On the HCPLive news page, resources on the topics of disease- and specialty-specific medical news and expert insight can be found. Content includes articles, interviews, videos, podcasts, and breaking news on health care research, treatment, and drug development.
New Injection Could Offer Improved Pain Relief for Knee Replacement Patients
For patients diagnosed with knee osteoarthritis the pain associated not only with the condition but also the potential knee replacement surgery can be excruciating. A recent study looked at ways to minimize the pain after the operation to get people back on their feet as quickly as possible.
MR CLEAN Study: Stroke Interventions Work
A Dutch trial that compared the effectiveness of treating acute ischemic stroke patients with tPA with that of using tPA plus mechanical clot removal and/or other clot-busting agents showed the more aggressive therapies got better results. Dubbed MR CLEAN, the 500-patient 16-center study also found that such measures gave treating physicians more time-up to 6 hours after a stroke vs. the 4.5 hours that is the accepted treatment window for tPA.
Ending Geographic Disparities in Organ Transplantation
Waiting lists for donor organs are shorter in some parts of the US, creating a geographic disparity that The US Department of Health and Human Services would like to eliminate. There are currently 58 Donor Service Areas in 11 US regions and donor organs go first to patients within each one. That has created a system where transplant patients often travel to regions where the waits are shorter, a hardship for them and a barrier to poor patients.
Swallowing After Intubation: Food, Position and Therapy
December 23rd 2014Postextubation dysphagia is a common but often unrecognized problem in critically ill patients who've been intubated for 2 days or more. Its causes include mechanical abrasion, cognitive disturbances, and the residual effects of narcotics and anxiolytic medications.
Diagnosing and Treating Diabetes: The Difficulties of Subtype
December 23rd 2014As many as 15% of diabetics may be misdiagnosed with simple diabetes mellitus (DM) types 1 or 2. But DM presents as more than 50 unique types, and even among correctly diagnosed type 2 patients, 60 predisposing genetic variants exist.
FDA Approves New Weight-Management Drug
December 23rd 2014Saxenda (liraglutide [rDNA origin] injection) 3 mg has been approved as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in obese and overweight adults who have at least one weight-related comorbidity.
Dangerous Liaisons: Elder Abuse and Metabolic Syndromes
December 22nd 2014Around 10% of elders experience some form of elder abuse (physical, sexual or emotional abuse; neglect, exploitation, or abandonment), and elders who are abused appear to have a high level of comorbidity. Evidence suggests that patients who have experienced elder abuse are at higher risk of cardiovascular-related mortality.
Embryo Transfers and Multiple Births: Doing the Math in Reproductive Endocrinology
December 22nd 2014The American Society for Reproductive Medicine (ASRM) published a 2013 guideline addressing the number of embryos to transfer. Its guideline relied on empiric data to individualize patient care while minimizing the risk of high-order multiple births.
Testosterone Replacement Therapy Does Not Increase Mortality Risk
A new analysis of Medicare data has found that prostate cancer patients who use testosterone replacement therapy live just as long as those who don't and do not have greater need for androgen deprivation therapy.
King v. Burwell Has March 4 Court Date
The Supreme Court of the US (SCOTUS) will hear arguments in the King v. Burwell case on March 4, according to information posted today on its calendar. The viability of the Affordable Care Act (ACA) hangs in the balance. The case focuses on language in the ACA that plaintiffs charge makes it illegal for people to get federal subsidies for health insurance purchased on state exchanges if they live in states where the federal government runs those exchanges.
BP Screening Guidelines under Scrutiny
Patients with mild hypertension may not be getting the care they need, according to 2 studies and an editorial due to be published Dec. 23 in Annals of Internal Medicine. In the second of the 2 studies in the journal, done for the US Preventive Service Task Force, researchers find office-based blood pressure readings are often less accurate than ambulatory blood pressure screening.
Carotid Revascularization: Threshold, Timing, and Best Technical Approach
December 19th 2014Atherosclerotic internal carotid artery disease is a major contributor to ischemic stroke. Surgeons use a combination of carotid artery and brain imaging to determine if patients have symptomatic carotid stenosis. However, there remains widespread disagreement on the threshold, timing, and best technical approach to carotid revascularization in symptomatic patients.
Wheelchair Users: Rotator Cuff Repair
December 19th 2014Slightly more than 6.8 million community-dwelling Americans use assistive devices (eg, canes, walkers, crutches) to help them with mobility and, of these, 1.7 million people use wheelchairs or scooter riders. These Americans at risk for unique musculoskeletal problems, especially rotator cuff injuries.
Journal Tallies Top 5 Cardiology Stories
The Journal of the American College of Cardiology named its biggest hits in 2014, based on papers most frequently accessed from its site. A blood test to rule out heart attack, an advisory about guidelines for preventing high blood pressure, cutting edge research on a new class of cholesterol drugs, and a study that found benefits in early surgery for mitral regurgitation were among the winners.