Glycemia and cognitive function | Potentially preventable readmissions at children's hospitals | Leptin: Facts and expectations
January 22, 2015
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Glycemia and cognitive function
Higher HbA1C is associated with lower cognitive function performance scores across multiple domain tests in men with metabolic syndrome and coronary artery disease. Future studies may demonstrate whether glucose lowering within the normative range improves cognitive health. The American Journal of Medicine (9/2014) Share: Email
Clinical Updates
Potentially preventable readmissions at children's hospitals
Hospital readmissions are considered to be an indicator of quality of care. More than 1.7 million hospitalizations for more than 1.5 unique patients in 58 children's hospitals were examined. Rates of potentially preventable readmissions were significantly lower than all-cause readmissions, more than one-half of which were caused by exclusion of malignancies. This study may help guide children's hospitals to focus readmission reduction strategies on areas where the financial vulnerability is greatest. The Journal of Pediatrics (12/2014) Share: Email
Leptin: Facts and expectations
The discovery of leptin has undoubtedly opened a new window into the study of many metabolic and nonmetabolic diseases with clinical and therapeutic implications. This issue of Metabolism celebrates the 20th anniversary of the discovery of this molecule with the hope of providing insights into future research needed within the field. This molecule, which has helped us enter into a new world in metabolism, has just left behind its adolescence and has entered into a more mature and thus more productive age. Metabolism -- Clinical and Experimental (1/2015) Share: Email
Mental health disorders in young urban sexual minority men
This study describes the frequency of mental disorders among male sexual minority youths using structured psychiatric interviews. Major depressive episode, conduct disorder, alcohol abuse/dependence, post-traumatic stress disorder and nicotine dependence were common, and most youths with mental disorders had not received treatment. Journal of Adolescent Health (1/2015) Share: Email
Red Bull cardiovascular and cerebrovascular effects
This study found that the combination of Red Bull and mental stress impose a cumulative cardiovascular load and reduces cerebral blood flow even under a mental challenge. The American Journal of Cardiology (1/15/2015) Share: Email
Pain, delirium and physical function interactions
Does greater severity of dementia predict more severe delirium? Does greater pain in dementia predict earlier death? Researchers from Pennsylvania State University studied 103 skilled nursing facility residents for 30 days, measuring pain, delirium and physical function. On the days residents experienced greater pain, they also suffered more delirium and lessened physical function. Those with higher levels of daily pain were more likely to die, pointing to a greater need for addressing pain in patients with dementia. (Free abstract only.) Journal of the American Medical Directors Association (1/2015) Share: Email
Race and ethnicity factors in preventive care utilization among the uninsured
Lack of health insurance is a barrier to receiving preventive services. This study examined use of U.S. Preventive Services Task Force (USPSTF)-recommended preventive services among uninsured adults over a seven-year period, with a focus on variation across race, ethnicity and household income. The authors found that uninsured African-American and Hispanic populations are more likely to receive preventive services than uninsured Whites. Racial and ethnic differences should be considered in interventions to increase preventive service utilization among the uninsured. (Available for CME credit.) American Journal of Preventive Medicine (1/2015) Share: Email
Continuing Medical Education
Advanced Curriculum for Cystic Fibrosis: Integrating Genomic-Driven Data into Patient-Centered Treatment Strategies
This CME activity promotes individualized, patient-centered cystic fibrosis management plans with the goals of improving performance and optimizing patient outcomes by gathering expertise from a multidisciplinary, interactive panel of health care professionals that specialize in the care of cystic fibrosis patients. Elsevier CME Share: Email
Medical News
Guidance calls for obesity-first treatment strategy
Physicians should treat patients' weight problems first and then focus on related issues such as cholesterol, hypertension and glucose tolerance, according to a guidance report in the Journal of Clinical Endocrinology and Metabolism. Lead author Dr. Caroline Apovian of Boston University said this paradigm focuses on lifestyle change and medications, followed by the treatment of co-morbidities that have not responded to weight-loss strategies. Medscape (free registration) (1/16) Share: Email
Fall rates for elderly increase, study finds
University of Michigan Medical School research found self-reported falls among adults ages 65 and older during the previous two years increased between 1998 and 2010, from approximately 28% to about 36%. The study in JAMA Internal Medicine said the increase was higher than what would be expected for this aging population. HealthDay News (1/19) Share: Email
Business Practice News
EHRs often lack data for care coordination, many docs say
A study reported in Medical Care showed that while most U.S. physicians use EHRs, as many as half say they do not routinely obtain information needed to fully coordinate care such as data from providers outside their practice. External data were also often received via nondigital means such as fax. Health Data Management (1/19) Share: Email
Digital services influence patients' physician selection
A survey by TechnologyAdvice Research revealed 60.8% of respondents agreed that digital services such as paying bills and setting appointments online were "important" or "somewhat important" in selecting a doctor. Data also showed 68.6% agreed that physician follow-up is "very important" or "somewhat important." HIT Consultant (1/16) Share: Email
Patient's Perspective
Survey: Health claims win with young consumers
Some 41% of global consumers under age 20 say they would pay a premium for healthier foods, according to a Nielsen survey, compared to 32% of millennials and 21% of baby boomers. USA Today (1/19) Share: Email
Some people drink from the fountain of knowledge. Others just gargle."
-- Robert Anthony,
American business professor Share: Email
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