Opioids and androgen deficiency | Mediterranean diet and frailty risk | Antidepressant mechanism in fibromyalgia treatment
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December 11, 2014
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Opioids and androgen deficiency
Use of long-acting opioids is a key risk factor in the development of androgen deficiency. Dose was significantly associated with androgen deficiency, but more so for men on short-acting than on long-acting opioids. The American Journal of Medicine (7/2014) Share: Email
Clinical Updates
Mediterranean diet and frailty risk
Does sticking to a Mediterranean diet mean lower risk of frailty in older adults? Over 1,800 60-plus-year-olds in Spain were studied. Those with the highest percentage of adherence to a Mediterranean diet showed a lower risk of frailty than those in the lowest percentage of adherence. Consumption of fish and fruit also reduced risk of frailty, but the global dietary pattern of the Mediterranean diet was a stronger predictor than that of a single food. (Free abstract only.) Journal of the American Medical Directors Association (12/2014) Share: Email
Antidepressant mechanism in fibromyalgia treatment
Antidepressant drugs are commonly used to treat fibromyalgia, but there is little knowledge about their mechanisms of action. The aim of this study was to compare the cerebral and behavioral response to positive treatment effects of antidepressants or placebo. The findings present neural and psychophysical correlates to positive treatment responses in patients with fibromyalgia, treated with either milnacipran or placebo. The comparison between placebo- and milnacipran-responders may shed light on the specific mechanisms involved in antidepressant treatment of chronic pain. The Journal of Pain (12/2014) Share: Email
Rules vs. discussions and adolescent drug use
Parents who discuss drug-use scenarios with their kids have adolescents who are more comfortable with these discussions and less likely to use substances. In contrast, parents who state rules against drug use have adolescents who are less comfortable discussing these topics and are more likely to use drugs. Journal of Adolescent Health (12/2014) Share: Email
Preventing accident deaths in the U.S. Army
Accidents are one of the leading causes of death among U.S. active-duty Army soldiers. To identify person-level risk indicators, this study analyzed accident deaths in Regular Army soldiers from 2004 to 2009, classifying socio-demographic, service-related, occupational and mental health predictors. The authors found odds for accident death increased for soldiers who were unmarried, of low rank or service length, in a combat arms specialty, and male with delayed rank progression or demotion, and for officers with an aviation specialty. Awareness of predictors could help identify high risk of accident deaths in future cohorts of Regular Army soldiers. (Available for CME credit.) American Journal of Preventive Medicine (11/2014) Share: Email
Food allergen misdiagnosis
Nearly 1 in 13 children are diagnosed with a food allergy. Food-specific IgE testing is a vital tool used to confirm food allergy but must be directed by clinical suspicion. This retrospective chart review shows that panels of food-specific IgE tests have little utility as a screening tool prior to food introduction. (Free access is time limited) The Journal of Pediatrics (9/2014) Share: Email
Sleep apnea and coronary artery calcium
This study concluded that sleep apnea is independently associated with early atherosclerotic plaque burden in non-obese individuals. The American Journal of Cardiology (12/1/2014) Share: Email
Medical News
Health ranking cites higher U.S. obesity, diabetes rates
An analysis by America's Health Rankings found that about 10% of adults reported having diabetes, and about 25% said they had not exercised in the previous 30 days. Obesity rates went from 27.6% in 2013 to 29.4% this year, researchers said. Hawaii was named the healthiest state in the country for the third consecutive year. Mississippi ranked as the least healthy state. USA Today (12/10) Share: Email
Study links one-third of cancer deaths in U.S. to cigarettes
American Cancer Society data showed about a third of U.S. cancer deaths are linked to cigarette smoking, and researchers said reducing smoking rates should be a top public health priority. The study, published in the Annals of Epidemiology, did not include deaths from secondhand smoke or from use of other tobacco products, such as cigars and smokeless tobacco. HealthDay News (12/9) Share: Email
Business Practice News
Studies: Schedule restrictions did not boost outcomes
Restrictions placed on intern and resident work schedules did not improve patient mortality, rates of readmission or inpatient safety among Medicare beneficiaries, according to one study. Another report showed no changes in mortality or illness among surgery patients. The findings were published in the Journal of the American Medical Association. HealthDay News (12/9) Share: Email
Most physicians cite Rx drug abuse as major issue
Ninety percent of physicians surveyed said prescription drug abuse was a moderate or major issue in their area, while 85% noted opioid overuse in clinical practice. Also, 45% of doctors said they were less likely to recommend opioids than they were last year, researchers reported in JAMA Internal Medicine. BeckersHospitalReview.com (12/9) Share: Email
CMS releases $16.6B in EHR incentive payments
The CMS has doled out $16.6 billion in EHR incentive payments to qualified hospitals and clinicians since the beginning of the program. An official said 11,478 eligible professionals and 840 hospitals have attested to stage 2 meaningful use as of November. Clinical Innovation + Technology online (12/9) Share: Email
Patient's Perspective
Women often retain weight after pregnancy, study says
A study of 774 women says about 75% weighed more one year after pregnancy than they did before having a baby, and almost 25% had retained more than 20 pounds, researchers reported in the journal Obstetrics & Gynecology. Data showed that one-third of women who had a normal weight before pregnancy were overweight or obese one year after giving birth. HealthDay News (12/9) Share: Email
Respect your efforts, respect yourself. Self-respect leads to self-discipline. When you have both firmly under your belt, that's real power."
-- Clint Eastwood,
American actor and filmmaker Share: Email
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