http://medicalxpress.com/ en-us Medical Xpress internet news portal provides the latest news on Health and Medicine. For the first time, a small device implanted in the brain has accurately predicted the onset of seizures in some adults who have epilepsy that doesn't respond to drugs, according to a small proof-of-concept study published Online First in The Lancet Neurology. http://medicalxpress.com/news/2013-05-implanted-device-epilepsy-seizures-humans.html Neuroscience Wed, 01 May 2013 18:30:01 EST news286645243 William M. Tierney, M.D. focuses on the potential of electronic medical systems and computer-based decision support to control healthcare costs in "Controlling costs with computer-based decision support: a hammer, a scalpel or an illusion?" published online in JAMA Internal Medicine on April 15. http://medicalxpress.com/news/2013-04-computer-based-decision-health.html Health Tue, 16 Apr 2013 15:47:31 EST news285346043 According to Dr. Samy Suissa, Director of Clinical Epidemiology, Jewish General Hospital, and Professor of Epidemiology, McGill University in Montreal, Canada, "treating physicians need to consider the clinical effectiveness of combining different antithrombotic therapies against the likelihood of increasing the risk of serious bleeding." This new study, published in the March 2013 issue of Thrombosis and Haemostasis, quantified the risk of bleeding events associated with antithrombotic combination therapy in a large population-based cohort of patients newly diagnosed with atrial fibrillation. These findings suggest that while all antithrombotic therapies are associated with an elevated bleeding risk, chances are greatly increased in an additive manner with dual and triple therapy, particularly in combinations containing warfarin. http://medicalxpress.com/news/2013-03-major-dual-triple-antithrombotic-therapy.html Cardiology Tue, 05 Mar 2013 09:03:18 EST news281696545 A stroke survivor's chances of living independently after 90 days are not improved by the use of devices inserted into the artery to dissolve or remove a stroke-causing clot shortly after the onset of symptoms, according to a randomized controlled trial involving 656 patients. http://medicalxpress.com/news/2013-02-clot-retrieval-devices-stroke-related-disability.html Cardiology Thu, 07 Feb 2013 12:00:03 EST news279448362 (HealthDay)—Health information technology (IT) can improve pediatric obesity screening rates and treatment, but the effect on weight loss and other outcomes is less clear, according to a study published online Feb. 4 in Pediatrics. http://medicalxpress.com/news/2013-02-pediatric-obesity-screening-treatment.html Pediatrics Mon, 04 Feb 2013 13:30:01 EST news279204279 More costly, intensive treatment works no better than usual care at speeding up recovery from whiplash injuries, according to new research published Online First in The Lancet. http://medicalxpress.com/news/2012-12-intensive-therapy-traditional-recovery-whiplash.html Diseases, Conditions, Syndromes Mon, 17 Dec 2012 18:30:01 EST news274986980 An analysis of two heart failure therapies finds differing outcomes regarding improvement in survival, according to two studies appearing in the November 28 issue of JAMA. http://medicalxpress.com/news/2012-11-therapies-heart-failure-survival.html Cardiology Tue, 27 Nov 2012 17:02:33 EST news273258143 Previous studies have hypothesized that low levels of the enzyme thymidylate synthase (TS) likely mark patients who will benefit from the drug pemetrexed – but results have been inconclusive at best and at times contradictory. A University of Colorado Cancer Center study recently published in the Journal of Thoracic Oncology provides an explanation why: only in combination with high levels of a second enzyme, FPGS, does low TS predict response to pemetrexed in patients with malignant pleural mesothelioma. http://medicalxpress.com/news/2012-08-malignant-mesothelioma-patients-benefit-drug.html Cancer Wed, 29 Aug 2012 15:27:46 EST news265472857 Financial incentives (pay for performance) schemes for health professionals "can undermine motivation and worsen performance" warn US experts in an editorial published in the British Medical Journal today. They also say that gaming of the system is rife. http://medicalxpress.com/news/2012-08-schemes-undermine-worsen.html Health Tue, 14 Aug 2012 18:30:03 EST news264165105 More involvement by patients, clinicians and others in the health care community in developing comparative clinical effectiveness research studies will make such studies far more useful in clinical decision-making, according to the Patient-Centered Outcomes Research Institute, in an article published in the April 18 issue of JAMA, a theme issue on comparative effectiveness research. http://medicalxpress.com/news/2012-04-greater-patient-clinician-involvement-clinical.html Health Tue, 17 Apr 2012 11:10:01 EST news253878701 Knee replacement is amongst the most common surgical procedures in developed countries, with over 650 000 total knee replacements (TKR) performed in the USA in 2008 alone, at a cost of more than $10 billion. Yet there is very little or no evidence of the safety or cost-effectiveness for many of the numerous types of implants on the market. Furthermore, a lack of reliable information comparing patient-reported outcomes with different implants and surgical techniques is preventing surgeons from achieving the best outcomes for patients, according to a Seminar published Online First in The Lancet. http://medicalxpress.com/news/2012-03-evidence-long-term-safety-effectiveness-millions.html Surgery Mon, 05 Mar 2012 18:30:01 EST news250174734 Children who have their adenoids surgically removed do not get fewer upper respiratory tract infections such as sinusitis and colds, finds research published in BMJ today. http://medicalxpress.com/news/2011-09-children-adenoids-upper-respiratory-infections.html Diseases, Conditions, Syndromes Wed, 07 Sep 2011 04:21:10 EST news234588051