Alcohol consumption and mortality | Metabolic acidosis of chronic kidney disease | Meaningful use of a confidential adolescent patient portal
 
 
February 4, 2016
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Alcohol consumption and mortality
Moderate alcohol consumption is not associated with reduced all-cause mortality in older adults. The previously observed association may have been due to residual confounding. The American Journal of Medicine (2/2016) Share: Email
 
Free Updates in CINV: The Oncology Nurse & NP Perspectives
This activity has been designed to address the educational needs of advanced practice oncology nurse practitioners and oncology nurses who manage patients at risk of developing CINV. Upon completion, you may receive up to 2.0 contact hours. Click here to begin the activity.
 
Clinical Updates
Metabolic acidosis of chronic kidney disease
In chronic kidney disease (CKD), the kidney's ability to preserve acid-base balance is compromised. In some cases, a primary reduction in serum bicarbonate concentration can develop, a disorder known as metabolic acidosis of CKD. The disorder is associated with a host of complications, including muscle wasting and hypoalbuminemia, as well as death. This review article discusses these pathogenic pathways and the benefits and complications of base administration as a therapeutic approach. American Journal of Kidney Diseases (2/2016) Share: Email
 
Meaningful use of a confidential adolescent patient portal
Patient portals can fulfill meaningful use requirements but little is known regarding adolescent use of patient portals when confidentiality is prioritized. Adolescents used the portal similarly to parents of younger children, accessing it for sensitive adolescent health issues including asking questions to providers and seeking laboratory results. Journal of Adolescent Health (2/2016) Share: Email
 
What do patients with hypertrophic cardiomyopathy die from?
This study found that only about 25% of hypertrophic cardiomyopathy patients ultimately died of their disease, including predominantly those <30 years old. These data allow hypertrophic cardiomyopathy patients to develop a more realistic and reassured perception of their disease. The American Journal of Cardiology (2/1/2016) Share: Email
 
Functional outcomes after fetal myolomeningocele surgery
Although fetal myelomeningocele surgery is associated with persistent improvement in long-term neurofunctional outcome, behavioral abnormalities are common compared to population norms. American Journal of Obstetrics & Gynecology (2/2016) Share: Email
 
Antimicrobial-resistant urinary tract infections
The majority of cases of community-acquired urinary tract infection (UTI) are treated with narrow-spectrum antibiotics, but emerging resistance may limit the efficacy of these antimicrobials. Among approximately 800 infants, uncircumcised males, Hispanic children, children with bladder and bowel dysfunction, and children who received one course of antibiotics in the past 6 months were more likely to have a UTI caused by pathogens resistant to one or more of narrow-spectrum antimicrobials. The Journal of Pediatrics (2/2016) Share: Email
 
Medical News
Sedentary time tied to increased diabetes risk, study finds
A study in Diabetologia showed that the risk of type 2 diabetes increased by 22% for every extra hour spent sitting daily. Researchers evaluated more than 2,000 adults with a mean age of 60 and found those who spent more sedentary time had a 1.13 times higher risk of one to two metabolic syndrome criteria and 1.39 times higher odds for three to five criteria of the syndrome, regardless of whether they engaged in more high-intensity exercise activity. MedicalDaily.com (2/2) Share: Email
AAP releases childhood immunization schedule for 2016
The American Academy of Pediatrics' 2016 recommended immunization schedule for children and adolescents is similar to last year's format, but now includes recommendations for the nine-valent human papillomavirus vaccine that was approved in 2014, researchers wrote in Pediatrics. Children should receive HPV vaccination starting at age 11, while those with a history of sexual abuse should receive it at age 9. The schedule also recommends giving the quadrivalent meningococcal vaccine to all adolescents ages 11 to 12, with a booster at age 16. PhysiciansBriefing.com/HealthDay News (2/2) Share: Email
Study: Higher mercury levels in brain not linked to dementia
A study found no evidence that higher mercury levels in the brain are linked to dementia but did show eating moderate amounts of seafood may help protect against Alzheimer's disease in people with a certain genetic risk for it. Researchers reported in the Journal of the American Medical Association that people who eat more seafood do have higher mercury levels in the brain but found no association with the type of brain damage usually seen in Alzheimer's disease and dementia. HealthDay News (2/2) Share: Email
Business Practice News
Drug shortages affect clinical decision-making
Shortages of drugs from antibiotics to cancer treatments have become a new norm in medicine, and physicians and government and hospital officials say it has led to ad hoc policies, contradictory conclusions, and questionable ethical decisions and medical practices. Cutting back drug dosages or making drug substitutions has effects, but the health sector is not tracking outcomes for patients getting substitute medications or delayed treatment. The New York Times (free-article access for SmartBrief readers) (1/29) Share: Email
Report: More providers adopt EHRs, but data sharing remains low
More than 74% of physicians' offices had EHR systems in 2014, compared with 67.5% in 2013, but only 32% of EHR-equipped offices are sharing data externally, according to a CDC report. Data on behavioral health, long-term care and home health were the most frequently shared types. EHR Intelligence (1/28) Share: Email
Patient's Perspective
Zika virus a global health emergency, WHO says
Although Zika virus infections in pregnant women haven't been scientifically connected to birth defects in infants, anecdotal evidence was enough to prompt the World Health Organization to declare the virus and the birth defects associated with Zika a public health emergency. The move paves the way for a coordinated response to the outbreak and should advance work on diagnostics and vaccines. Researchers already are working on a vaccine based on progress toward a West Nile vaccine. The New York Times (free-article access for SmartBrief readers) (2/1), USA Today (2/1) Share: Email
SmartQuote
Your days are numbered. Use them to throw open the windows of your soul to the sun. If you do not, the sun will soon set, and you with it."
-- Marcus Aurelius,
emperor Share: Email
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