Depression, diet and cardiovascular disease | Perspectives on living kidney donation | Should diabetes screening be based on an age threshold?
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October 2, 2014
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Depression, diet and cardiovascular disease
Among women with suspected myocardial ischemia, we observed consistent relationships among depression, dietary habits and time to cardiovascular disease events. Dietary habits partly explained these relationships. These results suggest that dietary habits should be included in future efforts to identify mechanisms linking depression to cardiovascular disease. The American Journal of Medicine (9/2014) Share: Email
 
Clinical Updates
Perspectives on living kidney donation
Given the shortage of donors for organ transplantation, financial incentives for living kidney donors have been hotly debated. Tong et al conducted face-to-face semistructured interviews with 110 kidney transplant specialists from 43 transplantation units across 12 nations to explore their perspectives on social factors impacting transplant. Overall, physicians favored minimizing disincentives for living donors and expressed concern that providing financial incentives could undermine benevolence and integrity. Notably, all participating physicians were English speaking and from high-income Western countries. American Journal of Kidney Diseases (10/2014) Share: Email
 
Should diabetes screening be based on an age threshold?
Type 2 diabetes can be prevented with an early diagnosis, but one-fifth of U.S. diabetics have not been diagnosed. Targeted diabetes screening is currently recommended by U.S. health organizations, rather than age-based universal screening. The authors analyzed a nationally representative sample to determine an optimal age cut-point for opportunistic universal screening, in order to reduce the national rate of undiagnosed diabetes. (Available for CME credit.) American Journal of Preventive Medicine (10/2014) Share: Email
 
Joint hypermobility and complex functional gastrointestinal disorders
Of 66 children (mean 15 years of age) with functional gastrointestinal (GI) disorders, 56% had joint hypermobility, 34% had postural tachycardia syndrome and comorbidities were common (e.g., 77% had sleep disturbances, 93% had chronic fatigue, 94% had dizziness). The authors recommend screening patients with complex functional GI disorders for hypermobility, fibromyalgia and comorbid symptoms. The Journal of Pediatrics (8/2014) Share: Email
 
Self-medication among adolescents
Numerous factors influence self-medication practices among adolescents. These factors must be considered while planning strategies to promote "responsible self-medication," which will result in safer use of medicines. Journal of Adolescent Health (10/2014) Share: Email
 
Cervical cancer screening results in underserved populations
Five percent of women in underserved populations had discordant cervical cancer screening results (negative Pap, positive HPV), similar to that reported in other populations. American Journal of Obstetrics & Gynecology (10/2014) Share: Email
 
Angina pectoris frequency and secondary events
This study concluded that in outpatients with stable coronary heart disease, angina pectoris frequency predicts higher rates of secondary cardiovascular events and death, independent of objective measures of disease severity. The American Journal of Cardiology (10/1/2014) Share: Email
 
Medical News
Group releases new guidelines for narcotic painkiller use
The American Academy of Neurology issued new guidelines outlining how to safely and effectively prescribe narcotic painkillers. In a statement published in the journal Neurology, the group urged physicians to contact a pain management specialist if a patient's daily dose of opioid painkillers reaches between 80 milligrams and 120 milligrams, particularly if the patient shows no signs of significant improvement. The risks of using opioid painkillers for chronic headaches, fibromyalgia and low back pain surpass their benefits, the group said. HealthDay News (9/29) Share: Email
Exercise doesn't reduce diabetes risk the same for everyone
Research published in Diabetologia found that while exercise may help prevent type 2 diabetes, those with high genetic risk scores saw fewer benefits from working out. Data also showed women attained fewer protective benefits from exercise compared with men. DailyRx.com (9/29) Share: Email
C. difficile infection rates in the U.S. soar over 10 years
Infections from Clostridium difficile nearly doubled from 2001 to 2010 in the U.S. without improvements in mortality rates or lengths of stay, according to a study in the American Journal of Infection Control. Rates of infection among hospitalized adults rose from 4.5 to 8.2 per 1,000 hospital discharges in that 10-year span. MedicalDaily.com (9/30) Share: Email
Business Practice News
AMA initiatives to focus on improving physician wellness
The American Medical Association said it will work to improve physician wellness through initiatives that involve implementing medical school curriculum, reducing rates of prediabetes and hypertension among physicians and improving doctors' professional satisfaction. AMA president Dr. Robert Wah said poor physician health affects patients, peers, trainees and the health care system. PhysiciansBriefing.com/HealthDay News (9/29) Share: Email
44K eligible providers sign up for MU hardship exemption
About 44,000 eligible providers have signed up for a hardship exemption under the meaningful use program, with most applications related to first-time attestations that ran into difficulties with 2014 certified EHR technology. The CMS is evaluating the requests. Healthcare Informatics online (9/30) Share: Email
Patient's Perspective
Americans are reporting more depressive symptoms
An analysis of data on nearly 7 million teens and adults in the U.S. found more reports of psychosomatic symptoms of depression in 2010 than in the 1980s. Teens were more prone to problems sleeping and remembering compared with their counterparts in the 1980s. The findings were published in the journal Social Indicators Research. Science World Report (9/30) Share: Email
SmartQuote
Life appears to me too short to be spent in nursing animosity, or registering wrongs."
-- Charlotte Bronte,
British author Share: Email
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