Solitary lung masses due to occult aspiration | Prescription drug smoking among socially active youth | Indolent prostate cancer and socioeconomic status
June 25, 2015
AJM: From the publisher of The American Journal of Medicine
News for physicians working in clinical settings

Top News
Solitary lung masses due to occult aspiration
Aspiration-related pulmonary complications can present as a solitary lung mass that may not be located in dependent lung zones, which have traditionally been associated with aspiration-related pulmonary diseases. The American Journal of Medicine (6/2015) Share: Email
Clinical Updates
Prescription drug smoking among socially active youth
Prescription drug smoking is an emerging substance use phenomenon. Prescription drug smoking, as an escalation of drug use, is associated with drug problems and symptoms of dependence among youth beyond the frequency of misuse. Providers should be aware of characteristics of youth at risk for prescription drug smoking. Journal of Adolescent Health (6/2015) Share: Email
Indolent prostate cancer and socioeconomic status
Although men with high socioeconomic status, Caucasian men and married men often receive the highest-quality health care and have the best outcomes for many cancers, it seems that they are most at risk for the avoidable potential harms of aggressive treatment of indolent prostate cancer. Future policy should encourage more stringent guidelines for deferred treatment and culturally and sociodemographically competent counseling of active surveillance. The American Journal of Medicine (6/2015) Share: Email
C-reactive protein, fibrinogen and hypertension
The results of this study suggest that heightened levels of fibrinogen, but not C-reactive protein, are associated with incident hypertension, independent of body weight, and that high fitness attenuates the risk of incident hypertension across upper levels of inflammatory markers in men. The American Journal of Cardiology (6/15/2015) Share: Email
Feeding prior to cardiac surgery may affect intestinal barrier function
Most infants requiring cardiac surgery in the neonatal period have gastrointestinal morbidities and growth failure throughout the postoperative period for the first 4-8 weeks of life. Urine lactulose/mannitol (L/M) has been used as a marker of small intestinal maturation. In this single-center pilot study, term neonates requiring cardiac surgery were randomized to nil per os or trophic breast milk feeds, with an oral L/M solution given at 3 time points. Gas chromatology was used to assess urine L/M over time, with higher ratios indicating increased intestinal permeability. Neonates have increased intestinal permeability after cardiac surgery extending to at least 2 weeks postop. The Journal of Pediatrics (6/2015) Share: Email
Effectiveness of MDS 3.0 in identifying functional improvement
Does the MDS 3.0 help more than its predecessor to identify functional improvement among short-stay nursing home residents? In a retrospective analysis of residents who stayed less than 100 days after transfer from an acute-stay hospital with MDS 3.0 admission and discharge assessments, researchers from Brown University found the completed MDS 3.0 to be very helpful to researchers and providers, especially for identifying those who would benefit from more intensive therapies or interventions. Journal of the American Medical Directors Association (6/2015) Share: Email
Curcumin and neural tube defects
Curcumin treatment inhibits high glucose-induced cellular stress, leading to amelioration of neural tube defect formation. American Journal of Obstetrics & Gynecology (6/2015) Share: Email
Medical News
Blood pressure on the high end of normal linked to heart trouble
A study in the Journal of the American College of Cardiology found that young adults whose blood pressure is slightly elevated may be more likely to develop cardiac dysfunction, particularly associated with the left ventricle, in middle age. Participants were 18 to 30 years old at the start of the 25-year study, and those whose blood pressure fell within the normal blood pressure range but on the higher end had more heart problems later in life. "Our findings provide further support for the importance of good risk factor control early in life," said researcher Dr. Joao Lima. HealthDay News (6/22) Share: Email
Smokers who pass lung tests may still have respiratory disease
A study of nearly 9,000 adults who had smoked daily for at least 10 years found that 55% of those who passed lung function tests still had a respiratory condition, according to researchers at National Jewish Health in Denver. The study in JAMA Internal Medicine showed 42% of people who were thought to be lung-disease free had emphysema or airway thickening. HealthDay News (6/22) Share: Email
Business Practice News
Hospitals make big strides in improving heart attack care
Hospitals have made common sense changes that have significantly improved care for heart attack patients, a move spurred by an analysis of delays in care and a nationwide campaign led by the American College of Cardiology and American Heart Association. Quality of care improvements have taken place in all types of hospitals serving different population demographics, and now almost all hospitals treat at least 50% of patients in 61 minutes or less, according to ACC data. The New York Times (tiered subscription model) (6/19) Share: Email
Many providers have not tested ICD-10 codes, survey finds
A survey by the American Health Information Management Association and eHealth Initiative found that many health care providers have begun preparing for the ICD-10 transition, but 50% of respondents have not tested the new codes. The survey also found that 78% of respondents have offered educational materials to staff to prepare them for the ICD-10 transition, and 73% have established groups to determine readiness and prepare to use the coding system. iHealthBeat (6/18), Health Data Management (6/18) Share: Email
Majority of providers interested in offering virtual visits, survey says
A QuantiaMD and American Well survey found that 57% of more than 2,000 primary care doctors are interested in having video visits with patients compared with 12% who wouldn't offer the service. A flexible work-life schedule topped the reasons why participants would provide telehealth consultations, followed by additional income and better patient outcomes. (6/22) Share: Email
Patient's Perspective
Study links traffic noise with stroke, death risk
A study in the European Heart Journal found long-term exposure to road traffic noise was associated with reduced life expectancy. Increased stroke risk, particularly in older people, was associated with living near busy roads. The study included data on 8.6 million people in London from 2003 to 2010. HealthDay News (6/23) Share: Email
Maybe all one can do is hope to end up with the right regrets."
-- Arthur Miller,
playwright Share: Email
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