Exercise: An underfilled prescription | Improving feeding tolerance in preterm infants | Statin use and risk of psychological disorders
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October 9, 2014
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Exercise: An underfilled prescription
This review emphasizes the importance of education for both patients and providers to enhance participation in lifestyle physical activity, structured exercise or both. The American Journal of Medicine (9/2014) Share: Email
Clinical Updates
Improving feeding tolerance in preterm infants
In this randomized controlled trial, preterm infants received: (1) enteral recombinant human granulocyte colony-stimulating factor (rhG-CSF); (2) recombinant human erythropoietin (rhEPO); or (3) placebo. All 90 preterm infants tolerated the treatment without side effects. Administration of rhG-CSF and rhEPO may improve feeding outcomes and decrease risk of necrotizing enterocolitis. The Journal of Pediatrics (9/2014) Share: Email
Statin use and risk of psychological disorders
The authors concluded that persistent statin users did not demonstrate an increase in the diagnosis of psychological disorders compared with nonpersistent users. Nonpersistent statin use was associated with a greater likelihood of being diagnosed with psychotic or cognitive disorders. The American Journal of Cardiology (10/1/2014) Share: Email
Influence of civilian stressors in alcohol use disorders in the National Guard
Alcohol use disorders (AUDs) are a health concern among reserve-component U.S. soldiers returning from deployment. The authors examined the role of civilian stressors among Army National Guardsman primarily deployed to Afghanistan and Iraq, as many existing studies on AUDs in the military focus on life-threatening situations or on sexual harassment in the military. Findings indicate post-deployment civilian stressors are associated with the onset of AUD among reserve-component soldiers. (Available for CME credit.) American Journal of Preventive Medicine (10/2014) Share: Email
Measuring quality of health care
There is increasing interest in quantitative information about the quality of health care, including patient experience. This article describes the development of a conceptual framework and a set of indicators to measure the quality of health care delivered to adolescents in the hospital to provide a quantitative basis for quality improvement. (Full-text access is time limited.) Journal of Adolescent Health (10/2014) Share: Email
Accurate advanced screening for trisomies 21, 18 and 13
This prospective study demonstrates that noninvasive prenatal analysis of cfDNA from maternal plasma is an accurate advanced screening test for trisomies 21, 18 and 13. American Journal of Obstetrics & Gynecology (10/2014) Share: Email
Incidence of drug-associated acute kidney injury
What is the most common cause of acute kidney injury (AKI) in nursing home (NH) residents? A retrospective study from the University of Pittsburgh found AKI was associated with prescribed drugs, especially diuretics, ACE inhibitors, ARBs and antibiotics. They utilized a clinical surveillance system that monitors laboratory and medication data and sends alerts when a patient's creatinine levels rise sufficiently. Indications were 30% of residents with a length of stay of 100 days or more had an AKI alert. (Free abstract only.) Journal of the American Medical Directors Association (10/2014) Share: Email
Medical News
USPSTF recommends wider diabetes screening
Draft recommendations from the U.S. Preventive Services Task Force call for diabetes and blood glucose screening for people 45 and older and younger adults with risk factors. The guidelines, updated from 2008, are similar to those made by other medical groups and include recommendations for diet and exercise interventions for at-risk patients. Medscape (free registration) (10/6) Share: Email
Beta-blockers tied to higher stroke risk in some patients
An analysis of data on nearly 15,000 patients found that treatment with beta-blockers was linked to a higher risk of stroke among patients with multiple heart disease risk factors but no history of a cardiovascular event. Researchers also found that use of beta-blockers was not linked to lower cardiovascular events in those with no history of myocardial infarction and heart failure. The findings were published in Circulation: Cardiovascular Quality and Outcomes. PhysiciansBriefing.com/HealthDay News (10/6) Share: Email
Group does not recommend testosterone therapy for women
The Endocrine Society released new guidelines advising against the use of testosterone therapy in healthy women, even those with low androgen levels. The group also recommended against diagnosing women with androgen deficiency and against the use of DHEA, a type of androgen hormone, because of insufficient evidence on its safety or effectiveness. The guidelines appear in the Journal of Clinical Endocrinology and Metabolism. DailyRx.com (10/3) Share: Email
Business Practice News
Restricted resident schedules have not hurt quality, data suggest
A 2003 policy that restricted resident schedules did not affect length of hospitalization or patient mortality once the residents entered independent practice, a study in Health Affairs found. However, patients with complicated cases exhibited slightly better outcomes when their clinicians were trained after the restrictions were established, researchers added. Reuters (10/6) Share: Email
Antibiotic use is common among U.S. hospital patients
Approximately 50% of more than 11,000 patients at 183 hospitals were given antibiotics in 2011 and about half of those received multiple antibiotics, CDC researchers wrote in the Journal of the American Medical Association. Excessive use of antibiotics, particularly broad-spectrum antibiotics, could promote antibiotic-resistant bacterial growth, according to the study. HealthDay News (10/7) Share: Email
Patient's Perspective
Facebook reportedly plans patient support communities
Facebook is planning to launch online patient communities and intends to develop new health-related applications, insiders say. Executives have reportedly met with health industry experts and the company is said to be creating a research and development unit. Privacy would be a concern, but a policy that required users' real names to be used was recently eased by the social media giant. Reuters (10/3) Share: Email
We adore chaos because we love to produce order."
-- M.C. Escher,
Dutch graphic artist Share: Email
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