Thousands of patients die each year in hospitals across North America due to medical errors that could be prevented were doctors and nurses provided with instant access to patient records via wireless technology. Cue the catch-22: the electromagnetic radiation caused by those very devices can interfere with electronic medical equipment and thus lead to serious clinical consequences for patients.
Luckily, that could soon change thanks to new research from Concordia University that helps define a clear rule of thumb for how close health-care workers with their Wi-Fi devices can be to electronic medical equipment.
In a study researchers from the Faculty of Engineering and Computer Science assessed the risk that a medical device will malfunction when radio waves that emanate from portable devices like tablet computers are present in a hospital room.
Hospitals often specify that staff members carrying wireless transmitters not approach sensitive electronic medical devices any closer than a designated minimum separation distance (MSD).
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An existing anti-stroke drug is an effective treatment for middle-ear infections, showing the ability to suppress mucus overproduction, improve bacterial clearance and reduce hearing loss, according to researchers at Georgia State University and the University of Rochester.
The findings could result in a novel, non-antibiotic treatment for otitis media, or middle-ear infection, possibly through topical drug delivery. Vinpocetine, the drug involved in the study, has long been used to treat neurological disorders such as stroke.
The study found topical administration of Vinpocetine suppressed inflammation and the overproduction of mucus induced by Streptococcus pneumonia bacteria, improved hearing loss in the middle ear and significantly improved bacterial clearance in animal studies.
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Once daily bathing with disposable cloths with the topical antimicrobial agent chlorhexidine of critically ill patients did not reduce the incidence of health care-associated infections. Infections acquired during hospitalization (health care associated infections) are associated with increased hospital length of stay, rates of death, and increased costs. The skin of hospitalized patients is a reservoir for infectious pathogens. Subsequent invasion by skin flora is thought to be a mechanism contributing to health care-associated infections. Chlorhexidine is a broad-spectrum topical antimicrobial agent that, when used to bathe the skin, may decrease the bacterial burden, thereby reducing infections. Chlorhexidine bathing is incorporated into some expert guidelines, according to background information in the article. Michael J. Noto, M.D., Ph.D., of Vanderbilt University, Nashville, Tenn., and colleagues conducted a study in which five adult intensive care units in Nashville performed once-daily bathing of all patients (n = 9,340) with disposable cloths impregnated with 2 percent chlorhexidine or non-antimicrobial cloths as a control. Bathing treatments were performed for a 10-week period followed by a 2-week washout period (a period allowed in order to eliminate the effect of the first intervention before starting a new intervention), during which patients were bathed with non-antimicrobial disposable cloths, before switching to the alternate bathing treatment for another 10 weeks. A total of 55 infections occurred during the chlorhexidine bathing period (4 central line-associated bloodstream infections [CLABSIs], 21 catheter-associated urinary tract infections [CAUTIs], 17 ventilator-associated pneumonia [VAP], and 13 Clostridium difficile) and 60 infections during the control bathing periods (4 CLABSI, 32 CAUTI, 8 VAP, and 16 C difficile infections). After adjusting for various factors, no significant difference between groups in the rate of the primary outcome (composite of these infections) was detected. Other infection-related secondary outcomes, including health care-associated bloodstream infections, blood culture contamination, and clinical cultures positive for multi-drug resistant organisms were also not improved by chlorhexidine.
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In what is a major step towards the prevention of recurring bouts of Clostridium difficile (Cdiff) infection, an international team led by Dale Gerding, MD, Hines Veterans Administration (VA) research physician and professor of Medicine at Loyola University Chicago Stritch School of Medicine, has shown that giving spores of non-toxic Cdiff by mouth is effective in stopping repeated bouts of Cdiff infection which occurs in 25-30 percent of patients who suffer an initial episode of diarrhoea or colitis.
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Scientists at the University of York have discovered a potential new treatment for prostate cancer using low temperature plasmas (LTPs).
The study is the first time LTPs have been applied on cells grown directly from patient tissue samples. It is the result of a unique collaboration between the York Plasma Institute in the Department of Physics and the Cancer Research Unit (CRU) in York
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Providers of mental-health services still rely on intervention techniques such as physical restraint and confinement to control some psychiatric hospital patients, a practice which can cause harm to both patients and care facilities, according to a new study from the University of Waterloo.
The study, which appears in a special mental health issue of Healthcare Management Forum, found that almost one in four psychiatric patients in Ontario hospitals are restrained using control interventions, such as chairs that prevent rising, wrist restraints, seclusion rooms or acute control medications.
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Speech is produced in the human cerebral cortex. Brain waves associated with speech processes can be directly recorded with electrodes located on the surface of the cortex. It has now been shown for the first time that is possible to reconstruct basic units, words, and complete sentences of continuous speech from these brain waves and to generate the corresponding text.
‘It has long been speculated whether humans may communicate with machines via brain activity alone,’ says Tanja Schultz, who conducted the present study with her team at the Cognitive Systems Lab of KIT. ‘As a major step in this direction, our recent results indicate that both single units in terms of speech sounds as well as continuously spoken sentences can be recognized from brain activity.’
These results were obtained by an interdisciplinary collaboration of researchers of informatics, neuroscience, and medicine. In Karlsruhe, the methods for signal processing and automatic speech recognition have been developed and applied. ‘In addition to the decoding of speech from brain activity, our models allow for a detailed analysis of the brain areas involved in speech processes and their interaction,’ outline Christian Herff und Dominic Heger, who developed the Brain-to-Text system within their doctoral studies.
The present work is the first that decodes continuously spoken speech and transforms it into a textual representation. For this purpose, cortical information is combined with linguistic knowledge and machine learning algorithms to extract the most likely word sequence. Currently, Brain-to-Text is based on audible speech. However, the results are an important first step for recognizing speech from thought alone.
The brain activity was recorded in the USA from 7 epileptic patients, who participated voluntarily in the study during their clinical treatments. An electrode array was placed on the surface of the cerebral cortex (electrocorticography (ECoG)) for their neurological treatment. While patients read aloud sample texts, the ECoG signals were recorded with high resolution in time and space. Later on, the researchers in Karlsruhe analysed the data to develop Brain-to-Text. In addition to basic science and a better understanding of the highly complex speech processes in the brain, Brain-to-Text might be a building block to develop a means of speech communication for locked-in patients in the future.
EurekAlert or KIT (in German)
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A technique called auditory brainstem implantation can restore hearing for patients who can’t benefit from cochlear implants. A team of US and Japanese experts has mapped out the surgical anatomy and approaches for auditory brainstem implantation.
Dr. Albert L. Rhoton, Jr., and colleagues of University of Florida, Gainesville, and Fukuoka University, Japan, performed a series of meticulous dissections to demonstrate and illustrate surgical approaches to auditory brainstem implant placement. Their article shares exquisitely detailed anatomic colour photographs, along with step-by-step descriptions of two alternative routes for neurosurgeons performing these demanding implant procedures.
Auditory brainstem implants can restore varying degrees of hearing to patients with ‘retrocochlear’ hearing loss. These patients have deafness caused by damage to the cochlear nerves — sometimes called the acoustic or auditory nerves — which transmit sound information from the inner ear to the brain. The cochlear nerve damage most commonly results from brain tumours associated with a genetic condition called neurofibromatosis type 2 (NF2).
Auditory brainstem implants are similar in principle to the more commonly placed cochlear implant, used in patients with damage to the cochlea — part of the inner ear. Because of the need to place the implant and electrodes in the brainstem, rather than the inner ear, the surgery required for auditory brainstem implantation is much more complex.
In a series of ten cadaver brainstem dissections, the researchers explored the anatomy of the region that the neurosurgeon must navigate to perform auditory brainstem implantation. They also mapped out the best neurosurgical approaches, both for surgery to remove the tumours and for auditory brainstem implant placement.
Based on their findings, Dr. Rhoton and colleagues detail two surgical approaches: a ‘translabyrinthine’ and a ‘retrosigmoid’ approach. They outline a step-by-step route for both approaches, designed to provide safe access to the area while minimizing trauma to the brainstem and surrounding structures. The authors highlight the value of using endoscopes to help in visualizing and accessing the target area for implant placement.
More than 1,000 auditory brainstem implant procedures have been performed worldwide so far. The procedure was previously approved only for patients with NF2 aged 12 years or older. Recently, clinical trials were approved for children with congenital malformations or other causes of retrocochlear deafness.
Minimizing damage to the brainstem and associated blood vessels appears to be a critical factor in achieving good speech recognition after auditory brainstem implantation. The hearing results are also better in patients with a shorter duration of deafness.
Dr. Rhoton and colleagues hope that their descriptions and illustrations will help to increase understanding of the anatomy and surgical approaches to auditory brainstem implantation, contributing useful hearing to adults and children with NF2 and other causes of retrocochlear deafness.
EurekAlert
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Inventors at Nottingham Trent University are using smart materials to develop a low-cost steerable medical device to help doctors insert a life-saving breathing tube into a patient
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When a patient receives a new hip, it is usually adjusted only approximately to leg length. Greater accuracy requires a more precise measuring process as well as adjustable implants. Now, a new type of measurement method coupled with a modular implant should allow orthopaedic surgeons to precisely calibrate leg length after the operation so it matches its original length.
A painful hip that feels unstable and no longer has the same range of motion: For many patients, this means they need a prosthetic hip
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