Bleeding from warfarin plus antibiotics | In 10 years, little improvement in adolescent/young adult health status | Complex regional pain syndrome outcomes
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July 10, 2014
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Bleeding from warfarin plus antibiotics
Warfarin users who are prescribed high-risk antibiotics are at higher risk for serious bleeding events. Early international normalized ratio (INR) evaluation may mitigate this risk. The American Journal of Medicine (7/2014) Share: Email
Clinical Updates
In 10 years, little improvement in adolescent/young adult health status
A review of 53 indicators shows that the health status of adolescents and young adults has hardly improved over the past decade, and that young adults still fare worse than adolescents. Journal of Adolescent Health (7/2014) Share: Email
Complex regional pain syndrome outcomes
This systematic review examined the outcome of complex regional pain syndrome (CRPS) type-1. The authors searched Medline, Embase and Psychinfo for relevant studies and included 18 studies, with 3,991 participants. Findings show that many CRPS patients recover within six to 13 months, but a significant number experience some lasting symptoms, and some experience chronic pain and disability. This suggests that some CRPS patients make a good early recovery while others develop lasting pain and disability. The Journal of Pain (7/2014) Share: Email
Computer-assisted behavior observation in nursing homes
A computer-assisted observation method to measure nursing home (NH) residents' activities and behaviors could assist with developing structured activities that would help them engage with other residents. BEAM (Behavior, Engagement and Affect Measure) is the method used and it utilizes a tablet touchpad. This Australian study showed that many NH residents are able to engage with their environment but lack the opportunity or ability to initiate social interaction. (Free abstract only.) Journal of the American Medical Directors Association (7/2014) Share: Email
Routine cell salvage unwarranted in abdominal mymectomy
Though clinical characteristics cannot accurately predict women who will require reinfusion of cell-salvaged blood, the routine use of cell-salvage technology in women undergoing abdominal myomectomy does not appear to be warranted. American Journal of Obstetrics & Gynecology (7/2014) Share: Email
Perceived lifetime risk for cardiovascular disease
Misperception of lifetime risk for cardiovascular disease (CVD) is common and frequently reflects the influence of factors other than traditional risk factor levels. These findings highlight the importance of effectively communicating the significance of traditional risk factors in determining the lifetime risk for CVD. The American Journal of Cardiology (7/1/2014) Share: Email
Glycosylated hemoglobin association with coronary artery disease
Abnormal glucose metabolism is a major determinant of coronary artery disease and mortality in developed countries. Glycosylated hemoglobin (HbA1c) is a more stable, accurate parameter of glucose homeostasis than fasting glycemia, thus providing prognostic information in diabetics. However, its role and relationship with coronary artery disease remains unclear in nondiabetic patients. This study showed that among nondiabetic patients, higher HbA1c is significantly associated with risk of coronary artery disease. (Available for CME credit.) American Journal of Preventive Medicine (7/2014) Share: Email
Medical News
Shorter life expectancy seen in severely obese patients
Research published in PLOS Medicine showed life expectancy among severely obese individuals was 6.5 to 13.7 years shorter than people with normal weight. Heart disease appeared to be a major factor in mortality among heavier patients, followed by cancer, diabetes, and renal and kidney disease. HealthDay News (7/8) Share: Email
Study links large waist size to higher COPD risk
Women whose waist size was at least 43 inches and men whose waist size was at least 46 inches had a 72% greater risk of developing chronic obstructive pulmonary disease compared with those with a normal waist size, a study of more than 113,000 Americans ages 50 to 70 found. The study, published in the Canadian Medical Association Journal, also found that engaging in physical activity five times or more per week lowered COPD risk by 29% compared with being physically inactive. HealthDay News (7/7) Share: Email
Low income linked to increased risk of peripheral artery disease
A study in Circulation: Cardiovascular Quality and Outcomes found that poverty was associated with a higher risk of developing peripheral artery disease. Using National Health and Nutrition Exam Survey data from 1994 to 2001, researchers found that the PAD risk for those in the poorest group based on self-reported income was twice that for people in the highest income group. A link between education levels and PAD risk was not significant after other factors were accounted for, the study team said. (7/6) Share: Email
Business Practice News
Networks, technology and marketing offer practice growth opportunities
Physicians who want to expand their practices should consider partnering with or joining a hospital network, according to a report in Medical Economics. Other means of growth include the use of technology to increase efficiency and cash flow, taking advantage of public relations activities, and developing a strategy for online marketing, says medical consultant Phil Dalton. News (7/3) Share: Email
Boot camp for new doctors helps ease transition
Northwestern Memorial Hospital and its associated Feinberg School of Medicine provide new doctors on the medical floor with a short, intensive "boot camp" for working with patients. The program helps ease the transition from school to patient care while ensuring patient safety and quality. CBS News (7/7) Share: Email
Patient's Perspective
Home visits appear to benefit low-income moms, babies
Poor women in an urban area of Memphis, Tenn., who were not visited by nurses during their first pregnancy had a higher risk of dying during follow-up than those who received nurse-led home visits, according to a study in the journal JAMA Pediatrics. Researchers also found that all the children of mothers who received prenatal visits, screenings and assistance with health care transportation were still alive by age 20, while 1.6% of children whose mothers were helped with transportation and screening but not home visits had died. HealthDay News (7/7) Share: Email
Let no one ever come to you without leaving better and happier."
-- Mother Teresa,
Albanian-Indian nun and missionary Share: Email
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