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Study Finds Wide Variation in the Use of Testosterone Therapy among Veterans Health Administration FacilitiesResearchers identify limited evidence base and uneven clinical application as probable reasons for variation.
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ASTRO Patient Portal Now Includes Bone Metastases InformationThe American Society for Radiation Oncology (ASTRO) has added a Radiation Therapy for Bone Metastases section to its patient Website.
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HITECH Lays the Foundation for More Ambitious Outcomes-Based ReimbursementA sophisticated nationwide health information technology infrastructure is required to support changing health care reimbursement models.
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Technology Is Illuminating the Full Spectrum of Care in Oncology NursingIn order to achieve the goals made possible by recent technology advances in oncology nursing practice, nurses will have to endure the growing pains of in-services and devote the necessary time to build expertise and master the new technologies before they can implement them into daily oncology nursing practice.
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Sudden death in patients with myocardial infarctionWe evaluated the risk and timing of sudden death among high-risk patients after myocardial infarction (MI). Among survivors of acute MI with reduced left ventricular systolic function or heart failure, or both, the risk of sudden death from cardiac causes was highest in the first 30 days after MI. These findings indicate a need for early intervention to prevent sudden death during this vulnerable period.
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Effectiveness and Cost-Effectiveness of Diabetes Prevention among Adherent ParticipantsOver 10 years, lifestyle intervention and metformin were cost-effective or cost saving compared with placebo.
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Women and acute coronary syndromesDrs Pfeifer and Steingart (page 11) provide a timely report on recent findings affecting the assessment and treatment of women with acute coronary syndromes.
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Don't Forget to Assess the Family Caregiver of Your Older Adult PatientUnlike assessments of pediatric patients, healthcare providers do not routinely include the family members or friends in the assessment of older adults—but they should.
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Nighttime Intensivists: A Question of Whether More Is BetterA number of studies have shown that either a "high-intensity" intensive care unit (ICU), in which all ICU patients are cared for by an intensivist, or one in which an intensivist team consult is mandatory, improves outcomes in the ICU. But does the presence of an intensivist in the ICU around the clock improve outcomes?
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Financial Incentives for Smoking Cessation in PregnancyThis is a randomized controlled study of 612 pregnant smokers of a low-income, inner city population in the west of Scotland, United Kingdom.
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6 Questions with... Lisa Bernardo, RN, PhD, University of Pittsburg School of NursingWe spoke with Lisa Bernardo, RN, PhD, associate professor at the University of Pittsburgh School of Nursing, to learn about the research study she is leading, �The Effect of a Continuing Education Program on Oncology Nurses� Knowledge of and Confidence in Recommending Exercise to Women with Breast Cancer.� She also provided some recommendations for our readers who may be planning to design their own research studies.
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The High Cost of UndercodingIs your practice losing thousands of dollars each month by being too cautious with coding and billing?
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Neuro-Ophthalmic Emergencies: Three Diagnoses Not to Be Missed in Primary CareNeuro-ophthalmic symptoms and signs are the key to diagnosing certain systemic conditions that are considered true emergencies, such as giant cell arteritis, increased intracranial pressure with papilledema, and acute third cranial nerve palsy secondary to intracranial aneurysm. These symptoms and signs may be first encountered by the primary care or emergency department physician; it is critical that they be recognized immediately upon presentation to facilitate expeditious management, which in some cases will save patients' lives and vision.
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Overcoming Physician Burnout During the WinterA longtime orthopedic surgeon shares simple habits a physician can adopt to overcome burnout symptoms.
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Dangers of aggressively lowering blood pressure in coronary artery diseaseWe assessed whether there is a paradoxical increase in cardiovascular events with lower blood pressure values among patients with hypertension and coronary artery disease (CAD) who were enrolled in the International Verapamil-Trandolapril Study (INVEST). The relationship between systolic and diastolic pressure and the risk of primary outcome followed a J-curve pattern, with the relationship being relatively weak for systolic pressure but more significant for diastolic pressure. Our data indicate that excessive lowering of diastolic pressure in hypertensive patients with CAD should be avoided.
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Aspirin Therapy for Prevention of Cardiovascular Disease in Patients with DiabetesCoronary artery disease is the leading cause of death in patients with diabetes. Platelets play a major role in the pathophysiology and clinical manifestations of ischemic heart disease. It is well known that platelets in diabetic patients are hyperreactive, with exaggerated adhesion, aggregation, and thrombin generation. Aspirin and other antiplatelet agents have been shown to reduce the incidence of ischemic events in patients with and without diabetes, whether or not they have a history of cardiovascular disease. This article reviews the latest recommendations for the use of antiplatelet therapy in the primary and secondary prevention of cardiovascular events in diabetic patients.
