Author: Contributing Writer

08 Mar

Posted at 17:39h in Nursing
There is a massive nursing shortage being faced by countries all around the world. The ever-increasing population means more resources and professionals in the healthcare sector are needed. Though healthcare as a whole suffers from massive shortages, the shortage is felt most keenly within nursing. Nurses make up for half the global healthcare workforce. Globally it is estimated that there will be a shortage of between 7 million and 13 million. A global shortage indicates a global issue. Many professionals believe that to offset this shortage, and finally make headway with improving healthcare as a whole, a global solution is necessary.

The Nursing Shortage and Its Complications

Globally it is estimated that by 2030 there will be a shortage of 7 million to 13 million nurses. This includes the current shortage of 6 million nurses we are currently facing around the world. Many experts believe a global solution is essential when the issue spans across borders. Though the issue is a global one, the current method that many developed countries are using is no longer working. In the past, the solution was simply to hire nurses from abroad to work here. On average, it is estimated that 16% of nurses are foreign-born. The nursing shortage is nothing new. There has been a shortage of nurses in the United States since the 1930s. Immigration requirements have eased and encouraged international nurses to move to the United States to work there since the 1950s. While immigration itself is not a problem, looking only for solutions outside of home soil does cause international issues. Hiring talented healthcare workers from other countries often leaves the healthcare situation in their home country in a worse situation. Jamaica, for example, has lost 29% of its critical care nurses to migration. Hiring from other countries is not a long-term solution. Nor is it a solution that works on a global scale. Improving working conditions, education conditions, and the work/life balance of nurses is a must. There is a pervasive view that nurses are overworked and underpaid. Addressing the cause of this view, and the view itself, can help transition nursing from a vocation to a vied-for career. One of the most critical issues that exacerbate the nursing shortage is the fast turnaround of nurses. Thomas Jordan, an American Hospital Association spokesperson, claims that up to 33% of new nurses will leave the workforce within two years.

07 Mar

Posted at 21:26h in AHA Journals, Blood Pressure - Hypertension, Dental Research, Menopause
MedicalResearch.com Interview with: [caption id="attachment_58844" align="alignleft" width="200"]Michael J. LaMonte, PhD, MPH Research Professor (epidemiology) Department of Epidemiology and Environmental Health School of Public Health and Health Professions Women’s Health Initiative Northeast Regional Center University at Buffalo – SUNY Buffalo, NY 14214   Dr. LaMonte[/caption] Michael J. LaMonte, PhD, MPH Research Professor (epidemiology) Department of Epidemiology and Environmental Health School of Public Health and Health Professions Women’s Health Initiative Northeast Regional Center University at Buffalo – SUNY Buffalo, NY 14214 MedicalResearch.com:  What is the background for this study?  What are the main findings? Dr. LaMonte:  The rationale for this study was based on existing study results showing
  • (1) oral bacteria are involved with conversion of dietary nitrate (e.g., from leafy greens and beets) to nitric oxide which is a chemical involved keeping arteries healthy and maintaining blood pressure;
  • (2) rinsing the mouth with antiseptic solution (mouthwash) kills oral bacteria and results in rapid increases in systolic and diastolic blood pressure; and
  • (3) a very limited amount of epidemiological data suggest that the oral bacteria found beneath the gums (responsible for gingivitis and periodontal disease) are associated with blood pressure and history of hypertension in middle-aged adults.
Thus, we conducted our study to determine whether oral bacteria (beneath the gums) would be predictive of developing hypertension among women who were without this condition at the time the bacteria were measured. Because the bacteria (exposure) would be known to precede development of hypertension (disease), an association seen in our study would be strongly suggestive of a role for oral bacteria in the development of high blood pressure. Our primary result was for statistically significant higher risks of developing hypertension associated with 10 bacterial species, and significantly lower risks of developing hypertension associated with 5 bacterial species. Our findings were evident even after we accounted for differences in demographic factors, lifestyle factors, and clinical factors, and generally were of consistent magnitudes we examined across subgroups of older and younger women, white and black women, normal weight and overweight/obese women, those with normal or slightly elevated blood pressure at study enrollment, and those who were using or not using menopausal hormone therapy at baseline. Therefore, while our observational study evidence for an association is not equivalent to causation, the robustness of the associations between oral bacteria and hypertension risk supports a need to further understand this relationship, ideally with a clinical trial design that would provide definitive evidence to support or refute causation. 

07 Mar

Posted at 20:42h in Author Interviews, Environmental Risks, Pediatrics, Toxin Research
MedicalResearch.com Interview with: [caption id="attachment_58840" align="alignleft" width="150"]Jeanette Stingone PhD Assistant Professor, Epidemiology Mailman School of Public Health Columbia University Dr. Stingone[/caption] Jeanette Stingone PhD Assistant Professor, Epidemiology Mailman School of Public Health Columbia University MedicalResearch.com:  What is the background for this study?  What are the main findings? Response: Lead is a well-established neurotoxin, particularly when exposure occurs early in life and in childhood. Associations between elevated blood lead levels and lower scores on tests of neurodevelopment and cognition are seen consistently across studies, even when examining lower levels of exposure. While reducing exposure to lead is the primary intervention to prevent these adverse outcomes, there aren’t many interventions designed to support the neurodevelopment of children who have been exposed to lead. Some municipalities consider elevated blood lead levels as a criteria for inclusion in Early Intervention programs. Early Intervention programs are mandated under the Individuals with Disabilities Education Act and provide services for children younger than 3 years old with disabilities or developmental delays. The objective of this study was to compare 3rd grade standardized test scores among children who had elevated blood lead levels early in life to see if children who had received Early Intervention services performed better on these tests than those who did not receive services. Using matching methods and an existing administrative data linkage of children who were born and attended public school in New York City, we observed that children exposed to lead who received Early Intervention services scored higher on standardized tests in both math and English Language arts than children exposed to lead who did not receive services. 

03 Mar

Posted at 21:45h in Author Interviews, Exercise - Fitness, Heart Disease, JNCI
MedicalResearch.com Interview with: Fiona Bartoli PhD Leeds Institute of Cardiovascular and Metabolic Medicine University of Leeds  MedicalResearch.com:  What is the background for this study?  Response: Physical activity improves our health and reduces the risk of developing cardiovascular disease, diabetes, depression or even cancer. However, sedentary lifestyles are increasing, and people fail to exercise enough, for reasons such as illnesses, injuries, or computer usage. This puts people at more risk of disease. During physical exercise, the heart beats faster so more blood is pumped through the body. The very large protein called Piezo1 is found in the lining of blood vessels and acts as an “exercise sensor” by detecting the change in blood flow during exercise and acting accordingly.

03 Mar

Posted at 00:05h in Author Interviews, Biomarkers, Heart Disease, NEJM
MedicalResearch.com Interview with: [caption id="attachment_58828" align="alignleft" width="150"]Dr. PJ.Devereaux Dr. PJ.Devereaux[/caption] PJ Devereaux MD PhD Professor of Medicine, and of Health Research Methods, Evidence and Impact McMaster University President of the Society of Perioperative Research and Care  MedicalResearch.com:  What is the background for this study?  Response: More than 1 million patients undergo cardiac surgery in the United States and Europe annually. Although cardiac surgery has the potential to improve and prolong a patient’s quality and duration of life, it is associated with complications. Prognostically important heart injury – detected by an elevated blood concentration of either cardiac troponin or creatine kinase myocardial MB isoform (CK-MB) – is one of the most common complications after cardiac surgery and is associated with increased mortality. Although elevated CK-MB was historically used to define heart injury after cardiac surgery, this assay is no longer available in many hospitals worldwide, and consensus statements have recommended high-sensitivity cardiac troponin assays as the preferred biomarker. Based on expert opinion, the Fourth Universal Definition of Myocardial Infarction suggested that a cardiac troponin concentration >10 times the upper reference limit, in patients with a normal baseline measurement, should be the threshold used in the diagnosis of heart attack along with evidence of ischemia (e.g., ischemic ST changes on an ECG) in the first 48 hours after coronary artery bypass grafting (CABG). Although the Academic Research Consortium-2 Consensus stated there was no evidence-based threshold for cardiac troponin after CABG, they endorsed a threshold for the diagnosis of heart attack of ≥35 times the upper reference limit together with new evidence of ischemia, based on expert opinion. They also defined a threshold of ≥70 times the upper reference limit as a stand-alone criterion for clinically important periprocedural myocardial injury. Globally, many hospitals now use high-sensitivity cardiac troponin assays; however, limited data are available to define a prognostically important degree of myocardial injury after cardiac surgery based on these assays. We undertook the Vascular Events in Surgery Patients Cohort Evaluation (VISION) Cardiac Surgery Study to examine clinical outcomes after cardiac surgery. A primary objective was to determine the relationship between postoperative levels of high-sensitivity cardiac troponin I and the risk of death 30 days after cardiac surgery. 

28 Feb

Posted at 13:55h in Anesthesiology, Author Interviews, Columbia, JAMA, OBGYNE
MedicalResearch.com Interview with: Jean Guglielminotti MD,PhD Assistant Professor of Anesthesiology Columbia University Irving Medical Center New York 10032  MedicalResearch.com:  What is the background for this study?  Response: An old study (2004-2006) conducted in France suggested that epidural analgesia during childbirth resulted in a decreased risk of postpartum hemorrhage, the first cause of preventable maternal morbidity and mortality. We believed it was important to replicate this study in the United States, because of the advances in obstetric and anesthesia care practices during the last 15 years, and because of the marked differences in the health care systems between the United States and France.

26 Feb

Posted at 21:57h in Allergies, Author Interviews
MedicalResearch.com Interview with: [caption id="attachment_58820" align="alignleft" width="200"]Edmond S. Chan Dr. Chan[/caption] Edmond S. Chan MD, FRCPC, FCSACI, FAAAAI Head | Division of Allergy & Immunology | Department of Pediatrics, Faculty of Medicine Clinical Professor, The University of British Columbia Clinical Investigator, BC Children's Hospital Research Institute BC Children's Hospital, Allergy Clinic Vancouver, BC  Canada Treasurer, CSACI (Canadian Society of Allergy & Clinical Immunology) MedicalResearch.com:  What prompted you to look at the safety of peanut oral immunotherapy specifically in this patient population? Response: Our previous research has investigated the overall safety of peanut oral immunotherapy (OIT) in preschool populations. However, we have not investigated the relationship between specific patient characteristics and the safety of OIT. Previous literature has shown that patient factors, such as age, gender, baseline sIgE levels, and atopic comorbidities have been shown to impact the safety of OIT for other food allergies and in older patients. However, no data exist on which factors predict safety of peanut OIT in preschool populations.

22 Feb

Posted at 18:00h in Author Interviews, Dermatology, Diabetes
MedicalResearch.com Interview with: [caption id="attachment_58815" align="alignleft" width="200"]Chih-Shan Jason Chen, MD, PhD Director, Dermatologic and Mohs Micrographic Surgery Unit Memorial Sloan Kettering Skin Cancer Center at Hauppauge Attending Mohs Surgeon, Dermatology Service Memorial Sloan Kettering Cancer Center Chief, Dermatologic Surgery Northport VA Medical Center Associate Professor of Clinical Dermatology Renaissance School of Medicine at Stony Brook University Dr. Chen[/caption] Chih-Shan Jason Chen, MD, PhD Director, Dermatologic and Mohs Micrographic Surgery Unit Memorial Sloan Kettering Skin Cancer Center at Hauppauge Attending Mohs Surgeon, Dermatology Service Memorial Sloan Kettering Cancer Center Chief, Dermatologic Surgery Northport VA Medical Center Associate Professor of Clinical Dermatology Renaissance School of Medicine at Stony Brook University MedicalResearch.com:  What is the background for this study?    Response: Managing a surgical wound on the lower leg can be a challenge. Often, higher wound tension, atrophic skin, edema, and compromised circulation result in higher risks of wound dehiscence and infection, and significantly limit the capacity of wound closure post-surgically. Therefore, healing by secondary intention is a practical option for many lower leg Mohs defects. However, a secondary intention wound on the lower leg is expected to take a longer time to heal. Certain factors such as older age and health conditions of the host may adversely affect healing time. Timolol is a nonselective beta-adrenergic receptor antagonist that has FDA approval for the treatment of glaucoma. In addition to this FDA-approved indication, topical timolol has several off-label uses in dermatology, such as for the treatment of infantile hemangiomas, venous stasis ulcers, and refractory wounds. Although timolol solution has been used in chronic wounds, knowledges of the efficacy and utility of timolol in an acute post-surgical wound setting is lacking.

21 Feb

Posted at 21:03h in Dermatology

The body contains around 60% water. If you let that level decrease by not supplying yourself with enough liquid throughout the day, you could see and feel significant effects, especially on your skin. Dehydration can damage the skin barrier through transepidermal water loss, leading to extreme dryness, acne breakouts, and...

17 Feb

Posted at 19:27h in Author Interviews, Insomnia, Pediatrics
MedicalResearch.com Interview with: [caption id="attachment_58809" align="alignleft" width="153"]Julio Fernandez-Mendoza, PhD, CBSM, DBSM Associate Professor of Psychiatry & Behavioral Health Sleep Research & Treatment Center Director, Behavioral Sleep Medicine Program Penn State Health Milton S. Hershey Medical Cente Dr. Fernandez-Mendoza[/caption] Julio Fernandez-Mendoza, PhD, CBSM, DBSM Associate Professor of Psychiatry & Behavioral Health Sleep Research & Treatment Center Director, Behavioral Sleep Medicine Program Penn State Health Milton S. Hershey Medical Center MedicalResearch.com:  What is the background for this study?  Is insomnia familial? Response: Consistent research has shown that about 25% of school-age children have insomnia symptoms consisting of difficulties initiating or maintaining sleep. However, what has remained unknown is to what extent those insomnia symptoms persist all the way into adulthood, or whether they developmentally remit (go away with age) as the child grows into adolescence or young adulthood. This is the question that our study focused on.

17 Feb

Posted at 18:45h in Addiction, Author Interviews

MedicalResearch.com Interview with:

[caption id="attachment_58805" align="alignleft" width="150"]Harriet De Wit, PhD Professor of Psychiatry and Behavioral Neuroscience University of Chicago Harriet De Wit, PhD[/caption]

Harriet De Wit, PhD Professor of Psychiatry and Behavioral Neuroscience University of Chicago 

MedicalResearch.com:  What is the background for this study?    Response: There are numerous reports that psychedelics like LSD, taken in very small ‘microdoses’, help boost mood, cognitive function and productivity. The practice is popular in Silicon Valley and among media figures, who report remarkable beneficial effects from regular use of these microdoses. The possible antidepressant effects of LSD are plausible from a neurobiological perspective, as the drug acts directly on serotonin receptors, the same systems where SSRI’s act.  However, the effects of microdosing have not yet been validated in controlled research. In our study, we recruited healthy men and women to ingest repeated, low doses of LSD under double blind conditions.  They attended four laboratory sessions, separated by three to four days.  They were randomly assigned to one of three groups who received the same drug on all four sessions: placebo, 13 micrograms of LSD or 26 micrograms of LSD. Subjects were not told exactly what drug they were receiving until the end of the study.  We measured their mood, emotional reactivity and cognition.

16 Feb

Posted at 20:02h in Author Interviews, COVID -19 Coronavirus
MedicalResearch.com Interview with: https://vipstarnetwork.com/Johonniuss Chemweno CEO of VIPStarNetwork MedicalResearch.com:  What is the mission of VIP StarNetwork?  Response: VIP StarNetwork’s mission is to expand access to healthcare services and information, especially in underserved and underprivileged communities. Our comprehensive group of health experts, leading physicians, and healthcare executives are working to create a meaningful and safe environment to ensure that patients have equitable and streamlined access to vaccines and other forms of care.

26 Dec

Posted at 15:49h in Author Interviews, COVID -19 Coronavirus, Critical Care - Intensive Care - ICUs
MedicalResearch.com Interview with: Dr Toon Mostien Jessa Hospital, Hasselt, Belgium MedicalResearch.com: What is the background for this study Response: Patients with COVID-19 that survive critical illness are confronted with months or even years of physical impairments. Moreover, literature indicates that possibly up to 68% can still suffer from musculoskeletal symptoms such as muscle pain and weakness after infection with SARS-CoV-2. Although we have focused on 7-day differences in muscle fiber type characteristics, this research is a first step in discovering if skeletal muscles of critically ill patients are more severely damaged compared to a more general ICU population. Cytokine storm and systemic inflammatory responses triggered by the infection could augment muscle damage beyond that of non-COVID ICU patients.

08 Oct

Posted at 18:18h in Aging, Geriatrics
There are several reasons why the elderly select assisted living facilities over their lifetime homes, nursing care, and old age homes. Health issues and getting help in case of an emergency also play a role. For those considering this option, it may be useful to know what advantages this mode of living offers, as experienced by those in assisted living facilities. Let us look at the reality of this choice to determine whether it’s the best fit for you.

The Most Common Reasons

The first reason for opting for assisted living is that it provides a solution to elderly people for the housing dilemma. Many people who have already made this move were living in a house that had become difficult and expensive to maintain. Many found that they could no longer keep up with housework adequately. Some also felt that an assisted living facility offered better security than a large property. Assisted living may offer smaller apartments for their residents. This allows you to retain your independence while benefitting from the other advantages already mentioned. This is also a good alternative to an old age home or nursing care which somewhat reduces your freedom.

03 Jun

Posted at 21:37h in Anesthesiology, Author Interviews, Pulmonary Disease
MedicalResearch.com Interview with: Dr James Purcell University College Cork and South Infirmary Victoria University Hospital Cork, Ireland MedicalResearch.com: What is the background for this study? Response: Nail varnish and acrylic nails  or newer trends like magnetic gel polish are common accessories and as such are commonly encountered by an array of healthcare professionals in various scenarios when SpO2 readings may be part of patient care.. Colloquially there was a wide variety of approaches and beliefs as to whether or not these treatments impacted on SpO2 readings. This is due to the fact that the Digital Pulse oximetry relies on the passing of a wavelength of light through a pulsatile nailbed to a sensor on the opposite side of the finger tip in order to read SpO2 levels. Any potential interference to this process by polish of certain hues, or acrylic was therefor believed to impact on the resultant readings As such it was decided to analyse the actual level of knowledge and variety of approaches to the issue by means of a multisite study involving Consultants, NCHDs, and nursing staff in areas where this issue may arise. A second, experimental part of the study was set up using healthy volunteers and venous congestion and hypoxia modelling. Nail varnish of differing hues and acrylic nails (magnetic nails were not studied) were applied and results of SpO2 readout in healthy and pathological models with and without nail treatments applies were analysed.