New Guidelines to Prevent Bloodstream Infections
Posted by: admin on: August 4, 2011
Centers for Disease Control and Prevention (CDC) and the Healthcare Infection Control Practices Advisory Committee (HICPAC) issue updated steps or guidelines to eliminate bloodstream infection in patients with intravenous catheters.
The document, titled “Guidelines for the Prevention of Intravascular Catheter-Related Infections” will be published in its entirety in a special supplement to the American Journal of Infection Control. The Journal will also present a video roundtable that features perspectives of healthcare professionals on the impact of this new guideline on infection prevention practices.
Read more: http://www.medindia.net/news/New-Guidelines-to-Prevent-Bloodstream-Infections-83181-1.htm
Osteoporosis in patients with HIV
Posted by: admin on: August 4, 2011
At the age of 56, Jules Levin felt pretty invincible, despite being HIV positive. He went to the gym regularly and controlled his disease well by taking his antiretroviral medicines every day.
Then he slipped one day while on vacation and broke his wrist. He underwent an operation to insert pins in his bones and needed to wear a cast for a month, keep his arm elevated, and then do physical therapy for two months to get to the point where he could lift a five pound weight. After a few simple tests, the reason for Levin’s fracture became clear: His bones were weak from osteoporosis, a disease that’s most commonly seen in older women, but that’s also associated with HIV.
New Weight-Based Guide for Moving Surgical Patient
Posted by: admin on: August 3, 2011
The decision to move patients to and from a surgical position manually or using assisted technology should be based on their weight and the surgical position, according to a study published in the April issue of the AORN Journal.
- The decision to move patients to and from a surgical position manually or using assisted technology should be based on their weight and the surgical position, according to a study published in the April issue of the AORN Journal.
- Thomas Waters, Ph.D., C.P.E., from the National Institute for Occupational Safety and Health in Cincinnati, and colleagues outlined specific ergonomic solutions for high-risk patient-handling tasks in the preoperative clinical setting in the AORN Ergonomic Tool 2 guidelines (Positioning and Repositioning the Supine Patient on the Operating Room Bed). These guidelines aim to protect both the patient and caregiver from injuries associated with moving patients. Read the rest of this entry »
Health Advice by Dr. Weiss: The Value of Prevention in Physical Exams
Posted by: admin on: August 3, 2011
- Preventive care is more important than an annual physical, according to both an Archives of Internal Medicine article and the president of the American Academy of Family Physicians.
- Preventive care is incorporated into an annual exam only about 20% of the time with the remaining 80% of prevention occurring during other office visits or venues.
- An excellent resource for patients, families, physicians and mid-level providers (nurse practitioners and physician assistants) is the National Guideline Clearinghouse sponsored by the U. S. Department of Health and Human Services (http://www.guideline.gov/index.aspx)
- Starting this year, Medicare will cover two types of physical exams—one when you are new to Medicare and one yearly thereafter. If you are new to Medicare Part B you are entitled to an exam which will review your health, focus on prevention, and suggest further consultation and/or education if indicated.
Read the rest of this entry »
SAGES-Evidence-Based Guidelines for Surgical Treatment of Gastroesophageal Reflux Disease
Posted by: admin on: August 3, 2011
Gastroesophageal reflux disease (GERD) has long been recognized as a significant public health concern as heartburn afflicts nearly two thirds of US adults at some point in their lives and accounts for 4 to 5 million physician office visits every year. This article represents a synopsis of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) guidelines for the surgical treatment of GERD. These guidelines are developed by the SAGES guidelines committee after a systematic review and grading of the available evidence and are approved by the SAGES Board of Governors.
The following scale for evidence grading was used:
Grade A – High-level, well-performed studies with uniform interpretation and conclusions by the expert panel
Grade B – High-level, well-performed studies with varying interpretation and conclusions by the expert panel
Grade C – Lower level evidence with inconsistent findings and/or varying interpretations or conclusions by the expert panel
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