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American Thoracic Society Journal news tips for March 2005 (second issue)

Research finds that ICU patients who develop bloodstream infections have a significantly higher mortality rate than those who do not, highlighting the importance of preventing these infections. The study also suggests that interventions targeting less severely ill patients and at-risk individuals may be effective in reducing mortality ...

SourceAmerican Thoracic Society·JournalAmerican Journal of Respiratory and Critical Care Medicine·DateMar 15, 2005

Neurobehavioral function during coma, stroke rehabilitation effective for elderly

A two-part study examines the effectiveness of neurobehavioral function assessments during coma and stroke rehabilitation for elderly individuals. The Disorders of Consciousness Scale reliably predicts recovery of consciousness, while tracking individual neurobehavioral recovery patterns improves medical and rehabilitation management.

SourceVeterans Affairs Research Communications·JournalThe Journal of Rehabilitation Research and Development·DateMar 14, 2005

Another look finds promising proteomics test is not biologically plausible

A study found that the experimental test's effectiveness was undermined by technical issues and biological implausibility, casting doubt on its potential as a reliable diagnostic tool. The researchers emphasize the need for standardized protocols in proteomics research to ensure reproducibility of results.

SourceUniversity of Texas M. D. Anderson Cancer Center·JournalJNCI Journal of the National Cancer Institute·DateFeb 15, 2005

New test improves detection of bladder cancer

A new, point-of-care urine-based test for the protein NMP22 proteomic marker shows promise in detecting bladder cancer, particularly in patients at elevated risk. The test identified several malignancies missed by initial cystoscopy and detected muscle invasive cancers with high sensitivity.

SourceJAMA Network·JournalJAMA·DateFeb 15, 2005

Colorectal cancer screening underutilized

Fewer than half of patients had received at least one screening test more than six months prior to diagnosis. Patients with a history of screening had earlier stage and presumably more treatable disease, highlighting the underuse of colorectal procedures in clinical practice.

SourceWiley·JournalCancer·DateJan 10, 2005

Veterans in better health than other residents of nursing homes, new test for evaluating tinnitus

A new test for tinnitus evaluates loudness and pitch using an automated procedure. Veterans are found to be more independent in daily activities and less physically disabled than their peers residing in community nursing homes, suggesting the impact of extensive rehabilitation services available to veterans.

SourceVeterans Affairs Research Communications·JournalThe Journal of Rehabilitation Research and Development·DateDec 29, 2004

Few Americans aware they have chronic kidney disease

A study found that only 9% of adults with moderately decreased kidney function reported being told they had weakened or failing kidneys, highlighting a need for increased awareness and diagnosis. The researchers suggest that control of diabetes and hypertension are critical in reducing the rate of progression and complications of chron...

SourceJohns Hopkins Bloomberg School of Public Health·JournalJournal of the American Society of Nephrology·DateDec 16, 2004

Got heart disease? The answer may be in your fingertips

Researchers used reactive hyperemia peripheral arterial tonometry (RH-PAT) to assess coronary endothelial dysfunction in patients. The study found a strong correlation between fingertip test results and coronary endothelial dysfunction, suggesting the fingertip test could be an effective screening tool for early heart disease.

SourceMayo Clinic·JournalJournal of the American College of Cardiology·DateDec 6, 2004

Delays in test result reviewing common

A study found that 83% of physicians reported delays in reviewing test results, which can jeopardize patient safety and satisfaction. Physicians also identified tools to help manage test results, such as generating result letters and tracking test orders.

SourceJAMA Network·JournalArchives of Internal Medicine·DateNov 8, 2004

Doctors can improve colorectal cancer screening rates

A UCLA study of 22,343 adults aged 50+ in California found that 54% had a recent CRC test, with disparities seen among Latinos, women, and those without insurance or continuity of care. Improving access to screening through policies and education programs can help address these gaps.

SourceWiley·JournalCancer·DateOct 25, 2004

Call for randomised criminal-justice trials

The Lancet article advocates for randomized criminal-justice trials to improve evidence-based decision-making in the UK. The proposed approach would involve randomizing offenders between drug treatment and testing order, or alternative sentence, to inform judicial decisions.

SourceThe Lancet_DELETED·JournalThe Lancet·DateOct 14, 2004