Early-onset diabetes patients have higher comorbidity risk | Tropinin T level measurement to improve hip fracture mortality rate | Millennium Declaration success against HIV, malaria and tuberculosis
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July 24, 2014
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Early-onset diabetes patients have higher comorbidity risk
Patients with young-onset diabetes had a similar or worse metabolic risk profile compared with those with late-onset disease. This group had higher risks for cardiovascular-renal complications at any given age, driven by longer disease duration. The American Journal of Medicine (7/2014) Share: Email
Clinical Updates
Tropinin T level measurement to improve hip fracture mortality rate
This study concluded that elevated perioperative tropinin T (TnT) level is a strong predictor of short- and long-term mortality. Routine TnT measurements and earlier diagnosis together with appropriate treatment may improve survival of this fragile patient group. The American Journal of Cardiology (7/15/2014) Share: Email
Millennium Declaration success against HIV, malaria and tuberculosis
A major new analysis from the Global Burden of Disease Study 2013 shows that accelerated progress against the global burden of HIV, malaria and tuberculosis (TB) has been made since 2000 when governments worldwide adopted Millennium Development Goal (MDG) 6 to combat HIV/AIDS, malaria and TB. (Free registration required.) The Lancet (7/23) Share: Email
Night eating syndrome results in clinical impairment
Night eating syndrome is associated with clinical impairment independent of binge eating. The presence of both syndromes may be associated with additive risk for psychopathology. (Full-text access is time limited.) Journal of Adolescent Health (7/2014) Share: Email
Medical care technology innovations for older people
The need for advanced technology innovations is identified by geriatricians who provide recommendations for the future. A special article by Italian researchers addresses the connections between technology and research in geriatrics in order to improve care and well-being of patients in specific living environments. Topics discussed are telemedicine for chronic conditions, smart sensors, display units for medication monitoring and weight sensors on bottles to measure fluid intake. Innovations in medical care technology across Europe and Italy are highlighted. (Free abstract only.) Journal of the American Medical Directors Association (7/2014) Share: Email
Effect of feeding preterm infants during red blood cell transfusion
Up to one-third of very low birth weight infants who developed necrotizing enterocolitis received a red blood cell (RBC) transfusion within 48 hours prior to the onset of symptoms. In this prospective observational study, mean postprandial mesenteric oxygenation significantly declined in infants fed during RBC transfusion, which may increase the risk for mesenteric ischemia and the development of RBC transfusion-necrotizing enterocolitis in preterm infants. The Journal of Pediatrics (6/2014) Share: Email
Reduction of maternal mortality during cesarean section
Maternal mortality may be reduced with the use of disease-specific protocols. Most maternal deaths are not predictable at the time of admission. American Journal of Obstetrics & Gynecology (7/2014) Share: Email
Medical News
Panel report on evidence-based obesity guidelines released
Researchers have released an expert-panel report with evidence-based guidelines on obesity treatment, including optimum weight-loss levels, weight maintenance and bariatric-surgery candidates. The report, which had a stringent review process and includes supporting evidence, was published in the journal Obesity. Healio (free registration)/Endocrine Today (7/19) Share: Email
Study ties 2-year weight loss to lower diabetes odds
A study on the website of Diabetes Care says weight loss at two years was strongly associated with lower diabetes risk and better cardiometabolic profile in patients. However, weight cycling was linked to an increased risk of diabetes. PhysiciansBriefing.com/HealthDay News (7/22) Share: Email
AFib may raise post-surgery stroke risk, study says
Patients with a history of atrial fibrillation had a higher risk of stroke immediately after a heart surgery, according to a study of almost 109,000 heart patients in Canada. Old age, history of stroke and blood vessel disease were also associated with a higher odds of post-surgery stroke, researchers said. The findings appeared in the Canadian Medical Association Journal. HealthDay News (7/21) Share: Email
Business Practice News
Poll sheds light on the challenge of finding a doctor
Sixty percent of Americans responding to a recent poll said they rely on physician recommendations from friends and family, close to half trust referrals from their doctor and fewer rely on online patient reviews, health insurer ratings, news media or the government. Only 22% expressed confidence in their ability to find information to compare doctors based on quality. Some states have begun publishing online "report cards," and the CMS is working on the Physician Compare rating system. The Washington Post (tiered subscription model)/The Associated Press (7/20) Share: Email
What makes a good physician, according to patients
According to patients, the ability to listen attentively is a key attribute of high-quality physicians, followed by diagnostic accuracy. The Associated Press-NORC Center for Public Affairs Research survey respondents said markers of poor-quality physicians include not listening to patients and not spending enough time with patients. Physician experience, initial impressions after meeting and appointment scheduling all contribute to whether patients will select a given physician, according to the findings. BeckersHospitalReview.com (7/21) Share: Email
Patient's Perspective
Study: 30% of children incorrectly gauge their weight
A report from the National Center for Health Statistics says about 30% of children ages 8 to 15 had incorrect perceptions about their weight, with 42% of those who were obese and 76% of those who were overweight indicating they were at the right weight level. USA Today (7/23) Share: Email
The young do not know enough to be prudent and therefore they attempt the impossible -- and achieve it, generation after generation."
-- Pearl S. Buck,
American writer Share: Email
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