Pharmacist hypertension management improves outcomes | Screen use and energy intake | Insulin sensitivity and arterial stiffness in diabetic youths
 
 
May 28, 2015
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Pharmacist hypertension management improves outcomes
Patients who were referred to the pharmacist hypertension care management program had a significant improvement in most blood pressure outcomes. This program may be an effective method of improving blood pressure control among patients in a medical home model of primary care. The American Journal of Medicine (5/2015) Share: Email
 
Clinical Updates
Screen use and energy intake
Multiscreen use is becoming highly prevalent among adolescents. This emerging screen-use behavior was not shown to attenuate the effects of television watching on energy intake, with energy intake not differing significantly between those using multiple screens and those using only a single screen. Journal of Adolescent Health (5/2015) Share: Email
 
Insulin sensitivity and arterial stiffness in diabetic youths
The SEARCH CVD study used linear mixed models to determine whether baseline insulin sensitivity is independently associated with changes in pulse wave velocity (PWV) over time in youths with type 1 diabetes (T1D). There was a significant interaction, indicating that higher insulin sensitivity levels were associated with lower rate of change in PWV over time. Lower insulin sensitivity at baseline appears to be an important risk factor for increased arterial stiffness in youths with T1D. This identifies a potentially modifiable therapeutic target. Journal of Diabetes and Its Complications (5/2015) Share: Email
 
Non-soy legumes and inflammation
The effect of soy on inflammatory markers has been well studied, but non-soy legumes have received less attention. This review and meta-analysis examined the effects of non-soy legumes on inflammatory markers and C-reactive protein, based on eight randomized clinical trials involving 464 participants. The meta-analysis of these trials showed a trend toward a reduction of C-reactive protein and hs-C-reactive protein concentrations after non-soy legume consumption. Nutrition (5/2015) Share: Email
 
Childhood secondhand tobacco smoke exposure and neuromotor function
There is evidence supporting the association between secondhand tobacco smoke exposure and increased risk of learning disabilities, as well as cognitive and academic achievement deficiencies. In this study of more than 400 children, one-half were exposed to secondhand smoke. Exposure to secondhand smoke (a neurotoxicant) was associated with motor impairment, including diminished visuomotor coordination, fine motor integration, balance and strength. The Journal of Pediatrics online (4/8) Share: Email
 
Importance of physical activity for adiposity in the elderly
Physical activity among elderly may be of more benefit on adiposity markers than previous research has indicated. Researchers compared self-reported questionnaire results in British older adults to a wrist-mounted accelerometer and measured adiposity markers such as BMI, waist circumference and fat mass index. Greater association of adiposity markers was seen in men when it came to accelerometer-assessed activity compared with questionnaire data, and in men and women associations were 2.8 times larger (accelerometer vs. questionnaire). Journal of the American Medical Directors Association (5/2015) Share: Email
 
Pregnancy-induced vascular remodeling
Pregnancy induces vascular remodeling, as evidenced by reduced arterial stiffness and decreased blood pressure that persists postpartum. American Journal of Obstetrics & Gynecology (5/2015) Share: Email
 
Medical News
Heart rate linked to diabetes risk, study finds
Adults with fast heart rates were at a 59% increased risk of developing diabetes compared to those with slow heart rates, according to a Chinese study in the International Journal of Epidemiology. Researchers found that for every additional 10 beats per minute, a person's diabetes risk increased by 23%. Science World Report (5/22) Share: Email
Study examines trends in readmission after bloodstream infections
A retrospective cohort study in the journal Infection Control & Hospital Epidemiology found that patients with central line-associated bloodstream infections were at increased risk of readmission compared with other patients. The 30-day readmission rate was 7.1 per person-year among CLABSI patients, compared with a rate of 4.3 per person-year for matched controls without CLABSI. The study involved data on 8,097 Medicare patients treated in 2008 and 2009. BeckersHospitalReview.com (5/21) Share: Email
Hospitalization in final year of life may worsen disabilities
Hospital admission and readmission in the final year of life may cause a patient's existing disabilities to worsen, researchers reported in BMJ. Researchers said clinicians should consider a palliative care approach with these patients to help them handle personal care needs and begin advance care planning discussions. McKnight's Long-Term Care News (5/20) Share: Email
Business Practice News
Research has yet to show if 2nd opinions change outcomes
Study data show getting a second opinion can change a patient's diagnosis but whether it changes outcomes is unknown, said patient safety researcher Dr. Hardeep Singh at the Michael E. DeBakey VA Medical Center and Baylor College of Medicine. Second opinions now are being offered online, giving patients easier access to specialists. Kaiser Health News (5/26) Share: Email
2 more states join interstate compact for physician licensure
Alabama and Minnesota have joined the Federation of State Medical Boards' interstate compact, making a total of eight states that have approved the initiative. There are now enough states participating to trigger the creation of the Interstate Medical Licensure Compact Commission that will begin the process of allowing physicians to practice across state lines. Medscape (free registration) (5/21) Share: Email
Patient's Perspective
Swedish study says noise pollution may affect weight
A Swedish study of 5,075 adults linked living by a busy road, railroad or airport to a bigger waist and waist-to-hip ratio. Researchers, who reported the study in Occupational and Environmental Medicine, said noise pollution may lead to higher levels of the hormone cortisol that can affect fat deposits, and it may affect metabolic and cardiovascular functions that impact appetite and energy use. Medical News Today (5/26) Share: Email
SmartQuote
We may encounter many defeats, but we must not be defeated."
-- Maya Angelou,
author and poet Share: Email
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