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Archive for category: E-News

E-News

Nurses warned about nail extensions

, 26 August 2020/in E-News /by 3wmedia

Nurses have been warned about wearing nail extensions and using nail polish after a poll suggested infection control was being put at risk by fashion-conscious NHS staff.
Guidance states that fingernails should be short and free of varnish. But an online poll of nearly 500 student nurses found lapses were commonplace with 60% reporting nail extensions and polish being used.
The Royal College of Nursing said the findings were ‘worrying’.
The survey was carried out by Cardiff University and London’s City University. Overall each of the 488 students who took part reported seeing at least one breach in infection control rules by health staff once other problems, such as a failure to wash hands as well as breaches of nail care were taken into account.
The researchers said the survey showed lapses were widespread.
Tom Sandford, of the RCN, added: ‘Fingernails should be short and free of nail varnish. False nails should not be worn. Nail varnish and extensions harbour bacteria and prevent good hand hygiene. Health organisations should uphold clear local policies on uniforms and work-wear and their implications for infection control and health and safety.’ BBC

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New test spots more lung clots but seems to result in over-diagnosis

, 26 August 2020/in E-News /by 3wmedia

The introduction of CT pulmonary angiography has been associated with an 80% rise in the detection of pulmonary emboli in the US, but with little change in death rates.
Professor Renda Soylemez Wiener and colleagues argue this is evidence of over-diagnosis. They say some patients are helped, but many are harmed by the adverse effects of unnecessary treatment.
This article is the first of a series looking at the risks and harms of over-diagnosis in a range of common conditions. The series, together with the Preventing Overdiagnosis conference in September, are part of the BMJ’s Too Much Medicine campaign to help tackle the threat to health and the waste of money caused by unnecessary care.
Pulmonary embolism has been described as one of the most commonly missed deadly diagnoses. Until recently, ventilation-perfusion (VQ) scanning was the first line test, but a new technology introduced in 1998

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Hope for stroke patients

, 26 August 2020/in E-News /by 3wmedia

Stroke patients at risk of blood clots and death could be helped by a compression device that wraps around the legs. Researchers have shown for the first time that by gently squeezing the legs, the risk of dying after stroke is reduced.
It is thought that the compression reduces the risk of clots in the veins of the legs by increasing blood flow.
The results of the trial reveal that thigh-length intermittent pneumatic compression (IPC) reduces the risk of deep vein thrombosis (DVT), which commonly affects stroke patients. Until now, no treatment has been available that safely reduces the risk of the blood clots in the legs and the risk of dying.
More than 2800 stroke patients across the UK were involved in the randomised trial, which took place between 2008 and 2012. Hundreds of researchers from more than 100 hospitals took part.
The IPC sleeves, which cost the NHS as little as

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‘Virtual heart’ precision-guides defibrillator placement in children with heart disease

, 26 August 2020/in E-News /by 3wmedia

The small size and abnormal anatomy of children born with heart defects often force doctors to place lifesaving defibrillators entirely outside the heart, rather than partly inside

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Study confirms adding chemotherapy to surgery improves survival in advanced gastric cancer

, 26 August 2020/in E-News /by 3wmedia

For patients with advanced gastric cancer, treatment with chemotherapy after surgery can reduce the risk of cancer related death by 34% over five years compared to surgery alone.
Prof Sung Hoon Noh, a gastric surgeon from Yonsei University College of Medicine, Korea, presented 5-year follow-up from the phase III CLASSIC trial, which added combination chemotherapy to a standard surgical procedure called D2 gastrectomy. The chemotherapy regimen studied in the trial is called XELOX, which is a combination of the drugs capecitabine and oxaliplatin.
CLASSIC was a multinational open-label randomised phase III trial performed in South Korea, China and Taiwan. Patients with stage II

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New source of kidneys for transplants

, 26 August 2020/in E-News /by 3wmedia

Nearly 20 percent of kidneys that are recovered from deceased donors in the U.S. are refused for transplant due to factors ranging from scarring in small blood vessels of the kidney

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How to stop bleeding in the ER caused by warfarin

, 26 August 2020/in E-News /by 3wmedia

Prothrombin complex concentrates (PCCs) are faster and more effective than fresh frozen plasma at reversing hemorrhage caused by the anti-coagulant warfarin, despite plasma being the most commonly used therapy.  A literature review suggests that physicians in the United States should join those around the world in following recommendations of multiple specialty organisations to use PCCs as the first line of defence in this common and life-threatening emergency (

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Tiny, brightly shining silicon crystals could be safe for deep-tissue imaging

, 26 August 2020/in E-News /by 3wmedia

Tiny silicon crystals caused no health problems in monkeys three months after large doses were injected, marking a step forward in the quest to bring such materials into clinics as biomedical imaging agents, according to a new study.
The findings suggest that the silicon nanocrystals, known as quantum dots, may be a safe tool for diagnostic imaging in humans. The nanocrystals absorb and emit light in the near-infrared part of the spectrum, a quality that makes them ideal for seeing deeper into tissue than traditional fluorescence-based techniques.
‘Quantum dots, or nanocrystals, are very, very promising for biomedical imaging applications, but everyone

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New alternative to surgery lets doctors remove suspicious polyps, keep colon intact

, 26 August 2020/in E-News /by 3wmedia

Millions of people each year have polyps successfully removed during colonoscopies. But when a suspicious polyp is bigger than a marble or in a hard-to-reach location, patients are referred for surgery to remove a portion of their colon

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A text message a day keeps the asthma attack away

, 26 August 2020/in E-News /by 3wmedia

Simply sending children with asthma a text message each day asking about their symptoms and providing knowledge about their condition can lead to improved health outcomes.
In a study by the Georgia Institute of Technology, pediatric patients who were asked questions about their symptoms and provided information about asthma via SMS text messages showed improved pulmonary function and a better understanding of their condition within four months, compared to other groups.
‘It appears that text messages acted as an implicit reminder for patients to take their medicine and by the end of the study, the kids were more in tune with their illness,’ said study leader Rosa Arriaga, senior research scientist in the College of Computing

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