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Rising Health Spending Spurs Reform Debate
A new study shows that - in the words of Jon Gabel, its lead author - "American families with employer-based [health] coverage were worse off in 2007 than they were in 2004," the Wall Street Journal reports. The study, published in Health Affairs, found that out-of-pocket costs, such as co-pays and deductibles, increased 34 percent between those years. "The main reason for rising out-of-pocket costs was the growth in overall health spending," the Journal reports (Gerencher, 6/3).
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MRSA Present In One In Four Nursing Home Residents In The UK
MRSA is a major problem in nursing homes with one in four residents carrying the bacteria, a study by Queen"s University Belfast and Antrim Area Hospital has found.
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First Choice Of Renal Function Tests In Hepatectomy Patients
Although creatinine clearance (Ccr) has been measured clinically by a simple method as a preoperative renal function test, Ccr is not strictly equal to glomerular filtration rate (GFR). Recently, an equation for estimated GFR (eGFR) for Japanese individuals has been postulated, and eGFR has been accepted as equal to measured GFR in chronic kidney disease. However, there have been no previous studies regarding the reliability of eGFR as a preoperative renal function test.
Sexual Health

Heatwave Plan Updated With Advice For Those With Respiratory Problems, England

The Heatwave Plan has been updated to advise those suffering breathing problems that although ozone levels increase in hot weather, they drop in the evening. People with respiratory problems should stay inside during the hottest part of the day and windows should be kept shaded and closed when the temperature is hotter outside than inside. The benefits of insulating against both heat and cold are outlined, with information on grants that are available from government. Providing cavity insulation in houses helps keep the heat out during summer, as well as keeping homes warm and reducing fuel costs and carbon emissions during colder weather. More information on the Health Housing and Safety Rating System is also provided in the Plan. This encourages primary care trusts and local authorities to work more closely to target, assess and reduce the risk of vulnerable people living in the community who are living in homes that are too hot for their health. Yvonne Doyle, Regional Director of Public Health (South East Coast) said: "The heatwave plan urges carers to identify those most at risk before the hot weather begins. Once level 2, "Alert and Readiness" has been triggered, those running care homes are urged to take extra care. They should monitor indoor temperatures four times a day, prepare cool areas, ensure there are enough staff to keep residents cool, identify those at greatest risk and make sure everyone has access to cold water and ice." Wayne Elliott, head of health forecasting at the Met Office said: "The Department of Health"s Heatwave Plan is a vital part of the country"s preparation for coping with extreme temperatures. The prolonged spells of hot weather that can happen each summer, particularly in our towns and cities, are a very real concern for vulnerable groups." The alert levels are now described from Level 1-4, but are also given colours that mirror the traffic light system. Link to the Heatwave Plan Department of Health, UK


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