Biological markers of bone complications | How prevalent is diabetes in coronary disease? | Is Facebook depression real?
January 31, 2013
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Biological markers of bone complications
The observed bone turnover markers variations indicate a complex process of bone turnover in mastocytosis-related bone manifestations. The highly significant correlation between serum tryptase and serum bone turnover markers levels, and the positive correlation of levels of bone turnover markers with advanced disease, support the existence of a link between bone remodeling and mast cell burden. The American Journal of Medicine (1/2013) Share: Email
Clinical Updates
How prevalent is diabetes in coronary disease?
This study concluded that the real incidence of new diabetes mellitus is very high in the coronary population, especially in those with prediabetes. It is necessary to use oral glucose tolerance test for diagnosis, but its indication can be optimized based on a risk model. The American Journal of Cardiology (2/1/2013) Share: Email
Is Facebook depression real?
A recent report suggests that use of social networking sites (SNSs) may cause depression in adolescents, a condition termed ?Facebook depression.? However, an evaluation of SNS use and depression in a sample of older adolescent found no such association. Ongoing work is needed to inform future practice guidelines. (Full-text access is time limited.) Journal of Adolescent Health (1/2013) Share: Email
Using biomarkers to predict preeclampsia
Significant differences in the first-trimester metabolites were noted in women who went on to developed late-onset preeclampsia and between early- and late-onset preeclampsia. American Journal of Obstetrics & Gynecology (1/2013) Share: Email
Cognitive impairment in heart failure patients
Cognitive impairment is common in older adults hospitalized for heart failure, yet it is frequently not documented by physicians. Implementation of strategies to improve recognition and documentation of cognitive impairment may improve the care of these patients, particularly at the time of hospital discharge. The American Journal of Medicine (2/2013) Share: Email
Benzodiazepine use and nursing home characteristics
A large French study (73.7% female) addressed the knowledge gap about associations between nursing home (NH) structural and organizational characteristics and prescribing of benzodiazepines. While resident-related characteristics were the main correlates of use, NH characteristics also related to the outcome of 53% having prescriptions for benzodiazepines. NH directors and medical staff should possibly implement modifications for reducing inappropriate or chronic benzodiazepine use. (Free abstract only.) Journal of the American Medical Directors Association (1/2013) Share: Email
Contraceptive method and sexually transmitted infections: Is there a correlation?
Depot medroxyprogesterone acetate (DMPA) use is not associated with risk of incident sexually transmitted infections among adolescent women. DMPA should not be avoided in adolescents because of concern for increased STI risk. Rather, prevention efforts should focus on education regarding a reduced number of sexual partners. (Full-text access is time limited.) Journal of Adolescent Health (1/2013) Share: Email
Medical News
CDC: Vaccination rates for certain diseases "unacceptably low"
CDC officials reported Tuesday that vaccination rates for certain diseases -- including pneumonia, tetanus, diphtheria, hepatitis, shingles and whooping cough -- were "unacceptably low" among U.S. adults. "We are encouraging all adults to talk with their health care providers about which vaccines are appropriate for them," said HHS assistant secretary Dr. Howard Koh. Reuters (1/29) Share: Email
Higher diabetes rates seen in Alzheimer's patients
Patients with Alzheimer's disease showed higher rates of clinically diagnosed and medically treated diabetes compared with the general population, a Finnish study indicated. However, the difference in diabetes rates between the two groups was small, researchers wrote in Diabetes Care. (1/26) Share: Email
Business Practice News
Report calls for U.S. to move toward preventive health model
The nonprofit Trust for America's Health proposed shifting U.S. health care from a sick-care model to a prevention format, and while executive director Jeffrey Levi called it the humanitarian thing to do, economists disagreed with the group's assessment that it would reduce costs. Data show some preventive services may not improve an individual's health, and health policy expert Peter Neumann of Tufts University School of Medicine said that "prevention itself costs money, and some preventive measures can be very expensive, especially if you give them to a lot of people who won't benefit." Reuters (1/29) Share: Email
Nearly half of hospital physicians are overworked, study finds
Four in 10 U.S. hospital-based physicians reported being overworked, while 1 in 5 said patient safety may be hurt by schedule issues, according to a study in the Journal of the American Medical Association. Researchers found 20% of responding doctors said catering to too many patients may increase the risk of medical errors, unnecessary lab tests or delayed diagnoses, and 36% said such problems happen more than once a week. U.S. News & World Report/HealthDay News (1/28) Share: Email
Agency unveils new "Closing the Quality Gap" series
The Agency for Healthcare Research and Quality is releasing a new series of reports on quality. The eight-report series is a follow-up to "Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies," and it addresses the effectiveness of patient-centered medical homes, medication adherence, bundled payments and more. (1/28) Share: Email
Patient's Perspective
Survey: 69% of adults track health, most without technology
A survey by the Pew Research Center found that 69% of adults said they track diet, weight, exercise or medical symptoms for themselves or a loved one, with 49% of those saying they do it in their heads, 34% keeping track on paper and 21% using some form of technology. Thirty-four percent of those who track their health said they share their data with others. USA Today (1/30) Share: Email
I attribute my success to this: I never gave or took any excuse."
-- Florence Nightingale,
British social reformer, nurse and statistician Share: Email
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