December 9th, 2011 by HarvardHealth in Health Tips, Research
Tags: Cardiology, Cardiovascular Health, Diet, Exercise, Fitness, Heart Disease, Men's Health, Obesity, Overweight
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These days, most adults are overweight, not active, or both. If you could change just one—become active or lose weight—which would be better?
At least for men, being more fit may have a bigger health payoff than losing weight, according to a new study of more than 14,000 well-off middle-aged men who are participating in the Aerobics Center Longitudinal Study. Researchers followed their health, weight, and exercise habits for 11 years. They estimated how physically fit the men were by calculating their metabolic equivalents (METs) from a treadmill test.
Compared with men whose fitness declined over the course of the study, those who maintained their fitness levels reduced their odds of dying from cardiovascular disease or any other cause by about 30%, even if they didn’t lose any excess weight. Those who improved their fitness levels saw a 40% reduction.
Body-mass index (BMI), a measurement that takes weight and height into account, was not associated with mortality. The results were published in the journal Circulation.
What is “fitness”
Fitness is a measure of Read more »
*This blog post was originally published at Harvard Health Blog*
December 3rd, 2011 by Paul Auerbach, M.D. in Health Tips, Research
Tags: Adrenaline, Allergic Reactions, Drug Absorption, Emergency Medical Services, EMS, Epipen, IM, Injection Site, Intramuscular injection, Prehospital Emergency Care, Subcutaneous injection
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For management of a serious (even life-threatening) allergic reaction, I have been teaching adults to administer epinephrine (adrenaline) by injection for years. This can be a lifesaving intervention. The Emergency Medical Services (EMS) community now concurs that EMS personnel should be trained to recognize a serious allergic reaction and be allowed to administer epinephrine. In a recent issue of the journal Prehospital Emergency Care (2011;15:570-576), there is an article by Jacobsen and Millin entitled “The Use of Epinephrine for Out-of-Hospital Treatment of Anaphylaxis: Resource Document for the National Association of EMS Physicians Position Statement” that details the use of epinephrine for this purpose.
The major new thrust of this document is to highlight the fact that the intramuscular (IM, directly into the muscle) injection route of administration is preferred, rather than the traditional primary recommendation to inject into the tissue space just under the skin layers (“subcutaneous”). This is because injection into the muscle tissue results in smoother and more reliable drug absorption, with higher peak therapeutic levels of the drug achieved sooner than with subcutaneous injection. The lateral thigh is often used for the IM injection; the outer upper arm is most commonly used for the subcutaneous injection. In an “autoinjector pen” used to administer epinephrine (often referred to by the brand name “EpiPen”), the needle may not be long enough to reach the muscle tissue of a large and/or obese person. However, if the epinephrine is injected into the subcutaneous tissue, it will in all likelihood still be effective, albeit perhaps not as quickly following the injection.
Here is advice about how to give epinephrine for a severe allergic reaction: Read more »
This post, Article Details The Best Uses Of Epinephrine For Severe Allergic Reactions, was originally published on
Healthine.com by Paul Auerbach, M.D..
December 3rd, 2011 by Linda Burke-Galloway, M.D. in Health Tips, News
Tags: Airport birth, Babies, Bathroom, BWI, Dr. Linda Burke-Galloway, Healthy Pregnancy, OB/GYN, Obstetrics And Gynecology, Pregnancy, Premature Birth, Undiagnosed, Unexpected birth, Unnoticed, Urine analysis
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On a recent Sunday in the bathroom of the Baltimore-Washington International Thurgood Marshall Airport, a baby boy made his entrance to life. His mother was approximately 28 weeks and delivered prematurely, however both baby and mother were healthy according to the media. Although the details of the delivery are sketchy, anyone involved in obstetrics can predict what occurred.
The mother might have had a previous history of a urinary tract infection, or complained of back pain. Did her ultrasound reveal a short cervix? Or perhaps she had a history of a previous early delivery. If it was her first pregnancy, did she complain of mild abdominal pressure? Premature labor is one of the most common reasons for birth defects and has a price tag of approximately 26 billion dollars per year. The signs and symptoms of preterm labor Read more »
*This blog post was originally published at Dr. Linda Burke-Galloway*
December 2nd, 2011 by admin in Announcements, Health Tips
Tags: Age, Autumn, CDC, Centers For Disease Control and Prevention, Chronic health condition, Elderly, Fall, February, Flu, Flu season, Infants, Influenza, January, Recommendations, Seasonal, Strain, symptoms, Vaccine, virus
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Getting a flu vaccine is on many “to do” lists in the fall, but for those who still haven’t checked it off their list, it’s not too late to get vaccinated. Many people don’t realize that flu activity usually peaks in the United States in January or February, and flu viruses can circulate as late as May. As long as there’s flu around, it isn’t too late to get vaccinated.
Getting a yearly flu vaccine is the first and most important step in protecting against the flu, and CDC recommends influenza vaccination for everyone age 6 months and older. We urge you and all health care professionals to get vaccinated yourselves and offer flu vaccine at every opportunity to every patient—except infants younger than 6 months and the very few people for whom flu vaccination is contraindicated.
Studies show that your recommendation makes the difference in your patients’ decision to get a flu vaccine. You should continue to emphasize the importance of flu vaccination for your patients. And, if you don’t already do so, consider offering flu vaccines to patients in your own practice, even if yours is a sub-specialty practice and you don’t see yourself as a vaccine provider. Even if you don’t offer flu vaccines, you can still recommend and emphasize the importance of flu vaccination as a way to keep your patients—and their families—protected throughout the season.
As promising as it is sounds that flu vaccination rates are increasing among children and healthcare personnel, Read more »
*This blog post was originally published at Safe Healthcare*
December 1st, 2011 by John Mandrola, M.D. in Health Tips, Research
Tags: Article, Cancer, Cholesterol, Death, Exercise, General Medicine, Healthy Living, Heart Disease, Heart-related illness, Inflammation, Lancet, Primary Prevention, Safety, Secondary Prevention, Statins
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There was important news this month on statin drugs. As one of the world’s most effective and commonly used medications, statins provide great writing topics. Lots of people have high cholesterol–including cyclists. Lots of people are interested in avoiding our mostly deadly disease.
I’d like to tell you about a recently-published (Lancet) landmark study that should quell safety concerns over statin drugs.
The punch line after I tell you the study’s results are short and sweet. Scroll down if you wish. But first, statin drugs are misunderstood enough to warrant a little blog-like simplicity. Let’s start with some background.
A brief statin review:
Statin drugs are best known for their cholesterol-lowering properties. The notion is simple: Read more »
*This blog post was originally published at Dr John M*
