Nursing News

Stroke Journal Report

Many stroke patients not screened for osteoporosis, despite known risks

DALLAS, USA (April 25, 2019) -- The majority of stroke survivors are not screened or treated for osteoporosis, broken bones, or fall risk -- despite stroke being a risk factor for these conditions. The risk is up to four times greater than in healthy people, according to new research in the American Heart Association's journal Stroke.

Alcohol relapse rate among liver transplant recipients identical regardless of sobriety period

Baltimore, Maryland, USA (April 25, 2019) - For decades, patients with liver disease related to alcohol use have been told they must be sober for six months before they can get a liver transplant. Many die before that six-month wait period is up. Now, a growing number of researchers are questioning that six-month waiting period.

A correlation was found between strong feelings of responsibility and likelihood of developing OCD or GAD in American university students

Being too harsh on yourself could lead to OCD and anxiety

Hiroshima, Japan (April 25 2019) - A new study has found that people who reported intense feelings of responsibility were susceptible to developing Obsessive Compulsive Disorder (OCD) or Generalized Anxiety Disorder (GAD) was published in the International Journal of Cognitive Therapy.

The vaccine proves safe in a small sample of human subjects, opening the way for the next phase of testing

Novel vaccine for colorectal cancer shows positive phase I results

PHILADELPHIA, USA (April 25, 2019) -- A new colorectal cancer vaccine showed positive results in the phase 1 clinical trial to demonstrate that the approach is safe. The patients treated had no signs of serious adverse events and samples of their blood contained markers of immune activation -- an early indication that the vaccine could activate immune cells to fight colorectal tumors and metastases. Further tests to determine if the vaccine is effective at slowing tumor growth are forthcoming.

The glass half-full: How optimism can bias prognosis in serious illness

Burlington, Vermont, USA (April 25, 2019) - Most people think of optimism as a good thing - a positive outlook in challenging circumstances. But in reality, it's a psychological state that can be "contagious" in a bad way. A new study, published in the journal Psycho-Oncology, details how a seriously ill patient's optimism can impact a clinician's survival prognosis in palliative care conversations.

Dentists can be the first line of defense against domestic violence

PHOENIX, USA (April 25, 2019) - The University of Arizona College of Medicine - Phoenix and Midwestern University have published an article to bring to light the important role dentists can play in identifying domestic violence victims. Published April 11 in the Journal of Aggression, Maltreatment and Trauma, the article reports that as much as 75 percent of head and neck trauma associated with domestic violence occurs with oral injury. Researchers concluded that dentists are in the unique position to be the first line of defense in identifying evidence of assault, and then reporting potential cases of domestic violence.

'Cook your Wash' campaign reduces risk of HIV transmission

Researchers verify new method of HIV transmission among injection drug users and effective prevention technique

LONDON, ON, CANADA (April 25, 2019) - New studies from Lawson Health Research Institute and Western University have found for the first time that HIV can be transmitted through the sharing of equipment used to prepare drugs before injection and that a simple intervention - heating the equipment with a cigarette lighter for 10 seconds - can destroy the HIV virus, preventing that transmission. The findings, used to inform a public health campaign called 'Cook Your Wash,' have helped reduce rates of HIV transmission in London, Ontario.

New clinical review provides the most comprehensive treatment guidelines for severe atopic dermatitis (eczema): 

Researchers raise bar for successful management of severe atopic dermatitis

AURORA, Colorado, USA (Jan. 15, 2019) - A team of investigators from the University of Colorado College of Nursing at CU Anschutz Medical Campus and National Jewish Health has identified comprehensive guidelines for managing severe atopic dermatitis (AD), the most common form of eczema. The clinical management review was recently published in The Journal of Allergy and Clinical Immunology: In Practice.

Discovery opens doors to improving diagnostics and developing new therapy for majority of ALS patients

Harvard research reveals potential therapeutic target for ALS

Cambridge, MA, USA (January 15, 2019) - Research led by stem cell scientists at Harvard University points to a potential new biomarker and drug target for amyotrophic lateral sclerosis (ALS), a neurological disease that is extremely difficult to diagnose and treat. Published in Nature Neuroscience, the study used stem cell models of human motor neurons to reveal the gene STMN2 as a potential therapeutic target, demonstrating the value of this human stem cell model approach in drug discovery.

Evaluating surgeon gowning steps for optimal sterile operating room techniques

January 4, 2019 - For surgeons getting ready to enter the operating room (OR), the chances of contamination may be lower if they put their gowns on by themselves - without the assistance of a surgical technician, according to an experimental study in the Journal of Orthopaedic Trauma. The journal is published in the Lippincott portfolio by Wolters Kluwer.

Contamination occurs in most two-person assisted gowning procedures, suggests the study by Kenton Panas, MD, and colleagues of The University of Oklahoma Health Sciences Center, Oklahoma City. The researchers write, "We suggest a single-person gowning step to help optimize sterile technique in the OR.".

The greater the hearing loss, the greater the risk of having symptoms of depression, finds study of elderly Hispanics

To head off late-life depression, check your hearing

New York, NY, USA (January 2, 2019) -- A new study found that elderly individuals with age-related hearing loss had more symptoms of depression; the greater the hearing loss, the greater the risk of having depressive symptoms. The findings suggest that treatment of age-related hearing loss, which is underrecognized and undertreated among all elderly, could be one way to head off late-life depression. The study was published online in JAMA Otolaryngology-Head & Neck Surgery.

Study confirms one hour rule

After naloxone, when can opioid overdose patients be safely discharged?

BUFFALO, N.Y., USA (December 28, 2018) -- Naloxone has saved thousands of lives. But can patients be safely discharged from the Emergency Department (ED) just an hour after they receive the medication that curtails drug overdoses? According to the St. Paul's Early Discharge Rule developed in 2000, that's how long providers should observe patients after naloxone treatment, so long as their vital signs meet specific criteria and they are ambulatory.
But the rule was never externally validated or assessed in light of the changes that have occurred in recent years with opioid use disorder. That's why University at Buffalo researchers conducted the current study, published today in Academic Emergency Medicine, and the first to clinically assess the rule developed at St. Paul's Hospital in Vancouver.

New pathways for implementing universal suicide risk screening in healthcare settings

  • Model could help hospitals better identify and aid youth at risk for suicide

Bethesda, MD, USA (December 20, 2018) -- A new report, authored in part by researchers at the National Institute of Mental Health (NIMH), part of the National Institutes of Health, provides guidance on how to implement universal suicide risk screening of youth in medical settings. The report describes a way for hospitals to address the rising suicide rate in a way that is flexible and mindful of limited resources.

Research finds opioids may help chronic pain, a little

  • Should not be first line therapy for chronic non-cancer pain

Hamilton, ON, USA (October 18, 2018) - Use of opioids for patients with chronic, non-cancer pain may help, but not a lot. In a study published today by the Journal of the American Medical Association (JAMA), McMaster University researchers reviewed 96 clinical trials with more than 26,000 participants and found opioids provide only small improvements in pain, physical functioning and sleep quality compared to a placebo.

Study examines effects of taking ondansetron during first trimester of pregnancy

  • No increased risk of cardiac malformations, slight increased risk of oral clefts associated with common anti-nausea medication


Boston, MA, USA (December 18, 2018) -- Ondansetron (Zofran) is commonly and increasingly prescribed during pregnancy to relieve nausea. In 2014, an estimated 22 percent of pregnant women in the U.S. had used the drug at some point during their pregnancy. Despite its prevalence, data on the safety of the drug and any effects on the developing fetus have been limited, with small-scale studies producing conflicting results. A new study conducted by investigators at Brigham and Women's Hospital has analyzed data from more than 88,000 pregnancies in which pregnant women had taken ondansetron during the first trimester to examine risk of cardiac malformations or oral clefts. In a paper published online in JAMA, the team reports no increased risk of cardiac malformations and a very small increased risk of oral clefts.

A study from the Swedish dementia registry

Correlation of stroke and dementia with death

Soest, The Netherlands (December 14, 2018) - A great number of studies have consistently scrutinized the relation between dementia and stroke, with a multiple fold increase in the risk factor for death. Swedish scientists at Karolinska Institute, conducted a retrospective survey using patient data in the Swedish Dementia Registry to figure out such relationships through direct association of dementia and ischemic stroke (IS) deaths. Additionally, other recorded evidences e.g. cause of death, any co-occurring disease as well as use of different drugs had been obtained from Swedish nationwide health registers.

Pulling off a Band-Aid may soon get a lot less painful

A painless adhesive

  • Adhesives for biomedical applications can be detached with light

Cambridge, MA, USA (December 14, 2018) - Researchers from the Harvard John A. Paulson School of Engineering and Applied Sciences (SEAS) and Xi'an Jiaotong University in China have developed a new type of adhesive that can strongly adhere wet materials -- such as hydrogel and living tissue -- and be easily detached with a specific frequency of light.

Study shows

Prevention, treatment of ICU acquired delirium requires personalized approach

INDIANAPOLIS, Indiana, USA (December 13, 2018) - A population heath study from the Regenstrief Institute and Indiana University Center for Aging Research has determined that haloperidol, the drug most commonly used to treat delirium in hospital medical and surgical intensive care units (ICUs), did not benefit elective thoracic surgery ICU patients when given prophylactically, with the possible exception of those who have had surgery to remove their esophagus. The study results indicate the need for a personalized approach to delirium in the ICU.

replace biopsyNovel technique may significantly reduce breast biopsies

OAK BROOK, Ill., USA (December 11, 2018)  - A novel technique that uses mammography to determine the biological tissue composition of a tumor could help reduce unnecessary breast biopsies, according to a new study appearing in the journal Radiology. Mammography has been effective at reducing deaths from breast cancer by detecting cancers in their earliest, most treatable stages. However, many women are called back for additional diagnostic imaging and, in many cases, biopsies, for abnormal findings that are ultimately proven benign. Research estimates this recall rate to be more than 10 percent in the United States.

dust bacteriaAntimicrobial chemical tied to antibiotic resistance genes in dust

Stop sterilizing your dust

EVANSTON, Ill., USA (December 11, 2018) -- Most people have heard about antibiotic-resistant germs. But how about antibiotic-resistant dust? A new Northwestern University study has found that an antimicrobial chemical called triclosan is abundant in dust -- and linked to changes in its genetic makeup. The result is dust with organisms that could cause an antibiotic-resistant infection.

Infection prevention policies in operating rooms are inconsistent, report shows

New guidance outlines recommendations for infection control in anesthesiology

Arlington, Va., USA (December 11, 2018) -- The Society for Healthcare Epidemiology of America has issued a new expert guidance on how hospitals and healthcare providers may reduce infections associated with anesthesiology procedures and equipment in the operating room. The guidance, published in SHEA's journal, Infection Control & Hospital Epidemiology, recommends steps to improve infection prevention through increased hand hygiene, environmental disinfection, and continuous improvement plans.

Artificial intelligence used to detect signs of ovulation in a woman's saliva automatically and at low cost

Brigham researchers develop smartphone-based ovulation test

Boston, MA, USA (December 11, 2018) - Investigators from Brigham and Women's Hospital are developing an automated, low-cost tool to predict a woman's ovulation and aid in family planning. Capitalizing on advancements in several areas, including microfluidics, artificial intelligence (AI) and the ubiquity of smartphones, the team has built an ovulation testing tool that can automatically detect fern patterns - a marker of ovulation - in a saliva sample. The team evaluated the performance of the device using artificial saliva in the lab and validated results in human saliva samples from six subjects, observing greater than 99 percent accuracy in effectively predicting ovulation. The team's results are published in Lab on a Chip.

Recommending severe patients be evaluated for bronchoscopic lung volume reduction

National Institute for Health and Care Excellence (NICE) issues new guidelines for COPD

REDWOOD CITY, California, USA (December 10, 2018) - Pulmonx, a leader in interventional pulmonary device technology announced today that the National Institute for Health and Care Excellence (NICE) in the UK has expanded its guidance on the diagnosis and management of COPD to include which patients should be referred for evaluation for bronchoscopic lung volume reduction with Zephyr® Endobronchial Valves. The Zephyr Valves offer a minimally-invasive treatment option that has been shown to improve quality of life of emphysema patients by allowing them to breathe easier, be less short of breath, and be more active.

pulmonx

Driver Opioids NStudy examines effects of different opioids on driving performance

(December 5, 2018) - Taking opioids for the treatment of pain has been associated with increased risks of crashing among drivers, but it is unknown whether this applies to all opioids or pertains to specific opioids only. A new British Journal of Clinical Pharmacology study found that the influence of single analgesic doses of methadone and buprenorphine--two different opioids--on driving performance was mild and below the impairment threshold of a blood alcohol concentration of 0.5 mg ml-1.

The Lancet: Harmful, unfounded myths about migration and health have become accepted, used to justify policies of exclusion

  • Stereotypes that migrants are disease carriers who present a risk to public health and are a burden on services are some of the most prevalent and harmful myths about migration.
  • Evidence from a comprehensive new report, including new international data analysis, shows these myths to be unfounded, yet they continue to be used to deny migrants entry, restrict access to healthcare, or detain people unlawfully.
  • Migration benefits national and global economies, and more must be done to counter racism, improve migrants' access to services, and uphold the rights of migrants.
  • Myths about migration and health - including that migrants are disease carriers and are a burden on services - are pervasive and harmful to individuals and society. The normalisation of these myths in popular discourse has allowed governments to introduce hostile and restrictive policies in many countries around the world - including the detention of migrants at US borders, and the denial of treatment to migrants- in the UK's NHS.

 

London, UK (December 5, 2018) - Public health protection and cost savings are often used as reasons to restrict migrants' access to health care, or to deny them entry. Yet, as the new UCL-Lancet Commission on Migration and Health lays out with new international data and analysis, the most common myths about migration and health are not supported by the available evidence and ignore the important contribution of migration to global economies.

anemia detection by smartphoneNo bleeding required:
Anemia detection via smartphone

  • Developed and tested by student with beta-thalassemia

Atlanta, GA, USA (December 4, 2018) - Biomedical engineers have developed a smartphone app for the non-invasive detection of anemia. Instead of a blood test, the app uses photos of someone's fingernails taken on a smartphone to accurately measure how much hemoglobin is in their blood. The results are scheduled for publication in Nature Communications.

Too few fully trained nurses linked to daily 3 percent rise in patient death risk

  • No let-up in risk when headcount boosted with unregistered nursing assistants

London, UK (December 4, 2018) - But plugging the gap with unregistered nursing assistants isn't associated with any diminution in patient harm, suggesting that while these healthcare workers have a key role in maintaining ward safety, "they cannot act as substitutes for [registered nurses]," say the researchers.

One in four patients say they've skimped on insulin because of high cost

New Haven, CT, USA (December 2018) - For patients with diabetes, insulin is a life-saving medicine and an essential component of diabetes management, yet in the past decade alone, the out-of-pocket costs for insulin have doubled in the United States. One-quarter of patients with type 1 or 2 diabetes have reported using less insulin than prescribed due to these high costs, Yale researchers write in JAMA Internal Medicine, and over a third of those patients experiencing cost-related underuse said they never discussed this reality with their provider.

knickerbockerFear of being judged and embarrassed are among the reasons

Why patients lie to their doctors

Salt Lake City, Utah, USA (November 30, 2018) - When your doctor asks how often you exercise, do you give her an honest answer? How about when she asks what you've been eating lately? If you've ever stretched the truth, you're not alone. 60 to 80 percent of people surveyed have not been forthcoming with their doctors about information that could be relevant to their health, according to a new study. Besides fibbing about diet and exercise, more than a third of respondents didn't speak up when they disagreed with their doctor's recommendation. Another common scenario was failing to admit they didn't understand their clinician's instructions.

sleepFalls are more likely when you've had a bad night sleep

  • Just one night of disturbed sleep means you are less capable to control posture and balance the day after
  • A single bad night sleep decreases your chance of controlling posture according to researchers at the University of Warwick, who have used state of the art sensors to monitor sleep and balance
  • Implications could be that older people who have had a bad night sleep are the most at risk of a fall

  • Innovative solutions of how to prevent imminent falls can now be researched

Coventry, UK (November 30, 2018) - Disturbances during sleep decreases capability to control posture and balance according to researchers from the Department of Engineering and Warwick Medical School at the University of Warwick who have an article published today in Scientific Reports.

Strong painkillers increase the risk of hip fracture among persons with Alzheimer's disease

JOENSUU, KUOPIO, Finland (November 26, 2018) - People using strong painkillers, opioids, have twice the risk of hip fracture compared to non-opioid users, a new study from the University of Eastern Finland shows. The risk was highest in the first two months of opioid use. The results were published in the PAIN journal.

Screening tools can miss sepsis in pregnancy: study urges action

  • New research reveals a need for better tools for catching severe infections in pregnant women; simple early interventions are crucial, too


Lansing, Michigan (November 21, 2018) - A woman lies in her hospital bed. Her heart rate is elevated, she has a slight fever and an elevated white blood cell count. Could this be the beginnings of sepsis, a life-threatening reaction to an infection? Or could these simply be signs of a normal pregnancy?

Concomitant use of sleeping pills and strong painkillers is common among people with AD

Kuopio, Finland (November 19, 2018) - One in five people with Alzheimer's disease (AD) who use a benzodiazepine are also concomitant users of an opioid, according to a new study from the University of Eastern Finland. Concomitant use was more common in comparison persons, but those with AD used strong opioids more frequently. About half of all concomitant users were prolonged users whose use of these drugs had continued for more than three consecutive months.

Having poor vision can raise risk for falls among older adults

New York, NY (November 19, 2018) - Vision impairment and blindness affect one in 11 Americans age 65 and older. Because our population is aging, the number of older adults with vision problems is predicted to rise. Older adults who have impaired vision may be at risk for decreased independence, poorer well-being, and an increased risk of falls. For example, in any given year, approximately 30 percent of adults over age 65 will fall. Having impaired vision more than doubles this risk.

New blood test detects early stage ovarian cancer

Adelaide, Australia (November 19, 2018) - Research on a bacterial toxin first discovered in Adelaide has led to the development a new blood test for the early diagnosis of ovarian cancer - a disease which kills over 1000 Australian women and 150,000 globally each year. The new blood test has the potential to dramatically improve early detection of the disease, although it will require further testing before it is available for clinicians.

Scientists trained a computer to classify breast cancer tumors

Chapel Hill, NC (November 19, 2018) - Using technology similar to the type that powers facial and speech recognition on a smartphone, researchers at the University of North Carolina Lineberger Comprehensive Cancer Center have trained a computer to analyze breast cancer images and then classify the tumors with high accuracy.

Noise pollution in hospitals - a rising problem

London, UK (November 18, 2018) - In an editorial published today in the BMJ, researchers from King's College London and the University of the Arts London (UAL) argue that it is a worsening problem, with levels regularly exceeding international recommendations. "Even in intensive care units, which cater for the most vulnerable patients, noise levels over 100dB have been measured, the equivalent of loud music through headphones," said lead author Dr Andreas Xyrichis.

Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 12-15 November 2018

  • EMA’s human medicines committee (CHMP) recommended four medicines for approval, including a medicine for use in countries outside the European Union, at its November 2018 meeting.


London, UK (November 16, 2018) - The CHMP adopted a positive opinion for Fexinidazole Winthrop (fexinidazole), the first oral-only medicine (tablets) for the treatment of human African trypanosomiasis, commonly known as sleeping sickness, due to Trypanosoma brucei gambiense. This is the tenth medicine recommended by EMA under Article 58, a mechanism that allows the CHMP to assess and give opinions on medicines for use outside the European Union. For more information, please see the press release in the grid below.

Brown researchers develop new test to objectively measure pain, test medications

PROVIDENCE, R.I., USA (November 7, 2018) -- If you've ever visited the emergency department with appendicitis, or you're one of the 100 million U.S. adults who suffer from chronic pain, you're familiar with a row of numbered faces, with expressions from smiling to grimacing, used to indicate pain levels.  Despite that tool's widespread use, some researchers say a more empirical approach would better serve both patients and the physicians who provide care.

33.000 people die every year due to infections with antibiotic-resistant bacteria

Solna, Sweden (November 6, 2018) - An ECDC study estimates the burden of five types of infections caused by antibiotic-resistant bacteria of public health concern in the European Union and in the European Economic Area (EU/EEA). The burden of disease is measured in number of cases, attributable deaths and disability-adjusted life years (DALYs). These estimates are based on data from the European Antimicrobial Resistance Surveillance Network (EARS-Net) from 2015.

Your showerhead slime is alive

Boulder, Col., USA (November 1, 2018) - The day after Halloween, something scary may still lurk inside your showerhead. Researchers at CIRES have identified Mycobacterium as the most abundant genus of bacteria growing in the slimy "biofilm" that lines the inside of residential showerheads--and some of those bacteria can cause lung disease.