Weight-Loss Surgery Can Prolong Life

Weight-Loss Surgery Can Prolong Life.
Weight-loss surgery appears to keep up way of life for severely obese adults, a new study of US veterans finds. Among 2500 stout adults who underwent so-called bariatric surgery, the death rate was about 14 percent after 10 years compared with almost 24 percent for plump patients who didn't have weight-loss surgery, researchers found. "Patients with burdensome obesity can have greater confidence that bariatric surgical procedures are associated with better long-term survival than not having surgery," said flex researcher Dr David Arterburn, an accomplice investigator with the Group Health Research Institute in Seattle. Earlier studies have shown better survival middle younger obese women who had weight-loss surgery, but this study confirms this pronouncement in older men and women who suffer from other health problems, such as diabetes and high blood pressure.

The findings were published Jan 6, 2015 in the Journal of the American Medical Association. "We were not able to influence in our exploration the reasons why veterans lived longer after surgery than they did without surgery. "However, other check out suggests that bariatric surgery reduces the risk of diabetes, heart disease and cancer, which may be the foremost ways that surgery prolongs life". Dr John Lipham, chief of northerly gastrointestinal and general surgery at the Keck School of Medicine at the University of Southern California, Los Angeles, said that patients who have weight-loss surgery most often see their diabetes disappear

And "This by itself is booming to provide a survival benefit. Shedding excess weight also lowers blood urge and cholesterol levels and reduces the odds of developing heart disease. "If you are obese and not able to lose weight on your own, bariatric surgery should be considered". Arterburn said most insurance plans including Medicare occupy bariatric surgery. As with any surgery, however, weight-loss surgery carries some risks.

Each Person Has A Scoliosis

Each Person Has A Scoliosis.
As a world-class golfer, Stacy Lewis' accomplishments are remarkable. But it was a concrete invitation in her childhood that defined her ascent to the eminent of her sport. "I was an 11-year-old girl with my heart set on playing golf when my scoliosis was diagnosed by my orthopedic surgeon," said Lewis, who has become a spokeswoman for both the Scoliosis Research Society and the American Academy of Orthopaedic Surgeons so she can aide others in the same situation". But having scoliosis feigned me to develop a effective sense of mental and physical toughness, which has benefited me to this day".

That toughness helped Lewis nick the Ladies Professional Golf Association's Player of the Year award in 2012. And in March, the 28-year-old claimed the apogee spot in the Woman's World Golf Rankings. Scoliosis is a humourless musculoskeletal disorder that leads to curvature of the spine and affects millions of Americans. According to the National Scoliosis Foundation, about 7 million family struggle with some degree of scoliosis, with those with a family recital of the disorder facing a 20 percent greater risk for developing the condition themselves.

In the great majority of cases (85 percent), there is no identifiable cause for the telltale onset of body leaning, sideways spike curvature and uneven placement of shoulders, shoulder blades, ribs, hips or waist. "Everyone has a curved spine," said Dr Gary Brock, the Houston-based orthopedic surgeon who inception diagnosed Lewis and has cared for her ever since. "But there is assumed to be a sway in the lower back and a roundness to the chest.

In scoliosis patients, the prickle rotates in various patterns that can result in lifelong progression of deformity and, in more oppressive cases, back pain and altered function of the heart and lungs". Although the disorder can club anyone at any age, it usually develops among pre-teens and teens, with girls eight times more proper than boys to develop curvature issues that require medical intervention.

Although only about 25 percent of pediatric cases are grave enough to require treatment of some kind, an estimated 30000 American children get outfitted for a back reinforce each year. According to the US National Institute of Arthritis and Musculoskeletal and Skin Diseases, these braces are designed to cater spinal support during the growth years and to prevent already noticeable spinal curvature from worsening.

Both Medications And Deep Brain Stimulation Surgery May Make Better Life With Parkinson'S Disease

Both Medications And Deep Brain Stimulation Surgery May Make Better Life With Parkinson'S Disease.
Parkinson's disorder patients do better if they stand engaged brain stimulation surgery in addition to treatment with medication, new research suggests. One year after having the procedure, patients who underwent the surgery reported better rank of life and improved capability to get around and engage in routine daily activities compared to those who were treated with medication alone, according to the enquiry published in the April 29 online edition of The Lancet Neurology.

The study authors distinguished that while the surgery can provide significant benefits for patients, there also is a risk of serious complications. In astute brain stimulation, electrical impulses are sent into the brain to adjust areas that control movement, according to history information in a news release about the research. In the new study, Dr Adrian Williams of Queen Elizabeth Hospital in Birmingham and colleagues in the United Kingdom randomly assigned 366 Parkinson's malady patients to either away with drug treatment or drug treatment gain surgery.

One year later, the patients took surveys about how well they were doing. "Surgery is likely to last an important treatment option for patients with Parkinson's disease, especially if the way in which deep brain stimulation exerts its remedial benefits is better understood, if its use can be optimized by better electrode placement and settings, and if patients who would have the greatest gain can be better identified," the authors concluded.

Deep brain stimulation (DBS) is a surgical procedure hand-me-down to treat a variety of disabling neurological symptoms—most commonly the debilitating symptoms of Parkinson's c murrain (PD), such as tremor, rigidity, stiffness, slowed movement, and walking problems. The tradition is also used to treat essential tremor, a common neurological movement disorder.

Laparoscopic Surgery Of The Colon Reduces The Risk Of Venous Thrombosis

Laparoscopic Surgery Of The Colon Reduces The Risk Of Venous Thrombosis.
Minimally invasive colon surgery reduces the jeopardy of blood clots in the recondite veins compared with conventional surgery, University of California, Irvine, researchers report. Deep deposit blood clots, called venous thromboembolism (VTE), occur in about a mercifulness of patients who have colorectal surgery, the researchers said. The benefits of less invasive laparoscopic surgery also number faster recovery time and a smaller scar, but these advantages may not be enough to bring about a widespread flog from traditional surgery.

And "From the cancer perspective, this does not appear to be a game changer," said Dr Durado Brooks, impresario of colorectal cancer at the American Cancer Society. Brooks said that surrounded by cancer patients in the study, no significant difference in the risk of VTE was found between the two procedures.

So "In addition, cancer had been viewed as a contraindication for laparoscopic surgery. There needs to be a more focused turn over looking exclusively at the cancer residents before anyone would promote laparoscopic surgery as the way to go for cancer patients". The clock in was published in the June issue of the Archives of Surgery.

The Device That Avoids Open Heart Surgery With Artificial Valve Does Not Work

The Device That Avoids Open Heart Surgery With Artificial Valve Does Not Work.
If an unnatural nub valve derived from a cow or pig fails to line properly, researchers say implanting a mechanical valve secret the artificial valve could be an option for high-risk patients. "Once expanded and opened, the new valve opens and functions similarly to the patient's own valve.

The advancement is that failing surgical valves can be replaced without the desideratum for open-heart surgery," study lead author Dr John G Webb, medical gaffer of Interventional Cardiology and Interventional Research at St Paul's Hospital in Vancouver, Canada, explained in an Ameruican Heart Association statement release. Webb and colleagues publicize on 24 high-risk patients who underwent surgery that transplanted a new artificial valve into the existing contrived one.

The valves were inserted through a catheter - either via a tiny gash between the ribs, or through a leg blood vessel - and expanded with the help of balloons that pushed the ancient valves away. The strategy isn't appropriate in all cases. Still, "patients may regain more rapidly, and the concerns about major surgery are reduced". The researchers report that the traditional remedying - a new open-heart operation - is very risky. The study was reported April 12 in the list Circulation.

Heart Valve Diseases, also called: Valvular heart disease. Your humanitarianism has four valves. Normally, these valves open to let blood flow through or out of your heart, and then seal to keep it from flowing backward. But sometimes they don't work properly.

New Research In Plastic Surgery

New Research In Plastic Surgery.
The blood vessels in right side remove patients reorganize themselves after the procedure, researchers report. During a full face transplant, the recipient's main arteries and veins are connected to those in the donor face to ensure healthy circulation. Because the way is new, not much was known about the blood vessel changes that occur to help blood become its way into the transplanted tissue.

The development of new blood vessel networks in transplanted fabric is vital to face transplant surgery success, the investigators pointed out in a news let off from the Radiological Society of North America (RSNA). The researchers analyzed blood vessels in three impression transplant patients one year after they had the procedure at Brigham and Women's Hospital in Boston. All three had super blood flow in the transplanted tissue, the team found.

Effect Of Anesthesia In Surgery Of Prostate Cancer

Effect Of Anesthesia In Surgery Of Prostate Cancer.
For men having prostate cancer surgery, the paradigm of anesthesia doctors use might commission a idiosyncrasy in the odds of the cancer returning, a new study suggests. Researchers found that of nearly 3300 men who underwent prostate cancer surgery, those who were given both widespread and regional anesthesia had a lower risk of seeing their cancer develop than men who received only general anesthesia. Over a period of 15 years, about 5 percent of men given only extended anesthesia had their cancer recur in their bones or other sites, the researchers said.

That compared with 3 percent of men who also received regional anesthesia, which typically meant a spinal injection of the anodyne morphine, increased by a numbing agent. None of that, however, proves that anesthesia choices straight affect a prostate cancer patient's prognosis. "We can't conclude from this that it's cause-and-effect," said elder researcher Dr Juraj Sprung, an anesthesiologist at the Mayo Clinic in Rochester, Minn.

But one theory is that spinal painkillers - get a bang the opioid morphine - can form a difference because they curb patients' need for opioid drugs after surgery. Those post-surgery opioids, which move the whole body, may decrease the immune system's effectiveness. That's potentially worthy because during prostate cancer surgery, some cancer cells usually emanate into the bloodstream - and a fully functioning immune response might be needed to kill them off. "If you from opioids after surgery, you may be increasing your ability to fight off these cancer cells.

The study, reported online Dec 17, 2013 in the British Journal of Anaesthesia, is not the primary to see a connection between regional anesthesia and a lower risk of cancer recurrence or progression. Some past studies have seen a almost identical pattern in patients having surgery for breast, ovarian or colon cancer. But those studies, liking for the current one, point only to a correlation, not a cause-and-effect link. Dr David Samadi, primary of urology at Lenox Hill Hospital in New York City, agreed.

Statins May Reduce The Risk Of Prostate Cancer

Statins May Reduce The Risk Of Prostate Cancer.
Cholesterol-lowering statins significantly cut down prostate tumor inflammation, which may worker lower the risk of disease progression, creative study findings suggest. Duke University Medical Center researchers found that the use of statins before prostate cancer surgery was associated with a 69 percent reduced good chance of inflammation arranged prostate tumors.

For the study, the researchers examined tissue samples of prostate tumors from 236 men undergoing prostate cancer surgery. The patients included 37 who took statins during the year latest to their surgery.

Overall, 82 percent of the men had treacherous cells in their prostate tumors and about one-third had prominent tumor inflammation. After they accounted for factors such as age, tear and body-mass index (a measurement that is based on weight and height), the Duke team concluded that statin use was associated with reduced swelling within tumors.

Treatment Options For Knee

Treatment Options For Knee.
Improvements in knee affliction following a common orthopedic course appear to be largely due to the placebo effect, a new Finnish study suggests. The research, which was published Dec 26, 2013 in the New England Journal of Medicine, has adipose implications for the 700000 patients who have arthroscopic surgery each year in the United States to restoration a torn meniscus. A meniscus is a C-shaped filler of cartilage that cushions the knee joint.

For a meniscal repair, orthopedic surgeons use a camera and minuscule instruments inserted through small incisions around the knee to scrape damaged tissue away. The idea is that clearing sharp and unstable debris out of the combined should relieve pain. But mounting evidence suggests that, for many patients, the procedure just doesn't exertion as intended. "There have been several trials now, including this one, where surgeons have examined whether meniscal run surgery accomplishes anything, basically, and the answer through all those studies is no, it doesn't," said Dr David Felson, a professor of remedy and public health at Boston University.

He was not concerned in the new research. For the new study, doctors recruited patients between the ages of 35 and 65 who'd had a meniscal divide and knee pain for at least three months to have an arthroscopic strategy to examine the knee joint. If a patient didn't also have arthritis, and the surgeon viewing the knee resolved they were eligible for the study, he opened an envelope in the operating room with further instructions.

At that point, 70 patients had some of their damaged meniscus removed, while 76 other patients had nothing further done. But surgeons did the entirety they could to judge the sham procedure seem like the real thing. They asked for the same instruments, they moved and pressed on the knee as they otherwise would, and they in use mechanical instruments with the blades removed to simulate the sights and sounds of a meniscal repair. They even timed the procedures to do sure one wasn't shorter than the other.

Obesity Can Be A Barrier To Pregnancy

Obesity Can Be A Barrier To Pregnancy.
Women should be tabled at least one year after having weight-loss surgery before they attempt to get pregnant, researchers say. The portliness rate among women of child-bearing age is expected to rise from about 24 percent in 2005 to about 28 percent in 2015, and the reckon of women having weight-loss surgery is increasing, the researchers noted. In a review, published Jan 11, 2013 in The Obstetrician & Gynaecologist, investigators looked at c whilom studies to assess the safety, limitations and advantages of weight-loss ("bariatric") surgery, and brass of weight-loss surgery patients before, during and after pregnancy.

Obesity increases the jeopardy of pregnancy complications, but weight-loss surgery reduces the chance in extremely obese women, the consideration authors said. One study found that 79 percent of women who had weight-loss surgery capable no complications during their pregnancy. However, the review also found that complications during pregnancy can occur in women who have had weight-loss surgery.

Gastric Bypass Surgery And Treatment Of People With Type 2 Diabetes

Gastric Bypass Surgery And Treatment Of People With Type 2 Diabetes.
Though it began as a care for something else entirely, gastric ignore surgery - which involves shrinking the reconcile oneself to as a way to lose weight - has proven to be the news and possibly most effective treatment for some people with type 2 diabetes. Just days after the surgery, even before they rise to lose weight, people with type 2 diabetes see sudden enhancement in their blood sugar levels. Many are able to quickly come off their diabetes medications.

So "This is not a silver bullet," said Dr Vadim Sherman, medical president of bariatric and metabolic surgery at the Methodist Hospital in Houston. "The lustrous bullet is lifestyle changes, but gastric bypass is a way that can help you get there". The surgery has risks, it isn't an appropriate treatment for everyone with fount 2 diabetes and achieving the desired result still entails lifestyle changes.

And "The surgery is an operational option for obese people with type 2 diabetes, but it's a very big step," said Dr Michael Williams, an endocrinologist united with the Swedish Medical Center in Seattle. "It allows them to escape a huge amount of weight and mimics what happens when people make lifestyle changes. But, the reform in glucose control is far more than we'd expect just from the weight loss".

Almost 26 million Americans have class 2 diabetes, according to the American Diabetes Association. Being overweight is a significant jeopardy factor for type 2 diabetes, but not everyone who has the disease is overweight. Type 2 occurs when the body stops using the hormone insulin effectively. Insulin helps glucose enter the body's cells to accommodate energy.

Lifestyle changes, such as losing 5 to 10 percent of body arrange and exercising regularly, are often the premier treatments suggested. Many people find it difficult to make permanent lifestyle changes on their own, however. Oral medications are also available, but these often fall short to control type 2 diabetes adequately. Injected insulin can also be given as a treatment.

Surgeons basic noted that gastric bypass surgeries had an intent on blood sugar control more than 50 years ago, according to a review article in a fresh issue of The Lancet. At that time, though, weight-loss surgeries were significantly riskier for the patient. But as techniques in bariatric surgery improved and the surgical complexity rates came down, experts began to re-examine the purport the surgery was having on type 2 diabetes. In 2003, a go into in the Annals of Surgery reported that 83 percent of people with type 2 diabetes who underwent the weight-loss surgery known as Roux-en-Y gastric evade saw a resolution of their diabetes after surgery.

The Level Of Occurrence Of Serious Complications After Weight-Loss Surgery

The Level Of Occurrence Of Serious Complications After Weight-Loss Surgery.
Weight-loss surgery, also known as bariatric surgery, in the asseverate of Michigan has a less indecent rate of serious complications, a new study suggests. The lowest rates of complications are associated with surgeons and hospitals that do the highest loads of bariatric surgeries, according to the report published in the July 28 publication of the Journal of the American Medical Association. Rates of bariatric surgery have risen over the before decade and it is now the second most common abdominal operation in the country.

Despite declining death rates for the procedures, some groups wait concerned about the risks of the surgery and uneven levels of quality among hospitals, researchers at the University of Michigan pointed out in a news release from the journal's publisher. In the further study, Nancy Birkmeyer of the University of Michigan, Ann Arbor, and colleagues analyzed evidence from 15275 patients who underwent one of three common bariatric procedures between 2006 and 2009. The operations were performed by 62 surgeons at 25 hospitals in Michigan.

Overall, 7,3 percent of patients expert one or more complications during surgery, most of which were stab problems and other minor complications. Serious complications were most unexceptional after gastric bypass (3,6 percent), sleeve gastrectomy (2,2 percent), and laparoscopic adjustable gastric belt (0,9 percent) procedures, the investigators found. Rates of life-or-death complications at hospitals varied from 1,6 percent to 3,5 percent.

Features Of Surgery For Cancer

Features Of Surgery For Cancer.
After chemotherapy, surgery and dispersal to present the original tumor might not benefit women with advanced breast cancer, a new muse about shows in Dec 2013. A minority of women with breast cancer discover they have the virus in its later stages, after it has spread to other parts of the body. These patients typically are started on chemotherapy to serve shrink the cancerous growths and slow the disease's progress. Beyond that, doctors have yearn wondered whether it's also a good idea to treat the original breast tumor with surgery or emanation even though the cancer has taken root in other organs.

And "Our trial did show there's no benefit of doing surgery," said lessons author Dr Rajendra Badwe, head of the surgical breast component at Tata Memorial Hospital in Mumbai, India. It didn't seem to matter if patients were progeny or old, if their cancer was hormone receptor positive or negative, or if they had a few sites of spreading cancer or a lot. Surgery didn't lengthen their lives. The study was scheduled for presentation this week at the annual San Antonio Breast Cancer Symposium, in Texas.

The results aren't shocking, since experiments in animals performed more than 30 years ago suggested that freezing out the elementary tumor only egged on cancer at the supportive sites. But studies in humans have suggested that removing the original cancer in the heart of hearts may increase survival. Those studies aren't thought to be definitive, however, because they looked back only at what happened after women already underwent treatment. One virtuoso not involved in the new study also questioned the electing of patients in the previous research.

So "There's a lot of bias with that because you tend to operate on patients you think might do well to begin with," said Dr Stephanie Bernik, superintendent of surgical oncology at Lenox Hill Hospital in New York City. "We absolutely need more evidence to guide us". To congregate that evidence, researchers randomly assigned 350 women who responded to their initial chemotherapy to one of two courses of treatment. The head group had surgery followed by radiation to remove the primitive breast tumor and lymph nodes under the arms.

Still Occasionally After Surgery In Children Remain Inside The Surgical Instruments

Still Occasionally After Surgery In Children Remain Inside The Surgical Instruments.
It seldom happens, but that's microscopic comfort for those involved: Sometimes surgical instruments and sponges are port side inside children undergoing surgery, according to researchers from Johns Hopkins University. Children hardship from such mishaps were not more likely to die, but the errors result in clinic stays that are more than twice as long and cost more than double that of the average stay, the researchers found. And that's not even counting the philosophic toll on families.

And "Certainly, from a family's perspective, one event take pleasure in this is too many," said lead researcher Dr Fizan Abdullah, an assistant professor of surgery at Johns Hopkins. "Regardless of the data, we as a healthfulness care system have to be sensitive to these families. The fabulous thing is that when you look at the numbers, it translates to one event in every 5000 surgeries. When there are hundreds of thousands of surgeries being performed on children across the US every year, that's a lot of patients".

The announcement is published in the November 2010 matter of the Archives of Surgery. For the study, Abdullah's party collected data on 1,9 million children under 18 who were hospitalized from 1988 to 2005. Of all these children, 413 had an gadget or sponge left inside them after surgery, the researchers found.

The mistakes occurred most often when the surgery affected opening the abdominal cavity, such as during a gynecologic procedure. Errors were less suitable to occur during ear, nose, throat, heart and chest, orthopedic and spine surgeries, Abdullah's rank notes.

Stents May Be Efficient Defense Against Stroke

Stents May Be Efficient Defense Against Stroke.
Both stents and stuffy surgery appear to be equally conspicuous in preventing strokes in people whose carotid arteries are blocked, according to investigating presented Friday at the American Stroke Association's annual meeting in San Antonio. However, a instant stents-versus-surgery trial, published Thursday in The Lancet, seemed to give surgery better marks, so the jury may still be out on which propose to is better in shielding patients from stroke.

So "I think both procedures are noteworthy and I'm happy to say we have two good options to treat patients," said Dr Wayne M Clark, professor of neurology and supervisor of the Oregon Stroke Center, Oregon Health Sciences University in Portland, and a co-author of the soothe association study. "I consider the ASA trial is really a positive for both stenting and surgery," said Dr Craig Narins, collaborator professor of medicine at the University of Rochester Medical Center in New York, who was not confused with the study. "I think this is going to change the way that physicians look at carotid artery disease."

That study, the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST), was funded by the US National Institute of Neurological Disorders and Stroke and Abbott, which makes the carotid stents. "There has been a lot of skepticism about the facility of stenting to counterpart surgery and this venture pretty nicely shows that it does matched it overall".

But the findings from CREST need to be squared with the second trial, the International Carotid Stenting Study (ICSS). That European fling found that surgery remained superior to stenting in the short-term, and stenting did not appear to be as permissible as surgery. "They're very similar studies, although the European [ICSS] over didn't use embolic protection devices which are the standard of care in the US That could have skewed the results".

Embolic guard devices are tiny parachute-like devices placed downstream from a stent to safely catch on dislodged materials. Nevertheless "nothing is going to change overnight. It's a sea variety because surgery has been the standard of care for so long. This is very positive for stenting but the European trial inserts a note of caution."

In carotid endarterectomy (CEA) surgery, doctors bark away the built-up plaque that is causing a narrowing of the artery supplying blood to the brain. In contrast, the stenting wont involves inserting a wire lattice device to prop the artery open. Carotid artery infirmity is one of the leading causes of stroke and occurs when the arteries leading to the brain become blocked.

US Doctors Confirm The Correct Solution To The Problem Of Epilepsy

US Doctors Confirm The Correct Solution To The Problem Of Epilepsy.
The tremendous seniority of epilepsy patients who have brain surgery to upon the seizure disorder find it improves their mood and their ability to work and drive, a new analysis reveals. Meanwhile, a second study also indicates the procedure is safe and effective for patients over 60. "They're both reassuring findings," said Bruce Hermann, top dog of the Charles Matthews Neuropsychology Lab at the University of Wisconsin School of Medicine and Public Health. "Epilepsy is a unfavourable snarl to have and live with, coming with a high rate of depression and affecting the ability to drive and work.

And "We always hoped surgery would have cheerful effects on patients' life situations, and this research does show that, and shows that the outcomes persist," added Hermann, who was not intricate with the research Dec 2013. Both studies are scheduled to be presented Sunday at the American Epilepsy Society annual converging in Washington, DC Research presented at ordered conferences is considered preliminary until published in a peer-reviewed medical journal.

Affecting about 2,2 million Americans and 65 million man globally, epilepsy is a annexation disorder triggered by abnormal nerve cell signaling in the brain, according to the Epilepsy Foundation. More than 1 million Americans with epilepsy take from treatment-resistant seizures that can hamper their ability to drive, effect and learn. Epilepsy is the third most common neurological disorder, after Alzheimer's disease and stroke.

Chemotherapy Is One Of The Main Ways To Treat Cancer

Chemotherapy Is One Of The Main Ways To Treat Cancer.
Women fighting an belligerent procedure of breast cancer may benefit from adding non-specified drugs to their chemotherapy regimen, and taking them prior to surgery, new research finds. This pre-surgical cure therapy boosts the likelihood that no cancer cells will be found in breast tissue removed during either mastectomy or lumpectomy, according to two remodelled studies. The approach, called "neoadjuvant" chemotherapy, is being given to an increasing troop of women with what's known as triple-negative breast cancer.

Currently, the approach results in no identifiable cancer cells at mastectomy or lumpectomy in about-one third of patients, experts estimate. In such cases, the endanger of a tumor recurrence becomes lower. "Chemotherapy before surgery does put to in triple-negative bosom cancer. What we want to do is make it work better," said study researcher Dr Hope Rugo.

Rugo is boss of breast oncology and clinical trials education at the Helen Diller Family Comprehensive Cancer Center at the University of California, San Francisco. Triple-negative cancers have cells that inadequacy receptors for the hormones estrogen and progesterone. In addition, they don't have an residual of the protein known as HER2 on the stall surfaces.

So, treatments that work on the receptors and drugs that butt HER2 don't work in these cancers. In two new studies, researchers got better results by adding drugs to the burgee chemo regimen prior to surgery. However, both studies are time 2 trials, so more research is needed. Both studies are due to be presented Friday at the annual San Antonio Breast Cancer Symposium.

Laser Cataract Surgery More Accurate Than Manual

Laser Cataract Surgery More Accurate Than Manual.
Cataract surgery, already an bloody crypt and successful procedure, can be made more precise by combining a laser and three-dimensional imaging, a unusual study suggests. Researchers found that a femtosecond laser, used for many years in LASIK surgery, can shear into delicate eye tissue more cleanly and accurately than manual cataract surgery, which is performed more than 1,5 million times each year in the United States. In the ongoing procedure, which has a 98 percent good rate, surgeons use a micro-blade to cut a circle around the cornea before extracting the cataract with an ultrasound machine.

The laser plan uses optical coherence technology to customize each patient's comprehension measurements before slicing through the lens capsule and cataract, though ultrasound is still used to remove the cataract itself. "It takes some deftness and energy to break the lens with the ultrasound," explained outdo researcher Daniel Palanker, an associate professor of ophthalmology at Stanford University. "The laser helps to go like a bat out of hell this up and make it safer".

After practicing the laser procedure on pig eyes and donated hominid eyes, Palanker and his colleagues did further experiments to confirm that the high-powered, rapid-pulse laser would not cause retinal damage. Actual surgeries later performed on 50 patients between the ages of 55 and 80 showed that the laser draw circles in lens capsules 12 times more unyielding than those achieved by the conventional method. No adverse effects were reported.

The study, reported in the Nov 17, 2010 progeny of Science Translational Medicine, was funded by OpticaMedica Corp of Santa Clara, Calif, in which Palanker has an neutrality stake. The results are being reviewed by the US Food and Drug Administration, while the laser technology, which is being developed by several solitary companies, is expected to be released worldwide in 2011.

Scientists Have Found A New Way To Lose Weight

Scientists Have Found A New Way To Lose Weight.
A renewed reassessment finds that weight-loss surgery helps very obese patients lessen pounds and improve their overall health, even if there is some risk for complications. "We've gotten good at doing this," said Dr Mitchell Roslin, key of weight-loss surgery at Lenox Hill Hospital in New York City. "Bariatric surgery has become one of the safest intra-abdominal biggest procedures. The beyond is why we don't start facing the facts who was not involved in the new review. If the data were this high-mindedness with any other condition, the standard of care for morbid obesity would be surgery. He said he thinks a predilection against obesity tinges the way people look at weight-loss surgery.

And "People don't estimate obesity as a disease, and blame the victim. We have this ridiculous notion that the next diet is going to be operative - although there has never been an effective diet for people who are severely obese". Morbid obesity is a chronic fit that is practically irreversible and needs to be treated aggressively. The only treatment that's effective is surgery. Review designer Su-Hsin Chang is an instructor in the division of public health services at the Washington University School of Medicine, in St Louis.

So "Weight-loss surgery provides rich junk on weight loss and improves obesity-related conditions in the majority of bariatric patients, although risks of complication, reoperation and cessation exist. Death rates are, in general, very low. The immensity of weight loss and risks are different across different procedures. These should be well communicated when the surgical choice is offered to obese patients and should be well considered when making decisions".

The report was published online Dec 18, 2013 in the weekly JAMA Surgery. For the study, Chang's gang analyzed more than 150 studies related to weight-loss surgery. More than 162000 patients, with an usual body-mass index (BMI) of nearly 46, were included. BMI is a measure of body fat based on apex and weight, and a BMI of more than 40 is considered very severely obese.

MRI Is More Effective Than X-Rays For Diagnose Hip Fractures In The Emergency Room

MRI Is More Effective Than X-Rays For Diagnose Hip Fractures In The Emergency Room.
X-rays often falter to identify hip and pelvic fractures, a immature US study says. Duke University Medical Center researchers analyzed news on 92 emergency department patients who were given an X-ray and then an MRI to evaluate informed and pelvic pain.

So "Thirteen patients with normal X-ray findings were found to collectively have 23 fractures at MRI," the study's hero author, Dr Charles Spritzer, said in a news loose from the American College of Radiology American Roentgen Ray Society. In addition, the mull over found that, "in 11 patients, MRI showed no fracture after X-rays had suggested the presence of a fracture. In another 15 patients who had kinky X-ray findings, MRI depicted 12 additional pelvic fractures not identified on X-rays".

An spot on diagnosis in an emergency department can "speed patients to surgical management, if needed, and curtail the rate of hospital admissions among patients who do not have fractures. This distinctiveness is important in terms of health-care utilization, overall patient cost and patient inconvenience".

To acquire this, MRI has advantages, the researchers said in their report, in the April issue of the American Journal of Roentgenology. "Use of MRI in patients with a vigorous clinical suspicion of traumatic harm but unimpressive X-rays has a substantial advantage in the detection of pelvic and hip fractures, helping to pilot patients to appropriate medical and surgical therapy," Spritzer concluded.

A hip fracture is a suspension in the bones of your hip (near the top of your leg). It can happen at any age, although it is more common is people 65 and older. As you get older, the in quod of your bones becomes porous from a loss of calcium. This is called losing bone mass. Over time, this weakens the bones and makes them more apt to to break. Hip fractures are more low-class in women, because they have less bone mass to start with and lose bone mass more quickly than men.