June 2nd, 2011 by RyanDuBosar in News, Research
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The World Health Organization (WHO) says graphic health warnings on tobacco packages are a powerful “best buy” in decreasing tobacco use and its many health consequences.
The Centers for Disease Control and Prevention outlined the research in the MMWR.
The World Health Organization (WHO) created a treaty for tobacco product labels that many countries have ratified. Among other requirements, these warnings are expected to appear on at least 30%, and ideally 50% or more, of the package’s principal display areas, and preferably use pictures.
To assess how cigarette package labels impact quitting smoking, researchers used data from the Global Adult Tobacco Survey (GATS) in 14 countries from 2008 to 2010 that had ratified WHO’s tobacco control treaty. Current smokers of manufactured cigarettes were asked whether they had noticed health warnings on a cigarette package in the previous 30 days, and whether the label led them to think about quitting smoking.
Among men in 12 of the countries and women in seven countries, more than 90% of smokers reported noticing a package warning in the previous 30 days. Read more »
*This blog post was originally published at ACP Internist*
June 2nd, 2011 by EvanFalchukJD in Opinion
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At the New York Times’ City Room Blog, Joel Cohen writes:
my wife and I are convinced that all medical students should have to pass Overbooking 101 before they can become doctors.Again and again, we arrive at a doctor’s aptly named waiting room on or before the scheduled time, only to learn that three or four others sitting there have been given the same appointment.
He says doctors need to understand the impact of this on their patients. I agree, but not just because it’s annoying.
A typical doctor sees thirty patients a day. Some see even more.
Reflect on that math. If your doctor sees 30 patients a day, that’s 150 a week, 600 a month, maybe 7,000 a year.
It means that if it’s been even two months since you last saw your doctor, he has probably seen more than a thousand people since your last visit. It’s why there’s often that Read more »
*This blog post was originally published at See First Blog*
May 31st, 2011 by admin in Health Tips, Research
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One of the big health news stories of 2007 was a study showing that your friends influence the size of your waist (and the rest of your body). Like any study, it raised as many questions as it answered, including why this happens. A new study from Arizona State University looked into that question by testing three pathways by which friends might influence one another’s body size:
- Collaboration. Over time, you might start to share the ideas of the people close to you after talking with them about what the proper body size is. Then you might choose your food and exercise habits in order to reach that body size, whether that means eating more food to look like your plus-sized friends, or less food to look like your thin ones.
- Peer pressure. You feel bullied into trying to look like your friends and family members. They make you feel bad about your body, so you go about eating and exercising to look like them.
- Monkey see, monkey do. You change your habits to mirror those of your friends without necessarily thinking or talking about an ideal body weight. Alexandra Brewis Slade, PhD, one of the Arizona State researchers, gave an example of this pathway that most of us can relate to: You’re at a restaurant with friends and the waiter brings over the dessert menu. Everyone else decides not to order anything, so you pass, too, even though you were dying for a piece of chocolate mousse cake.
All three of these pathways are based on the idea that loved ones share social norms, the implicit cultural beliefs that make some things okay, others not. Read more »
*This blog post was originally published at Harvard Health Blog*
May 31st, 2011 by RyanDuBosar in News, Research
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Despite poor awareness and a lack of training on handling peripheral artery disease, internists can and should be able to recognize the symptoms and manage 95% of such cases. Experts advise using the ankle-brachial index as a quick and effective diagnostic method.
But internists often don’t. As was reported in ACP Internist‘s previous cover story on the subject, the ankle-brachial index can be a major part of preventing peripheral artery disease, itself a major predictor of strokes and heart attacks, over and above the Framingham risk score.
The ankle-brachial index is the ratio of the ankle to the arm systolic pressure. A ratio of 0.90 or less indicates peripheral artery disease. Its sensitivity is 79% to 95%, and its specificity is 95% to 100%. It takes less than five minutes to perform in the office.
Yet, among the 85 respondents, 36 (42.35%) said “It’s a quick and easy test.” Another 27 (31.76%) thought, “It’s difficult to fit into the standard visit.” The final 22 (25.88%) said, “I don’t use the ABI to screen patients for PAD.” Read more »
*This blog post was originally published at ACP Internist*
May 22nd, 2011 by Happy Hospitalist in Health Tips, News
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Here’s how we used to find a difficult vein. If a floor nurse could not get an IV in, they asked one of their colleagues to try. If their colleague could not find the impossible-to-locate vein, they contacted an ICU nurse. If the ICU nurse couldn’t get one, sometimes an ER nurse or a flight nurse would try. If they still couldn’t get an IV, then I would be paged to ask if they could get an order for an anesthesiologist to try. And if the anesthesiologist couldn’t figure out how to find a difficult vein, we got a PICC line with the PICC nurse or with the radiologist or I placed a central line if the patient could not wait for a PICC line.
That’s how we used to find a difficult IV.
How do we find one now? If you’re on the floor, you use one of these cheaper vein lights to find the difficult vein and place your IV. However, if you work in Happy’s ER, now you have a $6,000 Star Trek looking vein finder for those dehydrated nursing home patients and cracked out meth heads. Read more »
*This blog post was originally published at The Happy Hospitalist*
The Centers for Disease Control and Prevention outlined the research in the MMWR.
