Treat or eat? Choosing between medication and food | Effect of walking after meals in type 2 diabetes | Food and drug additives in chronic idiopathic urticaria
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April 17, 2014
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Treat or eat? Choosing between medication and food
Approximately 1 in 3 chronically ill National Health Interview Survey participants are unable to afford food, medications or both. WIC and public health insurance participation are associated with less food insecurity and cost-related medication underuse. The American Journal of Medicine (4/2014) Share: Email
 
Multiple Sclerosis Updates: Disease Management and Clinical Trial Data
This review of the 65th Annual Meeting of the American Academy of Neurology (AAN 2013) offers summaries and perspectives of what is happening in the world of MS research, and how we can apply these findings to our everyday practice. Free CME
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Clinical Updates
Effect of walking after meals in type 2 diabetes
For type 2 diabetics, does walking following a meal work as well at lowering postprandial glycemia as playing table tennis with a robot? Researchers at Old Dominion University in Norfolk, Va., tested effects of 30 minutes of self-paced treadmill walking, table tennis and rest on glucose levels after a meal. Treadmill walking was more effective at lowering postprandial glycemia in those with type 2 diabetes than either 30 minutes of continuously playing table tennis or 30 minutes of rest. (Free abstract only.) Journal of the American Medical Directors Association (4/2014) Share: Email
 
Food and drug additives in chronic idiopathic urticaria
Chronic idiopathic urticaria (CIU) is defined as presence of urticaria most days of the week for a period of six weeks or longer. There have been reports of food additive sensitivity in CIU previously, but the prevalence has not been precisely determined. The authors of this study sought to determine the prevalence of reactions to food and drug additives in patients with CIU, via challenge of a 100 patient cohort with 11 of the food additives most commonly associated with reactions. The authors concluded with 95% confidence limits that sensitivity to any of the 11 food and drug additives occurs in less than 1% of patients with CIU. Food and drug additives appear to be a rare cause of CIU and avoidance is not recommended. The Journal of Allergy and Clinical Immunology: In Practice (3/2014) Share: Email
 
Cesarean delivery incision type and healing in obese women
In morbidly obese women undergoing primary cesarean delivery, vertical skin incision was associated with a lower wound complication rate. American Journal of Obstetrics & Gynecology (4/2014) Share: Email
 
Enteral fat supplement and fish oil in premature infants with an enterostomy
Provision of nutrition sufficient to support normal growth for infants with an ostomy is challenging and usually requires a combination of enteral nutrition (EN) and parenteral nutrition, including intravenous lipid. In this randomized controlled trial, premature infants <2 months old who had an enterostomy and tolerated enteral feeding at 20 mL/kg/day were randomized to usual care (n=18) or early supplementing enteral fat supplement and fish oil (n = 18). Early enteral feeding of a fat supplement and fish oil was associated with decreased exposure to intravenous lipid, increased EN intake and reduced conjugated bilirubin before reanastomosis and improved weight and length gain after reanastomosis in premature infants with an enterostomy. The Journal of Pediatrics (3/2014) Share: Email
 
Parents' and sons' beliefs about school vaccinations
Parents and their adolescent sons generally support vaccinating boys in school vaccination programs. Programs should adopt flexible approaches to address the desires of parents and the changing needs of adolescents as they mature. (Full-text access is time limited.) Journal of Adolescent Health (4/2014) Share: Email
 
Preventing coronary heart disease in type 2 diabetes
A significant proportion of coronary heart disease events in adults with type 2 diabetes mellitus could be prevented from composite control of risk factors often not at goal. The American Journal of Cardiology (4/15/2014) Share: Email
 
Medical News
Study: Blood thinners plus NSAIDs may increase risk of major bleeding
An analysis of more than 8,000 patients with deep vein thrombosis and pulmonary embolism showed that those who simultaneously took an anticoagulant and a nonsteroidal anti-inflammatory drug had a greater risk of suffering major internal bleeding than those who took blood thinners alone. The risk of bleeding may be even higher for patients with atrial fibrillation, lead researcher Bruce Davidson said. The findings were published in JAMA Internal Medicine. HealthDay News (4/14) Share: Email
Children who are overweight seldom receive recommended screening
Data published in the CDC's Morbidity & Mortality Weekly Report revealed few overweight and obese children receive recommended screenings for obesity-linked conditions. Researchers said about 30% of overweight and 40% of obese children had a lipid panel test, while only 5% of overweight and only about 10% of patients who were obese received a fasting glucose test. Only 1.5% of obese children had procedure codes indicating they were asked about their family history of diabetes. "The increased obesity-related morbidity and low levels of diagnostic coding and laboratory screening identified in this study present a challenge to efforts to reduce and treat childhood obesity," the authors wrote. Medscape (free registration) (4/10) Share: Email
Study ties sleep apnea to higher osteoporosis risk
A study published in the Journal of Clinical Endocrinology & Metabolism showed people with obstructive sleep apnea had nearly three times the risk of developing osteoporosis as those who didn't have the sleep disorder. In particular, women and older people were affected. "When sleep apnea periodically deprives the body of oxygen, it can weaken bones and raise the risk of osteoporosis. The progressive condition can lead to bone fractures, increased medical costs, reduced quality of life and even death," researcher Dr. Kai-Jen Tien said. HealthDay News (4/15), Healio (free registration)/Endocrine Today (4/15) Share: Email
Business Practice News
More docs factoring costs into clinical decisions
More U.S. doctors say it's time to start considering medical costs in their practice by weighing the burden of "financial toxicity" and discussing money openly with patients. Doctors can no longer afford the luxury of ignoring cost, which results in unsustainable health care budgets and serious challenges for patients, writes Timothy Gower. However, the idea of factoring money into medical decision-making raises ethical challenges among doctors and patients. The Boston Globe (tiered subscription model) (4/13) Share: Email
Toolkit aims to improve primary care, subspecialist communication
The American College of Physicians released a High Value Care Coordination Toolkit to help boost patient-centered communication between primary care and subspecialist physicians. The toolkit includes information checklists and datasets for referrals, care coordination agreement templates and advice on how to prepare a patient for a referral. Medscape (free registration) (4/12) Share: Email
Patient's Perspective
Study looks at quality of health-related Web searches
Web searches associated with physical disease or injuries appeared to yield better information compared with searches for preventive and social health information, a study says. Patients and consumers should be aware that searches for certain topics such as nutrition and fitness may result in potentially lower-quality information, researchers wrote in the journal Decision Support Systems. Business Standard (India)/Asian News International (4/13) Share: Email
SmartQuote
It is easy to sit up and take notice. What is difficult is getting up and taking action."
-- Al Batt,
American writer Share: Email
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