Advancing the Science

Mayo Clinic Medical Science Blog

elizabethzimmermann

Elizabeth Zimmermann Young @elizabethzimmermann

Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery
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Activity by Elizabeth Zimmermann Young @elizabethzimmermann

elizabethzimmermann

5 days ago by @elizabethzimmermann · View  

Building the evidence base with the Society of Behavioral Medicine

The Society of Behavioral Medicine (SBM) combines nursing, psychology, medicine and public health in an interdisciplinary forum to promote new understanding of human behavior, health and illness. At its annual meeting, March 29 – April 1, in San Diego, SBM will convene more than 2,200 behavioral and biomedical researchers and clinicians to share research, learn from each other, find ways to collaborate, and address public policy concerns.

Many different types of research will be presented by Mayo Clinic at SBM’s 38th Annual Meeting. Each finding helps to inform and influence the science of health care delivery. Collectively Mayo researchers seek to improve health and health care delivery for people everywhere.

Examples of Mayo’s work include:

    [...]

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elizabethzimmermann

@rldennis59,

Thank you for reading the blog. I am sorry to hear about your wife's cancer.

I have attached a link to our pancreatic cancer information page, which hopefully will answer your questions, or give you ideas for future areas of question.

http://www.mayoclinic.org/diseases-conditions/pancreatic-cancer/home/ovc-20268502

elizabethzimmermann

Thu, Mar 2 at 8:00am CDT by @elizabethzimmermann · View  

Peritonsillar abscess management on the Emergency Department: conservative or surgical approach?

Author: Dante LS Souza

What is Peritonsillar Abscess?

Peritonsillar abscess (PTA) is a collection of pus between the capsule of the palatine tonsil and the pharyngeal muscles. It is the most common deep neck space infection, both in children (49%) and adults (30%), representing  the most frequent indication for non-elective otolaryngological hospital admissions.

According to the Agency of Healthcare Research and Quality, the estimated annual incidence in 2013 was 19.07 per 100,000, accounting for approximately 60,000 visits to the emergency department (ED) from which 22% were admitted to the hospital.

How has it been managed?

Despite being relatively common and having the potential for severe morbidity and rare mortality, there is a wide practice variation among physicians and geographical [...]

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elizabethzimmermann

Thu, Feb 23 at 8:00am CDT by @elizabethzimmermann · View  

Advancing genomics into patient care: a preview of Individualizing Medicine 2017

One of the highlights of the year for those of us at the Mayo Clinic Center for Individualized Medicine is the yearly Individualizing Medicine Conference. It’s a very exciting time for us as we share with you the latest discoveries in personalized patient care. This year’s conference already has a great line up of thought-provoking keynote speakers and innovative breakout sessions that offer ways to apply the latest advancement to the medical practice.

Experts in precision medicine from around the world will share how rapid advances in genomic technology and research are providing new insights into health and disease. How are these discoveries being turned into new [...]

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elizabethzimmermann

Tue, Feb 14 at 8:00am CDT by @elizabethzimmermann · View  

Is too sick to go home also too sick for the floor?

What patients admitted from the Emergency Department to a general floor/ward will deteriorate?

Author Shawna Bellew, MD (@SBellzMD)
“That patient is going to trigger a rapid response team activation the minute they hit the floor.”
Whether said by a nurse, a resident, or the accepting physician, most emergency medicine physicians have heard some version of this statement.

Rapid response teams (RRTs), multidisciplinary groups of providers tasked with evaluating and managing patients with signs of impending deterioration, have become ubiquitous throughout the U.S. healthcare system, partially owing to their inclusion in the 2005 Institute for Healthcare Improvement’s “100,000 Lives Campaign.”

Recommendations for instituting these teams rest on the theory that early intervention can prevent further deterioration. Likewise, patients who trigger [...]

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elizabethzimmermann

Thanks for reading our Advancing the Science blog and sharing your thoughts. Mayo Clinic established the Mayo Clinic Care Network to make sharing knowledge and expertise easier among health care organizations and, through collaboration, better serve patients. Your feedback is appreciated, and we wish you all the best as you continue your treatment.

elizabethzimmermann

Thu, Feb 9 at 8:00am CDT by @elizabethzimmermann · View  

Paper, Paper, Paper, and all those little black dots!

examples of blank medical formsWhy are you asking me this again? What does this have to do with my visit today? What does my doctor do with all these forms?
These questions, and others, led researchers in the Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery to consider the use of ‘smart,’ digital questionnaires delivered on an IPad in the waiting room, or via text or email to a patient’s preferred device or home computer before their appointment.

Ryan J. Uitti, M.D.

“Questionnaires are designed to collect what we call ‘patient [...]

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elizabethzimmermann

Elizabeth Zimmermann Young responded Mon, Feb 13 at 3:50pm CDT · View

Thanks for reading our Advancing the Science blog and sharing your thoughts. Mayo Clinic established the Mayo Clinic Care Network to make sharing knowledge and expertise easier among health care organizations and, through collaboration, better serve patients. Your feedback is appreciated, and we wish you all the best as you continue your treatment.

sussanbetcher

sussanbetcher responded Wed, Mar 8 at 9:59pm CDT · View

We watch Questionnaires very often, as they are distributed to collect opinions and suggestions. In the health field, these Questionnaires are helpful to understand the background and medical history of the patient. louvre guided tour Thanks for sharing.

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elizabethzimmermann

Thu, Feb 2 at 8:00am CDT by @elizabethzimmermann · View  

A golden age for pediatric cardiology

Mayo Clinic’s Division of Pediatric Cardiology is on a roll, according to Division Chair Frank Cetta, M.D.

“In the last two decades, we’ve really burst onto the scene,” he says. “We’re engaged in exciting research  not found elsewhere, and we offer the full spectrum of cardiac care — from fetal diagnosis through specialized treatment for children and adults with highly complex congenital conditions.”

About the clinical trials

Dr. Cetta points out several accomplishments:

  • The division has published more than 1,000 original manuscripts in the last 10 years, and several division members are editors of important textbooks in this
  • Mayo has performed more operations for [...]

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elizabethzimmermann

Wed, Feb 1 at 8:40am CDT by @elizabethzimmermann · View  

The role of Internet resources in clinical oncology: promises and challenges

In a new article published in Nature Reviews Clinical Oncology, learn how Internet trends among oncology patients and those that care about them are changing. Co-authored by Lila Rutten, Ph.D., Robert D. and Patricia E. Kern Scientific Director for Population Health Science in the Mayo Clinic Robert D. and Patricia E.  Kern Center for the Science of Health Care Delivery and the National Cancer Institute’s Bradford Hesse, Ph.D., and Alexandra Greenberg, Ph.D., the article also discusses future trends, including examples of 'connected health' in oncology; diffusion of devices, sensors, and apps; the spread of personal data sharing; and an evolution in how networks can support person-centered care.

Read the abstract online on [...]

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elizabethzimmermann

Tue, Jan 31 at 8:00am CDT by @elizabethzimmermann · View  

Contrast Dye in Kidney Disease Patients: Reducing the Risk of an Important Diagnostic Tool

Building the evidence base for best practice

Medical research has resulted in many amazing diagnostic and treatment methods, tools and drugs. Today a physician can look inside her patient’s body through the aid of radiation and iodine-based dyes in the blood stream – both of which could be deadly in another time or place. This same physician can then determine how well different organs are functioning and how clear blood vessels are.

However, this is not without risk. For example, in the case of patients with kidney disease, doctors need to use radioactive dyes to determine how well the kidneys are functioning. This information helps them decide what additional treatment (if any) is necessary. But the [...]

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elizabethzimmermann

Thu, Jan 26 at 8:00am CDT by @elizabethzimmermann · View  

National health research treasure marks 50 years

In 2002, Giancarlo Logroscino, M.D., Ph.D., then a research scientist at the Sergievsky Center at Columbia University in New York City, published the only paper on the long-term prognosis of status epilepticus (SE) along with research collaborators from Columbia and Mayo Clinic. They established for the first time,  in a rigorous investigation of SE in a population- based setting, the framework for data on frequency, classification and prognosis of the condition. SE is defined as continuous seizure of 30 minutes or more, or two or more seizures without full recovery of consciousness between them. Their work is published in journals including Neurology, European Journal of Neurology, Annals of Neurology and Archives of Neurology.

The

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elizabethzimmermann

Tue, Jan 24 at 8:00am CDT by @elizabethzimmermann · View  

Introducing the Sepsis and Shock Response Team, and other care-improving research outcomes

Sepsis is a potentially life-threatening complication of an infection. Typically, sepsis occurs in people who are already hospitalized, but is also diagnosed among patients who come to the emergency department. It is the most expensive condition treated in the U.S.

In 2002, the Society of Critical Care Medicine and the European Society of Intensive Care Medicine established the “Surviving Sepsis Campaign,” to reduce worldwide deaths from sepsis. The campaign seeks to build awareness of sepsis and educate health care providers regarding prevention, diagnosis and treatment. The group published guidelines and designed a performance improvement program, which are updated regularly. As with heart attacks and strokes, rapid identification and treatment of sepsis saves lives, but [...]

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elizabethzimmermann

Thu, Jan 19 at 8:00am CDT by @elizabethzimmermann · View  

Stereotactic radiosurgery is best for some brain tumors

Shift in practice may reserve whole-brain radiation for patients with extensive disease.

Patients with three or fewer metastatic brain tumors who received treatment with stereotactic radiosurgery (SRS) had less cognitive deterioration three months after treatment than did patients who received SRS combined with whole-brain radiation therapy.
This finding is among the results of a federally funded Mayo Clinic-led multi-institution study whose results were published in the July 26, 2016, issue of JAMA.

Photograph of Paul D. Brown, M.D.

Paul D. Brown, M.D.

"Metastatic brain tumors are, unfortunately, common in patients with cancer," said Paul D. Brown, M.D., a radiation oncologist at Mayo [...]

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sethcastella

sethcastella responded Tue, Mar 14 at 10:38am CDT · View

Recent developments and cases in the field of medicine has totally shaken me and I am in the favor of analyzing the model of education again for the field of medicine. However, it is important to first discuss industries and fields where education is now focused on offering practicality so that students are prepared properly for the career and practical world. Discussing about the field of business or management sciences, there are numerous online institutes [...]

walterscott807

walterscott807 responded 2 days ago · View

Talking about the field of business or administration sciences, there are various online foundations that have presented Ez Assignment service UK which is being compensated on the premise of lifetime experience of a person. I would recommend that the field of pharmaceutical ought to likewise begin programs where more concentrate in on common sense as opposed to simply hypotheses.

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elizabethzimmermann

Tue, Jan 17 at 8:00am CDT by @elizabethzimmermann · View  

Avoid routine double mastectomy when possible

Consensus group urges weighing pros, cons and patient preference in unilateral breast cancer.

A position paper issued by the American Society of Breast Surgeons recommends against contralateral prophylactic mastectomy (CPM) for average-risk women with breast cancer in only one breast.

The recommendation on prophylactic mastectomy, published online July 28, 2016, in the Annals of Surgical Oncology, addresses the growing trend to remove the healthy breast (contralateral prophylactic mastectomy) along with the breast with breast cancer.

Photograph of Judy C. Boughey, M.D.

Judy C. Boughey, M.D.

"Contralateral prophylactic mastectomy is a growing trend that has generated significant discussion among physicians, patients, breast cancer [...]

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elizabethzimmermann

Thu, Jan 12 at 8:00am CDT by @elizabethzimmermann · View  

Health Disparities Research Retreat Focuses on Closing Gaps for Underserved

Over 100 researchers, clinicians, educators and administrators from across Mayo Clinic, as well as outside community members, gathered in Rochester, Minnesota, for the Office of Heath Disparities Research (OHDR) Annual Retreat in October. The meeting was a platform to share science updates, learn about study support and other resources, delve into health disparities topics and collaborate on future research projects and publications.

Keynote speaker Eliseo J. Pérez-Stable, M.D., director of the National Institute on Minority Health and Health Disparities (NIMHD), gave the talk “NIMHD’s Research Agenda to Improve the Health of Racial and Ethnic Minorities.”
Dr. Pérez-Stable made several key points about the NIMHD’s agenda:

  • Minority health and health disparities research are [...]

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jeffreykay

jeffreykay responded Fri, Mar 10 at 1:05pm CDT · View

Recruiting minorities is such difficult one or take time

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elizabethzimmermann

Tue, Jan 10 at 8:00am CDT by @elizabethzimmermann · View  

Meet the Investigator: Jamie N. Bakkum-Gamez, M.D.

At the Mayo Clinic Cancer Center, hundreds of researchers dedicate their professional lives to reducing the burden of cancer. Each one has a unique story. In this issue, Jamie N. Bakkum-Gamez, M.D., a gynecologic oncologist at Mayo Clinic in Rochester, Minnesota, discusses her research.

This is one of a series of Meet the Investigator interviews available in Forefront, the online magazine of Mayo Clinic Cancer Center.  Other recent interviews include:

###

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elizabethzimmermann

Thu, Jan 5 at 8:00am CDT by @elizabethzimmermann · View  

Stool DNA test added to colorectal screening

Updated guidelines make noninvasive colorectal cancer screening option available to millions.

 

The U.S. Preventive Services Task Force has issued its final colorectal cancer screening recommendations for 2016.

The task force assigns an overall "A" grade to colorectal cancer screening in people ages 50 to 75 and fully recommends several screening exams that now include Cologuard, the stool DNA test co-developed by Mayo Clinic and Exact Sciences Corp.

Photograph of David A. Ahlquist, M.D.

David A. Ahlquist, M.D.

"The task force decision to include Cologuard will make this accurate and noninvasive new colorectal cancer screening option available to millions of people [...]

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elizabethzimmermann

Tue, Jan 3 at 8:00am CDT by @elizabethzimmermann · View  

Integrating patient preferences in the delivery of Emergency Care. Kano analysis predicts change in experience.

providers-with-prone-patient-3329540_0066In our publication in Annals of Emergency Medicine, Pilot Study of Kano “Attractive Quality” Techniques to Identify Change in Emergency Department Patient Experience, we describe our efforts to improve our patient’s perception of receiving concern and sensitivity from their healthcare providers.

The project originated in 2012, when our patients reported lower than expected ratings of receiving compassion by their emergency department (ED) providers. We used point-of-service survey cards to reassess this measure. We distributed 200 cards and received 193 (97% response rate) returned that gave a median rating of 4 out of 5 (IQR 3,5) with a top box percentage of 33% for provider concern and sensitivity.

A team of us [...]

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elizabethzimmermann

Dec 22, 2016 by @elizabethzimmermann · View  

Is there method in the madness: observation vs. full admission

older man experiencing chest painLast night a 68-year old male presented to the Emergency Department with chest pain. His pain lasted 45 minutes and resolved with 2 nitroglycerin tablets. He has history of coronary artery disease, stents placed within the past 2 years and a previous myocardial infarction. He has hypertension and diabetes. He was pain free by the time he arrived to the ED and hemodynamically stable.

We had a discussion with him regarding his risk, goals and preferences and decided for admit for acute coronary syndrome rule out. Our ED observation unit is full, so we admit him to the Cardiology floor for “observation” and continue acute coronary syndrome rule out with serial troponins [...]

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elizabethzimmermann

Dec 13, 2016 by @elizabethzimmermann · View  

Nipple-sparing mastectomy may be a good option


Technique offers a safe way to reduce breast cancer risk
in carriers of the BRCA mutation.

Mastectomies that preserve the nipple and surrounding skin prevent breast cancer as effectively as do more-invasive surgeries for women with a genetic mutation called BRCA, a multi-institution study led by Mayo Clinic Cancer Center found.

The study findings were presented at the annual meeting of The American Society of Breast Surgeons in April in Dallas.

The research should reassure patients and surgeons that nipple-sparing mastectomies, which leave women with more natural-looking breasts than do other mastectomies, are a safe way to reduce breast cancer risk in carriers of [...]

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