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Nursing

News, opinions and meeting coverage in nursing.

What Bystanders Should Know About CPR -- and Why

Bystander-initiated cardiopulmonary resuscitation (CPR) has poor neurological outcome, and this is true even when bystanders are family members, which suggests deficits in public CPR training.

Neuropathy May Signal Lupus

Peripheral neuropathy is a more common manifestation of systemic lupus erythematosus than has been previously appreciated, and often is a small-fiber neuropathy affecting the dorsal root ganglia, a large retrospective study found.

Women on Seizure Meds Need More Folic Acid

WASHINGTON -- About half of epileptic women taking anti-seizure drugs who could have become pregnant said they were not taking the recommended folic acid supplements, results of a survey found.

At-Home Seizure Tests Promising

WASHINGTON -- Technologies to provide instant at-home detection of life-threatening seizures and that could allow epilepsy patients to monitor their own drug levels are almost ready, researchers said here.

Gene Therapy Works in SCID With No Risk of Leukemia

NEW ORLEANS -- Genetic therapy appeared to restore the immune system of patients with X-linked severe combined immunodeficiency (SCID), but without leading to leukemia as a side effect, researchers reported here.

Satisfaction With Epilepsy Surgery Lasts Long Term

WASHINGTON -- More than 90% of patients who had surgery for drug-resistant epilepsy said it was worthwhile when interviewed up to 20 years later, even when quality-of-life indicators were not improved, researchers said here.

Laser Epilepsy Surgery Boosts Memory Function

WASHINGTON -- Stereotactic laser ablation of seizure foci in the hippocampus appeared to reverse certain types of memory deficits that commonly occur in this population, researchers said here.

10 Questions: John P. Erwin, MD

What's the biggest barrier to practicing medicine today? That's just the first of 10 questions the 番茄社区 staff is asking leading clinicians and researchers to get their personal views on their chosen profession. In this series we share their uncensored responses. Here, answers from John P. Erwin, MD, of Scott & White Healthcare in Temple, Texas.

Diabetes: TAVI Trumps Heart Surgery

Patients with diabetes who had aortic stenosis fared better in terms of mortality and kidney function during the first year if they underwent transcatheter aortic valve implantation (TAVI) rather than surgery, a post-hoc analysis found.

Debate: Who Should Prescribe CPAP?

Should primary care physicians and other nonspecialists be able to prescribe sleep apnea treatment after home testing? Experts debated that issue this month in Chest.

Radiation Safe in Unbiopsied Lung Cancer

CHICAGO -- Treating people with stereotactic body radiation for suspected -- but unbiopsied -- lung cancers appears to allow for acceptable local control of the disease with low toxicity, researchers reported here.

Use of Expired Auto-Injectors OK'd by FDA

WASHINGTON -- The FDA cautioned emergency medical staff to retain recently expired auto-injectors by Meridian Medical Technologies and to use them in emergencies if no other product is available.

Gastric Artery Embolization Tied to Weight Loss

CHICAGO -- Embolization of the left gastric artery was associated with significant weight loss compared with that seen in patients who underwent a control procedure, researchers found.

Bone Density Higher in Blacks, Vitamin D Lower

Black Americans had lower levels of total 25-hydroxyvitamin D and vitamin D-binding protein than whites, but similar levels of bioavailable 25-hydroxyvitamin D, and higher bone density.

Testosterone Levels: Middle Range Best in Old Age

Older men whose natural testosterone levels were in the middle range tended to live longer than those with the highest and lowest levels, a study found.

AMA President Discusses SGR Repeal Efforts

Shortly after the American Medical Association's interim meeting adjourned, Ardis Hoven, MD, president of the American Medical Association, sat down for a one-on-one interview with 番茄社区 to discuss the AMA's SGR repeal strategy.

FDA Flags Risk of Nuclear Stress Test Drugs

SILVER SPRING, Md. -- Two agents used in cardiac nuclear stress tests may carry a greater risk of heart attack and death than previously believed, the FDA said Wednesday.

Docs Need Info on 'Grace Period,' AMA Says

NATIONAL HARBOR, Md. -- The American Medical Association wants health plans to notify doctors when patients haven't paid their premiums, a situation that could leave physicians on the hook for unpaid services.

Surgery Beats Medical Tx for Diabetes 'Cure'

ATLANTA -- Bariatric surgery's beneficial effects for type 2 diabetes were significantly greater than even the most rigorous medical and lifestyle interventions, a researcher said here.

SGR Repeal Still Gets AMA Support

NATIONAL HARBOR, Md. -- The AMA's policymaking House of Delegates voted nearly unanimously to continue its support of congressional efforts to repeal Medicare's payment formula despite its opposition to a 10-year pay freeze that's part of a draft proposal.

Fast-Acting AMA Group Hopes to Fix SGR

NATIONAL HARBOR, Md. -- A large coalition of American Medical Association members met in seclusion Sunday morning here at the interim meeting of the House of Delegates and rapidly found consensus on a proposed resolution for the repeal of Medicare's sustainable growth rate (SGR) formula.

Magnet Therapy Cuts Binge-Purge Eating

SAN DIEGO -- A course of transcranial magnetic stimulation (TMS) helped about half of patients with binge/purge eating disorders to cut the frequency of such episodes significantly, a researcher said here.

ACE Inhibitors Linked to Severe Allergic Reactions

BALTIMORE -- Antihypertensive treatment with ACE inhibitors may prime oral allergy syndrome patients for severe reactions, a case-report suggested.

Brain Stimulation Helps Smokers Quit

SAN DIEGO -- Magnetic brain stimulation with a sensory cue was associated with reduced smoking rates and improved quit rates among heavy smokers unaffected by prior therapy, researchers reported here.

Teens More Apt to Fight Than Flee

SAN DIEGO -- Teens were more likely to actively respond to aggressive cues than were children or adults, researchers reported here.

High IgG Signals Autoimmunity in Kids

High levels of immunoglobulin G (IgG) in children -- and particularly girls -- were associated with the development of autoimmune disease, researchers found.

Exercise May Allay Anxiety, Depression

SAN DIEGO -- Exercise may have modest benefits as a treatment for patients suffering from anxiety or depression, researchers reported here.

Common Allergy Myths Debunked

BALTIMORE -- Egg allergy is no issue for flu vaccination, allergen avoidance isn't a cure for eczema, and testing tots doesn't make skin prick testing any less accurate, according to allergists taking aim at common misconceptions.

Who's Afraid of Gummy Bears?

BALTIMORE -- From saxophone lung to the strange affair of the gummy bear allergy, case reports take center stage at the annual meeting of the American College of Allergy, Asthma, and Immunology.

Rape Laws Offer Little Protection

BOSTON -- The world over, laws to protect rape victims are paper tigers, often enacted but rarely enforced, a researcher said here.

Studies 'Validate' CDC HCV Testing Advice

WASINGTON -- Thousands of people in the U.S. -- including an estimated 50,000 veterans -- are infected with the hepatitis C virus, and don't know it, researchers reported here.

Supplements Blamed for Liver Toxicity

WASHINGTON -- The rate of liver damage caused by dietary and herbal supplements -- especially those used for bodybuilding -- appears to be on the rise, a researcher said here.

Prime Time: Skin Docs Name 5 Unnecessary Procedures

The American Academy of Dermatology joined more than 80 other medical societies in the Choosing Wisely campaign, naming five treatments or procedures that may not be necessary. Prime Time is a blog by Chris Kaiser for those interested in primary care.

Gestational Diabetes Tied to Perinatal Stroke

AUSTIN, Texas -- Perinatal arterial ischemic stroke has many possible risk factors, including gestational diabetes, researchers reported here.

Babies Do OK if Mom on Tenofovir for Hepatitis B

WASHINGTON -- Pregnant women being treated for hepatitis B virus infections with the nucleotide inhibitor tenofovir (Viread) appeared to avoid transmission of the pathogen to their unborn children, researchers reported here.

TCT: Removing Clot During PCI Fails in NSTEMI

SAN FRANCISCO -- Aspiration thrombectomy during percutaneous coronary intervention (PCI) did not improve outcomes in patients with non-ST-segment elevation myocardial infarction (NSTEMI), a randomized trial showed.

Stem Cells Help ALD Kids Live Longer

AUSTIN, Texas -- Survival in children with cerebral adrenocerebral adrenoleukodystrophy (ALD) appeared to be improved with allogeneic hematopoietic cell transplants compared with untreated patients, a researcher said here.

NICU Survivors May See Higher Autism Rates

AUSTIN, Texas -- Autism spectrum disorder incidence was significantly higher in babies who spent time in the neonatal intensive care unit, versus the general population, and was often accompanied by comorbidities, researchers said here.

Autoantibodies a Big Deal in Sjogren鈥檚

SAN DIEGO -- A broader range of autoantibodies may play a role in Sjogren's syndrome than has previously been appreciated, researchers found.

Mom's Lupus Tied to Child's Autism

SAN DIEGO -- Children born to mothers with systemic lupus erythematosus have twice the risk for autism spectrum disorders as those whose mothers are unaffected, a Canadian researcher reported here.

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