Sex differences in serum leptin and cardiometabolic risk
In this study, the sex-related differences in the relationship between circulating leptin and cardiometabolic risk and obesity were investigated. In men, serum leptin had significant indirect effects on total cholesterol/HDL-cholesterol ratio, triglyceride/HDL-cholesterol ratio, and fasting glucose. In women, serum leptin had positive effects on body weight and indirect effects on all cardiometabolic risk factors examined. Nutrition
(3/2015) Share: 
Accurate diagnosis of dehydration
Dehydration in the elderly means longer hospital stays and comorbidities. Accurate and early diagnosis of dehydration is key to halting the progress of serious outcomes such as acute kidney injury. The typical physical signs looked for may not provide a correct diagnosis. Researchers from the United Kingdom found that low systolic blood pressure could help in the diagnosis, but saliva osmolality was superior and, indeed, was able to detect water- and solute-loss dehydration. Journal of the American Medical Directors Association
(3/2015) Share:
Obstructive lung disease and childhood idiopathic scoliosis
In this retrospective study, 39% of children with idiopathic scoliosis and Cobb angles ≥40 degrees had obstructive lung disease. Radiographic measures were found to be poor predictors of pulmonary function outcomes of forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), FVC/FEV1, and total lung capacity. The authors recommend pulmonary function testing for children with idiopathic scoliosis prior to spinal fusion surgery. The Journal of Pediatrics
(2/2015) Share:
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| Continuing Medical Education |
Moving Beyond Laxatives in Opioid-induced Constipation
This three-module activity series reviews the current and evolving approaches to managing opioid-induced constipation (OIC) through the use of patient vignettes and faculty-facilitated audio Q&As. The activity reviews current and evolving approaches for the pharmacologic and non-pharmacologic management of OIC and explores a series of OIC treatment questions and practice considerations for healthcare providers who wish to learn about OIC or who currently manage patients with OIC. Elsevier CME Share:
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Early habits influence heart health in adulthood
Approximately 90% of nearly 9,000 children had healthy blood pressure levels, but less than 1% were eating a healthy diet and 40% had poor cholesterol levels, according to a study based on the 2003-2010 National Health and Nutrition Examination Survey. Although children started with good BP levels, poor diet can trigger greater body mass index and cholesterol levels, lead researcher Donald Lloyd-Jones said. The findings appear in the journal Circulation: Cardiovascular Quality and Outcomes. HealthDay News
(3/17), DailyRx.com
(3/17) Share:
Study data link fitness to diabetes risk
Data on 46,979 patients in the Henry Ford Exercise Testing Project linked fitness to a lower risk of diabetes. Treadmill tests were used to measure metabolic equivalents, and the study found patients who achieved 12 or more metabolic equivalents had a 54% lower risk of diabetes compared with those with six or fewer. The study was published in Diabetes Care. Healio (free registration)
(3/17) Share:
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More physicians, hospitals turn to shared decision-making
Physicians and hospitals are using shared decision-making protocols to give patients more input into their care, according to a Kaiser Health News report. It can be challenging for physicians to adopt this model, but research shows it can improve patient satisfaction and possibly save money, says researcher Glyn Elwyn of the Dartmouth Institute for Health Policy and Clinical Practice. Kaiser Health News
(3/16) Share:
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Study links obesity to higher lifetime cancer risk in women
A Cancer Research UK study found a 40% greater risk of developing at least one weight-related cancer type among obese women compared with slimmer counterparts. For every 1,000 U.K. obese women, 274 are likely to get one of the cancers, compared with 194 among women of a healthy weight, the study says. HealthDay News
(3/17) Share:
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You cannot shake hands with a clenched fist."
-- Indira Gandhi, prime minister of India Share:
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