Despite Steady Increase in Chemoprophylaxis Use, Annual VTE Incidence Low
June 29th 2015Colorectal surgery is often performed for inflammatory disease or malignancy-known risk factors for venous thromboembolism (VTE). Although a patient safety priority, comprehensive recommendations for these VTE patients are lacking. Most patients receive perioperative and in-hospital VTE chemoprophylaxis, but extended prophylaxis rates lag.
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The Diabetes Pandemic Requires Global Policy Solutions
June 5th 2015The global pandemic of diabetes poses a huge public health challenge to every nation. In 2014 more than 380 million people around the world were living with diabetes-8.3% of the adult population. That number is expected to increase to 592 million by 2035.
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Increased Risk of Fractures Associated with Subclinical Thyroid Dysfunction
June 5th 2015Overt hyperthyroidism is a known risk factor for osteoporosis and fractures. More subtle alterations in thyroid function, such as those that occur in subclinical thyroid dysfunction, may also be associated with increased fracture risk and bone loss, but until recently no clinical trials have adequately explored that issue.
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Overuse of Antibiotics in Primary Health Care: Patient Education Crucial, Too
June 5th 2015A recent Chinese study of antibiotic use in primary care settings found that up to 93% of respiratory tract infections (RTIs) were treated with antibiotics, with more than 60% reported as inappropriate.
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Impaired Muscle Mitochondrial Biogenesis, Myogenesis Behind Spinal Muscular Atrophy
April 29th 2015Research, led by Michela Ripolone, PhD, Centro Dino Ferrari, Universita degli Studi Milano, concluded that an altered regulation of myogenesis and a downregulated mitochondrial biogenesis contribute to pathologic changes in the muscle of patients afflicted with spinal muscular atrophy (SMA), recommending that therapeutic strategies aim at counteracting these changes.
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Screening and Surveillance for Barrett's Esophagus: The Controversy Continues
March 6th 2015Although the prevalence of Barrett's esophagus is considered moderate, the condition is the only established precursor of esophageal adenocarcinoma, and thus it has become the focus of programs of endoscopic screening and surveillance.
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Conditional Disease-free Survival after GIST Resection Improves Over Time
March 6th 2015A recent JAMA Surgery study by Danielle A. Bischof, MD, of Johns Hopkins University and her American and Canadian colleagues was the first to estimate conditional disease-free survival (CDFS) for primary gastrointestinal stromal tumors (GISTs) following complete surgical resection.
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Study of Clot-Grabbing Stent Is Grabbing Attention
February 3rd 2015A recent study has generated a great deal of excitement because Dutch researchers reported that a new intra-arterial treatment greatly improves the prognosis for people with acute ischemic stroke caused by a proximal intracranial arterial occlusion of the anterior circulation.
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US Flu Season at Epidemic Threshold
January 27th 2015The recent US Centers for Disease Control and Prevention's (CDC) surveillance report stated that this year's flu season has crossed the threshold for being considered an epidemic – that is, the proportion of deaths attributed to pneumonia and influenza (8.5%) through the 122 Cities Mortality Reporting System was above the agency's epidemic threshold of 7%.
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Racial, Ethnic Disparities Continue in Medicare Advantage Plans
December 16th 2014A nationwide study of elderly enrollees in Medicare Advantage health plans concluded that disparities in control of blood pressure, cholesterol, and glucose had not improved nationally for blacks in these plans despite the disparities being eliminated in the US west in 2011.
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Delayed Antibiotic Prescribing for RTIs Lowers Antibiotic Use
November 30th 2014Strategies of no antibiotic prescription or delayed antibiotic prescription in primary care patients with acute respiratory tract infections (RTIs) resulted in fewer than 40% of patients using antibiotics, according to a study published in BMJ.
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Smoking Cessation Associated with Improved Mental Health
November 26th 2014Smoking cessation had long been associated with reduced depression, anxiety, and stress and improved positive mood and quality of life compared with continuing to smoke. Yet many smokers who wish to quit are afraid to do so because they believe smoking decreases their feelings of depression, anxiety, and stress and improves their mood and promotes relaxation. This sentiment is reported by smokers both with and without diagnosed mental disorders.
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Aging Associated with Defects in Beta Cell Ca2+ Dynamics
October 31st 2014A group of international researchers led by Luosheng Li, MD, of the Rolf Luft Research Center for Diabetes and Endocrinology at the Karolinska Institutet, Karolinska University Hospital in Stockholm, Sweden, recently demonstrated that age-dependent decline in insulin secretion (and thus glucose homeostasis) from the beta cell in experimental mice models is associated with subtle changes in Ca2+ dynamics.
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New Developments in Insulin Therapy for Type 2 Diabetes
October 31st 2014In the American Journal of Medicine, Christopher Sorli, MD, of the Billings Clinic in Montana, reviewed new developments in insulin therapy for type 2 diabetes. He explained that insulin initiation often involved basal-only therapy in conjunction with existing oral glucose-lowering drugs.
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New Method Proposed for Levothyroxine Dose Estimation for Benign Disease
October 24th 2014Patients' body weight (BW) is the accepted way to calculate the starting dose of levothyroxine (LT4) after total thyroidectomy. However, Italian researchers sought to find a new way to improve the accuracy of the LT4 starting dose following total thyroidectomy by identifying other major predictive factors of LT4 requirement.
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