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News From The Journals Of The American Society For Microbiology
Preventative Treatment Against Malaria May be Less Effective in Malnourished Children
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Skills For Catheter Insertion Improved By Simulation Training
New technology allows student doctors to practice operations and other procedures on simulators before trying them out on real patients, just as pilots practice for emergencies on aircraft simulators. Medical educators feel that this will increase patient safety, by avoiding first-time mistakes being made on live patients. But does education by simulation actually work? Can doctors learn new skills on simulators instead of on humans?
News of the day
HIV Diagnoses Among Men In New Orleans Growing, Large Increases Reported Among Blacks
HIV diagnoses among all men in Louisiana declined from 1997 to 2006, but increased in 2007 and 2008 - diagnoses in the New Orleans metropolitan area alone increased by 9 percent from 2007 to 2008, according to the Louisiana Office of Public Health, the New Orleans Times Picayune reports. Of particular concern are the increases among black men in New Orleans. Among black men of all ages, new HIV diagnoses increased by 4 percent from 2007 to 2008, but increased 23 percent for black men age 20 to 24 and 30 percent for those age 45 to 54. The reasons behind the findings are "complex," according to the Times Picayune. Risky sexual behavior, a "declining sense of concern among young people about AIDS and the stubborn cultural stigma of homosexuality in the black community are all believed to be factors," the Times Picayune reports (Sandoval-Griffin, New Orleans Times Picayune, 6/27).
Sexual Health

Comparison Of Medical Imaging Choices Finds Ultrasound To Be The Most Cost Efficient

In comparing ultrasound with other medical imaging methods such as MRI and CT scans, a literature review of published studies in the May/June issue of Journal of Diagnostic Medical Sonography (JDMS) describes the use of ultrasound to provide an accurate diagnosis more cost effectively than the alternatives. Since its first uses in the 1950s, ultrasound has been utilized mostly in hospital settings. But with the development of less costly, portable equipment, its use has expanded to doctor"s offices, trauma settings, and even to outer space. The article compares the use of ultrasound to magnetic resonance (MR) imaging, computed tomography (CT), contrast angiography (CA), and single-photon emission computed tomography (SPECT). In addition to evaluating the accuracy and cost effectiveness of ultrasound as compared to other medical imaging techniques, the study reviewed the use of ultrasound in the following applications: * Obstetric and Gynecological * Abdominal * Vascular * Cardiac * Emergency * Disease Diagnosis "Ultrasound provides the ability to rapidly evaluate and diagnose abnormalities throughout the spectrum of clinical medicine," write the authors S. Michelle Bierig, MPH, RDCS, RDMS, FASE, FSDMS and Anne Jones, RN, BSN, RVT, RDMS, FSVU. "Its accuracy and cost-effectiveness in a variety of applications has led to its widespread adoption and use. The utilization of ultrasound compared to the use of alternative imaging methods leads to increased cost efficiency in the diagnosis and management of patients." "Accuracy and cost comparison of ultrasound versus alternative imaging modalities including CT, MR, PET and Angiography" in the May/June issue of Journal of Diagnostic Medical Sonography is available free for a limited time at: http://jdm.sagepub.com/cgi/rapidpdf/8756479309336240v1. Jim Gilden SAGE Publications


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