PRESS-NEWS.org - Press Release Distribution
FREE PRESS RELEASES DISTRIBUTION

Study finds many gastroenterologists unaware of appropriate immunizations for IBD patients

2011-05-17
(Press-News.org) (Boston) – Researchers from Boston University School of Medicine (BUSM), along with clinicians from Boston Medical Center (BMC), have found gastroenterologist knowledge of the appropriate immunizations to recommend to the inflammatory bowel disease (IBD) patient is limited. These findings, which currently appear on-line in Inflammatory Bowel Diseases, may be the primary reason why the majority of gastroenterologists believe that the primary care provider (PCP) should be responsible for vaccinations.

Current therapy for IBD patients often involves agents that suppress the immune system, placing patients at an increased risk for developing infections, of which several are potentially vaccine preventable. According to the studies' authors, many IBD patients are not being vaccinated appropriately.

One thousand gastroenterologists, randomly selected from the membership of the American College of Gastroenterology, were asked to complete a 19-question electronic survey regarding suitable vaccines for the immune-competent and immunosupressed IBD patient and the barriers to recommending the vaccines. The researchers also assessed the perceived role of the gastroenterologist versus the PCP.

The researchers analyzed 108 responses and found only 56 (52 percent) of the gastroenterologists took an immunization history most or all of the time. There was no significant difference between gastroenterologists with smaller practices (less than 40 IBD patients) compared with those with larger practices (greater than 40 IBD patients) in how often they asked their patients about immunization history. In contrast, more academic physicians (67.5 percent) asked their patients about immunization history most or all of the time compared to 42.4 percent of private physicians. Sixty-nine (64 percent) of the respondents thought the PCP was responsible for determining which vaccinations to administer to the IBD patient and ninety (83 percent) believed the PCP was responsible for administering the vaccine. Sixteen of the 108 surveyed gastroenterologists did not regularly recommend immunization against influenza. The most common reasons included "too busy/forgot," "no specific reason," and "did not know my patient needed it".

In addition, the researchers found 20 to 30 percent of gastroenterologists would erroneously recommend any of the three queried live, attenuated vaccines (MMR, herpes zoster, varicella) to their immune-suppressed IBD patient. In addition, 24 to 35 percent of gastroenterologists would incorrectly not give the three queried live, attenuated vaccinations to their immune-competent patients. Of the inactivated vaccines, knowledge regarding the HPV vaccine was particularly poor, with only 71 (66 percent) recommending the vaccine to their immune-competent patients and only 51 (47 percent) recommending the vaccine to their immune-suppressed patients).

In general, gastroenterologists were more likely to make the correct vaccine recommendations for their immunocompetent IBD patients. "Gastroenterologist knowledge of the appropriate immunizations to recommend to the IBD patient is limited and may be the primary reason why the majority of gastroenterologists believe that the PCP should be responsible for vaccinations," said primary author Sharmeel Wasan, MD, MSc, an assistant professor of medicine at BUSM and a gastroenterologist at BMC.

Over the last five years, the problem of vaccine preventable illnesses in patients with IBD have been described, including case reports of fulminant hepatitis and fatal varicella. "Despite an increased risk for infections on these agents, many IBD patients are not being appropriately vaccinated. Barriers to vaccination described by patients include a lack of awareness and concern for side effects, suggesting that providers are not adequately educating and recommending vaccinations to their immunosuppressed patients," said Francis Farraye, MD, MSc, a professor of medicine at BUSM and a gastroenterologist at BMC.

The authors recommend educational programs on vaccinations directed to gastroenterologists who prescribe immunosuppressive agents.

###

END



ELSE PRESS RELEASES FROM THIS DATE:

Dr. Richard G. Davis of Precision Eye Care Brings Advanced Technology to Laser Refractive Cataract Surgery to Long Island with the Alcon LenSx Femtosecond Laser

2011-05-17
Island Eye Surgicenter is only the fourth surgical facility to acquire this advanced technology in the US. Island Eye Surgicenter located in Carle Place is unique in that it focuses on the surgical care and treatment of eye disorders and specializes in the most advanced laser cataract surgery on Long Island. Cataract surgery is one of the most common and safest surgeries performed in the US today. The Alcon LenSx Femtosecond Laser gives the surgeon precision and reliability vastly improving patient outcomes.This new procedure is extraordinary, and with this new technology, ...

Poisonous tears

Poisonous tears
2011-05-17
For years Professor Leo von Hemmen, a biophysicist at the TU Muenchen, and Professor Bruce Young, a biologist at the University of Massachusetts Lowell, have been researching the sense of hearing in snakes. While discussing the toxicity of their snakes, it dawned on them that only few snakes inject their venom into their victims' bodies using hollow poison fangs. Yet, even though the vast majority of poisonous reptiles lack hollow fangs, they are effective predators. Only around one seventh of all poisonous snakes, like the rattlesnake, rely on the trick with the hollow ...

U of T researchers find link between childhood physical abuse, chronic fatigue syndrome

2011-05-17
TORONTO, ON – Childhood physical abuse is associated with significantly elevated rates of functional somatic syndromes such as chronic fatigue syndrome, fibromyalgia and multiple chemical sensitivities among women, according to new findings by University of Toronto researchers. The research will be published in this month's issue of the Journal of Aggression, Maltreatment & Trauma. "Women who reported they had been physically abused as children have twice the odds of chronic fatigue syndrome and multiple chemical sensitivities, and 65 per cent higher odds of fibromyalgia" ...

London Accountancy Firm Reports Surge in Demand for Business Plan Services During Economic Recovery

London Accountancy Firm Reports Surge in Demand for Business Plan Services During Economic Recovery
2011-05-17
Wisteria Ltd, a chartered accountancy firm based in Edgware, London, has this week shed some light on recent successes, reporting that the popular Wisteria business plan service is enjoying some of its greatest success to date. Many would have anticipated that in a time of financial uncertainty, many new businesses ideas would be held off for more prosperous times, but it seems this is not the case. An increasing number of entrepreneurs are choosing now as the time to make their start-up idea a reality. Wisteria have benefited greatly from the trend, with their ...

Low-dose sorafenib may improve therapy for head and neck cancer

2011-05-17
COLUMBUS, Ohio – Adding low doses of the targeted agent sorafenib to the chemotherapy and radiation now often used to treat head and neck cancer might significantly improve patient care and quality of life, according to a new study by researchers at the Ohio State University Comprehensive Cancer Center-Arthur G. James Cancer Hospital and Richard J. Solove Research Institute (OSUCCC – James). The findings suggest that adding sorafenib would maintain treatment efficacy while permitting the use of lower doses of chemotherapy and radiation and decreasing the treatment's harsh ...

Cell rigidity linked to activity in proteins associated with cancer

2011-05-17
Chapel Hill, NC – An unusual collaboration between cell and developmental biologists and physicists at UNC-Chapel Hill is providing insights into the relationship between the physical properties of cells and the signals that influence cell behavior. In a paper published online yesterday in the journal Nature Cell Biology, a team led by Keith Burridge, PhD, Kenan distinguished professor of cell and developmental biology and a member of UNC Lineberger Comprehensive Cancer Center, and Richard Superfine, PhD, Taylor-Williams distinguished professor of physics and astronomy, ...

Graduation contamination

2011-05-17
Graduations are a celebration of achievement and growth, but could all the pomp and circumstance increase your risk of exposure to harmful bacteria? A team of researchers from the Johns Hopkins Bloomberg School of Public Health examined the risk of acquiring pathogenic bacteria such as Staphylococcus aureus and methicillin-resistant Staphylococcus aureus (MRSA) through shaking hands at graduation ceremonies across Maryland. A handshake, a short ritual in which two people grasp one of each other's hands, dates back as far as the 5th century BCE. This gesture has become ingrained ...

AgriLife Research scientists work with RNA silencing and plant stem cells

2011-05-17
COLLEGE STATION — Research on controlling the stem cells of plants could eventually lead to learning how to make them produce more fruit, seed and leaves, according to Dr. Xiuren Zhang, Texas AgriLife Research scientist and professor with the Texas A&M University department of biochemistry and biophysics. Results of a nearly three-year project led by an AgriLife Research team headed by Zhang was published in Cell, one of the most cited scientific peer-review journals in the world. "Working with the shoot meristem area, we may (eventually) control fruit and seed yield ...

California Department of Corrections and Rehabilitation study yields quality measurements

2011-05-17
Los Angeles, CA (May 13, 2011) New studies released in the April issue of the Journal of Correctional Health Care (JCHC) (published by SAGE) are helping the California Department of Corrections and Rehabilitation (CDCR) to establish a set of prison health care quality measurements. The JCHC issue highlights a research project conducted by the RAND Corporation for the CDCR to help it address problems related to access to care and quality of care, and to gain a better understanding of the strengths and weakness of its health care services. Findings from an environmental ...

Win A Seat To The Grand Slam Of Slots 2 with Casino Aus

2011-05-17
With only one week left for players to win seats to the Grand Slam of Slots 2 (GSOS 2), the Australian Online Casino, Casino Aus is revving up and excitement is mounting. This Slots Tournament is set to run from the end of May, and players are preparing to enter the biggest online slots tournament in online gaming history. There are Qualifying Feeder Tournaments that are held on a daily basis at 17:00 GMT on the popular games, On Ladies Night, Tomb Raider, Hitman and ThunderStruck. There are three tickets to be won in each qualifier. There are two prizes that are ...

LAST 30 PRESS RELEASES:

Scientists model 'true prevalence' of COVID-19 throughout pandemic

New breakthrough to help immune systems in the fight against cancer

Through the thin-film glass, researchers spot a new liquid phase

Administering opioids to pregnant mice alters behavior and gene expression in offspring

Brain's 'memory center' needed to recognize image sequences but not single sights

Safety of second dose of mRNA COVID-19 vaccines after first-dose allergic reactions

Changes in disparities in access to care, health after Medicare eligibility

Use of high-risk medications among lonely older adults

65+ and lonely? Don't talk to your doctor about another prescription

Exosome formulation developed to deliver antibodies for choroidal neovascularization therapy

Second COVID-19 mRNA vaccine dose found safe following allergic reactions to first dose

Plant root-associated bacteria preferentially colonize their native host-plant roots

Rare inherited variants in previously unsuspected genes may confer significant risk for autism

International experts call for a unified public health response to NAFLD and NASH epidemic

International collaboration of scientists rewrite the rulebook of flowering plant genetics

Improving air quality reduces dementia risk, multiple studies suggest

Misplaced trust: When trust in science fosters pseudoscience

Two types of blood pressure meds prevent heart events equally, but side effects differ

New statement provides path to include ethnicity, ancestry, race in genomic research

Among effective antihypertensive drugs, less popular choice is slightly safer

Juicy past of favorite Okinawan fruit revealed

Anticipate a resurgence of respiratory viruses in young children

Anxiety, depression, burnout rising as college students prepare to return to campus

Goal-setting and positive parent-child relationships reduce risk of youth vaping

New research identifies cancer types with little survival improvements in adolescents and young adul

Oncotarget: Replication-stress sensitivity in breast cancer cells

Oncotarget: TERT and its binding protein: overexpression of GABPA/B in gliomas

Development of a novel technology to check body temperature with smartphone camera

The mechanics of puncture finally explained

Extreme heat, dry summers main cause of tree death in Colorado's subalpine forests

[Press-News.org] Study finds many gastroenterologists unaware of appropriate immunizations for IBD patients