The odds that someone undergoing spinal surgery at a particular hospital will have to be readmitted to the same hospital within 30 days is an important measure of the quality of care patients receive. That's because these "hospital readmission rates" often reflect problems like hospital-acquired infections or complications from surgery. Now a new study by doctors in the departments of neurological surgery and orthopedic surgery at the University of California, San Francisco Medical Center suggests there may be problems with how the rates are reported. At the American Association of Neurological Surgeons (AANS) meeting in Miami, the UCSF team reported that comparing publicly available overall readmission rates can lead to misinformation. The team examined "all cause" readmissions, the basis for the publically reported Centers for Medicare and Medicaid metric.
Testosterone supplements helped heart failure patients breathe better and exercise more, according to research in Circulation Heart Failure, an American Heart Association journal. Researchers analyzed four randomized clinical trials of patients with moderate to severe chronic heart failure. Patients were given commercial testosterone supplements by injection, patch or gel. Based on the analysis of these studies, those who received supplemental testosterone scored 50 percent better in a six-minute walking test than those receiving placebo. Also, in two of the studies, the severity of heart failure as measured by the New York Heart Association classification system improved one to two grades in 35 percent of treated patients compared to 9.8 percent of those who didn't receive the supplements.
Traumatic shoulder injuries that result in a patient visit to the ER often contain a secondary injury that can cause pain and discomfort in that part of the body after the primary injury has healed. By focusing on the primary injury, radiologists sometimes miss the secondary injury, which can compromise treatment effectiveness. Trainees in the Brigham and Women's Hospital Radiology Residency Program developed new protocols aimed at drawing ER radiologists' attention to the potential presence of secondary shoulder injuries. Better identification of these injuries could lead to improved patient outcomes. These protocols, which have been awarded the 2012 Gold Medal by the American Roentgen Ray Society (ARRS), ere presented at the 2012 ARRS Annual Meeting in Vancouver, Canada. "The severity of shoulder injuries are often underestimated, " said Dr.
It is not often we hear of an encounter with a shark where the shark slinks away and the human survives relatively unscathed. But this week, we have news of how 28-year-old Joshua Holley from Hawaii, fended off a shark that attacked him - while he was surfing off the coast of Oahu where he lives - by punching it in the face. Holley told ABC News he first felt a push on his body, and when he looked to his left he saw a large dorsal fin and then felt a "popping" sensation in his foot. Later in hospital, he discovered the shark bite had severed two tendons and made a wound requiring 42 stitches, but luckily had punctured no major arteries. The shark then went under the water and came up on the other side. Holley did some quick thinking, remembered the most sensitive part of a shark was the snout, and then: "I'm kind of holding it and it's coming out on the right side, I punched him once and twice with my right hand, it submerged and swam off, " said Holley.
Scoliosis Effectively Treated With Magnetically Controlled Growing Rods - No Repeat Invasive Surgery Required
According to a study published in The Lancet, new magnetically controlled growing rods can treat the spinal disorder scoliosis in children without the need for repeated invasive surgeries. The study was conducted by Professor Kenneth Cheung and Dr. Dino Samartzis, from the Department of Orthopedics and Traumatology, The University of Hong Kong, Hong Kong, and colleagues. Scoliosis is an abnormal curving of the spin that occurs primarily in young children and adolescents. Scoliosis can rapidly progress if left untreated and cause breathing problems, as well as cosmetic disfigurement. Traditional treatment for children with scoliosis who are still growing is surgical insertion of growing rods under general anesthesia. However, every six months a procedure called distraction is required in order to lengthen the rods.