Screening for abdominal aneurysms | Selenium status and outcomes in the critically ill | Sugar intake corresponds to dyslipidemia risk
 
March 26, 2015
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Screening for abdominal aneurysms
Abdominal aortic aneurysm screening rates remain below 50% but are improving over time. In this study, screening by individual physicians varied widely, indicating substantial opportunity for educational interventions. Most abdominal aortic aneurysm screening is completed incidentally, and some patients later undergo unnecessary ultrasound screening. Before ordering screening, physicians and electronic health record-based reminder tools should ensure that the aorta has not been previously visualized. The American Journal of Medicine (3/2015) Share: Email
 
Clinical Updates
Selenium status and outcomes in the critically ill
This study aimed to determine the relationship between selenium status and outcomes in critically ill children. Children who received an average of 6.82 μg of selenium as part of an enteral diet were tested for plasma selenium status on admission and on the fifth day of their stay in the ICU. An increase of 10 μg/L corresponded with fewer days on a ventilator or in the ICU. Any increase in selenium corresponded with lower mortality. Nutrition (3/2015) Share: Email
 
Sugar intake corresponds to dyslipidemia risk
Studies examining the association between added sugar intake and lipid profiles among adolescents have not taken into account measurement error. Using a method developed by the National Cancer Institute, the current study found that usual intake of added sugars was significantly associated with several measures of lipid profiles and risk of dyslipidemia among adolescents. Journal of Adolescent Health (3/2015) Share: Email
 
Metformin for postpartum weight loss after gestational diabetes
Weight loss in the first six weeks postpartum was similar (approximately 6 kilograms) in women with gestational diabetes who received metformin and placebo. American Journal of Obstetrics & Gynecology (3/2015) Share: Email
 
Appropriateness of antibiotic prescribing in nursing homes
Do nursing home residents always need antibiotics for infections of the urinary tract (UTI), respiratory tract (RTI), or skin (SI)? What is the level of appropriate prescribing? Dutch researchers found that 76% of the time, treatment decisions on whether or not to prescribe antibiotics were correct. Those cases in which treatment was withheld were judged to be 90% accurate. UTI decisions were the least often appropriate (68%), RTI decisions were 87% accurate, and SI decisions were 94% appropriate. Journal of the American Medical Directors Association (3/2015) Share: Email
 
Atorvastatin and rosuvastatin effects on renal function in type 2 diabetes
In this study, neither treatment with atorvastatin nor rosuvastatin was associated with a significant change of renal function in type 2 diabetic patients. The American Journal of Cardiology (3/15/2015) Share: Email
 
Steroids, ACS and inflammatory bowel disease
In patients with inflammatory bowel disease, steroid use significantly reduces the odds of acute coronary syndrome. These findings provide further mechanistic insight into the inflammatory processes involved in inflammatory bowel disease and acute coronary syndrome. The American Journal of Medicine (3/2015) Share: Email
 
Medical News
Secondhand smoke may raise children's risk of carotid plaque later
A Finnish study found that children exposed to parental smoking had a greater likelihood of developing carotid artery plaque in adulthood than those not exposed. The practice of good "smoking hygiene" among parents may help reduce children's risk of carotid plaque, researchers wrote in the journal Circulation. Reuters (3/23) Share: Email
Study finds CV risk factors common among Mexican-Americans
Cardiovascular risk factors such as high blood pressure and high blood sugar levels are common among Mexican-Americans, even those are at a healthy weight, according to new findings. The study, which appeared in the Journal of the American Heart Association, found that almost 78% of 500 Mexican-Americans who live on the border were "metabolically unhealthy," but only 52% are considered obese. The research indicates "interventions to maintain metabolic health may be a more important goal than focusing on weight loss alone [for Mexican-Americans]," said lead author Dr. Susan Laing. HealthDay News (3/20) Share: Email
Business Practice News
HHS releases draft rule for MU stage 3
HHS issued its proposed rule for stage 3 of meaningful use on Friday. The draft lays out the standards that providers will have to meet to receive Medicare and Medicaid EHR incentives and to avoid penalties. Stage 3 requirements include the use of five clinical decision support interventions. Feedback on the proposal will be accepted through May 29. HealthLeaders Media (3/23), AuntMinnie.com (free registration) (3/20), Modern Healthcare (tiered subscription model) (3/20) Share: Email
Family-centered collaborative care shows promise for ADHD
A care management strategy that includes engagement of parents with training and other tools was associated with more symptom improvement in children with attention-deficit/hyperactivity disorder than standard care, according to a study in Pediatrics. "Collaborative care attempts to improve adherence by checking in with families regularly to see how they are doing, helping to ensure they understand and agree with the treatment recommendations, and identifying and alleviating any obstacles to effective treatment," physician Glen Elliott explained. HealthDay News (3/23), BeckersHospitalReview.com (3/23) Share: Email
Patient's Perspective
New app allows patients to have remote consultations with docs
A new application was unveiled by FirstLine Medical to enable iPhone users to have virtual consultations with providers via call, text or video chat. The FirstLine application also allows patients to request that a provider visit them at their office or home. A beta version of the tool was unveiled late last year. MobiHealthNews.com (3/23) Share: Email
SmartQuote
Never interrupt someone doing something you said couldn't be done."
-- Amelia Earhart,
aviator Share: Email
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