Firearm-related hospitalizations and stock market trends | Conditioned analgesia from known placebo | Cardiometabolic and fitness improvements in obese girls in a weight-management program
May 14, 2015
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Firearm-related hospitalizations and stock market trends
Over 2001-2011, the national incidence of firearm-related hospitalizations has closely tracked the national stock market performance, suggesting that economic perturbations and resultant insecurities might underlie the perpetuation of firearm-related injuries. Although the case-fatality rates have remained stable, the length of stay and hospitalization costs have increased, imposing additional burden on existing health care resources. The American Journal of Medicine (5/2015) Share: Email
Clinical Updates
Conditioned analgesia from known placebo
Belief in effective placebo treatment is widely thought to be critical for placebo analgesia. Many placebo responses appear to be mediated by expectations that are strengthened as treatment cues are reinforced with positive outcomes. Yet placebo effects may occur even when participants know they are receiving placebo. Can conditioned placebo analgesia persist in the absence of expectations? This report studied long (four days) vs. short (one day) conditioning to placebo treatment. After an initial placebo test, a "reveal" manipulation convincingly showed participants they had never received an active drug. Placebo analgesia persisted after the reveal in the long conditioning group only. The Journal of Pain (5/2015) Share: Email
Cardiometabolic and fitness improvements in obese girls in a weight-management program
A new paradigm in health improvements in obese adults emphasizes health promotion and the adoption of healthy lifestyle behaviors over weight loss as a primary goal of interventions, because physical activity and/or cardiorespiratory fitness may attenuate the health risks associated with obesity. In this study of 58 girls who completed a six-month lifestyle intervention, the authors found that participating in a weight-management program may elicit health improvements in obese adolescent girls who increase weight and fat mass, provided that fat-free mass gains are sufficient to negate increases in body fat percentage. The Journal of Pediatrics (4/2015) Share: Email
The overlap between cyberbullying and traditional bullying
Electronic bullying is most likely to occur concurrently with other forms of bullying. Compared to victims of traditional bullying, cyberbullied youths were at increased risk for experiencing multiple forms of bullying, especially relational forms, and for reporting higher levels of internalizing and externalizing symptoms. Journal of Adolescent Health (5/2015) Share: Email
Overweight youths and premature cardiovascular disease
Overweight youths with insulin resistance and inflammation are more likely to have adverse changes to cardiovascular structure and function, which may predispose to premature cardiovascular disease in adulthood. The American Journal of Cardiology (5/1/2015) Share: Email
Errors in incident reports in long-term care
How valid are incident reports on falls in long-term care? Canadian researchers compared video footage of falls and incident reports by staff and found discrepancies in more than 50% of falls. Errors were found on the cause of the imbalance and the activity the resident was involved in when falling. Emerging technology may improve our understanding of the mechanisms behind falls, leading to improvement on prevention. Video clips are provided with this article at Journal of the American Medical Directors Association (5/2015) Share: Email
Laparoscopic vs. abdominal hysterectomy decision analysis
The decision analysis in this study predicted fewer overall deaths with laparoscopic hysterectomy with morcellation compared with abdominal hysterectomy; other outcomes and quality of life favored laparoscopy. American Journal of Obstetrics & Gynecology (5/2015) Share: Email
Medical News
CVD risk better determined using waist-to-height ratio
Using waist-to-height ratio measurements as a primary screening tool for cardiovascular disease risk related to obesity provided more accurate and efficient results than using body mass index, according to a study presented at the European Obesity Conference. Researchers looked at 2,917 individuals aged 16 and older and found higher levels of cholesterol and HbA1C among those with low or average BMI but with a high waist-to-height ratio, compared with those who had high BMI but a low waist-to-height ratio. Healio (free registration)/Endocrine Today (5/11) Share: Email
Study: Men may delay high cholesterol by staying active
Researchers found that men with the highest physical activity levels didn't develop high cholesterol levels until their mid-40s, while those with lower fitness levels were at an increased risk for high cholesterol in their early 30s. The findings, published in the Journal of the American College of Cardiology, were based on more than 11,400 men, ages 20 to 90, followed from 1970 to 2006. HealthDay News (5/11) Share: Email
Study ties maternal health habits to children's obesity risk
Children had an increased risk for obesity by age 8 if their mothers had excessive weight gain, did not exercise enough or smoked during their pregnancy, a Greek study on the website of BMC Pregnancy and Childbirth says. The researchers found a reduced risk for obesity among children of mothers who engaged in moderate exercise during pregnancy. HealthDay News (5/12) Share: Email
Business Practice News
7 tips for handling negative patient reviews online
Reviews for doctors online are increasingly common, and some websites allow doctors to respond to reviews. Attorney Sara Kropf offers tips for engaging with unhappy customers online, including following HIPAA, being polite, inviting contact from the unhappy patient and committing to improvement. Physicians Practice magazine online (5/8) Share: Email
ICD-10 end-to-end testing application period extended
Providers can submit applications for the July 20 to 24 ICD-10 end-to-end testing through May 22. The CMS extended the deadline to apply. About 850 volunteers will be chosen to take part in the testing. Health Data Management (5/11) Share: Email
Patient's Perspective
Parental attitude linked to HPV vaccination in youths
Young girls were more likely to receive the human papillomavirus vaccine if their parents wanted to protect their health and were more trusting of the public health system, compared with those whose parents had more concerns about the safety of the vaccine or possible side effects. The findings were published in the journal Human Vaccines & Immunotherapeutics. (5/11) Share: Email
The great aim of education is not knowledge but action."
-- Herbert Spencer,
philosopher and sociologist Share: Email
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