Category Archives: Health

Dementia Care: “MapHabit” Wins Top Technology Award From National Institute On Aging

From a National Institute on Aging online release:

Improving Care for People with Alzheimer's Disease and Related Dementias Using Technology (iCareAD ADRD) ChallengeFirst place prize awarded to MapHabit: This mobile software provides behavior prompts with customizable picture and keyword visual maps to assist memory-impaired people with accomplishing activities of daily living. The care management platform employs different interfaces depending on whether the user is a person with impaired memory, caregiver or long-term care community manager. Caregivers can monitor adherence to medication schedules or track other activities.

MapHabit, Inc., is the first place winner of the Improving Care for People with Alzheimer’s Disease and Related Dementias Using Technology (iCare-AD/ADRD) Challenge, sponsored by the National Institute on Aging (NIA). The Atlanta-based MapHabit team, led by Stuart Zola, Ph.D., will receive the $250,000 first prize for their mobile device application that helps people with dementia follow simple commands to perform daily tasks, such as taking pills and brushing teeth, and also provides feedback to caregivers. NIA is part of the National Institutes of Health.

To read more: https://www.nia.nih.gov/news/winners-announced-national-institute-aging-dementia-care-coordination-challenge?utm_source=NIA+Main&utm_campaign=b46d6fd641-20191028_news&utm_medium=email&utm_term=0_ffe42fdac3-b46d6fd641-18472035

Health Surveys: “World Alzheimer Report 2019” Reveals The Attitudes And Perceptions To Dementia

From the The 2019 World Report:

At the core of the 2019 report are the results of a global survey, commissioned by ADI and undertaken by the London School of Economics and Political Science (LSE). Almost 70,000 people globally engaged with the survey, making it the biggest of its kind ever undertaken.

2019 World Alzheimer's Report Attitudes toward Dementia Main

2019 World Alzheimer's Report Attitudes toward Dementia Key FindingsLSE developed the survey to target four key groups:

(1) people living with dementia,    (2) careers,            (3) healthcare  practitioners and    (4) the general public, with analysis being provided in three categories: knowledge, attitudes and behaviour.

 

2019 World Alzheimer's Report Attitudes toward Dementia Key Findings BehaviorIn the survey analysis we highlight the behavioural element first, giving prominence to the voices and experiences of people living with dementia as direct assessment of actual behaviour is central to discrimination and is the closest representation of the true impact of stigma on people living with dementia.

Read the report: https://www.alz.co.uk/research/WorldAlzheimerReport2019-Summary.pdf

 

Health Studies: Immune System Cells Rewire And Repair During Sleep

From a Sleep Review Magazine online release:

Sleep Review June July 2019The current study points to the role of norepinephrine, a neurotransmitter that signals arousal and stress in the central nervous system. This chemical is present in low levels in the brain while we sleep, but when production ramps up it arouses our nerve cells, causing us to wake up and become alert. The study showed that norepinephrine also acts on a specific receptor, the beta2 adrenergic receptor, which is expressed at high levels in microglia. When this chemical is present in the brain, the microglia slip into a sort of hibernation.

New research shows that immune cells called microglia—which play an important role in reorganizing the connections between nerve cells, fighting infections, and repairing damage—are primarily active during sleep.

The findings, which were conducted in mice and appear in the journal Nature Neuroscience, have implications for brain plasticity, diseases like autism spectrum disorders, schizophrenia, and dementia, which arise when the brain’s networks are not maintained properly, and the ability of the brain to fight off infection and repair the damage following a stroke or other traumatic injury.

To read more: http://www.sleepreviewmag.com/2019/10/during-sleep-immune-cells-rewire/?ref=cl-title

Future Of Health Care: New Machine Learning System Detects Infections 48 Hours In Advance

From a Health IT Analytics online release:

Philips Machine Learning SystemThe prototype revealed that using artificial intelligence and machine learning to examine certain combinations of vital signs and other biomarkers could strongly predict the likelihood of infection up to 48 hours in advance of clinical suspicion, including observable symptoms.

Royal Philips, in collaboration with the Defense Threat Reduction Agency (DTRA) and Defense Innovation Unit (DIU) of the US Department of Defense (DoD), are building a machine learning algorithm that will be able to detect an infection before a patient shows signs or symptoms.

The partnering organizations recently announced results from an 18-month project, called Rapid Analysis of Threat Exposure (RATE), the first large-scale exploration of pre-symptomatic infection in humans. The project aims to develop an early warning system that accelerates diagnosis and treatment of infection, containing the spread of communicable disease.

To read more: https://healthitanalytics.com/news/philips-dod-build-machine-learning-system-to-detect-infection

Drug Reviews: Top Ten Antiobiotics Used For Patients In Hospital ER’s

From a Becker’s Hospital Review online release:

Ceftriaxone and azithromycin are the top two most commonly administered antibiotics in U.S. emergency rooms for patients who are not admitted to the hospital, according to a study published in the American Journal of Health-System Pharmacy.

American Journal of Health System PharmacyThe top 10 most commonly administered antibiotics in the ER for nonadmitted patients were:

• ceftriaxone: 30.6 percent
• azithromycin: 10.8 percent
• clindamycin: 6.6 percent
• levofloxacin: 5.8 percent
• cephalexin: 5.3 percent
• metronidazole: 4.5 percent
• sulfamethoxazole-trimethoprim: 4.2 percent
• ciprofloxacin: 3.9 percent
• amoxicillin: 3.8 percent
• penicillin: 3.3 percent

The researchers also found that most common emergency room diagnoses were urinary tract infections and cellulitis, and that prescribing practices generally aligned with treatment guidelines for these diagnoses.

To read more: https://www.beckershospitalreview.com/quality/10-most-common-antibiotics-administered-in-the-er.html?oly_enc_id=9129H5611090H0N

Health Studies: Exercise Found To Improve Blood Vessels For People With Heart Failure

From a Science Daily online release:

“People with heart failure cannot do everything that a healthy individual can, so the question becomes how much exercise can they handle and what type of impact will it have on their health,” Emter said. “We found that regardless of intensity level, some type of physical activity was good for heart health compared to no exercise at all.”

Artery Stiffness

Now, research from the University of Missouri has found exercise can improve the health of blood vessels in the heart for people with heart failure. The finding is based on a study looking at swine, which have very similar blood vessels and heart muscles — both structurally and functionally — as humans.

To read more: https://www.sciencedaily.com/releases/2019/10/191022174402.htm

Health Podcasts: Stable Blood Sugar Can Lower Alzheimer’s Risk (NPR)

NPR Health News“The risk for dementia is elevated about twofold in people who have diabetes or metabolic syndrome (a group of risk factors that often precedes diabetes),” Holtzman says. 

…poor sleep is a known risk factor for Alzheimer’s. So maintaining normal blood sugar levels in Alzheimer’s patients could improve their sleep and might even slow down the disease, she says.

Health Care Costs: Top 5 Highest Paid Physician Specialties (PayScale.com)

From a Becker’s Spine online article:

PayScale LogoPayScale reports real-time salary data from over 54 million reports from job seekers, fact checking the data against private and public compensation data.

Here’s how average pay ranges for five physician specialties stack up:

1. Neurosurgeon: $401,499

2. Cardiothoracic surgeon: $387,451

3. Invasive cardiologist: $382,361

4. Orthopedic surgeon: $375,091

5. Gastroenterologist: $309,604

To read more: https://www.beckersspine.com/spine/item/47223-5-highest-paying-physician-specialties-neurosurgeon-no-1-at-401k.html?oly_enc_id=9129H5611090H0N

 

Health: Asymptomatic Bacteriuria Diagnosis In Older Patients Should Not Require Antibiotics

From a New York Times online article:

Asymtomatic Bacteriuria DefinitionAt Dr. Soong’s hospital, withholding the results of urine cultures, unless doctors actually called the microbiology lab to request them, reduced prescriptions for asymptomatic bacteriuria to 12 percent from 48 percent of non-catheterized patients, with no loss of safety.

“The extra step of having the clinician call eliminated a lot of frivolous testing,” Dr. Soong said.

In patients who have none of the typical symptoms of a urinary tract infection — no painful or frequent urination, no blood in the urine, no fever or lower abdominal tenderness — lab results detecting bacteria in the urine don’t indicate infection and thus shouldn’t trigger treatment.

Older people, and nursing home residents in particular, often have urinary systems colonized by bacteria; they will have a positive urine test almost every time, but they’re not sick.

To read more: https://www.nytimes.com/2019/10/14/health/urine-tests-elderly.html

Health Care: Number Of Organ Transplant Physicians Shrinks As Demand Increases

From a StatNews.com online article:

Liver Transplants & DonorsMost Americans probably aren’t aware of the decline in the number of individuals training to become transplant physicians and how it will affect the future of medicine. Neither are the 2020 presidential hopefuls, all of whom have policies they believe best provide health care coverage for Americans without acknowledging or calling attention to the fact that soon there may not be enough doctors to do the work once more people are insured. We need a plan for that.

During the 25 years I’ve been a transplant doctor, I’ve cared for hundreds of patients who received lung transplants. I’m now worried about the growing number of people who will need this lifesaving procedure in the future but who won’t have enough transplant physicians to do it.

At any given time in the U.S., about 120,000 people are waiting for the call that they’ve been matched with a donor for a new lung, heart, liver, or kidney. That number will continue to rise, but the number of doctors to take the 2 a.m. call that a donor has been found for their patient and perform the transplant is dwindling.

To read more: https://www.statnews.com/2019/10/17/transplant-physicians-number-dwindling/?utm_source=STAT+Newsletters&utm_campaign=20aba6d000-First_Opinion&utm_medium=email&utm_term=0_8cab1d7961-20aba6d000-150443417