Effectiveness of low-carbohydrate diet for diabetes
Many current treatments for diabetes either have serious side effects or are not consistently effective. However, there is considerable evidence to indicate that a low-carbohydrate diet is consistently effective without major side effects. This paper addresses 12 points of evidence that support the use of carbohydrate restriction as an important and valid method for treating both types of diabetes. Nutrition
(1/2015) Share: 
Universal maternal drug testing in a region of high prescription opiate abuse
In a community hospital setting, a threefold increase in neonatal abstinence syndrome was recorded over five years. In this retrospective cohort study in Cincinnati, 3% of 2,956 mothers tested positive for opioids between May 2012 and November 2013. Universal maternal drug testing improves the identification of infants at risk for the development of neonatal abstinence syndrome. (Free access is time limited.) The Journal of Pediatrics
(11/2014) Share:
Social contexts and substance abuse
Among U.S. high-school seniors, the social contexts of past-year substance use (multiple substances, alcohol, marijuana, prescription opioids, stimulants and tranquilizers) indicate that social contexts vary considerably between substances, and that these differences should be considered when developing prevention efforts. Journal of Adolescent Health
(12/2014) Share:
Lowering blood pressure for cognitive impairment
Is there a limit to the benefits of lowering blood pressure (BP) to decrease risk of white brain matter lesions which lead to cognitive impairment? A Chinese study explored proper BP target to provide the most benefit for lowering risk of developing brain white matter lesions which can present on MRIs as hyperintensities indicating cerebrovascular disease, an early indicator of cognitive decline in the elderly. Excessive lowering of BP (systolic BP below 140) was not found to be beneficial. (Free abstract only.) Journal of the American Medical Directors Association
(12/2014) Share:
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Nearly half of pediatric inpatients receive risky drug combos
Forty-nine percent of hospitalized children and teens were given at least one drug combination that may lead to adverse outcomes such as sedation, bleeding and breathing issues, or decrease the effectiveness of a treatment, a study in the journal Pediatrics indicated. Opioid painkillers, antibiotics and other infection-fighting drugs appeared to be the most commonly involved drugs. HealthDay News
(12/15) Share:
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Survey looks at compensation changes for U.S. providers
Specialty physicians attained 1.9% compensation growth this year, down from a 3.2% increase in 2013, data from the 2014 Physician Compensation and Productivity Survey showed. Researchers also found general pediatrics practitioners saw a 5% increase in compensation between 2013 and 2014, while internal medicine and family practice providers saw 2% and 3% increases, respectively. BeckersHospitalReview.com
(12/12) Share:
Doctors ID key areas for improving health care delivery
A study in the American Journal of Managed Care found that while hospitals and physicians have started adopting new value-based payment models, it is unclear whether facilities have plans to sustain doctor engagement aside from providing incentives. Responding physicians identified five areas for improvements -- such as lagging primary care compensation, complicated policies and uncertain direction of success -- to help the industry accomplish better health quality and lower cost. BeckersHospitalReview.com
(12/15) Share:
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Some patients prefer to withhold information from providers, study finds
A study by the Regenstrief Institute, Indiana University and Eskenazi Health gave 105 patients control over who could access specific data in their records and found that 49% withheld information in their EMRs from all or some providers. Some of the study participants' providers objected to not having access to all patient information, while others said it was acceptable so long as patients accepted the risk that it could affect their care. The findings were published in the Journal of General Internal Medicine. Healthcare Informatics online
(12/16) Share:
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AJMPlus will not publish Dec. 25 and Jan. 1
In observance of Christmas and New Year's Day in the U.S., AJMPlus will not publish Thursday, Dec. 25, and Thursday, Jan. 1. Publication will resume Jan. 8. Share:
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I dwell in Possibility."
-- Emily Dickinson, American poet Share:
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