Blood pressure assessment in patients with kidney disease
Blood pressure (BP) management is vital for cardiovascular and kidney risk reduction in people with chronic kidney disease (CKD); however, the importance of high BP readings may differ depending on whether they are clinic or ambulatory measurements. In their multicenter prospective study of CKD patients with median follow-up of 5.2 years, Minutolo et al. show that regardless of whether clinic BP is at goal (<140/90 mm Hg), ambulatory BPs above goal (<135/85 and <120/70 mm Hg during the day and night, respectively) are associated with increased risk of adverse cardiovascular and kidney events. American Journal of Kidney Diseases
(11/2014) Share: 
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Are depression symptoms accurately self-reported on post-deployment health assessments?
Depression is a significant concern of deployment, but evidence suggests symptoms may be underreported. This cross-sectional study compared self-reported depression symptoms on post-deployment health assessments with responses to a research survey to determine if individuals might be more willing to report depression symptoms in a more confidential survey unconnected to military health care records. The authors recommend that ongoing stigma and barriers to appropriate follow-up mental health care be addressed in the military setting. (Available for CME credit.) American Journal of Preventive Medicine
(11/2014) Share:
Energy drinks and risk of dangerous alcohol use for children
According to this cross-sectional analysis of 3,342 youths, 13% of 15- to 17-year-olds had recently consumed an energy drink, 10% had ever consumed an energy drink mixed with alcohol, and 47% had ever consumed alcohol. Recent energy drink use particularly predicted alcohol use for these teenagers: 17% met criteria for binge drinking (6+ drinks at once), 7% met clinical criteria for hazardous alcohol use as defined for adults, and 16% met similar criteria for adolescents. Mixed use of energy drinks with alcohol strongly predicted hazardous alcohol use among all age groups (15-23 years). (Free access is time limited.) The Journal of Pediatrics
(10/2014) Share:
Cyber and traditional bullying prevalence
To safeguard youths against harmful effects from bullying, policies and programs require a clear picture of prevalence across online and offline contexts. Meta-analytic findings indicate cyber bullying is considerably less prevalent than traditional bullying and they are highly correlated. Interventions should focus on reducing malicious behaviors wherever they occur. Journal of Adolescent Health
(11/2014) Share:
Finding Gertrude: The resident's voice in Minimum Data Set 3.0
Are nursing home (NH) residents being asked the MDS 3.0 questions about cognition, mood and pain? Promoting resident-centered care has gained much attention and the new MDS 3.0 was designed to help in this area by requiring NH staff to try to interview residents with a set of questions to assess pain, mood and cognitive abilities. Over 83% of residents from over 15,000 nursing homes did attempt to respond to the three sets of clinical assessment items. (Free abstract only.) Journal of the American Medical Directors Association
(11/2014) Share:
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Nonobstructive coronary artery disease tied to death, heart attack risk
A study in the Journal of the American Medical Association found that even early symptoms of coronary artery disease are associated with increased risk of death and heart attack. The analysis of data involving more than 37,000 veterans showed nonobstructive coronary artery disease was associated with 2 to 4.5 times greater risk of mortality or heart attack. HealthDay News
(11/4) Share:
Study: Celiac disease not tied to higher cancer death risk
People who had celiac disease for 10 years did not have a higher risk of dying from cancer and had a slightly lower risk of death from cardiovascular disease compared with the general population, according to a study published in the journal Gut. Data did not show overall differences in respiratory or digestive disease rates, or cancer-related deaths. Reuters
(11/3) Share:
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Final CMS Medicare rules set 21% physician pay cut for April
The CMS issued final rules on Medicare payments to physicians last week that call for a cut of about 21% in April if the sustainable growth rate formula remains in effect. The rules eliminate a Physician Payments Sunshine Act reporting exemption, expand quality-based performance penalties and set new criteria in the Medicare Shared Savings Program for accountable care organizations. Modern Healthcare (free registration)
(10/31) Share:
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Report: Millions of Americans require intervention for obesity
According to a report by The Obesity Society, 140 million American adults were recommended to undergo behavioral weight-loss treatment, and 116 million of them also were candidates for pharmacotherapy. Data showed 32 million people were recommended for both behavioral treatment and pharmacotherapy, and those patients also may require bariatric surgery. The report, based on medical guidelines released last year, will be presented at the society's annual meeting. Drug Store News
(11/3) Share:
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The most powerful weapon on earth is the human soul on fire."
-- Ferdinand Foch, French military leader Share:
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