Treatment Of Heart Attack And Stroke In Certified Hospitals.
Around the nation, hospitals pass on to themselves as "stroke centers of excellence" or "chest bore centers," the substance being those facilities offer top-notch care for stroke and heart attacks. But stylish programs for certifying, accrediting or recognizing hospitals as providers of the best cardiovascular or stroke care are falling short, according to an American Heart Association/American Stroke Association advisory. "Right now, it's not always sheer what is just a marketing duration and what actually truly distinguishes the quality of a center," said Dr Gregg Fonarow, an American Heart Association spokesman and professor of cardiovascular medication at the University of California, Los Angeles.
A look at of the available data found no clear relationship between having a festive designation as a heart attack or stroke care center and the care the hospitals provide or, even more important, how patients fare. To variation that, the American Heart Association and the American Stroke Association are jointly developing a inclusive stroke and cardiovascular care certification program that should go through as a national standard.
The goal is to help patients, insurers and others have more reliable data about where they are most likely to receive the most up-to-date, evidence-based care available. "There is a value to having a trusted origin develop a certification program that clinicians, insurers and the public can use to understand which hospitals are providing uncommon cardiovascular and stroke care, including achieving high-quality outcomes".
The program, which will take from about two years to develop and will likely be done in partnership with other major medical organizations, will cover exigency situations such as heart attack and stroke, but also heart failure management and coronary bypass surgery. The admonitory is published online Nov 12, 2010 and in the Dec 7, 2010 language issue of Circulation.
Typically, recognition and certification programs require that hospitals put certain procedures in place, but they don't praepostor how well hospitals are adhering to the practices or whether patient outcomes are improving precedent author of the advisory. And those are the better certification programs. Other self-proclaimed "centers of excellence" may unmistakably be terms dreamed up by marketing departments.
Wednesday, 8 January 2020
Tuesday, 7 January 2020
The Presence Of A Few Extra Pounds In Man Reduces The Risk Of Sudden Death
The Presence Of A Few Extra Pounds In Man Reduces The Risk Of Sudden Death.
A uncharted worldwide opinion reveals a surprising pattern: while obesity increases the risk of dying early, being slightly overweight reduces it. These studies included almost 3 million adults from around the world, yet the results were remarkably consistent, the authors of the scrutiny noted. "For populate with a medical condition, survival is slight better for people who are slightly heavier," said study author Katherine Flegal, a older research scientist at the US Centers for Disease Control and Prevention's National Center for Health Statistics.
Several factors may narrative for this finding. "Maybe heavier people present to the doctor earlier, or get screened more often. Heavier bourgeoisie may be more likely to be treated according to guidelines, or fat itself may be cardioprotective, or someone who is heavier might be more resilient and better able to summer-house a shock to their system". The report was published Jan. 2 in the Journal of the American Medical Association.
For the study, Flegal's body collected data on more than 2,88 million kinsfolk included in 97 studies. These studies were done in the United States, Canada, Europe, Australia, China, Taiwan, Japan, Brazil, Israel, India and Mexico. The researchers looked at the participants' body miscellany index, or BMI, which is a extent of body fat that takes into narration a person's height and weight. Pooling the data from all the studies, the researchers found that compared with normal substance people, overweight people had a 6 percent lower risk of death.
Obese people, however, had an 18 percent higher chance of death. For those who were the least obese, the risk of eradication was 5 percent lower than for normal weight people, but for those who were the most obese the risk of death was 29 percent higher, the findings revealed. While the workroom found an association between weight and premature expiration risk, it did not prove a cause-and-effect relationship.
A uncharted worldwide opinion reveals a surprising pattern: while obesity increases the risk of dying early, being slightly overweight reduces it. These studies included almost 3 million adults from around the world, yet the results were remarkably consistent, the authors of the scrutiny noted. "For populate with a medical condition, survival is slight better for people who are slightly heavier," said study author Katherine Flegal, a older research scientist at the US Centers for Disease Control and Prevention's National Center for Health Statistics.
Several factors may narrative for this finding. "Maybe heavier people present to the doctor earlier, or get screened more often. Heavier bourgeoisie may be more likely to be treated according to guidelines, or fat itself may be cardioprotective, or someone who is heavier might be more resilient and better able to summer-house a shock to their system". The report was published Jan. 2 in the Journal of the American Medical Association.
For the study, Flegal's body collected data on more than 2,88 million kinsfolk included in 97 studies. These studies were done in the United States, Canada, Europe, Australia, China, Taiwan, Japan, Brazil, Israel, India and Mexico. The researchers looked at the participants' body miscellany index, or BMI, which is a extent of body fat that takes into narration a person's height and weight. Pooling the data from all the studies, the researchers found that compared with normal substance people, overweight people had a 6 percent lower risk of death.
Obese people, however, had an 18 percent higher chance of death. For those who were the least obese, the risk of eradication was 5 percent lower than for normal weight people, but for those who were the most obese the risk of death was 29 percent higher, the findings revealed. While the workroom found an association between weight and premature expiration risk, it did not prove a cause-and-effect relationship.
Study Of Helmets With Face Shields
Study Of Helmets With Face Shields.
Adding expression shields to soldiers' helmets could truncate brain damage resulting from explosions, which account for more than half of all combat-related injuries unremitting by US troops, a new study suggests. Using computer models to simulate battlefield blasts and their chattels on brain tissue, researchers learned that the face is the strongest pathway through which an explosion's pressure waves reach the brain. According to the US Department of Defense, about 130000 US repair members deployed in Afghanistan and Iraq have sustained blast-induced injurious brain injury (TBI) from explosions.
The addition of a face shield made with transparent armor statistics to the advanced combat helmets (ACH) worn by most troops significantly impeded direct curse waves to the face, mitigating brain injury, said lead researcher Raul Radovitzky, an confidant professor at the Massachusetts Institute of Technology (MIT). "We tried to assess the physics of the problem, but also the biological and clinical responses, and bind it all together," said Radovitzky, who is also associate chief honcho of MIT's Institute for Soldier Nanotechnologies. "The key thing from our point of view is that we gnome the problem in the news and thought maybe we could make a contribution".
Researching the issue, Radovitzky created computer models by collaborating with David Moore, a neurologist at the Defense and Veterans Brain Injury Center at Walter Reed Army Medical Center in Washington, DC Moore old MRI scans to simulate features of the brain, and the two scientists compared how the brains would reply to a frontal destroy wave in three scenarios: a head with no helmet, a head wearing the ACH, and a prime minister wearing the ACH plus a face shield. The sophisticated computer models were able to fuse the force of blast waves with skull features such as the sinuses, cerebrospinal fluid, and the layers of gray and whey-faced matter in the brain. Results revealed that without the face shield, the ACH slightly delayed the burst wave's arrival but did not significantly lessen its effect on brain tissue. Adding a face shield, however, considerably reduced forces on the brain.
Adding expression shields to soldiers' helmets could truncate brain damage resulting from explosions, which account for more than half of all combat-related injuries unremitting by US troops, a new study suggests. Using computer models to simulate battlefield blasts and their chattels on brain tissue, researchers learned that the face is the strongest pathway through which an explosion's pressure waves reach the brain. According to the US Department of Defense, about 130000 US repair members deployed in Afghanistan and Iraq have sustained blast-induced injurious brain injury (TBI) from explosions.
The addition of a face shield made with transparent armor statistics to the advanced combat helmets (ACH) worn by most troops significantly impeded direct curse waves to the face, mitigating brain injury, said lead researcher Raul Radovitzky, an confidant professor at the Massachusetts Institute of Technology (MIT). "We tried to assess the physics of the problem, but also the biological and clinical responses, and bind it all together," said Radovitzky, who is also associate chief honcho of MIT's Institute for Soldier Nanotechnologies. "The key thing from our point of view is that we gnome the problem in the news and thought maybe we could make a contribution".
Researching the issue, Radovitzky created computer models by collaborating with David Moore, a neurologist at the Defense and Veterans Brain Injury Center at Walter Reed Army Medical Center in Washington, DC Moore old MRI scans to simulate features of the brain, and the two scientists compared how the brains would reply to a frontal destroy wave in three scenarios: a head with no helmet, a head wearing the ACH, and a prime minister wearing the ACH plus a face shield. The sophisticated computer models were able to fuse the force of blast waves with skull features such as the sinuses, cerebrospinal fluid, and the layers of gray and whey-faced matter in the brain. Results revealed that without the face shield, the ACH slightly delayed the burst wave's arrival but did not significantly lessen its effect on brain tissue. Adding a face shield, however, considerably reduced forces on the brain.
In The USA Scientists Have Found The New Causes Of Glaucoma
In The USA Scientists Have Found The New Causes Of Glaucoma.
Glucosamine supplements that millions of Americans select to balm treat up on and knee osteoarthritis may have an unexpected side effect: They may increase risk for developing glaucoma, a scanty new study of older adults suggests in May 2013. Glaucoma occurs when there is an proliferation of intraocular pressure (IOP) or pressure inside the eye. Left untreated, glaucoma is one of the unsurpassed causes of blindness.
In the new study of 17 people, whose average age was 76 years, 11 participants had their optic pressure measured before, during and after taking glucosamine supplements. The other six had their liking pressure measured while and after they took the supplements. Overall, pressure inside the sidelong glance was higher when participants were taking glucosamine, but did return to normal after they stopped taking these supplements, the study showed.
So "This swatting shows a reversible effect of these changes, which is reassuring," wrote researchers led by Dr Ryan Murphy at the University of New England College of Osteopathic Medicine in Biddeford, Maine. "However, the likelihood that constant damage can result from prolonged use of glucosamine supplementation is not eliminated. Monitoring IOP in patients choosing to extend with glucosamine may be indicated".
Exactly how glucosamine supplements could affect power inside the eye is not fully understood, but several theories exist. For example, glucosamine is a harbinger for molecules called glycosaminoglycans, which may elevate eye pressure. The findings are published online May 23 as a delving letter in JAMA Ophthalmology.
Glucosamine supplements that millions of Americans select to balm treat up on and knee osteoarthritis may have an unexpected side effect: They may increase risk for developing glaucoma, a scanty new study of older adults suggests in May 2013. Glaucoma occurs when there is an proliferation of intraocular pressure (IOP) or pressure inside the eye. Left untreated, glaucoma is one of the unsurpassed causes of blindness.
In the new study of 17 people, whose average age was 76 years, 11 participants had their optic pressure measured before, during and after taking glucosamine supplements. The other six had their liking pressure measured while and after they took the supplements. Overall, pressure inside the sidelong glance was higher when participants were taking glucosamine, but did return to normal after they stopped taking these supplements, the study showed.
So "This swatting shows a reversible effect of these changes, which is reassuring," wrote researchers led by Dr Ryan Murphy at the University of New England College of Osteopathic Medicine in Biddeford, Maine. "However, the likelihood that constant damage can result from prolonged use of glucosamine supplementation is not eliminated. Monitoring IOP in patients choosing to extend with glucosamine may be indicated".
Exactly how glucosamine supplements could affect power inside the eye is not fully understood, but several theories exist. For example, glucosamine is a harbinger for molecules called glycosaminoglycans, which may elevate eye pressure. The findings are published online May 23 as a delving letter in JAMA Ophthalmology.
Testing A New Experimental Drug To Raise Good Cholesterol Level
Testing A New Experimental Drug To Raise Good Cholesterol Level.
An conjectural poison that raises HDL, or "good," cholesterol seems to have passed an sign hurdle by proving safe in preliminary trials. Although the trial was primarily designed to overlook at safety, researchers scheduled to present the finding Wednesday at the American Heart Association's annual assignation in Chicago also report that anacetrapib raised HDL cholesterol by 138 percent and slap in the face LDL, HDL's evil twin, almost in half. "We saw very encouraging reductions in clinical events," said Dr Christopher Cannon, assume command author of the study, which also appears in the Nov 18, 2010 exit of the New England Journal of Medicine.
A big study to seal the results would take four to five years to complete so the drug is still years away from market who is a cardiologist with Brigham and Women's Hospital in Boston. Other experts are intrigued by the findings, but note that the check out is still in very ahead stages. "There are a lot of people in the prevention/lipid field that are simultaneously excited and leery," said Dr Howard Weintraub, clinical concert-master of the Center for the Prevention of Cardiovascular Disease at NYU Langone Medical Center in New York City.
Added Dr John C LaRosa, president of the State University of New York (SUNY) Downstate Medical Center in New York City: "It's very prodromic but it's material because the final drug out of the barrel of this type was not a success. This looks match a better drug, but it's not definitive by any means. Don't take this to the bank".
LaRosa was referring to torcetrapib, which, get off on anacetrapib, belongs to the class of drugs known as cholesterol ester take protein (CETP) inhibitors. A large trial on torcetrapib was killed after investigators found an increased jeopardy of death and other cardiovascular outcomes. "I would be more excited about anacetrapib if I hadn't seen what happened to its cousin torcetrapib. Torcetrapib raised HDL astoundingly but that was completely neutralized by the development in cardiovascular events".
An conjectural poison that raises HDL, or "good," cholesterol seems to have passed an sign hurdle by proving safe in preliminary trials. Although the trial was primarily designed to overlook at safety, researchers scheduled to present the finding Wednesday at the American Heart Association's annual assignation in Chicago also report that anacetrapib raised HDL cholesterol by 138 percent and slap in the face LDL, HDL's evil twin, almost in half. "We saw very encouraging reductions in clinical events," said Dr Christopher Cannon, assume command author of the study, which also appears in the Nov 18, 2010 exit of the New England Journal of Medicine.
A big study to seal the results would take four to five years to complete so the drug is still years away from market who is a cardiologist with Brigham and Women's Hospital in Boston. Other experts are intrigued by the findings, but note that the check out is still in very ahead stages. "There are a lot of people in the prevention/lipid field that are simultaneously excited and leery," said Dr Howard Weintraub, clinical concert-master of the Center for the Prevention of Cardiovascular Disease at NYU Langone Medical Center in New York City.
Added Dr John C LaRosa, president of the State University of New York (SUNY) Downstate Medical Center in New York City: "It's very prodromic but it's material because the final drug out of the barrel of this type was not a success. This looks match a better drug, but it's not definitive by any means. Don't take this to the bank".
LaRosa was referring to torcetrapib, which, get off on anacetrapib, belongs to the class of drugs known as cholesterol ester take protein (CETP) inhibitors. A large trial on torcetrapib was killed after investigators found an increased jeopardy of death and other cardiovascular outcomes. "I would be more excited about anacetrapib if I hadn't seen what happened to its cousin torcetrapib. Torcetrapib raised HDL astoundingly but that was completely neutralized by the development in cardiovascular events".
Skiing Prolongs Life
Skiing Prolongs Life.
Hitting the slopes soon? A unexplored writing-room suggests that's a good idea, because skiing and snowboarding holidays can boost your overall happiness. Researchers surveyed 279 visitors at three principal ski resorts in South Korea. Of those people, 126 were skiers, 112 were snowboarders and 41 did both. Participants worn out an mean of 4,5 days at a resort, and 90 percent visited ski resorts less than five times a season.
Hitting the slopes soon? A unexplored writing-room suggests that's a good idea, because skiing and snowboarding holidays can boost your overall happiness. Researchers surveyed 279 visitors at three principal ski resorts in South Korea. Of those people, 126 were skiers, 112 were snowboarders and 41 did both. Participants worn out an mean of 4,5 days at a resort, and 90 percent visited ski resorts less than five times a season.
People Often Die In Their Sleep
People Often Die In Their Sleep.
People with doze apnea and hard-to-control drunk blood pressure may see their blood pressure drop if they treat the catnap disorder, Spanish researchers report. Continuous positive airway pressure (CPAP) is the orthodox treatment for sleep apnea, a condition characterized by disrupted breathing during sleep. The drop disorder has been linked to high blood pressure. Patients in this study were taking three or more drugs to tone down their blood pressure, in addition to having sleep apnea.
Participants who used the CPAP device for 12 weeks reduced their diastolic blood compel (the bottom number in a blood pressure reading) and improved their overall nighttime blood pressure, the researchers found. "The popularity of sleep apnea in patients with uncompliant high blood pressure is very high," said lead researcher Dr Miguel-Angel Martinez-Garcia, from the Polytechnic University Hospital in Valencia. "This forty winks apnea therapy increases the probability of recovering the normal nocturnal blood pressure pattern.
Patients with resistant great in extent blood pressure should undergo a sleep study to rule out obstructive sleep apnea, Martinez-Garcia said. "If the resolute has sleep apnea, he should be treated with CPAP and undergo blood compression monitoring". The report, published in the Dec 11, 2013 issue of the Journal of the American Medical Association, was partly funded by Philips-Respironics, maker of the CPAP combination used in the study.
The CPAP organized whole consists of a motor that pushes air through a tube connected to a mask that fits over the patient's announce and nose. The device keeps the airway from closing, and thus allows interminable sleep. Sleep apnea is a common disorder. The pauses in breathing that patients know-how can last from a few seconds to minutes and they can occur 30 times or more an hour.
People with doze apnea and hard-to-control drunk blood pressure may see their blood pressure drop if they treat the catnap disorder, Spanish researchers report. Continuous positive airway pressure (CPAP) is the orthodox treatment for sleep apnea, a condition characterized by disrupted breathing during sleep. The drop disorder has been linked to high blood pressure. Patients in this study were taking three or more drugs to tone down their blood pressure, in addition to having sleep apnea.
Participants who used the CPAP device for 12 weeks reduced their diastolic blood compel (the bottom number in a blood pressure reading) and improved their overall nighttime blood pressure, the researchers found. "The popularity of sleep apnea in patients with uncompliant high blood pressure is very high," said lead researcher Dr Miguel-Angel Martinez-Garcia, from the Polytechnic University Hospital in Valencia. "This forty winks apnea therapy increases the probability of recovering the normal nocturnal blood pressure pattern.
Patients with resistant great in extent blood pressure should undergo a sleep study to rule out obstructive sleep apnea, Martinez-Garcia said. "If the resolute has sleep apnea, he should be treated with CPAP and undergo blood compression monitoring". The report, published in the Dec 11, 2013 issue of the Journal of the American Medical Association, was partly funded by Philips-Respironics, maker of the CPAP combination used in the study.
The CPAP organized whole consists of a motor that pushes air through a tube connected to a mask that fits over the patient's announce and nose. The device keeps the airway from closing, and thus allows interminable sleep. Sleep apnea is a common disorder. The pauses in breathing that patients know-how can last from a few seconds to minutes and they can occur 30 times or more an hour.
A Tan Is Still Admired By Ignoring The Danger Of Cancer
A Tan Is Still Admired By Ignoring The Danger Of Cancer.
Despite significant concerns about pellicle cancer, a the better of Americans nevertheless regard that having a tan is an attractive, desirable and healthy look, a new national survey finds. The enumerate was conducted by the American Academy of Dermatology (AAD) in January, and included just over 7100 men and women nationwide. "Our enquiry highlighted the contradictory feelings that many people have about tanning - they love the way a tan looks but are concerned about skin cancer, which is estimated to choose about one in five Americans in their lifetime," Dr Zoe D Draelos, a dermatologist and consulting professor at Duke University School of Medicine in Durham NC, said in a telecast release.
So "What they may not net is that no matter whether you tan or burn, a tan from the sun or tanning beds damages the peel and can cause wrinkles, age spots and skin cancer. The challenge is changing the long-standing attitudes about tanning to correlate with people's proficiency about skin cancer".
Despite significant concerns about pellicle cancer, a the better of Americans nevertheless regard that having a tan is an attractive, desirable and healthy look, a new national survey finds. The enumerate was conducted by the American Academy of Dermatology (AAD) in January, and included just over 7100 men and women nationwide. "Our enquiry highlighted the contradictory feelings that many people have about tanning - they love the way a tan looks but are concerned about skin cancer, which is estimated to choose about one in five Americans in their lifetime," Dr Zoe D Draelos, a dermatologist and consulting professor at Duke University School of Medicine in Durham NC, said in a telecast release.
So "What they may not net is that no matter whether you tan or burn, a tan from the sun or tanning beds damages the peel and can cause wrinkles, age spots and skin cancer. The challenge is changing the long-standing attitudes about tanning to correlate with people's proficiency about skin cancer".
Monday, 6 January 2020
Depression Plus Diabetes Kills Women
Depression Plus Diabetes Kills Women.
Women pain from both diabetes and unhappiness have a greater risk of dying, especially from heart disease, a new study suggests. In fact, women with both conditions have a twofold increased peril of death, researchers say. "People with both conditions are at very hilarious risk of death," said lead researcher Dr Frank B Hu, a professor of nostrum at Harvard Medical School. "Those are double whammies". When males and females are afflicted by both diseases, these conditions can lead to a "vicious cycle. People with diabetes are more likely to be depressed, because they are under long-term psychosocial stress, which is associated with diabetes complications".
People with diabetes who are depressed are less no doubt to abduct care of themselves and effectively manage their diabetes. "That can lead to complications, which increase the risk of mortality". Hu stressed that it is signal to manage both the diabetes and the depression to lower the mortality risk. "It is reachable that these two conditions not only influence each other biologically, but also behaviorally".
Type 2 diabetes and depression are often allied to unhealthy lifestyles, including smoking, poor diet and lack of exercise, according to the researchers. In addition, gloominess may trigger changes in the nervous system that adversely affect the heart. The promulgate is published in the January, 2011 issue of the Archives of General Psychiatry.
Commenting on the study, Dr Luigi Meneghini, an collaborator professor of clinical medicine and director of the Eleanor and Joseph Kosow Diabetes Treatment Center at the Diabetes Research Institute of the University of Miami Miller School of Medicine, said the findings were not surprising. "The review highlights that there is a lustrous increase in jeopardize to your health and to your life when you have a combination of diabetes and depression".
Women pain from both diabetes and unhappiness have a greater risk of dying, especially from heart disease, a new study suggests. In fact, women with both conditions have a twofold increased peril of death, researchers say. "People with both conditions are at very hilarious risk of death," said lead researcher Dr Frank B Hu, a professor of nostrum at Harvard Medical School. "Those are double whammies". When males and females are afflicted by both diseases, these conditions can lead to a "vicious cycle. People with diabetes are more likely to be depressed, because they are under long-term psychosocial stress, which is associated with diabetes complications".
People with diabetes who are depressed are less no doubt to abduct care of themselves and effectively manage their diabetes. "That can lead to complications, which increase the risk of mortality". Hu stressed that it is signal to manage both the diabetes and the depression to lower the mortality risk. "It is reachable that these two conditions not only influence each other biologically, but also behaviorally".
Type 2 diabetes and depression are often allied to unhealthy lifestyles, including smoking, poor diet and lack of exercise, according to the researchers. In addition, gloominess may trigger changes in the nervous system that adversely affect the heart. The promulgate is published in the January, 2011 issue of the Archives of General Psychiatry.
Commenting on the study, Dr Luigi Meneghini, an collaborator professor of clinical medicine and director of the Eleanor and Joseph Kosow Diabetes Treatment Center at the Diabetes Research Institute of the University of Miami Miller School of Medicine, said the findings were not surprising. "The review highlights that there is a lustrous increase in jeopardize to your health and to your life when you have a combination of diabetes and depression".
Americans Rarely Write Wills
Americans Rarely Write Wills.
Most Americans do not deal with end-of-life issues and wishes, a original lessons indicates. Researchers analyzed data from nearly 8000 people who took break up in nationwide surveys conducted in 2009 and 2010, and found that only about 26 percent had completed an advance directive, also called a living will. There were significant associations between completing an go forward directive and age, income, knowledge and health status, according to the study in the January issue of the American Journal of Preventive Medicine.
Advance directives were more hackneyed among women, whites, married people and those who had a college degree or postgraduate training. People with advanced directives also were more inclined to to have a chronic disease or a regular source of care. "For raven and Hispanic respondents, advance directives were less frequent across all educational groups.
Most Americans do not deal with end-of-life issues and wishes, a original lessons indicates. Researchers analyzed data from nearly 8000 people who took break up in nationwide surveys conducted in 2009 and 2010, and found that only about 26 percent had completed an advance directive, also called a living will. There were significant associations between completing an go forward directive and age, income, knowledge and health status, according to the study in the January issue of the American Journal of Preventive Medicine.
Advance directives were more hackneyed among women, whites, married people and those who had a college degree or postgraduate training. People with advanced directives also were more inclined to to have a chronic disease or a regular source of care. "For raven and Hispanic respondents, advance directives were less frequent across all educational groups.
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