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Intensive Care Current Events | Intensive Care News | 11

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PREOPERATIVE NUTRITIONAL SUPPLEMENT IMPROVES OUTCOME FOR HIGH-RISK PATIENTS UNDERGOING HEART SURGERY (p 696)
An immune-enhancing nutritional supplement conventionally used in critical care and cancer surgery could be beneficial for elderly and other high-risk patients requiring cardiac surgery, conclude authors of a study in this week’s issue of THE LANCET. Elderly patients and those with poor ventricular function have increased illness and death... view more... (2001-08-29)

Clinical trial in China to test whether early blood pressure reduction improves stroke outcomes
A large clinical trial called INTERACT, launched in China this month, will determine the effects of early intensive blood pressure lowering on death and disability in stroke patients.   view more (2005-11-01)

Manual therapy is effective treatment for neck pain
Manual therapy is more effective and less costly for treating neck pain than physiotherapy or care by a general practitioner, claim researchers in this week's BMJ. The study involved 183 patients recruited by 42 general practitioners in the Netherlands. All patients were aged 18-70 years and had suffered neck pain for at least two weeks. Sixty... view more... (2003-04-23)

Guidelines needed to prevent spread of infection in European hospitals
National and European guidelines to control the spread of vancomycin resistant enterococci should be drawn up before these bacteria become endemic in European hospitals, argue researchers in this week's BMJ. Vancomycin resistant bacteria have a low virulence but can cause serious infections in transplant patients or those in intensive care units.... view more... (2002-03-13)

New act will restrict patient choice
Chronically sick and older people may not be able to choose where they are treated when new community care regulations come into force in January 2004, warn researchers in this week's BMJ. Under the Community Care (Delayed Discharge) Act, local authorities will be fined by the NHS for failing to arrange social care services for patients who remain... view more... (2004-01-03)

Children with special health care needs report unmet needs for mental health care services
Children with special health care needs (CSHCN) and members of their families are at risk of not getting the mental health care services they need.   view more (2006-06-23)

Is Primary-care Research A Lost Cause? (p 977)
This week's editorial discusses the status of primary-care research, and is critical of leaders in family medicine who have failed to identify a clear course of action for future research in this crucial area. Primary-care researchers have voiced concerns that their discipline is complex, and that as researchers they are misunderstood by academia,... view more... (2003-03-20)

Most effective anthrax treatment: VA-Stanford study finds
When spores sent through the mail in 2001 caused 11 people to contract anthrax-ultimately killing five of them-infectious disease specialists noted that the death rate was substantially lower than the historical mortality rate, which approached 100 percent.   view more (2006-02-21)

Children in care less likely to get meningitis vaccine
Children looked after by local authorities are twice as unlikely to receive meningococcal C vaccine than children at home, concludes a study in this week's BMJ. Researchers identified the immunisation status of all children in nine health districts in the United Kingdom. Because universal childhood meningococcal C vaccination was introduced in... view more... (2003-02-12)

New England Journal of Medicine Also Publishes Mayo Clinic Study of Physicians' Beliefs About Health Care Reform
Results of a Mayo Clinic survey published in the New England Journal of Medicine shows that while physicians are open to being involved in health care reform discussions, some opposition may exist.   view more (2009-09-25)

All intravascular devices pose risk of bloodstream infection to patients, study finds
All types of intravascular devices (IVDs) pose a risk of bloodstream infection to exposed hospitalized adult patients, finds a study published in the September issue of Mayo Clinic Proceedings.   view more (2006-09-25)

Physicians seek to improve the quality of sleep in ICU, researchers at UT Southwestern report
The sleep patterns of patients in the intensive care unit are so superficial that they barely spend any time in the restorative stages of sleep that aid in healing, UT Southwestern Medical Center physicians have found.   view more (2007-12-10)

Treating your periodontal pockets may benefit your pocket book
A new study in the November issue of the Journal of Periodontology (JOP) found that prevention of periodontal diseases may lead to savings on not only dental costs, but also medical care costs.   view more (2007-11-28)

Steroids do not prolong survival in intensive care patients with ARDS on life support
Corticosteroids do not improve survival in patients with late-stage acute respiratory distress syndrome (ARDS), according to new results from the ARDS Clinical Research Network of the National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health.   view more (2006-04-20)

Managed care is a headache for primary care physicians
Managed care policies really do increase the workload and compromise the quality of the doctor-patient relationship, reports research in the Western Journal of Medicine. Sixteen internists and 10 family physicians in three different regions of California and Arizona took part in an assessment of the impact of managed care policies on their... view more... (2001-03-08)

Supersizing the supercomputers: What's next?
Supercomputers excel at highly calculation-intensive tasks, such as molecular modeling and large-scale simulations, and have enabled significant scientific breakthroughs.   view more (2005-08-31)

Disruption of blood sugar levels after heart surgery is common
A study reveals today that inadequate blood sugar control in patients having heart surgery is associated with a four fold increase in post-surgery death and major complications - and that the blood sugar disturbances occur in patients with and without diabetes.   view more (2008-07-08)

Family members of critically ill patients want to discuss loved ones' uncertain prognoses
Critically ill patients frequently have uncertain prognoses, but their families overwhelmingly wish that physicians would address prognostic uncertainty candidly, according to a new study out of the University of San Francisco Medical Center.   view more (2008-12-29)

Children in care are at greater risk of death
Children in care are more likely to die before age 18 compared with the general population of the same age, conclude researchers from Finland in this week's BMJ. The results indicate the need for continuing attention to be paid to the transition period from foster care to independence. The study analysed deaths among all children in Finland who... view more... (2001-07-25)

Leading experts tackle needless suffering of children in disadvantaged and war torn countries
Imagine a child with a cancer eating a way through the wall of her tummy, with no prospect of curative treatment and with only paracetamol to dull the pain, or a hospital struggling to provide care on a daily budget of just 6p per child per day. These things are happening now, in the 21st century. They are among the images that have prompted a... view more... (2001-11-01)
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