A study in International Journal of Health Services reports that 47.7% of medical care in the United States is delivered in emergency departments (EDs). Continue reading
Long-term hypertension increases the risk of mitral regurgitation in patients without cardiovascular disease, according to a study in PLOS Medicine. Continue reading
Supportive nurse mangers reduce the incidence of coworker incivility, according to a study in the Journal of Nursing Management. Continue reading
The number of obese children and adolescents (aged 5 to 19 years) worldwide has risen tenfold in the past four decades, according to a study in The Lancet. Continue reading
Women who develop high blood pressure in their 40s may be more likely to develop dementia years later, according to a study in Neurology. Continue reading
A systematic review in Worldviews on Evidence-Based Nursing reports that tai chi improves pain, general health, vitality, mental health, and the spine dimension of bone mineral density in perimenopausal women. Continue reading
Behavioral interventions, such as potentially winning money as a goal, can reduce cognitive fatigue in patients with multiple sclerosis (MS), according to a study in Multiple Sclerosis Journal. Continue reading
A study in JAMA Surgery reports a high rate of anemia 10 years after patients had undergone Roux-en-Y gastric bypass for weight loss. Continue reading
The Infectious Diseases Society of American has released a guideline for managing chronic pain in persons living with HIV. The guideline includes management of chronic pain in special populations of persons living with HIV, including those with substance use disorders.
Read More at Academic.oup.com
Ablation of atrial fibrillation (AF) improves quality of life (QOL) more than drugs, according to a study presented on Aug. 29 at the European Society of Cardiology conference. This was the first time that QOL was used as a primary endpoint. The multicenter, randomized trial included 155 patients with symptomatic AF who had failed one drug for either rate or rhythm control. Continue reading
Selected patients on mechanical ventilation may safely self-administer dexmedetomidine to manage their anxiety, according to a study in the American Journal of Critical Care. Most patients were satisfied with their ability to self-administer the medication, and nurses adhered to monitoring safety parameters.
Results The sample was 59% male and 89% white. Mean values were age, 50.6 years; score on the Acute Physiology and Chronic Health Evaluation, 60.1; and protocol duration, 3.4 days. Five dexmedetomidine patients had blood pressure and/or heart rate lower than safety parameters, necessitating short-term treatment. Nurses’ adherence to reporting of safety parameters was 100%; adherence to the dexmedetomidine titration algorithm was 73%. Overall baseline anxiety score was 38.4 and did not change significantly (βday = 2.1; SE, 2.5; P = .40). Most dexmedetomidine patients (92%) were satisfied or very satisfied with their ability to self-administer medication.
read the report at acc.aacnjournals.org
Many afib patients at highest risk of stroke are not receiving recommended oral anticoagulant therapy, according to a study in JAMA Cardiology. Read more and read the study abstract