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A New Software To Assess Driving Behaviour And Driving Risks
One of the aims imposed by the European Union in 2004 is to reduce the number of traffic accidents. However, despite the measures taken by the different administrations and the consequent decrease in the number of accidents, the results for 2010 are not close to those set by Europe. Gerardo Reveriego, a young researcher of the University of Mē”laga, has designed software that informs drivers of the risk situations s/he has while driving. This allows drivers to self-assess themselves and improve their driving behaviour.
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New Study Shows Coaching To Patient Activation Levels Improves Disease Management Outcomes
People with chronic health conditions who receive coaching tailored to their level of health activation showed significant improvements in clinical outcomes, and experienced fewer hospitalizations and visits to the emergency room than those coached using traditional methods, according to a study published in the June issue of The American Journal of Managed Care.
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Consumers Rate Medicare Higher Than Employer-Sponsored Insurance
Elderly Medicare beneficiaries are more satisfied with their health care, and experience fewer problems accessing and paying for care, than Americans with employer-sponsored insurance (ESI), according to a study by Commonwealth Fund researchers published May 12 on the Health Affairs Web site. If given the opportunity, many adults under age 65 would likely select a public health insurance option, say lead author Karen Davis, president of the Commonwealth Fund, and colleagues.
Oncology

A Case Of Cecal Volvulus

Cecal volvulus is axial twisting that occurs involving the cecum, terminal ileum, and ascending colon. Rarely, it may take the form of upward and anterior folding of the ascending colon ("cecal bascule"). The research team led by Prof. Hiroshi Suzuki from Toyama Hospital reported a case of caecal voluvuls seen in a 78-year-old woman and was reported in the World Journal of Gastroenterology. A 78-year-old woman presented with fever, severe abdominal pain, and distension. She had been institutionalized for depression and senile dementia. Laboratory examinations disclosed a leucocytosis (WBC: 12500/ķ¼L) and elevated levels of serum C-reactive protein (2.8 mEq/L). Diagnosis of acute cecal volvulus was made from a "coffee bean sign" on an abdominal computed tomography and a "beak sign" on a gastrographin enema. An emergent laparotomy confirmed the diagnosis and an ileo-colectomy with primary anastomosis was carried out. The patient recovered after intensive respiratory care and fluid therapy, and then returned to her former institution. A review of Japanese literature disclosed that: (1) a marked increase of aged patients with mental disability presenting with cecal volvulus, (2) adoption of ileo-colectomy as the standard surgical procedure, and (3) improved survival of the patients, were observed in the last decade. Reference: Katoh T, Shigemori T, Fukaya R, Suzuki H. Cecal volvulus: Report of a case and review of Japanese literature. World J Gastroenterol 2009; 15(20): 2547-2549. Correspondence to: Hiroshi Suzuki, Professor, Division of Surgery, Toyama Hospital, Tsu-City 514-0043, Japan. Lai-Fu Li World Journal of Gastroenterology


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