American Medical AssociationIntervention Reduces “Death Rattle” in End-of-Life Care

Publication: JAMADesign: Multicenter, randomized, double-blind, placebo-controlled trial performed in six hospices in the Netherlands of 162 patients with a life expectancy of three or more days. Administration of subcutaneous scopolamine butylbromide, 20 mg four times a day (n = 79) or placebo (n=78) in the 157 patients included in the primary analysis.Results: A death rattle occurred in […]

HealthgradesOldest and Youngest Doctors by Specialty

Which specialties will be most affected by changing age demographics among doctors? That’s the question the Association of American Medical Colleges (AAMC) asks in their latest survey of “Active Physicians by Age and Specialty”, which tallied up the results of 935,000 practicing physicians in the US. Where does your specialty fall on the list?

American Society of HematologyControlling CNS Relapse in Children with ALL Treated Without Cranial Irradiation

Publication: Blood Key Points: The authors identified the following four prognostic indicators that could help control CNS relapse in children with ALL. 1) Prephase dexamethasone treatment, 2) delayed intrathecal therapy, 3) use of total intravenous anesthesia during intrathecal therapy, and 4) flow cytometry examination of diagnostic CSF Design: 7,640 consecutive patients treated on Chinese Children’s […]

American Academy of PediatricsAAP Urges In-Person Learning, Masking in Updated Guidance on Safe Schools

According to the interim guidance, “remote-learning highlighted inequities in education, was detrimental to the educational attainment of students of all ages, and exacerbated the mental health crisis among children and adolescents.” The AAP continues to recommend that all staff and students who are 2 years or older wear face masks unless medical or developmental conditions […]

Wyanoke GroupCertain Antihypertensive Drugs Yield Less Memory Decline in Older Adults

According to Daniel A. Nation, PhD, associate professor of psychological science at University of California, Irvine: “Studies of angiotensin II receptor blockers and ACE inhibitors have suggested these medicines may confer the greatest benefit to long-term cognition, while other studies have shown the benefits of calcium channel blockers and diuretics on reducing dementia risk.”

American College of PhysiciansEffect of Bedside Compared with Outside the Room Patient Case Presentation on Patients’ Knowledge About Their Medical Care

Medical jargon and the complexity of medical information may cause misunderstandings and patient discomfort when bedside case presentations are taking place. To see if outside-the-room case presentations were more effective, the researchers examined the patients’ average knowledge of three dimensions of their medical care in both settings — understanding their disease, the therapeutic approach being […]