Helping physician trainees with lifelong learning
Medical education accreditation agencies have adopted behavioral expectations for physician trainees that focus on self and practice assessment and improvement, including self-monitoring and goal setting. Considered part of the pool of "generic" or transferable skills vital to the development of self-directed, lifelong learners, these skills seem to be valued by the medical education community in many countries. The American Journal of Medicine
(3/2015) Share: 
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Lumbopelvic pain in pregnancy
During pregnancy, 72% to 84% of women develop lumbopelvic pain (LPP) to some extent. While LPP is common in pregnancy, the sensitization factors underlying the condition are largely unknown. This study characterized the somatosensory profile of pregnant and nonpregnant women and the relationship between pain, hypersensitivity and commonly used manual clinical tests. Results demonstrate that pain sensitivity increases during pregnancy, likely due to the physical changes the body undergoes, but also due to changes in emotional health. This should be accounted for in clinical management of pregnant women with LPP. The Journal of Pain
(3/2015) Share:
Impact of diets on cardiovascular risk in obese children with hypercholesterolemia
There is a need for effective lifestyle modifications that target the growing number of obese children with dyslipidemia. To identify potentially beneficial diets, children-parent pairs with child body mass index >95th percentile and cholesterol >169 mg/dL were randomized to a plant-based or American Heart Association diet for four weeks. Both diets demonstrated beneficial changes from baseline in risk factors for cardiovascular disease, such as decreased body mass index, systolic blood pressure and waist circumference, for both children and parents. The Journal of Pediatrics
(2/2015) Share:
Effect of glucomannan on body weight
This meta-analysis included six randomized controlled trials that investigated the potential ability of glucomannan to reduce body weight using a placebo as a control. One study was performed in children, the rest in adults. Among the adult studies, three reported a significant decrease in body weight in the glucomannan group at time-points of two, five and eight weeks. None of the studies reported any beneficial effect of glucomannan on BMI. Nutrition
(3/2015) Share:
Coronary plaque in heterozygous familial hypercholesterolemia
This study concluded that coronary plaque burden identified in a noninvasive, quantitative manner was significantly associated with future coronary events in Japanese patients with heterozygous familial hypercholesterolemia and that coronary atherosclerosis may start to develop, on average, at 23 and 34 years of age in male and female heterozygous familial hypercholesterolemia patients, respectively. The American Journal of Cardiology
(3/15/2015) Share:
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Prolonged sitting may increase risk of hardened arteries
U.S. researchers found that too much time spent sitting was associated with high coronary artery calcification. Sitting even appeared to counter the health benefits of exercise among physically active people, according to the study to be presented at the American College of Cardiology meeting. DailyRx.com
(3/11) Share:
Cochrane review looks at CV effects of hormone replacement therapy
A Cochrane Library report finds that hormone replacement therapy, a widely used treatment for menopausal symptoms, does not protect against heart trouble in most cases, and the treatment may contribute to stroke risk. Women who started hormone therapy within 10 years of menopause did experience a small improvement in heart attack and death risk and no elevation of stroke risk. However, their risk of blood clots was increased. HealthDay News
(3/10) Share:
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New ACO program to focus on Medicare alternative model
The CMS has launched a new program to support its efforts to transition half of Medicare provider payments to an alternative payment model by 2018. The Next Generation ACO Model was developed to assess whether using patient engagement and care management tools as well as offering financial incentives can enhance ACOs' health outcomes and cut expenditures. Interested groups can submit their letter of intent to the agency until May 1 and their application until June 1 for this year. BeckersHospitalReview.com
(3/10), Healthcare Informatics online
(3/10) Share:
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Medical records transparency lessens patients' concerns
A JAMA Internal Medicine study shows that allowing hospital inpatients to view their electronic medical records helps reduce their concerns and confusion. The percentage of patients who were worried fell from 42% to 18%, while those who were confused dropped from 52% to 32%. The increased transparency did not add to providers' workload, with only 36% of providers saying afterward they expected record transparency would lead to patients asking more of them. The study involved 50 technologically savvy patients spanning different races. Reuters
(3/9) Share:
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The higher we are placed, the more humbly we should walk."
-- Cicero, philosopher Share:
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