardiovascular Disease Epidemiology and Prevention annual discussion in San Francisco.
Long-term disclosing to the quality pollution particles caused by trade has been linked to an increase in blood pressure, US researchers say. In the unfledged report, researchers analyzed data from 939 participants in the Normative Aging Study, who were assessed every four years between 1995 and 2006.
A computer nonesuch was used to estimate each participant's risk to traffic air pollution particles during the entire study period and for the year preceding each four-year assessment. Increased conversancy to traffic pollution particles was associated with higher blood pressure, especially when the outlook occurred in the year preceding a four-year assessment (3,02 mm Hg improve in systolic blood pressure, 1,96 mm Hg increase in diastolic pressure, and 2,30 mm Hg broaden in mean arterial pressure), the study authors reported in a communication release from the American Heart Association.
This link between long-term exposure to traffic air dirtying particles and higher blood pressure readings may help explain the association between traffic fouling and heart attacks and cardiovascular deaths reported in previous studies, study author Joel Schwartz, of Harvard School of Public Health in Boston, and colleagues eminent in the news release. The findings were to be presented Thursday at the American Heart Association's Cardiovascular Disease Epidemiology and Prevention annual discussion in San Francisco.
Both Raloxifene And Tamoxifen Is Protect Against Breast Cancer
Both Raloxifene And Tamoxifen Is Protect Against Breast Cancer.
The up-to-date results from a landmark, long-running meditate on find that both tamoxifen and raloxifene facilitate prevent breast cancer in postmenopausal women, although some differences are starting to emerge between the two drugs. Raloxifene (Evista), from the beginning an osteoporosis drug, was less effective at preventing invasive breast cancer and more basic against noninvasive breast cancer than tamoxifen.
But raloxifene compensated by having fewer viewpoint effects and a lower likelihood of causing uterine cancer than its older cousin. Both drugs implement by interfering with the ability of estrogen to fuel tumor growth. "The results of this update are clever news for postmenopausal women.
It reconfirms that both of these drugs are very reasonable options to consider to break the risk of breast cancer in postmenopausal women," said Dr D Lawrence Wickerham, fellow chairman of the breast cancer group in the National Surgical Adjuvant Breast and Bowel Project (NSABP), a clinical trials cooperative group. "We are in some differences emerging, but both are effective".
Tamoxifen also stays in the body longer, oblation protection for a longer time after women have stopped bewitching the drug, the study found. "Both drugs still offer significant protection against breast cancer. The first difference with the longer-term follow-up is that the benefit of protection afforded by raloxifene looks for instance it's tailing after women stop taking the drug, whereas the effect of tamoxifen persists," said Dr Mary Daly, chairwoman of clinical genetics at Fox Chase Cancer Center in Philadelphia.
This also means the toxicities of tamoxifen stay after women stay taking that drug, she spiked out. The findings were presented Monday at the American Association for Cancer Research annual congregation in Washington, DC, and simultaneously published online in the journal Cancer Prevention Research.
The up-to-date results from a landmark, long-running meditate on find that both tamoxifen and raloxifene facilitate prevent breast cancer in postmenopausal women, although some differences are starting to emerge between the two drugs. Raloxifene (Evista), from the beginning an osteoporosis drug, was less effective at preventing invasive breast cancer and more basic against noninvasive breast cancer than tamoxifen.
But raloxifene compensated by having fewer viewpoint effects and a lower likelihood of causing uterine cancer than its older cousin. Both drugs implement by interfering with the ability of estrogen to fuel tumor growth. "The results of this update are clever news for postmenopausal women.
It reconfirms that both of these drugs are very reasonable options to consider to break the risk of breast cancer in postmenopausal women," said Dr D Lawrence Wickerham, fellow chairman of the breast cancer group in the National Surgical Adjuvant Breast and Bowel Project (NSABP), a clinical trials cooperative group. "We are in some differences emerging, but both are effective".
Tamoxifen also stays in the body longer, oblation protection for a longer time after women have stopped bewitching the drug, the study found. "Both drugs still offer significant protection against breast cancer. The first difference with the longer-term follow-up is that the benefit of protection afforded by raloxifene looks for instance it's tailing after women stop taking the drug, whereas the effect of tamoxifen persists," said Dr Mary Daly, chairwoman of clinical genetics at Fox Chase Cancer Center in Philadelphia.
This also means the toxicities of tamoxifen stay after women stay taking that drug, she spiked out. The findings were presented Monday at the American Association for Cancer Research annual congregation in Washington, DC, and simultaneously published online in the journal Cancer Prevention Research.
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