MedicalResearch.com - Latest news, interviews, and insights into medical research, health and wellness, fitness and addiction.
MedicalResearch.com eInterview with:
Peter Muennig, MD, MPH
Associate Professor of Health Policy and Management
Columbia University School of Public Health
NY City, NY
MedicalResearch.com: What are the main findings of the study?
Answer: We find that one of the welfare time limit experiments that led to welfare reform in the United States in 1996 led to increases in mortality rates among experimental group participants over 14-15 years of follow up.
MedicalResearch.com: Were any of the findings unexpected?
Answer: Yes. Welfare reform led to increases in employment among the experimental group participants. Employment has long been hypothesized to reduce mortality. We examined this experiment to explore whether increases in employment among those exposed to time limits on welfare reduced mortality. We found instead they increased mortality.
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John Hart, M.D.
Medical Science Director at the Center for BrainHealth
Jane and Bud Smith Distinguished Chair
Cecil Green Distinguished Chair
The University of Texas at Dallas
MedicalResearch.com: What are the main findings of the study?
Dr. Hart: Football players often sustain numerous concussive and subconcussive impacts—head impacts that do not elicit neurologic symptoms that may lead to white matter damage. We evaluated a population of retired NFL players in order to study the relationship between white matter integrity and the manifestation of depressive symptoms. We identified, for the first time, a correlation between depression and white matter abnormalities in former players with a remote history of concussion using diffusion tensor imaging (DTI).
Our data demonstrated a significant association between white matter integrity, as measured by DTI Fractional Anisotropy (FA), and the presence as well as severity of depressive symptoms in retired NFL athletes with a history of concussive or subconcussive impacts. We also found that dysfunction of the anterior aspect of the corpus callosum (forceps minor) and its projections to the frontal lobe can identify those with depression with 100% sensitivity and 95% specificity.
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MedicalResearch.com eInterview with
Martin Sénéchal, Ph.D.
Postdoctoral Researcher
The Manitoba Institute of Child Health
University of Manitoba
511E- 715 McDermot Ave Winnipeg, Manitoba
MedicalResearch.com: What are the main findings of the study?
Answer: The main finding of this study is that reducing central adiposity and increasing fitness in men and women with Type 2 diabetes are key components for successfully improving glycemic control.
A secondary finding of the study is that improvement in both central adiposity (reduction) and fitness (increasing) simultaneously; increase the likelihood of reducing HbA1c, one of the most widely used indicators of glucose control, and/or Type 2 diabetes medications.
(more…)MedicalResearch.com eInterview with: 
Fengcai Zhu
Deputy Director of the Jiangsu Provincial Center for Disease Prevention and Control, Jiangsu provincial center for disease prevention and control
MedicalResearch.com Editor's Note:
HFMD =
Hand Foot and Mouth Disease
MedicalResearch.com eInterview with Pauline Mendola, PhD
Investigator
Epidemiology Branch
Division of Epidemiology, Statistics and Prevention Research
Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH Rockville, MD 20852
MedicalResearch.com: What are the main findings of the study?
Dr. Mendola: Women with thyroid disease during pregnancy had more obstetric complications including preeclampsia and preterm birth. They were also more likely to be admitted to an intensive care unit during their delivery admission.
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Adam Z. Tobias, MD, MPH
Assistant Professor of Emergency Medicine
University of Pittsburgh School of Medicine
Pittsburgh, PA 15261
MedicalResearch.com: What are the main findings of the study?
Answer: We reviewed records of 11,920 in-flight medical emergency calls from five domestic and international commercial airlines to a physician-staffed medical communications center at the University of Pittsburgh. We found that during the study period, there was one medical emergency per 604 flights (16 per 1 million passengers). The most common problems were syncope or pre-syncope, respiratory symptoms, and nausea and vomiting. Aircraft diversion to an alternative landing site occurred just over 7% of the time. About one quarter of patients were transported to a hospital and only 8.6% were admitted.
(more…)MedicalResearch.com eInterview with David Melzer, MBBCH, PhD Professor of Epidemiology and Public Health Medical School - University of Exeter, Barrack Road, Exeter EX2...
MedicalResearch.com eInterview with: Sarah Edmonds, Scientist at GOJO.
MedicalResearch.com: What are the main findings of the study?
Answer: Implementation of electronic hand hygiene compliance monitoring with a clinical hand hygiene program significantly increased hand hygiene compliance rates, with rates during the study period being 92% higher than at baseline.
MedicalResearch.com: Were any of the findings unexpected?
Answer: While not necessarily unexpected we did find that electronic compliance monitoring alone may not be sufficient to raise compliance rates for a sustained period of time. After the clinical program concluded there was a significant drop in compliance rates so it is important to continue to monitor hand hygiene rates and continue to promote the program to sustain increased hand hygiene compliance.
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MedicalResearch.com eInterview with Kathryn L. Humphreys, M.A., Ed.M.
Clinical Psychology Doctoral Student
UCLA Department of Psychology
1285 Franz Hall, Box 951563
Los Angeles, CA 90095
MedicalResearch.com: What are the main findings of the study?
Response: Our primary question was to answer whether the use of stimulant medication in the treatment of ADHD was associated with increased or decreased risk for a variety of substance use (ever tried) and substance use disorder (abuse or dependence) outcomes (alcohol, cocaine, marijuana, nicotine, and non-specific drug use).
Prior research from individual studies of children have provided mixed evidence (i.e., some found medication increased later risk, some found medication decreased risk, and still others found no difference in risk). We examined available longitudinal studies (i.e., medication treatment preceded measurement of substance outcome) together using meta-analysis, a technique that aggregates findings from a number of studies, in order to examine this question in a much larger sample of individuals.
Our main finding was that children with ADHD who received medication treatment did not differ in risk for lifetime substance use or abuse or dependence compared to those children with ADHD who did not receive medication treatment.
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Dr. Jane L Lynch MD
School of Medicine
Pediatrics
University of Texas Health Science Center at San Antonio
MedicalResearch.com: What are the main findings of the study?
Dr. Lynch: American youth with type 2 diabetes who received the best currently available treatment and close monitoring of their diabetes experienced a more rapid progression of co-morbidities far more aggressive than what is typically seen in adults with type 2 diabetes.
MedicalResearch.com: Were any of the findings unexpected?
Dr. Lynch: Youth with type 2 diabetes enrolled in the TODAY study developed early and rapidly progressing signs of heart and kidney disease, poor glycemic control and diabetes-related eye disease; even in the group receiving more intensive two-drug therapy, shown in previously released results to be the most effective treatment for maintenance of glycemic control.
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John D. Mathews, MBBS, MD, PhD, DSc Hon, DMedSc Hon,
Professor of epidemiology at the School of Population and Global Health,
University of Melbourne,
Carlton, Victoria, Australia
Cancer risk in 680 000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians
MedicalResearch.com: What are the main findings of the study?
Prof Mathews: We found that for persons having at least one CT scan before the age of 20 years, and followed for an average period of 10 years, the average risk of cancer was increased by 24% compared with unexposed persons matched for age, sex and year of birth. The cancer risk increased by 16% for each CT scan that preceded the cancer by more than one year. The proportional increase in risk was greater for persons exposed at younger ages.
(more…)MedicalResearch.com eInterview with Muhammad Mamdani Director, Applied Health Research Centre, St. Michael's Hospital Scientist in the Keenan Research Centre of the Li...
MedicalResearch.com eInterview with Dr. Giuseppe Orlando, M.D., Ph.D.
Dr. William A. Bauman, MD
Veterans Affairs Rehabilitation Research and Development
National Center of Excellence for the Medical Consequences of Spinal Cord Injury
Suite 7A-13, James J. Peters Veterans Affairs Medical Center
130 West Kingsbridge Road, Bronx, NY 10468;
MedicalResearch.com: What are the main findings of the study?
Dr. Bauman: In a prospective, randomized two-group, double-blind, placebo-controlled, intention-to-treat clinical trial, we determined whether SCI in-patients with a full thickness (Stage III or IV) pressure ulcers of the pelvic region who received 24 weeks or less of optimized clinical care and an oral anabolic steroid agent, oxandrolone, have a greater percent of healed target pressure ulcers than those who received placebo and the same clinical care. There was no significant difference in proportion of pressure ulcers that healed between the treatment and placebo groups [treatment recipients 24.1% (95% CI, 16.0% to 32.1%) and placebo recipients 29.8% (CI, 21% to 38.6%) with a difference, -5.7 percentage points (CI, -17.5 to 6.8 percentage points)]. Also, the rate of healing of wounds at 28 days was not significantly different between the groups (50.9% of the oxandrolone group and 43.3% of the placebo group had healing of ≥30.0%), nor was the number of wounds that remained closed at 8 weeks significantly different (16.7% of the oxandrolone group and 15.4% of the placebo group). No serious adverse events were related to drug administration but a significantly greater proportion of patients had elevated liver enzymes in the treatment group [treatment recipients 32.4% (95% CI, 23.6% to 41.2%) and placebo recipients 2.9%% (CI, 0.0% to 6.1%).
Thus, oxandrolone showed no benefit over placebo for improving healing of chronic pressure ulcers of the pelvic region or the proportion that remained closed after 8 weeks of treatment.
(more…)MedicalResearch.com eInterview with Luis Beck-da-Silva, MD, ScD Cardiology Division, Heart Failure Clinic Hospital de Clínicas de Porto Alegre Rua Ramiro Barcelos, 2350 Sala...
MedicalResearch.com eInterview with: Christopher J Lindsell, PhD Vice Chair for Research, Department of Emergency Medicine Director of Biostatistics, Epidemiology and Research Design, Center for Clinical...