Cholesterol management in the elderly
Cholesterol management in the elderly is challenging owing to competing risks for mortality, potential for interactions with more complex medical regimens, and the importance of safety issues. A recent commentary suggested that the new guidelines may overtreat those in the 65-75 years age group owing to its reliance on the Pooled Cohort Equations to assess atherosclerotic cardiovascular disease (ASCVD) risk. The American Journal of Medicine
(8/2015) Share: 
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Estimates of Pain Prevalence and Severity in Adults
As there are no objective measures of pain, patient reports are necessarily the primary source of estimates of pain prevalence and severity. Nevertheless, obtaining definite information about pain is difficult. The present study describes self-reported pain in U.S. adults. Data are included for 8,781 adults who completed the Functioning and Disability Supplement of the 2012 National Health Interview Survey. An internationally piloted pain-severity coding system was used to group participants into five discrete ordered pain categories based on pain persistence (days with pain in last 3 months) and bothersomeness. Associations were seen between pain severity and selected demographic variables including race, ethnicity, preferred language, sex, and age. The Journal of Pain
(8/2015) Share:
Mail-based intervention for sarcopenia prevention
Can mailing an intervention prevent sarcopenia by increasing anabolic hormone and skeletal muscle mass? Japanese community-dwellers 65+ years old were randomized into a walking and nutrition group (W/N), a walking group (W), or a control group (no intervention), then followed for 6 months after receiving a pedometer and nutritional supplements and being asked to keep a daily log. The intervention groups (W/N and W) both gained in skeletal muscle mass index (SMI) and insulinlike growth factor (IGF-1) while the control group did not. Journal of the American Medical Directors Association
(8/2015) Share:
Intestinal Failure-Associated Liver Disease
Many children with intestinal failure require parenteral nutrition for survival, as well as normal growth and development. However, advanced intestinal failure-associated liver disease is one of the most significant risk factors associated with morbidity and mortality of long-term parenteral nutrition in infants with intestinal failure. This review article explores the role of intravenous lipid emulsions and intestinal microbial dysbiosis. The Journal of Pediatrics
(8/2015) Share:
Mitral regurgitation after transcatheter closure
This study concluded that mitral regurgitation deterioration occurs in a minority of adult patients after transcatheter atrial septal defect closure. However, it is not linked with adverse outcomes. Mitral regurgitation deterioration may be provoked by geometric changes in mitral valve annulus, especially in women with advanced age. The American Journal of Cardiology
(8/1/2015) Share:
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Study links Southern diet to risk of heart attack
A study published in the journal Circulation found that regular consumption of traditional Southern-style food -- typically meaty, fried and greasy fare -- was associated with 56% higher likelihood of experiencing a heart attack during the six-year study. Those who tended to eat such foods largely lived in the "Stroke belt" states, including North and South Carolina, Mississippi, Alabama and Louisiana. Data were collected from over 17,000 people across the U.S. from 2003 until 2007. HealthDay News
(8/10) Share:
Health risks seen with trans fat, but not saturated fat
Data from dozens of studies showed saturated fat was not linked to heart disease, cardiovascular disease, stroke or diabetes, but trans fat increased the risk of heart disease and death from any cause, according to research published in the BMJ. Co-author Russell de Souza, a registered dietitian and assistant professor at McMaster University, said people who eat less fat often eat more sugar, white flour and empty calories. Reuters
(8/11), USA Today
(8/12) Share:
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Hospitals need to track inpatient and outpatient physician quality
Measuring physician quality metrics adds another layer of compliance reporting for hospitals, especially those acquiring physician practices, said Larry Magras at Huron Healthcare. He said hospitals can leverage electronic health records to help gather the data and should restructure quality committees to include both inpatient and outpatient measures. Healthcare Finance News
(8/10) Share:
Study: Hospital super-users may have intense but temporary needs
A study from Denver Health found that only 28% of hospital super-users still met the criteria after one year and per-person costs decreased in line with reductions in the use of health care services. Researchers said many super-users did not meet expected characteristics of the group, such as having multiple chronic conditions, and that their need for hospital care was intense but temporary. Kaiser Health News
(8/7) Share:
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Survey reveals top childhood health concerns in the U.S.
Obesity, bullying and drug abuse were the top three childhood health concerns in 2015 cited by 1,982 adults age 18 and older surveyed by the C.S. Mott Children's Hospital. Internet safety and sexting came in at fourth and sixth place, respectively, while smoking and tobacco use dropped from fourth to seventh place. Reuters
(8/10) Share:
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When one door of happiness closes, another opens; but often we look so long at the closed door that we do not see the one which has been opened for us."
-- Helen Keller, author and political activist Share:
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