Caffeine intake level and tinnitus | Humor therapy in nursing homes | Childhood quality of life and physical activity after an inpatient weight-loss program
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August 21, 2014
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Caffeine intake level and tinnitus
In this prospective study, higher caffeine intake was associated with a lower risk of incident tinnitus in women. The American Journal of Medicine (8/2014) Share: Email
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Clinical Updates
Humor therapy in nursing homes
Does humor therapy make nursing home residents happier and less agitated? An Australian study says yes. Seventeen nursing homes were included with 189 residents receiving intervention of humor therapy and eighteen nursing homes with 209 residents receiving usual care for 26 weeks. The humor therapy group showed decreases in duration of high agitation and increases in duration of happiness symptoms. This could present a nonpharmacological way to provide positive outcomes. (Free abstract only.) Journal of the American Medical Directors Association (8/2014) Share: Email
Childhood quality of life and physical activity after an inpatient weight-loss program
Obese children and adolescents have a greater risk of cardiovascular disease and often have decreased health-related quality of life (HRQOL). The authors assessed overweight and obese adolescents (n=707; 57% girls) who participated in a 4- to 6-week inpatient weight-loss program. Of the 381 children who completed the two-year follow-up, participation in the program was associated with long-term positive changes in HRQOL, including self-esteem. The Journal of Pediatrics (7/2014) Share: Email
Yoga study needs to be more rigorous
Evidence suggests that yoga promotes general health and well-being, but how thorough is the existing yoga research? The authors assessed yoga intervention studies to determine intervention characteristics, examine methodological quality of the subset of randomized clinical trials and explore how well these interventions are reported. The findings indicated current yoga intervention research is limited by inadequate reporting and methodology, which limits study interpretation and comparability. (Available for CME credit.) American Journal of Preventive Medicine (8/2014) Share: Email
Impact of obstructive sleep apnea on abdominal aortic diameters
This study concluded that obstructive sleep apnea may enhance dilatation of the distal abdominal aorta in men. The American Journal of Cardiology (8/15/2014) Share: Email
Erythromycin fails to clear intrauterine Ureaplasma spp infection
Erythromycin treatment fails to clear intrauterine Ureaplasma spp infection in an ovine model of pregnancy. American Journal of Obstetrics & Gynecology (8/2014) Share: Email
Underage drinking and trauma center resource use
In this study, presence of alcohol was not significantly associated with adverse outcomes or increased resource utilization in younger trauma patients admitted to a level I trauma center. However, the use of certain body region computed tomographies was associated with alcohol-involved injuries in patients 18 to 20 years. (Full-text access is time limited.) Journal of Adolescent Health (8/2014) Share: Email
Medical News
Decrease seen in deaths, hospitalizations due to stroke, heart disease
A study in the journal Circulation found that hospitalizations and deaths in the U.S. caused by stroke and heart disease have decreased in the past decade. Researchers said the data, from almost 34 million Medicare patients, indicate effective preventive measures and lifestyle changes contributed to the declines. HealthDay News (8/18) Share: Email
Sleep apnea tied to greater hypertension risk
A study published in the Journal of Clinical Sleep Medicine found that people with severe obstructive sleep apnea had a greater risk of developing treatment-resistant hypertension. The study failed to prove a causal link, but the results "suggest that severe obstructive sleep apnea contributes to poor blood pressure control despite aggressive medication use," lead author Dr. Harneet Walia said. HealthDay News (8/15) Share: Email
Business Practice News
ACOs hold promise, but challenges remain
The accountable care organization model holds great promise to transform the U.S. health care system, but obstacles to realizing the full potential of the model include changing an entrenched payment system grounded in treating sickness rather than promoting wellness; determining appropriate staffing levels; investing in interoperable technology; and establishing a framework for physician input and leadership, writes Dr. Robert Pearl, CEO of The Permanente Medical Group. Forbes (8/14) Share: Email
Study: Fewer preventable hospital admissions seen at small practices
A study published in Health Affairs found medical practices with just one or two physicians had 33% fewer preventable hospital admissions compared with practices that have from 10 to 19 physician members. The study team said medical groups and hospitals considering physician practice purchases should consider the value of preserving a small-practice environment. Health Affairs Blog (8/14) Share: Email
Patient's Perspective
Study: 46M Americans need help getting enough to eat
About 46 million Americans rely on food banks and meal programs to get enough to eat, according to a Feeding America study. The report says 25% of military families needed food assistance, and 79% of people who used food banks also purchased inexpensive but unhealthy foods so their families would have enough to eat. USA Today (8/17) Share: Email
How Facebook pages about chronic diseases are used
A study in the Journal of Medical Internet Research revealed only 9.5% of Facebook pages about chronic diseases were dedicated to actual patient support, while 32% were used as marketing schemes. Data also showed 21% of pages were used to boost disease awareness and 15.5% were utilized to disseminate information. (8/16) Share: Email
Most people say that it is the intellect which makes a great scientist. They are wrong: It is character."
-- Albert Einstein,
German-American theoretical physicist Share: Email
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