How To Use Herbs And Supplements Wisely.
Despite concerns about potentially precarious interactions between cancer treatments and herbs and other supplements, most cancer doctors don't report to their patients about these products, untrodden research found. Fewer than half of cancer doctors - oncologists - invite up the subject of herbs or supplements with their patients, the researchers found. Many doctors cited their own inadequacy of information as a major reason why they skip that conversation hghup.club. "Lack of familiarity about herbs and supplements, and awareness of that lack of knowledge is probably one of the reasons why oncologists don't set in motion the discussion," said the study's author, Dr Richard Lee, medical commandant of the Integrative Medicine Program at the University of Texas MD Anderson Cancer Center in Houston.
And "It's absolutely about getting more research out there and more education so oncologists can feel comfortable having these conversations". The work was published recently in the Journal of Clinical Oncology. People with cancer often change of direction to herbs and other dietary supplements in an attempt to improve their health and cope with their symptoms, according to background poop in the study your domain name. Although herbs and supplements are often viewed as "natural," they contain active ingredients that might cause deleterious interactions with standard cancer treatments.
Some supplements can cause skin reactions when taken by patients receiving shedding treatment, according to the American Cancer Society (ACS). Herbs and supplements can also affect how chemotherapy drugs are engaged and metabolized by the body, according to the ACS. St John's wort, Panax ginseng and grassland tea supplements are among those that can produce potentially dangerous interactions with chemotherapy, according to the study. For the mainstream survey, the researchers asked almost 400 oncologists about their views and knowledge of supplements.
The customary age of those who responded was 48 years. About three-quarters of them were men, and about three-quarters were white, the contemplate noted. The specialists polled talked about supplements with 41 percent of their patients. However, doctors initiated only 26 percent of these discussions, the researchers found. The take the measure of also revealed that two out of three oncologists believed they didn't have enough low-down about herbs and supplements to replication their patients' questions.
Showing posts with label doctors. Show all posts
Showing posts with label doctors. Show all posts
Thursday 2 May 2019
Thursday 20 December 2018
Teens Need Regularly Make Medical Examination
Teens Need Regularly Make Medical Examination.
Doctors often spurn to have a confabulation with their teen patients about sexuality issues during their annual physical, a new study reveals. This results in missed opportunities to reveal and counsel young people about ways to help avoid sexually transmitted diseases and unwanted teen pregnancies, the researchers suggested garciniacambogia. The study, published Dec 30, 2013 in JAMA Pediatrics, labyrinthine 253 teens and 49 doctors from 11 clinics from the Raleigh/Durham, North Carolina area.
One-third of these teens did not implore questions about gender or discuss their sexual activity, sexuality, dating or sexual identity during their yearly check-ups, the consider found. The researchers, led by Stewart Alexander of the Duke University Medical Center, recorded conversations between the teens and their doctor, and analyzed how much era was spent talking about sex sister ke gand me bhai ka lund sata bhid me sex. They also considered the involvement of teens in these discussions.
Doctors often spurn to have a confabulation with their teen patients about sexuality issues during their annual physical, a new study reveals. This results in missed opportunities to reveal and counsel young people about ways to help avoid sexually transmitted diseases and unwanted teen pregnancies, the researchers suggested garciniacambogia. The study, published Dec 30, 2013 in JAMA Pediatrics, labyrinthine 253 teens and 49 doctors from 11 clinics from the Raleigh/Durham, North Carolina area.
One-third of these teens did not implore questions about gender or discuss their sexual activity, sexuality, dating or sexual identity during their yearly check-ups, the consider found. The researchers, led by Stewart Alexander of the Duke University Medical Center, recorded conversations between the teens and their doctor, and analyzed how much era was spent talking about sex sister ke gand me bhai ka lund sata bhid me sex. They also considered the involvement of teens in these discussions.
Wednesday 12 December 2018
Painkillers Are One Of The Causes Of Death
Painkillers Are One Of The Causes Of Death.
Abuse of stuporific painkillers and other preparation drugs is a growing problem in the United States, and a leading doctors' guild is urging members to exercise tighter control on the medications. The American College of Physicians (ACP) says its recommended changes will give rise to it tougher for prescription drugs - painkillers such as Oxycontin and Vicodin, as well as drugs in use for sleep problems and weight loss - to be hurt or diverted for sale on the street alexaderm where to find this cream in tanzania. Prescription drug abuse may now be a prime cause of accidental destruction in the United States, according to a recent tally of preliminary data from the US Centers for Disease Control and Prevention.
One 2010 survey, funded by the National Institute on Drug Abuse, found that 16 million Americans elderly 12 and older had occupied a prescription painkiller, sedative, tranquilizer or tonic for purposes other than their medical care at least once in the prior year. One of the ACP's 10 recommendations highlighted the fundamental to educate doctors, patients and the public about the dangers of prescription drug abuse. The guidelines also suggested that doctors under consideration the full range of available treatments before prescribing painkillers ling vardhak oil name gharelu. Among the other recommendations.
Evidence-based, nonbinding guidelines should be developed to assistance guide doctors' healing decisions. A national prescription-drug-monitoring program should be created, so doctors and pharmacists can check like programs in their own and neighboring states before writing and filling prescriptions for substances with high self-abuse potential. Two experts said the ACP recommendations are welcome, but more must be done.
Abuse of stuporific painkillers and other preparation drugs is a growing problem in the United States, and a leading doctors' guild is urging members to exercise tighter control on the medications. The American College of Physicians (ACP) says its recommended changes will give rise to it tougher for prescription drugs - painkillers such as Oxycontin and Vicodin, as well as drugs in use for sleep problems and weight loss - to be hurt or diverted for sale on the street alexaderm where to find this cream in tanzania. Prescription drug abuse may now be a prime cause of accidental destruction in the United States, according to a recent tally of preliminary data from the US Centers for Disease Control and Prevention.
One 2010 survey, funded by the National Institute on Drug Abuse, found that 16 million Americans elderly 12 and older had occupied a prescription painkiller, sedative, tranquilizer or tonic for purposes other than their medical care at least once in the prior year. One of the ACP's 10 recommendations highlighted the fundamental to educate doctors, patients and the public about the dangers of prescription drug abuse. The guidelines also suggested that doctors under consideration the full range of available treatments before prescribing painkillers ling vardhak oil name gharelu. Among the other recommendations.
Evidence-based, nonbinding guidelines should be developed to assistance guide doctors' healing decisions. A national prescription-drug-monitoring program should be created, so doctors and pharmacists can check like programs in their own and neighboring states before writing and filling prescriptions for substances with high self-abuse potential. Two experts said the ACP recommendations are welcome, but more must be done.
Tuesday 17 July 2018
Choice Of Place Of Death From Cancer
Choice Of Place Of Death From Cancer.
Doctors who would settle upon hospice punctiliousness for themselves if they were dying from cancer are more likely to discuss such care with patients in that situation, a inexperienced study finds in Dec 2013. And while the majority of doctors in the study said they would undertake hospice care if they were dying from cancer, less than one-third of those said they would discuss hospice care with terminally wicked cancer patients at an early stage of care. Researchers surveyed nearly 4400 doctors who misery for cancer patients, including primary care physicians, surgeons, oncologists, diffusion oncologists and other specialists big women and schort men. They were asked if they would want hospice care if they were terminally ill with cancer.
They were also asked when they would debate hospice care with a patient with terminal cancer who had four to six months to glowing but had no symptoms: immediately; when symptoms first appear; when there are no more cancer treatment options; when the patient is admitted to hospital; or when the resolved or family asks about hospice care global discount drugs promo code. In terms of seeking hospice suffering themselves, 65 percent of doctors were strongly in favor and 21 percent were relatively in favor.
Doctors who would settle upon hospice punctiliousness for themselves if they were dying from cancer are more likely to discuss such care with patients in that situation, a inexperienced study finds in Dec 2013. And while the majority of doctors in the study said they would undertake hospice care if they were dying from cancer, less than one-third of those said they would discuss hospice care with terminally wicked cancer patients at an early stage of care. Researchers surveyed nearly 4400 doctors who misery for cancer patients, including primary care physicians, surgeons, oncologists, diffusion oncologists and other specialists big women and schort men. They were asked if they would want hospice care if they were terminally ill with cancer.
They were also asked when they would debate hospice care with a patient with terminal cancer who had four to six months to glowing but had no symptoms: immediately; when symptoms first appear; when there are no more cancer treatment options; when the patient is admitted to hospital; or when the resolved or family asks about hospice care global discount drugs promo code. In terms of seeking hospice suffering themselves, 65 percent of doctors were strongly in favor and 21 percent were relatively in favor.
Thursday 28 June 2018
Using Non-Recommended Drugs For The Treatment Of Diabetes
Using Non-Recommended Drugs For The Treatment Of Diabetes.
Using the unsettled diabetes stupefy Avandia as an example, new research finds that doctors' prescribing patterns reorganize across the country in response to warnings about medications from the US Food and Drug Administration. The effect is that patients may be exposed to different levels of risk depending on where they live, the researchers said vigrxeu.men. "We were looking at the burden black-box warnings for drugs have at a national level, and, more specifically, at a geographical level, and how these warnings are incorporated into practice," said scrutiny flex researcher Nilay D Shah, an assistant professor of health services research at the Mayo Clinic in Rochester, Minn.
In 2007, the FDA required that Avandia come with a "black-box warning" - the strongest augury plausible - alerting consumers that the drug was associated with an increased gamble of heart attack. Before the warning, Avandia was widely prescribed throughout the United States, although regional differences existed get more info. "There was about a two-fold dissimilitude in use before the warning - around 15,5 percent use in Oklahoma versus about 8 percent in North Dakota".
Right after the warning, the use of Avandia dropped dramatically, from a nationwide altered consciousness of 1,3 million monthly prescriptions in January 2007 to inefficiently 317000 monthly prescriptions in June 2009. "There was a colossal decrease in use across the country. But there was relatively a bit of residual use".
After the FDA warning, the researchers still found as much as a three-fold difference in use across the nation. In Oklahoma, Avandia use dropped to about 5,6 percent, but in North Dakota it tumbled to 1,9 percent. The reasons for the differences aren't clear. Some factors might embody how doctors are made posted of FDA warnings and how they react.
Another constituent could be the policy of state health bond plans, including Medicaid, in terms of covering drugs. Also, prominent doctors in given areas can modify the choice of drugs other doctors make. And drug-company marketing may play a role. "At this relevancy we don't have good insight into these differences".
Using the unsettled diabetes stupefy Avandia as an example, new research finds that doctors' prescribing patterns reorganize across the country in response to warnings about medications from the US Food and Drug Administration. The effect is that patients may be exposed to different levels of risk depending on where they live, the researchers said vigrxeu.men. "We were looking at the burden black-box warnings for drugs have at a national level, and, more specifically, at a geographical level, and how these warnings are incorporated into practice," said scrutiny flex researcher Nilay D Shah, an assistant professor of health services research at the Mayo Clinic in Rochester, Minn.
In 2007, the FDA required that Avandia come with a "black-box warning" - the strongest augury plausible - alerting consumers that the drug was associated with an increased gamble of heart attack. Before the warning, Avandia was widely prescribed throughout the United States, although regional differences existed get more info. "There was about a two-fold dissimilitude in use before the warning - around 15,5 percent use in Oklahoma versus about 8 percent in North Dakota".
Right after the warning, the use of Avandia dropped dramatically, from a nationwide altered consciousness of 1,3 million monthly prescriptions in January 2007 to inefficiently 317000 monthly prescriptions in June 2009. "There was a colossal decrease in use across the country. But there was relatively a bit of residual use".
After the FDA warning, the researchers still found as much as a three-fold difference in use across the nation. In Oklahoma, Avandia use dropped to about 5,6 percent, but in North Dakota it tumbled to 1,9 percent. The reasons for the differences aren't clear. Some factors might embody how doctors are made posted of FDA warnings and how they react.
Another constituent could be the policy of state health bond plans, including Medicaid, in terms of covering drugs. Also, prominent doctors in given areas can modify the choice of drugs other doctors make. And drug-company marketing may play a role. "At this relevancy we don't have good insight into these differences".
Monday 22 January 2018
Mortality From Lung Cancer Is Several Times Higher Than From Cancer Of Other Organs
Mortality From Lung Cancer Is Several Times Higher Than From Cancer Of Other Organs.
Lung cancer is the most barbaric organization of cancer in the United States, bomb about 157,300 people every year - more than colon, breast and prostate cancer combined, according to the US National Institutes of Health. It is also the nation's favour paramount cause of death, second only to heart disease. And yet lung cancer attracts fewer federal explore dollars per death than the other leading forms of cancer demise neosizexl.shop. Doctors have yet to encounter a reliable method for screening for lung cancer.
And new treatments for lung cancer pour in out at a snail's pace compared with therapies for other cancers. So why does the top cancer killer captivate so little attention? Largely because people are perceived to have done this to themselves, garnering little public sympathy, said Kay Cofrancesco, boss of advocacy relations for the Lung Cancer Alliance, a federal nonprofit group dedicated to lung cancer support and advocacy anti aging skin clinic melbourne. About 90 percent of men and 80 percent of women who Euphemistic depart from lung cancer are current or former smokers, according to NIH.
And "In demonizing the tobacco companies, we've then demonized the smoker. So there is that blame-the-victim disposition when it comes to lung cancer patients". Yet some advances are being made. Clinical trials are being conducted on one likely screening dress for lung cancer.
Targeted therapies are being developed based on the genetics of lung cancer. But demonstrably more can be done, experts say. Survival rates for lung cancer are dark compared with other cancers, largely because lung cancer is most often not detected until it has metastasized.
And "Some lung cancers have a affinity to spread widely throughout the body," said Dr Len Lichtenfeld, nuncio chief medical officer of the American Cancer Society. "By the time they have symptoms, the cancer has spread". Because smoking is so closely linked to lung cancer, most cold aimed at banning has gone into programs to promote smoking cessation.
These programs have not made a lot of headway. Between 1998 and 2008, the portion of US residents who currently smoked declined just 3,5 percent, from 24,1 to 20,6 percent, according to the US Centers for Disease Control and Prevention. Even as some men and women quit, literary perchance encouraged by strict smoke-free laws and public anti-smoking campaigns, others clutch up the habit. Quitting smoking does provide numerous health benefits - improved lung act as and decreased blood pressure among them - but former smokers will always have an elevated imperil for developing lung cancer.
Lung cancer is the most barbaric organization of cancer in the United States, bomb about 157,300 people every year - more than colon, breast and prostate cancer combined, according to the US National Institutes of Health. It is also the nation's favour paramount cause of death, second only to heart disease. And yet lung cancer attracts fewer federal explore dollars per death than the other leading forms of cancer demise neosizexl.shop. Doctors have yet to encounter a reliable method for screening for lung cancer.
And new treatments for lung cancer pour in out at a snail's pace compared with therapies for other cancers. So why does the top cancer killer captivate so little attention? Largely because people are perceived to have done this to themselves, garnering little public sympathy, said Kay Cofrancesco, boss of advocacy relations for the Lung Cancer Alliance, a federal nonprofit group dedicated to lung cancer support and advocacy anti aging skin clinic melbourne. About 90 percent of men and 80 percent of women who Euphemistic depart from lung cancer are current or former smokers, according to NIH.
And "In demonizing the tobacco companies, we've then demonized the smoker. So there is that blame-the-victim disposition when it comes to lung cancer patients". Yet some advances are being made. Clinical trials are being conducted on one likely screening dress for lung cancer.
Targeted therapies are being developed based on the genetics of lung cancer. But demonstrably more can be done, experts say. Survival rates for lung cancer are dark compared with other cancers, largely because lung cancer is most often not detected until it has metastasized.
And "Some lung cancers have a affinity to spread widely throughout the body," said Dr Len Lichtenfeld, nuncio chief medical officer of the American Cancer Society. "By the time they have symptoms, the cancer has spread". Because smoking is so closely linked to lung cancer, most cold aimed at banning has gone into programs to promote smoking cessation.
These programs have not made a lot of headway. Between 1998 and 2008, the portion of US residents who currently smoked declined just 3,5 percent, from 24,1 to 20,6 percent, according to the US Centers for Disease Control and Prevention. Even as some men and women quit, literary perchance encouraged by strict smoke-free laws and public anti-smoking campaigns, others clutch up the habit. Quitting smoking does provide numerous health benefits - improved lung act as and decreased blood pressure among them - but former smokers will always have an elevated imperil for developing lung cancer.
Saturday 25 February 2017
Doctors Strongly Recommend That All Pregnant Women To Have A Blood Test For HIV
Doctors Strongly Recommend That All Pregnant Women To Have A Blood Test For HIV.
A child born two-and-a-half years ago in Mississippi with HIV is the sooner instance of a so-called "functional cure" of the infection, researchers announced Sunday. Standard tests can no longer ascertain any traces of the AIDS-causing virus even though the child has discontinued HIV medication. "We credence in this is the first well-documented case of a functional cure," said scrutiny lead author Dr Deborah Persaud, associate professor of pediatrics in the section of infectious diseases at Johns Hopkins Children's Center in Baltimore vimaxpill men. The finding was presented Sunday at the Conference on Retroviruses and Opportunistic Infections, in Atlanta.
The girl was not part of a study but, instead, the beneficiary of an unexpected and partly unplanned series of events that - once confirmed and replicated in a established study - might help more children who are born with HIV or who at risk of contracting HIV from their source eradicate the virus from their body. Normally, mothers infected with HIV take antiretroviral drugs that can almost bury the odds of the virus being transferred to the baby our website. If a mother doesn't recall her HIV status or hasn't been treated for other reasons, the baby is given "prophylactic" drugs at birth while awaiting the results of tests to conclude his or her HIV status.
This can take four to six weeks to complete. If the tests are positive, the indulge starts HIV drug treatment. The nurse of the baby born in Mississippi didn't know she was HIV-positive until the time of delivery.
But in this case, both the incipient and confirmatory tests on the baby were able to be completed within one day, allowing the baby to be started on HIV antidepressant treatment within the first 30 hours of life. "Most of our kids don't get picked up that early". As expected, the baby's "viral load" - detectable levels of HIV - decreased progressively until it was no longer detectable at 29 days of age.
Theoretically, this kid (doctors aren't disclosing the gender) would have infatuated the medications for the lie-down of his or her life, said the researchers, who included doctors from the University of Massachusetts Medical School and the University of Mississippi Medical Center. Instead, the neonate stayed on the regimen for only 18 months before dropping out of the medical routine and discontinuing the drugs.
Ten months after stopping treatment, however, the infant was again seen by doctors who were surprised to find no HIV virus or HIV antibodies with requirement tests. Ultrasensitive tests did detect infinitesimal traces of viral DNA and RNA in the blood. But the virus was not replicating - a approvingly unusual occurrence given that drugs were no longer being administered, the researchers said.
A child born two-and-a-half years ago in Mississippi with HIV is the sooner instance of a so-called "functional cure" of the infection, researchers announced Sunday. Standard tests can no longer ascertain any traces of the AIDS-causing virus even though the child has discontinued HIV medication. "We credence in this is the first well-documented case of a functional cure," said scrutiny lead author Dr Deborah Persaud, associate professor of pediatrics in the section of infectious diseases at Johns Hopkins Children's Center in Baltimore vimaxpill men. The finding was presented Sunday at the Conference on Retroviruses and Opportunistic Infections, in Atlanta.
The girl was not part of a study but, instead, the beneficiary of an unexpected and partly unplanned series of events that - once confirmed and replicated in a established study - might help more children who are born with HIV or who at risk of contracting HIV from their source eradicate the virus from their body. Normally, mothers infected with HIV take antiretroviral drugs that can almost bury the odds of the virus being transferred to the baby our website. If a mother doesn't recall her HIV status or hasn't been treated for other reasons, the baby is given "prophylactic" drugs at birth while awaiting the results of tests to conclude his or her HIV status.
This can take four to six weeks to complete. If the tests are positive, the indulge starts HIV drug treatment. The nurse of the baby born in Mississippi didn't know she was HIV-positive until the time of delivery.
But in this case, both the incipient and confirmatory tests on the baby were able to be completed within one day, allowing the baby to be started on HIV antidepressant treatment within the first 30 hours of life. "Most of our kids don't get picked up that early". As expected, the baby's "viral load" - detectable levels of HIV - decreased progressively until it was no longer detectable at 29 days of age.
Theoretically, this kid (doctors aren't disclosing the gender) would have infatuated the medications for the lie-down of his or her life, said the researchers, who included doctors from the University of Massachusetts Medical School and the University of Mississippi Medical Center. Instead, the neonate stayed on the regimen for only 18 months before dropping out of the medical routine and discontinuing the drugs.
Ten months after stopping treatment, however, the infant was again seen by doctors who were surprised to find no HIV virus or HIV antibodies with requirement tests. Ultrasensitive tests did detect infinitesimal traces of viral DNA and RNA in the blood. But the virus was not replicating - a approvingly unusual occurrence given that drugs were no longer being administered, the researchers said.
Wednesday 15 June 2016
In Most Cases, A Cough Caused By Viruses, And Antibiotics To Treat It Impractical
In Most Cases, A Cough Caused By Viruses, And Antibiotics To Treat It Impractical.
You've been hacking and coughing for a week now - isn't it leisure that the cough was through? Sadly, the surrejoinder is often "no," and experts crack that many forebears have a mistaken idea of how long an acute cough should last. This misconception can lead to the needless (and, for public safety, dangerous) overuse of antibiotics, a new study finds. "No one wants or likes a protracted cough.
Patients simply want to get rid of it," said Dr Robert Graham, an internist at Lenox Hill Hospital in New York City. "After burdensome over-the-counter regimens for about a week, they drop in their doctors with the hopes of obtaining a prescription antibiotic for a self-limited persuade that is usually caused by viruses," which do not respond to antibiotics who was not involved in the new study.
So how elongate does the average acute cough really last? The team of researchers from the University of Georgia, in Athens, reviewed medical writing and found that the average duration of an acute cough is nearly three weeks (17,8 days). They then surveyed nearly 500 adults and found that they reported that their cough lasted an normal of seven to nine days. And if a sedulous believes an acute cough should last about a week, they are more apposite to ask their doctor for antibiotics after five to six days of having a cough, the researchers noted.
You've been hacking and coughing for a week now - isn't it leisure that the cough was through? Sadly, the surrejoinder is often "no," and experts crack that many forebears have a mistaken idea of how long an acute cough should last. This misconception can lead to the needless (and, for public safety, dangerous) overuse of antibiotics, a new study finds. "No one wants or likes a protracted cough.
Patients simply want to get rid of it," said Dr Robert Graham, an internist at Lenox Hill Hospital in New York City. "After burdensome over-the-counter regimens for about a week, they drop in their doctors with the hopes of obtaining a prescription antibiotic for a self-limited persuade that is usually caused by viruses," which do not respond to antibiotics who was not involved in the new study.
So how elongate does the average acute cough really last? The team of researchers from the University of Georgia, in Athens, reviewed medical writing and found that the average duration of an acute cough is nearly three weeks (17,8 days). They then surveyed nearly 500 adults and found that they reported that their cough lasted an normal of seven to nine days. And if a sedulous believes an acute cough should last about a week, they are more apposite to ask their doctor for antibiotics after five to six days of having a cough, the researchers noted.
Friday 8 April 2016
How Many Doctors Will Tell About The Incompetence Of Colleagues
How Many Doctors Will Tell About The Incompetence Of Colleagues.
A kind inspect of American doctors has found that more than one-third would hesitate to turn in a comrade they thought was incompetent or compromised by substance abuse or mental health problems. However, most physicians agreed in conscience that those in charge should be told about "bad" physicians. As it stands, said Catherine M DesRoches, aide-de-camp professor at the Mongan Institute for Health Policy at Massachusetts General Hospital and Harvard Medical School in Boston, "self-regulation is our best alternative, but these findings suggest that we uncommonly essential to strengthen that. We don't have a good alternative system".
DesRoches is lead author of the study, which appears in the July 14 pay-off of the Journal of the American Medical Association. The American Medical Association (AMA) and other seasoned medical organizations hold that "physicians have an ethical obligation to report" impaired colleagues. Several states also have necessary reporting laws, according to background information in the article.
To assess how the up to date system of self-regulation is doing, these researchers surveyed almost 1900 anesthesiologists, cardiologists, pediatricians, psychiatrists and genre medicine, general surgery and internal medicine doctors. Physicians were asked if, within the gone three years, they had had "direct, personal knowledge of a physician who was impaired or unskilled to practice medicine" and if they had reported that colleague.
Of 17 percent of doctors who had direct scholarship of an incompetent colleague, only two-thirds actually reported the problem, the survey found. This consideration the fact that 64 percent of all respondents agreed that physicians should report impaired colleagues. Almost 70 percent of physicians felt they were "prepared" to surface such a problem, the study authors noted.
A kind inspect of American doctors has found that more than one-third would hesitate to turn in a comrade they thought was incompetent or compromised by substance abuse or mental health problems. However, most physicians agreed in conscience that those in charge should be told about "bad" physicians. As it stands, said Catherine M DesRoches, aide-de-camp professor at the Mongan Institute for Health Policy at Massachusetts General Hospital and Harvard Medical School in Boston, "self-regulation is our best alternative, but these findings suggest that we uncommonly essential to strengthen that. We don't have a good alternative system".
DesRoches is lead author of the study, which appears in the July 14 pay-off of the Journal of the American Medical Association. The American Medical Association (AMA) and other seasoned medical organizations hold that "physicians have an ethical obligation to report" impaired colleagues. Several states also have necessary reporting laws, according to background information in the article.
To assess how the up to date system of self-regulation is doing, these researchers surveyed almost 1900 anesthesiologists, cardiologists, pediatricians, psychiatrists and genre medicine, general surgery and internal medicine doctors. Physicians were asked if, within the gone three years, they had had "direct, personal knowledge of a physician who was impaired or unskilled to practice medicine" and if they had reported that colleague.
Of 17 percent of doctors who had direct scholarship of an incompetent colleague, only two-thirds actually reported the problem, the survey found. This consideration the fact that 64 percent of all respondents agreed that physicians should report impaired colleagues. Almost 70 percent of physicians felt they were "prepared" to surface such a problem, the study authors noted.
Saturday 6 December 2014
Family Doctors Will Keep Electronic Medical Records
Family Doctors Will Keep Electronic Medical Records.
More than two-thirds of kids doctors now use electronic fitness records, and the percentage doing so doubled between 2005 and 2011, a unusual study finds. If the trend continues, 80 percent of family doctors - the largest bunch of primary care physicians - will be using electronic records by 2013, the researchers predicted. The findings produce "some encouragement that we have passed a critical threshold," said scan author Dr Andrew Bazemore, director of the Robert Graham Center for Policy Studies in Primary Care, in Washington, DC "The significant preponderance of primary care practitioners appear to be using digital medical records in some variety or fashion".
The promises of electronic record-keeping include improved medical heed and long-term savings. However, many doctors were slow to adopt these records because of the exorbitant cost and the complexity of converting paper files. There were also privacy concerns. "We are not there yet," Bazemore added. "More duty is needed, including better information from all of the states".
The Obama dispensation has offered incentives to doctors who adopt electronic health records, and penalties to those who do not. For the study, researchers mined two inhabitant data sets to see how many family doctors were using electronic trim records, how this number changed over time, and how it compared to use by specialists. Their findings appear in the January-February subject of the Annals of Family Medicine.
Nationally, 68 percent of family doctors were using electronic constitution records in 2011, they found. Rates varied by state, with a low of about 47 percent in North Dakota and a violent of nearly 95 percent in Utah. Dr Michael Oppenheim, blemish president and chief medical information officer for North Shore Long Island Jewish Health System in Great Neck, NY, said electronic record-keeping streamlines medical care.
More than two-thirds of kids doctors now use electronic fitness records, and the percentage doing so doubled between 2005 and 2011, a unusual study finds. If the trend continues, 80 percent of family doctors - the largest bunch of primary care physicians - will be using electronic records by 2013, the researchers predicted. The findings produce "some encouragement that we have passed a critical threshold," said scan author Dr Andrew Bazemore, director of the Robert Graham Center for Policy Studies in Primary Care, in Washington, DC "The significant preponderance of primary care practitioners appear to be using digital medical records in some variety or fashion".
The promises of electronic record-keeping include improved medical heed and long-term savings. However, many doctors were slow to adopt these records because of the exorbitant cost and the complexity of converting paper files. There were also privacy concerns. "We are not there yet," Bazemore added. "More duty is needed, including better information from all of the states".
The Obama dispensation has offered incentives to doctors who adopt electronic health records, and penalties to those who do not. For the study, researchers mined two inhabitant data sets to see how many family doctors were using electronic trim records, how this number changed over time, and how it compared to use by specialists. Their findings appear in the January-February subject of the Annals of Family Medicine.
Nationally, 68 percent of family doctors were using electronic constitution records in 2011, they found. Rates varied by state, with a low of about 47 percent in North Dakota and a violent of nearly 95 percent in Utah. Dr Michael Oppenheim, blemish president and chief medical information officer for North Shore Long Island Jewish Health System in Great Neck, NY, said electronic record-keeping streamlines medical care.
Saturday 12 July 2014
Americans Suffer High Blood Pressure
Americans Suffer High Blood Pressure.
High blood constraint is a preventable and treatable peril factor for heart attack and stroke, but about one-quarter of adults don't skilled in they have it, according to a large new study. Among those who do know they have the condition, many are not likely to have it under control, said about researcher Dr Uchechukwu Sampson, a cardiologist at Vanderbilt University Medical School in Nashville. "Despite all the advance we have made in having available treatment options, more than half of the commonality we studied still have uncontrolled high blood pressure.
The study is published in the January issue of the record Circulation: Cardiovascular and Quality Outcomes. One in three US adults has high blood pressure, according to the US National Heart, Lung, and Blood Institute. Any reading over 140/90 millimeters of mercury is considered cheerful blood pressure. The muse about findings coincided with the Dec 18, 2013 issuing of strange guidelines for blood pressure management by experts from the institute's eighth Joint National Committee.
Among other changes, the imaginative guidelines recommend that fewer rank and file take blood pressure medicine. Older adults, under the new guidelines, wouldn't be treated until their blood bring pressure to bear topped 150/90, instead of 140/90. In Sampson's study, the researchers evaluated how collective high blood pressure was in more than 69000 men and women. Overall, 57 percent self-reported that they had drugged blood pressure.
High blood constraint is a preventable and treatable peril factor for heart attack and stroke, but about one-quarter of adults don't skilled in they have it, according to a large new study. Among those who do know they have the condition, many are not likely to have it under control, said about researcher Dr Uchechukwu Sampson, a cardiologist at Vanderbilt University Medical School in Nashville. "Despite all the advance we have made in having available treatment options, more than half of the commonality we studied still have uncontrolled high blood pressure.
The study is published in the January issue of the record Circulation: Cardiovascular and Quality Outcomes. One in three US adults has high blood pressure, according to the US National Heart, Lung, and Blood Institute. Any reading over 140/90 millimeters of mercury is considered cheerful blood pressure. The muse about findings coincided with the Dec 18, 2013 issuing of strange guidelines for blood pressure management by experts from the institute's eighth Joint National Committee.
Among other changes, the imaginative guidelines recommend that fewer rank and file take blood pressure medicine. Older adults, under the new guidelines, wouldn't be treated until their blood bring pressure to bear topped 150/90, instead of 140/90. In Sampson's study, the researchers evaluated how collective high blood pressure was in more than 69000 men and women. Overall, 57 percent self-reported that they had drugged blood pressure.
Sunday 15 December 2013
Americans With Excess Weight Trust Doctors Too With Excess Weight More
Americans With Excess Weight Trust Doctors Too With Excess Weight More.
Overweight and heavy patients be partial to getting advice on weight loss from doctors who are also overweight or obese, a revitalized study shows June 2013. "In general, heavier patients hopes on their doctors, but they more strongly trust dietary advice from overweight doctors," said lessons leader Sara Bleich, an associate professor of health policy and management at the Johns Hopkins Bloomberg School of Public Health, in Baltimore. The analyse is published online in the June consequence of the journal Preventive Medicine.
Bleich and her team surveyed 600 overweight and abdominous patients in April 2012. Patients reported their height and weight, and described their primary worry doctor as normal weight, overweight or obese. About 69 percent of adult Americans are overweight or obese, according to the US Centers for Disease Control and Prevention.
The patients - about half of whom were between 40 and 64 years cast aside - rated the draw a bead of overall trust they had in their doctors on a hierarchy of 0 to 10, with 10 being the highest. They also rated their trust in their doctors' diet advice on the same scale, and reported whether they felt judged by their cure about their weight. Patients all reported a relatively high conviction level, regardless of their doctors' weight.
Normal-weight doctors averaged a score of 8,6, overweight 8,3 and corpulent 8,2. When it came to trusting diet advice, however, the doctors' weight reputation mattered. Although 77 percent of those seeing a normal-weight doctor trusted the diet advice, 87 percent of those since an overweight doctor trusted the advice, as did 82 percent of those light of an obese doctor.
Patients, however, were more than twice as likely to feel judged about their weight issues when their fix was obese compared to normal weight: 32 percent of those who saw an obese doctor said they felt judged, while just 17 percent of those who aphorism an overweight doctor and 14 percent of those in a normal-weight doctor felt judged. Bleich's findings follow a report published last month in which researchers found that chubby patients often "doctor shop" because, they said, they were made to feel uncomfortable about their strain during office visits.
Overweight and heavy patients be partial to getting advice on weight loss from doctors who are also overweight or obese, a revitalized study shows June 2013. "In general, heavier patients hopes on their doctors, but they more strongly trust dietary advice from overweight doctors," said lessons leader Sara Bleich, an associate professor of health policy and management at the Johns Hopkins Bloomberg School of Public Health, in Baltimore. The analyse is published online in the June consequence of the journal Preventive Medicine.
Bleich and her team surveyed 600 overweight and abdominous patients in April 2012. Patients reported their height and weight, and described their primary worry doctor as normal weight, overweight or obese. About 69 percent of adult Americans are overweight or obese, according to the US Centers for Disease Control and Prevention.
The patients - about half of whom were between 40 and 64 years cast aside - rated the draw a bead of overall trust they had in their doctors on a hierarchy of 0 to 10, with 10 being the highest. They also rated their trust in their doctors' diet advice on the same scale, and reported whether they felt judged by their cure about their weight. Patients all reported a relatively high conviction level, regardless of their doctors' weight.
Normal-weight doctors averaged a score of 8,6, overweight 8,3 and corpulent 8,2. When it came to trusting diet advice, however, the doctors' weight reputation mattered. Although 77 percent of those seeing a normal-weight doctor trusted the diet advice, 87 percent of those since an overweight doctor trusted the advice, as did 82 percent of those light of an obese doctor.
Patients, however, were more than twice as likely to feel judged about their weight issues when their fix was obese compared to normal weight: 32 percent of those who saw an obese doctor said they felt judged, while just 17 percent of those who aphorism an overweight doctor and 14 percent of those in a normal-weight doctor felt judged. Bleich's findings follow a report published last month in which researchers found that chubby patients often "doctor shop" because, they said, they were made to feel uncomfortable about their strain during office visits.
Wednesday 26 June 2013
For Patients With Severe Chronic Obstructive Pulmonary Disease, Low Dose Steroid Tablets May Be Better Than Large Doses Of Injections
For Patients With Severe Chronic Obstructive Pulmonary Disease, Low Dose Steroid Tablets May Be Better Than Large Doses Of Injections.
Low-dose steroid pills seem to vocation as well as boisterous doses of injected steroids for patients hospitalized with stormy long-lasting obstructive pulmonary virus (COPD), researchers report. Yet, some 90 percent of these COPD patients are given the higher doses, which is unaccommodating to ongoing prescribing guidelines, claims the contemplate appearing in the June 16 distribution of the Journal of the American Medical Association effect. "We honestly think that doctors should be following hospital guidelines and treating patients with viva voce steroids, at least for those who are able to take oral steroids," said Dr Richard Mularski, founder of an accompanying essay and a pulmonologist with Kaiser Permanente Center for Health Research.
Mularski added that he was surprised that this many patients were receiving IV steroids. Patients in moment with COPD are routinely treated with corticosteroids, bronchodilators and antibiotics. Although it's pure that steroids are effectual in treating COPD exacerbations, it's less explicit which dose is preferable, stated the lessons authors.
The Massachusetts-based researchers looked at records on almost 80000 patients admitted with obdurate symptoms of COPD to 414 US hospitals in 2006 and 2007. All had been given steroids within the elementary two days of their stay. The look at did not contain individuals who needed care in the intensive care unit. "These are patients that were afflicted enough to go into the hospital, but not sick enough to go into the ICU," said Dr Norman Edelman, chieftain medical officer of the American Lung Association.
Low-dose steroid pills seem to vocation as well as boisterous doses of injected steroids for patients hospitalized with stormy long-lasting obstructive pulmonary virus (COPD), researchers report. Yet, some 90 percent of these COPD patients are given the higher doses, which is unaccommodating to ongoing prescribing guidelines, claims the contemplate appearing in the June 16 distribution of the Journal of the American Medical Association effect. "We honestly think that doctors should be following hospital guidelines and treating patients with viva voce steroids, at least for those who are able to take oral steroids," said Dr Richard Mularski, founder of an accompanying essay and a pulmonologist with Kaiser Permanente Center for Health Research.
Mularski added that he was surprised that this many patients were receiving IV steroids. Patients in moment with COPD are routinely treated with corticosteroids, bronchodilators and antibiotics. Although it's pure that steroids are effectual in treating COPD exacerbations, it's less explicit which dose is preferable, stated the lessons authors.
The Massachusetts-based researchers looked at records on almost 80000 patients admitted with obdurate symptoms of COPD to 414 US hospitals in 2006 and 2007. All had been given steroids within the elementary two days of their stay. The look at did not contain individuals who needed care in the intensive care unit. "These are patients that were afflicted enough to go into the hospital, but not sick enough to go into the ICU," said Dr Norman Edelman, chieftain medical officer of the American Lung Association.
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