Archive for September, 2007

Audio Journal of Medicine: Nosocomial Clostridrium Difficile: Reduce by Cleaning with Household Bleach">Audio Journal of Medicine: Nosocomial Clostridrium Difficile: Reduce by Cleaning with Household Bleach

Donna Hacek
Donna Hacek

REFERENCE: Slide Session 42 K-608, 47th Annual Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC), Chicago, 2007
DONNA HACEK, Evanston Hospital, Evanston Illinois
Thorough, all surface bleach cleaning helps to achieve a significant and sustained reduction in nosocomial C. difficile infections according to a study from Evanston Hospital. Nicola Solomon discussed the results of this simple technique with Donna Hacek.

Vancomycin: New Guidelines May Induce Kidney Damage

Megan Nguyen
Megan Nguyen

REFERENCE: Poster Session 104 K-1096, 47th Annual Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC), Chicago, 2007
MEGAN NGUYEN, Western University in Pomona, California
New vancomycin guidelines that recommend using higher doses may cause kidney damage according to a study presented at the 2007 ICAAC meeting. Nicola Solomon discussed this new finding with Megan Nguyen of Western University of Health Sciences.

Audio Journal of Medicine: MRSA: Fight Superbug Using Hydrogen Peroxide Vapour">Audio Journal of Medicine: MRSA: Fight Superbug Using Hydrogen Peroxide Vapour

Jon Otter
Jon Otter

REFERENCE: Poster Session 033 K-464, 47th Annual Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC), Chicago, 2007
JON OTTER, Bioquell Ltd, Andover UK
An investigation looking at hydrogen peroxide vapour for sterilisation in hospital areas at risk of an outbreak of MRSA revealed that it can significantly reduce environmental contamination. Nicola Solomon discussed this new technique with Jon Otter of Bioquell Ltd.

LSHTM Audio News Special: Global Mental Health

Vikram Patel
Vikram Patel

Shekhar Saxena
Shekhar Saxena


Mental Health is a major part of the global disease burden, but more needs to be done to make sure support, treatments and policies are in place. That’s according to a series of articles, published in The Lancet, which have looked at this very topic. The audio news team went to meet some of the authors:
Graham Thornicroft, of Kings College London, who talked about the size of the problem;
Vikram Patel, of the London School of Hygiene and Tropical Medicine, who discussed measures to take and choices that need to be made;
and Shekhar Saxena, from the World Health Organisation, who has calculated the costs involved.

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LSHTM Audio News Special: Energy and Health

Paul Wilkinson
Paul Wilkinson

How does energy use lead to poor health?

REFERENCE: Lancet, September, 2007
PAUL WILKINSON, London School of Hygiene and Tropical Medicine
Paul Wilkinson, of the London School of Hygiene and Tropical Medicine, says there are many ways energy use impacts on health, and he explained the situation in the developing world.

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London School of Hygiene & Tropical Medicine Audio News Review, September 12th, 2007

Jaime Miranda
Jaime Miranda

Road-Side Tranexamic Acid Therapy to Reduce Mortality and Blood Transfusions after Trauma?

JAIME MIRANDA, London School of Hygiene and Tropical Medicine, Peru
The multi-national CRASH trial investigates whether the antifibrinolytic agent, tranexamic acid normally used to reduce bleeding during surgery can also be used as a first-aid to cut mortality and the need of blood transfusion immediately after trauma. Jaime Miranda, based in Lima, Peru, described to Peter Goodwin how the trial could benefit the developing world in particular.

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Audio Journal of Cardiovascular Medicine: Drug Eluting Stents: Higher Late Mortality in STEMI Patients Than Bare Metal: GRACE Registry Findings">Audio Journal of Cardiovascular Medicine: Drug Eluting Stents: Higher Late Mortality in STEMI Patients Than Bare Metal: GRACE Registry Findings

Gabriel Steg
Gabriel Steg
Freek Verheugt
Freek Verheugt

REFERENCE: Hotline III, number 709, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria
GABRIEL STEG, Hôpital Bichat, Paris
COMMENT: FREEK VERHEUGT, Radboud University Nijmegen Medical Centre, Nijmegen

The GRACE registry looking at over 60 000 patients with ST elevation myocardial infarction has shown that patients live longer if they receive bare metal stents than if they get drug eluting stents. Gabriel Steg presented these latest data at the ESC meeting in Vienna. Sarah Maxwell discussed the findings with him.
Freek Verheugt comments on the interview with Gabriel Steg.

Audio Journal of Cardiovascular Medicine: Better Criteria For Cardiac Resynchronisation Needed in Heart Failure: PROSPECT Trial Results">Audio Journal of Cardiovascular Medicine: Better Criteria For Cardiac Resynchronisation Needed in Heart Failure: PROSPECT Trial Results

Stefano Ghio
Stefano Ghio
Cecilia Linde
Cecilia Linde

REFERENCE: Hotline III, 3222 page 315, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria
STEFANO GHIO, San Matteo University Hospital, Italy
COMMENT: CECILIA LINDE, Karolinska University Hospital, Stockholm

The standard echocardiographic criteria for selecting patients to receive cardiac resynchronisation are not adequate according to Stefano Ghio. During the ESC Congress in Vienna he presented results from the PROSPECT trial and afterwards he talked with Sarah Maxwell. Cecilia Linde gave Nicola Solomon her comments on the findings.

Audio Journal of Cardiovascular Medicine: Patients with High Restenosis Risk Benefit More from Drug Eluting Stents">Audio Journal of Cardiovascular Medicine: Patients with High Restenosis Risk Benefit More from Drug Eluting Stents

Raul Moreno
Raul Moreno

REFERENCE: Abstract 3103, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria
RAUL MORENO, University Hospital La Paz, Madrid
Results from a large meta analysis suggest that drug eluting stents have a greater benefit when the risk of restenosis increases. This could affect the “off label” use of these stents. Raul Moreno, of the University Hospital La Paz, Madrid, discussed his findings with Derek Thorne.

Is There A Link Between Periodontitis And Heart Disease?

Nicolas Amabile
Nicolas Amabile

REFERENCE: Abstract 1967, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria
NICOLAS AMABILE, University of Marseille School of Medicine
A French study presented at the ESC congress may have found a link between periodontitis and coronary artery disease: although further study is needed. Nicolas Amabile, of the University of Marseille School of Medicine, discussed his data with Derek Thorne.

Audio Journal of Cardiovascular Medicine: Selective Invasive Treatment Best for Women with Non-ST Elevation Acute Coronary Syndromes">Audio Journal of Cardiovascular Medicine: Selective Invasive Treatment Best for Women with Non-ST Elevation Acute Coronary Syndromes

Eva Swahn
Eva Swahn

REFERENCE: HOTLINE II, Monday 8am, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria
EVA SWAHN, University Hospital Linköping, Sweden
COMMENT: ECKART FLECK, Deutsches Herzzentrum, Berlin

Women who undergo selective invasive treatment for non-ST elevation acute coronary syndromes do better than those who receive routine early invasive treatment. This is according to the OASIS 5 study from Sweden that randomised women to either of the two approaches. The findings suggest that females with non-ST elevation ACS should be approached differently from their male counterparts. Sarah Maxwell interviewed OASIS investigator Eva Swahn at the ESC meeting in Vienna. Eckart Fleck of the Deutsches Herzzentrum in Berlin gave his comments on her comments to Derek Thorne.

Heart Attacks Drop After Smoking Ban in Ireland

Edmond Cronin
Edmond Cronin

REFERENCE: Abstract 3506, European Society of Cardiology Congress, 2007, 1-5 September, Vienna, Austria
EDMOND CRONIN, Cork University Hospital
Study data that support banning smoking in public places were unveiled at the ESC congress by a team from Ireland. After the smoking ban in 2004, admissions for acute coronary syndromes dropped, and lead author Edmond Cronin explained the significance of his findings to Derek Thorne.

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