A major review of palliative care services around the world has highlighted huge inconsistencies in provision, with patients in some countries receiving a fraction of the support provided elsewhere. More than 11 million cases have been reviewed.
A team from the Institut national de la recherche scientifique (INRS) and the Institut national de santé publique du Québec (INSPQ), led by Professor Fateh Chebana, has recently developed a cold-health watch and warning system for cold waves, a first in the world. Their results were published in November 2020 in the journal Science of the Total Environment.
The lives of patients hospitalised with COVID-19 are being saved by doctors who are using an existing medical treatment at an earlier stage. Continuous Positive Airway Pressure (CPAP) in the first days of hospitalisation seems to save between 10% to 20% of patients. The researchers also found that the early use of CPAP potentially reduces lung damage during the worst of the COVID-19 infection and allows the patient to recover from the inflammatory effects.
Currently, there are over 10 million confirmed cases and more than 240,000 casualties attributed to COVID-19 in the U.S. Researchers at Louisiana State University have applied computational models to investigate infection rates in relation to social distancing measures. Their paper, Effect of mitigation measures on the spreading of COVID-19 in hard-hit states in the US, was recently published in PLOS ONE.
A recent study evaluating the use of force by police against children found that Black and Hispanic adolescents are significantly more likely to die from shootings related to police intervention compared to non-Hispanic white adolescents. The findings, led by Children's National Hospital researchers and reported online Nov. 24 in Pediatrics, mirror similar racial and ethnic disparities in adults and highlight the need for interventions and policies to mitigate these tragedies.
In a population-based Swedish database, researchers studied the clinical outcomes of starting renin-angiotensin system inhibitor (RASi) or calcium channel blockers (CCB) in 2,458 patients with CKD G4-5. Compared with CCB, RASi initiation was associated with a lower risk of KRT, but similar risks of mortality and major adverse cardiovascular events. These findings suggest that RASi initiation might slow the progression of kidney disease compared with CCB in patients with advanced CKD, and offer similar cardiovascular protection.
There are known differences in the survival rates of women and men with lung cancer. Researchers at Karolinska Institutet in Sweden set out to investigate potential reasons behind this disparity, such as the presence of other underlying diseases and smoking status. The study, which was published in Chest, shows that women have better survival rates after lung cancer surgery than men, independent of other factors.
Abnormally high blood sugar may worsen outcomes and mortality rates for COVID-19 patients, including those without diabetes, according to major research published in the peer-reviewed open access journal Annals of Medicine.
Excessive calcium contributes to harmful inflammation in ischemic stroke, and targeting it may provide doctors with a new way to improve patient outcomes.
The risk of death is high for people who visit the emergency department (ED) for alcohol use, and the risk increases with frequency, according to a new study in CMAJ (Canadian Medical Association Journal)