Category Archives: Health

Exercise Studies: Aerobic Exercise Benefits Not Seen In Current “Low Levels” Of Prescribed Activity (BJSM)

From a British Journal of Sports Medicine online study release:

British Journal of Sport & Exercise MedicineIn studies of aerobic exercise in patients with knee OA, very few interventions met guideline-recommended dose; there were small to moderate changes in markers of cardiovascular health and no decrease in markers of systemic inflammation. These findings question whether aerobic exercise is being used to its full potential in patients with knee OA.

Objectives We systemically reviewed published studies that evaluated aerobic exercise interventions in patients with knee osteoarthritis (OA) to: (1) report the frequency, intensity, type and time (FITT) of exercise prescriptions and (2) quantify the changes in markers of cardiovascular health and systemic inflammation.

To read more: https://bjsm.bmj.com/content/early/2019/12/17/bjsports-2018-100231

Studies: “Home Hospital” Model Of Care Reduces Costs By 38%, Improves Recovery (Harvard)

From a Harvard Gazette online article:

“This work cements the idea that, for the right patients, we can deliver hospital-level care outside of the four walls of the traditional hospital, and provides more of the data we need to make home hospital care the standard of care in our country,” said corresponding author David Levine, a physician and researcher in the Division of General Internal Medicine and Primary Care.

“It opens up so many exciting possibilities — it’s exciting for patients because it gives them the opportunity to be in a familiar setting, and it’s exciting for clinicians because we get to be with a patient in that person’s own surroundings. As a community-minded hospital, this is a way for us to bring excellent care to our community.”

The home hospital model of care — in which select patients receive hospital-level care for an acute illness from the comfort of their own home instead of in a traditional hospital — has become increasingly popular across the U.S.

To read more: https://news.harvard.edu/gazette/story/2019/12/home-hospital-model-reduces-costs-by-38-improves-care/

Hospital Care: How Improved Design Of Emergency Rooms Can Save Lives (Video)

Decentralized Nurse Workstations Hospital Design Wired Video December 2019Produced by WIRED Brand Lab with American Institute of Architects | How can design transform emergency rooms from one of the most stressful and chaotic places into a place of healing? Dr. Bon Ku and architect Billie Faircloth, AIA, break down the science behind designing a better work environment for hospitals.

Research: USC Creates Organoids From Stem Cells To Treat Polycistic Kidney Disease (Video)

USC Stem Cell scientist Andy McMahon is using human stem cells to create mini-kidney structures known as organoids. His lab is using these organoids to study and find new drugs to treat polycystic kidney disease.

Health: “Treating Cancer And Other Diseases Through The Immune System” (UCTV Video)

Interactive immune systems are at the center of cancer and other diseases. Dr. Matthew Krummel explores how the immune system can regulate cancer progression. Recorded on 10/31/2019.

To read more: https://www.uctv.tv/shows/Understanding-and-Treating-Cancer-and-Other-Diseases-Through-the-Immune-System-35239

Health: “Understanding Parkinson’s Disease” (Nature Videos)

Parkinson’s disease is a neurological condition that affects the brain and other parts of the nervous system. The gradual loss of nerve cells leads to a suite of characteristic motor and non-motor symptoms.

Understanding Parkinson's Disease Nature Neuroscience Videos Dec 16 2019

What causes these cells to die and how the pathology develops in the nervous system are not yet clear but multiple lines of investigation are being pursued to answer these questions. In this animation, we explore some of the latest in Parkinson’s disease research.

Website: https://www.nature.com/articles/s41583-019-0254-x

Healthcare Podcast: Price Of Insulin Has Doubled In Last 4 Years, Putting Type 1 Diabetics & Families At Risk

From a USA Today online article:

USA-Today-webIn people with Type 1 diabetes, the pancreas can’t make insulin. Those with the condition require several doses of insulin a day and spent $5,705 per person on it in 2016, an increase of $2,841, or 99%, per person since 2012, according to the nonprofit Health Care Cost Institute.

(Podcast interview “This Weekend With Gordon Deal”, 12-14-19)

This Weekend with Gordon Deal podcastCosts continue to rise, so much so that almost half of people with diabetes have temporarily skipped taking their insulin, according to a 2018 survey by UpWell Health, a Salt Lake City company that provides home delivery of medications and supplies for chronic conditions.

“Insulin prices doubled in a four-year period,” said Cathy Paessun, the director of the Central Ohio Diabetes Association. “They continue to go up, and the infuriating thing is that there is no change in the process for creating the product.”

To read article: https://www.usatoday.com/story/news/health/2019/12/09/insulin-prices-double-ohio-lawmakers-looking-answers/2629115001/

Surgery: There Are No Low-Risk Procedures For Frail Older Patients (NYT)

From a New York Times online article:

JAMA Surgery“Our data indicate that there are no low-risk procedures among patients who are frail,” Dr. Hall and his co-authors concluded in their study.

Dr. Hall’s research, recently published in JAMA Surgery, has found that frail, older adults are more likely than other patients to die after even supposedly minor procedures — and even when the surgery goes well, without complications.

After operations, frail patients find it harder than others to regain strength and mobility, and to return to independent lives. Doctors and researchers assess frailty in a variety of ways. Geriatricians often measure things like gait and grip strength, and look for unintended weight loss and exhaustion.

 

To read more: https://www.nytimes.com/2019/12/13/health/frail-elderly-surgery.html

New Health Studies: 43% Of Americans Prescribed Antibiotics Improperly

From a British Medical Journal (BMJ) online article:

BMJ journal cover Dec 2019…primary care providers (general practice, paediatrics, and internal medicine) performed the best, giving a considerably lower percentage of antibiotic prescriptions without a documented indication (12%) than other specialists such as gynaecologists and urologists, who commonly prescribed antibiotics (24%), as well as those in all other specialties (29%).

As many as two in five antibiotic prescriptions (43%) provided in outpatient settings in the US could be inappropriate, a study published by The BMJ has found.1

Researchers from Oregon, USA, looked at prescriptions in ambulatory settings such as primary care and found that a quarter (25%) were deemed to be inappropriate, while a further 18% did not have an indication.

To read more: https://www.bmj.com/content/367/bmj.l6961