Health and Fitness for Thursday April 14, 2011

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Shorter doctor hours don't hurt patient LONDON (UPI) -- A review of 72 U.S. and British studies found reducing doctor working hours does not seem to have hurt patient safety, researchers say. Researchers at University College Hospital, London, and colleagues say in the past 20 years there have been efforts to lower the number of hours U.S. and European doctors-in-training -- Denmark requires the maximum number of hours worked in a hospital at 37, while the United States requires no more than 80 hours a week. In 2009, the European Working Time Directive restricted trainee doctors in Europe work no more than 48 hours a week. The study, published in the British Medical Journal, found the U.S. reduction in hospital working hours for new doctors to less than 80 a week did not seem to hurt patient safety, but studies on the impact of limiting trainee doctors in Europe to 48 hours a week were of poor quality and had conflicting results. More high-quality studies are needed to evaluate the impact of restricting working hours are needed, the researchers say. "Only then can both the public and the profession be reassured that the standard of medical training, and therefore the future care of patients, is of the highest possible quality and will be maintained or improved over time," the researchers say in a statement. Copyright 2011 by United Press International
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Go home day after brain aneurysm treatment CHICAGO (UPI) -- A new technology allows a patient with a large aneurysm -- bulging blood vessel -- to go home the day after the procedure, a U.S. doctor says. Dr. John Whapham of Loyola University Chicago Stritch School of Medicine says coil embolization was used on a patient who had an unusually large brain aneurysm -- about three-quarters of an inch, while typical aneurysms are about one-third that size. Whapham inserted a catheter -- thin tube -- in a groin artery and guided it through blood vessels into the brain, where he passed tiny coils of platinum wire via the catheter into the bulging aneurysm. "The bulge fills with coils, causing the blood to clot and effectively seal off the aneurysm," Whapham says in a statement. "It's like filling a bathtub with concrete." The procedure took 1.5 hours, while traditional open-brain surgery to repair aneurysms is highly invasive because the surgeon opens the skull, retracts the brain and places a clip across the base of the aneurysm. Recovery can take months, Whapham says. "This new coil is a game changer," Whapham said. "It's the start of a revolution in the minimal-invasive repair of aneurysms." Copyright 2011 by United Press International
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U.N.'s Ban calls for world TB funding UNITED NATIONS (UPI) -- Unless more funds are dedicated to the fight against tuberculosis, millions could die from the largely curable disease, U.N. Secretary-General Ban Ki-moon says. Additional funding is needed for research, improved prevention, early diagnosis and treatment to prevent a possible 8 million deaths between now and 2015, he said in a statement marking World Tuberculosis day Thursday. "There is cause for optimism" he said. "The recent adoption of a fast and powerful new diagnostic tool promises to accelerate international gains against the disease. "At the same time, our hope must be tempered by the sobering fact that multi-drug-resistant forms of tuberculosis (MDR-TB) remain an ever-present threat that, if allowed to spread unchecked, could set back the steady progress made during the past two decades." The U.N. World Health Organization estimates there will be more than 2 million new cases of MDR-TB between 2011 and 2015. Ban cited major achievements by the WHO, including impressive improvements in the way TB care is delivered with well over 40 million people receiving treatment over the past 15 years, a U.N. release reported. However, he warned, much remains to be done. "This progress could be lost if we are not vigilant," Ban said. "Efforts to carry out the strategy are severely under-funded, as is research to develop additional, badly needed tools." "In the 21st century, no one should die from this curable disease," he said. Copyright 2011 by United Press International
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Dog detects breast cancer in owner ATLANTA (UPI) -- An Atlanta-area woman credits her dog for saving her life because she says the dog sniffed out her breast cancer. Carol Witcher says three years ago her dog Floyd Henry gave her a pointed message. "He nipped my nose and then pushed against my right breast. And I said, 'what are you doing?'" Witcher told the television news program on 11 Alive in Atlanta. "He pushed again and stood back and looked at me right in my eyes like, 'There's a problem here.' Then, he raised his right front foot and pawed my breast. And I said, 'uh oh.'" Witcher says she acted on her dog's prompting and doctors found breast cancer in the exact spot Floyd Henry touched. Three years later, Witcher says she is cancer free. "He saved my life," she says. Dr. Suresh Ramalingam, director of medical oncology at Emory University's Winship Cancer Institute, says she is studying cancer detection via breath odor. "The types of gases exhaled in our breath sample can be used to detect cancer," Ramalingam says. "What the dog shows is proof that this is possible." Doctors say sniffing out the specific location of cancer, as in Witcher's case, is possible but highly unlikely. Witcher says she has all the proof she needs. Copyright 2011 by United Press International
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