Heart surgery survival chances ‘better in the afternoon’

Heart surgery.jpg

Open heart surgery appears to be safer in the afternoon because of the body’s internal clock, scientists have said.

The body clock – or circadian rhythm – is the reason we want to sleep at night, but it also drives huge changes in the way our bodies work.

The research, published in the Lancet, suggests the heart is stronger and better able to withstand surgery in the afternoon than the morning.

And it says the difference is not down to surgeons being tired in the morning.

Doctors need to stop the heart to perform operations including heart valve replacements. This puts the organ under stress as the flow of oxygen to the heart tissue is reduced.

The doctors and researchers looked for complications including heart attacks, heart failure or death after surgery. They found:

  • 54 out of 298 morning patients had adverse events
  • 28 out of 298 afternoon patients had adverse events
  • Afternoon patients had around half the risk of complications
  • One major event would be avoided for every 11 patients operated on in the afternoon

One of those involved in the research, Prof Bart Staels, from the Institut Pasteur de Lille, told the BBC News website: “We don’t want to frighten people from having surgery – it’s life saving.”

He also said it would be impossible for hospitals to conduct surgery only after lunch.

But Prof Staels added: “If we can identify patients at highest risk, they will definitely benefit from being pushed into the afternoon and that would be reasonable.”

Obesity and type 2 diabetes have been shown to increase the risk of complications after surgery.

Heart health is already known to fluctuate over the course of a day.

The risk of a heart attack or stroke is highest first thing in the morning, while the heart and lungs work at their peak in the afternoon.

 The risk of a heart attac.jpg

Dr John O’Neill, from the UK Medical Research Council’s Laboratory of Molecular Biology, said: “Scientifically it is not hugely surprising, because just like every other cell in the body, heart cells have circadian rhythms that orchestrate their activity.

“Our cardiovascular system has the greatest output around mid/late-afternoon, which explains why professional athletes usually record their best performances around this time.”

Other possible explanations for the findings included surgeons being tired in the morning or their own body clock affecting their surgical skill, particularly if they are not “morning people”.

Read More: http://snip.ly/lr9h9#http://www.bbc.com/news/health-41763958

Gaining The Upper Hand In The New Healthcare Marketing Landscape

Corey Quinn is the CMO at Scorpion, an internet marketing company with offices located across the U.S.

Patient behaviors and expectations are changing rapidly — and as a result, so is the world of healthcare marketing.

With the rise of urgent care centers, retail clinics and telemedicine in recent years, consumers now have access to a more diverse array of healthcare options. They are also more involved with their care decisions due to higher health insurance premiums and co-pays. Furthermore, they have grown accustomed to finding answers to their healthcare-related questions in a matter of moments thanks to the internet.

https://d-33668301202314900860.ampproject.net/1508794187431/frame.html

Unfortunately, there are still many healthcare organizations that have failed to adapt. Is yours one of them? If so, this has placed you at a significant disadvantage in your industry, which is only becoming increasingly competitive. Today, healthcare providers need to stay 10 steps ahead with healthcare marketing strategies or risk becoming irrelevant — or at least less visible — to prospective patients.

Let’s explore three key strategies your organization can implement to gain the upper hand in the new healthcare marketing landscape.

1. Be present where the attention is: online.

There’s no doubt about it — attention has shifted to the internet. Consider the fact that 88% of U.S. adults use the internet today, compared to just 52% in 2000, according to data from Pew Research Center. And this trend isn’t limited to younger generations: Americans age 65 and older have been identified as the demographic with the fastest internet usage adoption rate since 2000.

Prospective patients are now more inclined to use the internet to look up information related to their healthcare. Google reported that one in every 20 Google searches are for health-related information, and a Pew Research Center survey found that 62% of smartphone owners have looked up health information on their phones within the past year.

https://d-33668301202314900860.ampproject.net/1508794187431/frame.html

With the upswing in popularity of mobile devices, accessing the internet has become easier than ever — making it inevitable that patients will continue to rely more heavily on digital media.

The best way for healthcare organizations to reach their ideal audiences and increase brand awareness is to go where patients are already dedicating their attention. They need to invest in more online marketing efforts and claim a presence across various digital channels, from their websites to search engines to social media platforms like Facebook and Instagram.

2. Think about the patient’s online experience.

Remember, online user experience matters — just like patient satisfaction matters in the treatment room. In many cases, prospective patients will research your healthcare services and facilities online before scheduling an appointment. If their first experience interacting with your organization is a negative one (even if it’s online), they may be left with a poor impression and choose another provider.

Here are a few questions to consider:

Does my website have a modern and mobile-friendly design?

https://d-33668301202314900860.ampproject.net/1508794187431/frame.html

Is it easy and intuitive to navigate?

Does it immediately answer the visitor’s most important questions?

Are my social media posts and ads relevant to my target audience?

Are my posts and ads actually driving engagement?

Forbes Communications Council is an invitation-only community for executives in successful public relations, media strategy, creative and advertising agencies. Do I qualify?

Healthcare’s Dangerous Fee-For-Service Addiction

Healthcare's Dangerous Fee-Fo

For its many users, healthcare’s fee-for-service reimbursement methodology is like an addiction, similar to gambling, cigarette smoking and pain pill abuse. Doctors and hospitals in the clutches of this flawed payment model have grown dependent on providing more and more healthcare services, regardless of whether the additional care adds value.

I don’t use this metaphor lightly, nor wish to trivialize our nation’s growing problem with addiction. Rather, as a physician and former healthcare CEO, I am increasingly concerned with the impact this payment structure is having on American health. And I worry about whether providers are willing to “kick the habit” before it’s too late.

Addictive Qualities

The Affordable Care Act, signed into law March 2010, included several provisions encouraging doctors to focus on increasing value (instead of simply maximizing the volume) of healthcare services. And yet, seven years later, between 86% and 95% of U.S. healthcare providers are still paid for each individual test, procedure and treatment they provide, an arrangement that continues to drive up healthcare costs with little to show for it. According to the latest Commonwealth Fund report, the United States spends more on healthcare than any other industrialized country but ranks at or near the bottom in almost every measure of comparative quality.

As with any addiction, America’s dependence on fee-for-service has dire financial and health consequences. This year, the estimated cost of care for an insured family of four will reach nearly $27,000, paid for through a combination of employer health insurance ($15,259), payroll deductions ($7,151) and out-of-pocket expenses at the point of care ($4,534). Year over year, patients are on the hook for a higher percentage of their total healthcare costs, which rose 4.3% compared to just a 1.9% increase in the U.S. GDP last year. This is a major warning sign. If medical costs continue to surge 2% to 3% higher than our nation’s ability to pay, the healthcare system will soon reach a breaking point. Businesses, the government and insurers will have no choice but to ration care or slowly eliminate coverage for the nation’s poor, middle-class and elderly populations.

As with all addictions, the fee-for-service model has mind-altering effects, distorting the perceptions of its users in ways that make them unaware of their growing dependence. When providers are paid for doing more, that’s what they do: They increase utilization of services and ratchet up the cost of care without even realizing they’re part of the problem. According to one study, just 36% of practicing physicians were willing to accept “major” responsibility for reducing healthcare costs. Of course, the first step, as with other habits, is to recognize the problem. Only then can we explore treatment options.

 

Read More: http://snip.ly/hlh5h#https://www.forbes.com/forbes/welcome/?toURL=https://www.forbes.com/sites/robertpearl/2017/09/25/fee-for-service-addiction/&refURL=&referrer=

Mental health staff on long-term stress leave up 22%

Mental health staff on long
Image caption Some trusts saw the number of staff taking long-term leave double in five years

The number of NHS mental health staff who have had to take sick leave because of their own mental health issues has risen by 22% in the past five years.

Those taking long-term leave of a month or more rose from 7,580 in 2012-13 to 9,285 in 2016-17, BBC freedom of information requests found.

The union Unite said cuts to staff and services were putting extra pressure on front-line mental health workers.

The Department of Health said it was transforming mental health care.

Out of 81 mental health authorities in England, Scotland, Wales and Northern Ireland, 58 provided the BBC with comparable information.

Looking after ourselves

One mental health doctor who had to take mental health leave told 5 live anonymously: “I don’t think I realised it was happening until quite a long way down the road.”

She explained that she was getting irritable with her partner, her sleep was disturbed and she couldn’t switch off from work.

“In the end, I went to my GP who offered me a sick note. I was quite taken aback that it was quite so obvious to my GP that I needed to be off work.” she said.

Media captionFormer mental health nurse on why she had to leave the NHS

“As mental health practitioners, we are pretty rubbish at putting our own mental health first. You need to put your own oxygen mask on first before putting it on to someone else.”

5 live also spoke to a group of community mental health nurses at the Leeds and York Partnership NHS Foundation Trust about how they cope with the pressure of the role.

“I think when you’re so passionate about something it’s very easy to overlook just how much you are taking on,” said Kate Ward, an occupational therapist working as a care co-ordinator in the team.

Read More: http://snip.ly/okuj8#http://www.bbc.com/news/health-41172805

Are You Obese but Healthy? You May Still Be 96% More Susceptible to Heart Failure

 

Are You Obese but HealthyObesity is one of the biggest causes of non-communicable, lifestyle diseases today. According to the World Health Organisation, close to 1.9 billion adults were obese in the year 2014. Around 2.8 million people die due to some complications associated with obesity every year. A recent study published in the Journal of the American College of Cardiology notes that obese people who may otherwise be healthy and free from ailments like diabetes, hypertension, et cetera may still run at a high risk of heart failure. Such individuals are 96% more likely to be at a risk of heart failure over people with normal weight who are also metabolically healthy.

“Obese individuals with no metabolic risk factors are still at a higher risk of coronary heart disease, cerebrovascular disease and heart failure than normal weight metabolically healthy individuals,” noted lead author Rishi Caleyachetty, from the University of Birmingham. “Obese patients, irrespective of their metabolic status, should be encouraged to lose weight and that early detection and management of normal weight individuals with metabolic abnormalities will be beneficial in the prevention of CVD events,” suggested Krish Nirantharakumar, senior lecturer from the varsity.

Experts studied electronic health records of close to 3.5 million British adults to assess cardiovascular diseases.

 

Read more: http://snip.ly/qtuw9#http://www.ndtv.com/food/are-you-obese-but-healthy-you-may-still-be-96-more-susceptible-to-heart-failure-1749667

Progress on global poverty and disease at risk, Gates says

Capture.PNG

LONDON, Sept 13 (REUTERS) – Proposed United States budget cuts could put in jeopardy great progress in reducing global poverty and disease and lead to 5 million more deaths from AIDS alone, the philanthropist Bill Gates warned on Wednesday.

Gates, whose Bill and Melinda Gates Foundation is a major provider of global health and development funding, said there was currently “more doubt than usual about the world’s commitment to development”.

A global health report by the foundation, co-authored by the Gates and the Institute for Health Metrics and Evaluation at the University of Washington (IHME), analysed progress against diseases such as malaria, HIV/AIDS and tuberculosis.

It also tracked rates of poverty, maternal and infant death, access to contraception, sanitation and other development issues. Forecasting good and bad future scenarios, it found millions of lives hanging in the balance.

In a telephone briefing about the findings, Gates, the co-founder of Microsoft Corporation, said remarkable progress had been made in recent decades but that shifting priorities, instability and potential budget cuts could lead the world to turn away, jeopardising the gains.

Read More: http://snip.ly/c6mbi#https://in.reuters.com/article/health-global-gates/progress-on-global-poverty-and-disease-at-risk-gates-says-idINKCN1BO0JE

Role of ‘technology’ in home health care

123.PNG

At present, home-based health care is gaining significant traction and poised for transformation. Once recognized as a fragmented and unorganised sector, it is gaining ground through progressively capturing interest of entrepreneurs and investors.

It is a known fact that there is tremendous pressure on hospitals in delivering services at their facility, especially in Critical Care, something that can be easily outsourced today.

However, it has to be recognised that healthcare services being delivered in the home environment are at a remote location – unlike a hospital where it is a centralised facility. Therefore, monitoring and continuous feedback on key parameters, as relevant to the patient, are critical to have an impact on the outcome of the treatment.

This is eminently possible with appropriate use and incorporation of various technology elements.
With advancements in technology, both in IT and integration with Medical Electronics, it is possible to provide high quality care in the vicinity of a known and comfortable environment.

Technology can play an important role and impact the following areas:

1. Creating positive patient experiences

2. Creating an environment and providing data for better outcomes of the treatment

3. Enable home healthcare to be delivered in remote areas

The goal of technology-enabled home care also encompasses helping reduce need for institutional care, while alleviating financial and emotional burden that medical procedures come with. Its kernel of success lies in the common knowledge that chronic diseases can be treated in the home of the patient through appropriate and continuous monitoring. This monitoring could then trigger medical interventions that may be required, most of which can be implemented in a home care setting at a lower cost to the patient.

 

Read More: http://snip.ly/dzc56#http://health.economictimes.indiatimes.com/news/health-it/role-of-technology-in-home-health-care/60419997