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Research needed to treat chronic headaches COPENHAGEN, Denmark (UPI) -- New guidelines are intended to stimulate more research into headache treatment, a Danish researcher says. Dr. Lars Bendtsen and his team at the Clinical Trials Standing Committee of the International Headache Society in Copenhagen, Denmark, developed the recommendations on how to improve the quality and safety of the research into treatments for episodic and chronic tension-type headaches. The guidelines, published in Cephalalgia, will enhance clinical trial safety for patients and will also allow researchers to determine if older drugs still used to treat tension-type headaches are as effective and safe as they should be. The last research guidelines for tension-type headache were published in 1995, but few novel or evidence-based treatment options have become available since. Bendtsen said the goal of focusing research specifically on episodic tension-type headaches and chronic tension-type headaches is to spur new research into the treatment of these commonly occurring headaches. Over the years, researchers found pain relievers were usually the most effective way of treating all but the most severe episodic headaches. However, researchers found that chronic headache sufferers seldom benefit from pain relievers. Copyright 2010 by United Press International
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Telemedicine may not help in ICU HOUSTON (UPI) -- Telemedicine did not seem to help intensive care unit patients survive, U.S. researchers said. Researchers at University of Texas Health Science Center at Houston also found no association between using telemedicine -- the remote monitoring of patients -- and lessening of illnesses or shortened stays in intensive care units. Telemedicine has being adopted in an effort to make greater use of a short supply of ICU physicians -- known as intensivists, the researchers explained. Care of ICU patients by intensivists on site has been associated with lower rates of ICU illness and death. Dr. Eric Thomas and colleagues assessed the effect before and after tele-ICU intervention on mortality, complications and length of stay in six ICUs of five hospitals in a large U.S. healthcare system. The study included 2,034 patients in before period -- January 2003 to August 2005 -- and 2,108 patients in the after period -- July 2004 to July 2006. "The lack of apparent benefit may be attributable to low decisional authority granted to the tele-ICU as well as to varied effects across different types of patients," the study authors said in a statement. "Given the expense of tele-ICU technology, the conflicting evidence about its effectiveness, and the existence of other effective quality improvement interventions for ICUs, further use of this technology should proceed in the context of careful monitoring of patient outcomes and costs." Copyright 2010 by United Press International
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Poll: Alaska teens curbing risky behaviors ANCHORAGE, Alaska (UPI) -- The results of a survey of Alaskan teens indicate alcohol consumption and cigarette use are down among the state's teens. The Anchorage (Alaska) Daily News reported Friday the 2009 Alaska Youth Risk Behavior Survey found 5 percent of respondents admitted smoking a cigarette on at least 20 of the previous 30 days. A similar survey in 1995 found 21 percent of Alaskan teens surveyed admitted smoking at that level. The 2009 survey of 1,400 students at 43 Alaska high schools also found 22 percent of respondents admitted consuming at least five alcoholic beverages within a period of a few hours at some point in the previous month. The 1995 survey found 31 percent admitted such drinking behavior. The Daily News said 44 percent of respondents in the 2009 survey, whose polling dates and margin of error were not reported, admitted they have had sex. Such findings were consistent will previously survey findings. Copyright 2010 by United Press International
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Education increases liver donations NEW YORK (UPI) -- Livers from living donors increase 42 percent after transplant candidates received education on the process, U.S. researchers say. Officials of the United Network for Organ Sharing says as of Jan. 30, 2009, there were 100,539 candidates on the waiting list in the United States with more than 15,000 individuals in need of a liver transplant. The number of deceased donors decreased from 6,650 donors in 2006 to 6,494 donors in 2007. At the time of the study, New York state had 1,947 individuals on the liver wait list, which represents 12 percent of candidates nationally. In 2006-2007, random samples of wait-listed candidates at five transplant centers in New York were selected to complete pre-intervention surveys. A second sample of wait-listed candidates completed post-intervention surveys in 2008. "Past studies have show wait-listed candidates concerns over donor safety, coupled with their general lack of knowledge about organ donation, created a reluctance on the part of candidates to discuss living donor liver transplantation with family and friends," lead author Samantha DeLair, director of the New York Center for Liver Transplantation, said in a statement. "The intervention material we used included testimonials and self-report data from living donors to educate liver candidates about the impacts, both the positives and the challenges of living liver donation." The findings are published in Liver Transplantation. Copyright 2010 by United Press International
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