Tag: Ohio

The Top U.S. Hospitals have 28% Lower Mortality Rate

The American Heart Association did a new study concerning hospitals and their mortality rates. We now know that the top 5 percent in the United States have a 28% lower death rate than other hospitals in the nation. Health Grades is an independent health care ratings company released this information January 29th, 2007. They also found that patients who have surgery at the top-rated hospitals are about five percent less likely to suffer complications than patients at other hospitals are.

The Health Grade Company analyzed death and mortality rates for 26 procedures and diagnoses, including bypass surgery, angioplasty, stroke, and heart attack, at all 5,122 nonfederal hospitals. The top hospitals reduced their death rate by an average of 11.7 percent and reduced post-surgical complication rates by 3.4 percent. The study author claimed that if all U.S. hospitals had the same quality of care as the top hospitals, 158,264 lives would have been saved and 12,409 major complications avoided. Unfortunately, there is a gap in the quality of care provided by high quality hospitals and other hospitals in the United States, according to Health Grades.

In order to qualify for the Health Grades list, hospitals were required to meet minimum thresholds in terms of patient volumes, quality ratings and the range of services provided.
In the top 5% of hospitals that deal with heart, patients there are 229 in the nation today. The hospitals are located all around the nation and keep a high standard of performance.
The Christ Hospital located in Cincinnati, Ohio ranked number one in cardiovascular care is affiliated with several other hospitals in the area that are accredited as being in the top 100 of the 5% heart hospitals.

One of the most distinguished top cited heart hospitals and medical centers is the Robert Wood Johnson’s University Hospital. This hospital has earned significant national recognition for clinical quality and patient safety. This hospital is the principal teaching hospital of the University of Medicine in the state of New Jersey. It is a very demanding position to be the one is who teach others how to take care of heart patients.

The Dayton Heart Hospital focus on patient care and fighting any problems that deals with heart problems. Each year heart disease kills more people than any other disease. Patients want new and better ways of healing. The physicians, community leaders, and others want to reduce the impact of heart disease has on society.

Spectrum Hospital in Grand Rapids, Michigan has updated its heart wing, is now one of the leading hospitals for open-heart surgery, and transplants. The staff at Spectrum Hospital is very sensitive to patient needs and stress levels and tries to help in any manner possible. When a patient leaves the hospital, the care does not stop at that point. They provide in home nurses that visit the patient on a daily basis to make sure that they are coming along very well. Therapy is a part of the patient care after a month or so when the patient feels they are ready. The patient then goes to the therapy wing and a professional helps lead in proper therapy techniques. The hospital also provides a dietician who helps with your diet plan. The care provided is necessary for complete recovery.

Arthritis Of The Foot

Arthritis Of The Foot
Dr. Jeffrey A. Oster, Medical Director Of Myfootshop.com.

Arthritis is a term used to describe a number of diseases that cause inflammation of joints and results in the progressive destruction of joints. Arthritis is actually a collection of many different joint diseases that affect the body and the foot in many different ways. In this article, let’s talk a bit about arthritis and how it affects the foot. We normally discuss treatment alternative for conditions, but due to the scope of this topic, we will not discuss treatment of each of the individual forms of arthritis.

Osteoarthritis

Osteoarthritis is by far and away the most common form of arthritis. Osteoarthritis is known as the wear and tear type of joint disease and will effect most of us at one point in our lives. In our discussion on osteoarthritis, please refer to the nomenclature and anatomy sections below for definitions of the terms that my be unfamiliar to you.
When I think of osteoarthritis (OA), I think of my grandmother’s hands. Those hand have done a lot of work in their time and have a bit of arthritis to show for it. The fingers, crooked and bumpy show many of the changes brought on by osteoarthritis. The bumps on the fingers are called Heberden’s Nodes. Heberden’s Nodes are a very obvious example of how osteoarthritis occurs. If you’ve ever known anyone whose experienced the symptoms of OA, they’ll tell you that a joint will flare for a period of several weeks. It may be mildly painful or even painful to the degree that the joint is unusable. And then suddenly, just as passively as it came, it leaves. Occasional, brief morning stiffness was not unusual for grandma. The pain that had been present in her hands was actually due to a series of small micro-fractures that occurred in the subchondral bone (just beneath the cartilage). It seems that in cases of osteoarthritis, the bone just below the cartilage becomes very fragile. When loads are applied to this fragile bone, it breaks down. The more the joint is used, the more the bone seems to break down.
Over time, as the bone undergoes a series of flare ups, the ability of the bone to support the cartilage becomes unstable. The subchondral bone creates an unstable supporting surface for the cartilage. When the joint tries to complete its’ normal range of motion, the cartilage is irregular and progressively erodes. This moves us into the second phase of OA pain, and that’s when we have joint range of motion that is bone on bone. Cartilage has no nerve endings to sense pain, but bone on the other hand, has plenty. As the joint moves and the bone is eroded, significant pain can be experienced.
This erosive process seen in OA seems to occur at different rates in everyone. In fact, every joint seems to undergo the changes of OA at a different rate. The rate of change does seem to be effected by the history of damage to the joint. In fact the classifications used to describe OA include Primary (idiopathic or no known cause) and Secondary (some known cause for the disease such as trauma). Past injuries seem to accelerate the rate of OA in most joints. We all know someone with that old football injury, right?
The cause of OA is unknown. Many authors have speculated that the cause may be mechanical as described above, but others have described changes such as biologic, biochemical or enzymatic; or even a combination of each of these.
Changes that occur in the foot with OA are numerous. The most common is midfoot pain that is diffuse. The midfoot is a jigsaw puzzle of pieces that are difficult to manage when effected by a systemic disease of this nature. Other finding include atrophy (loss) of the plantar fat pad of the forefoot and heel. The big toe joint is often effected by the changes of OA with bunions and hallux limitus as common complaints.

Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a very complex and debilitating disease that affects approximately 1% of the general population. Women are 2-3 times more prone to develop RA. RA is a process where the body’s immune system attacks the cell lining the joint capsule (synovial cells). The end result is thickening and fibrosis of the joint with destruction of the cartilage.
Symptoms of RA include an abrupt onset of inflammation. The swelling associated with RA may be isolated to one joint or effect several. Symmetrical involvement is typical with both hands or both feet being affected. In comparison to OA, morning stiffness seen in RA may last more than 30 minutes.
The finding of RA in the foot often progresses to subluxation of the joints, particularly the metatarsal phalangeal joints. Atrophy of the plantar fat pad is common.

Psoriatic Arthritis

Psoriatic arthritis (PA) is an interesting form of sero-negative arthritis. PA is associated with psoriasis in many cases, but it is not unusual to find the symptoms of PA in a patient with no previous history of psoriasis of the skin or nail.
The symptoms of PA in the foot include focal swelling of the interphalangeal joint (the toes). The toe will appear to have swollen and become painful with a limited history of injury or pain. X-rays often show slow changes that exhibit erosion called a pencil and cup appearance. This finding is common on the metatarsal phalangeal joint.

Reiter’s Syndrome

Reiter’s Syndrome (RS) is an unusual form of arthritis that is usually found in men.. RS is often described as a sexually transmitted disease due to the history of the disease occurring following sexual intercourse which resulted in a chlamydial infection. It is suggested to treat those with RS, and their sexual partners, for C. trachomatis infections.
The symptoms of RS include burning upon urination (urethritis), dry eyes and joint pain. Joint pain in the back and feet are common. These symptoms occur 7-14 days following sexual intercourse and subside over a period of several months to years. Recurrence of pain is not unusual. About the Author
Jeffrey A. Oster, DPM, C.Ped is a board certified foot and ankle surgeon. Dr. Oster is also board certified in pedorthics. Dr. Oster is medical director of Myfootshop.com and is in active practice in Granville, Ohio.

THE HEALTH BENEFITS OF MASSAGE THERAPY

In an attempt to understand how and why massage therapy is as effective as it seems to be, scientists and medical researchers from around the world have been studying it for decades. Some characteristics of massage therapy have been conclusively resolved with apparent consensus among the learned scholars, while other characteristics remain as inexplicably mysterious as ever. For instance, they all agree that when a certain amount of pressure is applied to a soft tissue such as a muscle, some changes occur within the affected muscles. They also all tend to agree that massage therapy promotes relaxation and reduces the stress which often leads to deterioration or worsening of certain physiological conditions.

Those characteristics of massage therapy which have not yet been explained by conventional science, gave rise to a number of theories and postulates. You will note that they are all prefaced with the word might to indicate uncertainty as they described possible health benefits of massage therapy:

* Might provide stimulation that may help block pain signals transmitted to the brain and this is called the gate control theory of decreasing or alleviating pain.

* Might promote better health by stimulating the lymphatic system to increase the flow of lymph, which is the secretion that carries disease fighting cells through the body.

* Might re-route the clients nervous system away from the sympathetic to the parasympathetic. In doing so, the fight-or-flight reaction of the sympathetic nervous system with its increased heart and breathing rates along with tightened muscles of distress are shunned in favor of the rest-and-digest reaction of the parasympathetic nervous system with its lowered heart rate, slowed breathing and relaxed muscles.

* Might be instrumental in effecting beneficial changes in the body by preventing fibrosis through the process of breaking up scar-like tissue

* Might arouse the body to discharge chemicals such as serotonin or endorphins which area known to give people the feelings of wellbeing.

* Might improve sleep patterns which is essential to pain control and healing processes.

* Might contribute to the overall mental and physiological health by the intimate interaction between the client and the therapist.

The following are specific cases and their reported benefits whether they are understood or merely observed with bewilderment:

* Students at a New Jersey Medical School who were given massage therapy before an exam displayed less anxiety, lower respiratory rates, a substantial increase in white blood cells and an enhanced immune system.

* Cancer patients at the James Cancer Hospital and Research Institute in Columbus, Ohio experienced less pain and decreased anxiety after receiving massage therapies than those who did not get such treatments.

* Studies at the University of South Carolina show that women who recently lost a child were less depressed after massage therapy.

* The National Institutes of Health (NIH) found that massage therapy improved weight gain in infants who were premature or those who were exposed to HIV. They also determined that massage therapy expedites recovery in patients who had abdominal surgery.

* Researchers at the University of the Miami School of Medicines Touch Research Institute discovered that massage therapy decreases high blood pressure, relieves migraine headaches, and generally increases alertness and performance in the workforce.

* Many additional studies confirm that massage therapy reduces heart rates, lowers blood pressure; increases blood circulation and lymph flow; relaxes stiffened and tense muscles while stimulating weak and inactive muscles to compensate for lack of movement due to an illness or an injury; speeds up the healing process after surgeries, disease and injuries; improves the range of vision; increases endorphins; reduces anxiety, tension, depression, pain and itching in burn patients; and Autistic children exhibit calmer and more predictable behavior.

So, is massage therapy beneficial? Yes! Massage therapy is beneficial on, oh, so many levels. The mechanics of the process may not be clear just yet, but the outcomes are undeniable by anyones standards.

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