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C difficile Infections Increasing, Becoming More Difficult to TreatResearch indicates that rates of Clostridium difficile infection among those typically not considered at high risk of infection are increasing, and these infections are becoming more frequent, severe, and difficult to treat.
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Experts Provide Guidance on Reporting During Lung Cancer ScreeningsTo confirm that LCS programs abide by the American College of Radiology and Society of Thoracic Radiology specifications, screening should follow a standardized and structured protocol.
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Can the Course of Parkinson's Disease be Modified?As is the case with a number of chronic, progressive neurologic disorders, there is a long running debate about whether pharmacotherapy modifies the course of Parkinson's Disease.
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Increased risk of cardiovascular disease among middle-aged women due to glycemic loadWe conducted a study among 15 714 Dutch middle-aged women consuming modest-glycemic-load diets. Results showed that high dietary glycemic load and glycemic index increased the risk of cardiovascular disease. This association was particularly evident among overweight women. Recommendations to follow a high-carbohydrate diet may therefore not be optimal in the prevention of cardiovascular diseases.
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Depression and coronary artery disease in womenMallik and Vaccarino remind us that heart disease kills more women than the next 7 causes of death combined.
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ARRA and Beyond: How to Select a Stimulus-ready EHR for the Life of Your Practice and Your PatientsNow that CMS and the Office of the National Coordinator for Health Information Technology have released meaningful use criteria, physicians have a checklist for selecting the right EHR.
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Predicting survival in elderly patients with heart failureOver a period of 14 years, we followed 282 patients aged 70 years or older who were hospitalized with heart failure. Median survival was 2.5 years, but 25% of patients died within 1 year, and 25% survived for at least 5 years following hospital discharge. A simple 7-item risk score based on data readily available at the time of hospitalization effectively stratified patients into low-, intermediate-, and high-risk categories for subsequent mortality.
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Obstructive Sleep Apnea Not Associated With Hypertension in Community Cohort (AJRCCM)Research on people recruited randomly from the community suggests that, after adjusting for various demographic, behavioral, and physical characteristics, there is no association between sleep apnea and hypertension.
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Direct renin inhibition in the elderlyHypertension may well be the most important public health issue facing society today.
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Severe Eosinophilic Asthma Linked to Low FEV1 ReversibilityInvestigators conducted a post-hoc analysis in order to assess eosinophil levels and lung function among patients with low FEV1 reversibility to short-acting beta agonists.
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Laboratory monitoring for spironolactone in congestive heart failureWe evaluated how well patients taking spironolactone were monitored for hyperkalemia, as well as the association between spironolactone and hyperkalemia. Only two thirds of patients received testing for serum potassium and creatinine levels, and higher baseline serum creatinine levels predicted a high risk of hyperkalemia. These results indicate that appropriate patient selection and close monitoring are essential, especially for patients with renal impairment.
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Myocardial perfusion scintigraphy as a gatekeeper for invasive proceduresWe evaluated the potential benefit of using myocardial perfusion scintigraphy as a gatekeeping technique prior to performing coronary angiography and revascularization procedures in patients with stable angina pectoris. Results showed that about half of all catheterizations and almost one fifth of coronary revascularizations could be avoided, assuming that only patients with reversible (stress-induced) myocardial ischemia and a minority of patients with "fixed" perfusion defects (present both at rest and during stress) would benefit from coronary revascularization.
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Ethnic differences in blood pressure control in menWe compared blood pressure control among white and African American hypertensive men in Veterans Affairs (VA) and non-VA sites, and found that the dis parity between the two ethnic groups was 40% less at VA sites. Better access to care and medications for African Americans at the VA sites may explain the difference.
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Strengthening the Primary Care PipelineWhat steps can the medical profession and policymakers take to stave off the looming shortage of primary care doctors?
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Noninvasive assessment of coronary artery bypass grafts with 64-slice computed tomographic angiographyWe evaluated the accuracy of the 64-slice computed tomography (CT) angiography scanner in subjects who were scheduled to undergo invasive angiography for possible stenosis in coronary artery bypass grafts. Results showed that the improved resolution of CT scanners with 64-slice technology allowed for a precise delineation of bypass graft occlusion or stenosis. It permitted an accurate noninvasive assessment of bypass grafts, even in subgroups of subjects with suboptimal scan conditions, such as those with arrhythmias or higher heart rates.
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Prediction of coronary artery disease in patients with diabetes and albuminuriaWe developed a set of equations to predict the risk or probability of developing coronary artery disease (CAD) in 10 years among American Indians. The equations are based on the significant risk factors identified in the Strong Heart Study, a longitudinal study of cardiovascular disease in American Indians. The equations can be used in patient education and to evaluate the efficacy of CAD prevention and intervention programs.
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ASN 2010: Insight into the Management of Intradialytic HypertensionOverlapping clinical definitions of the causes and characteristics of intradialytic hypertension make it a frustrating condition to diagnose and treat
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Exercise is MedicineTM: A resource for oncology nursesThe importance of daily physical activity and exercise is being increasingly recognized, and government agencies, professional organizations, and community groups are all seeking ways to get adults and children up and moving.
