PodMed – Week of February 27, 2017

This week’s topics include light treatment and Parkinson’s, ultrasound for bone healing, knee pain treatment over the Internet, and maintaining weight loss. Program notes: 0:30 Treating knee pain over the Internet 1:30 How did they do at 9 months? 2:10 Maintaining weight loss 3:10 Delivering over telephone 4:10 Regain significant weight 5:05 Parkinson’s treatment and […]
Source: Johns Hopkins Medicine Weekly Health News - Category: Consumer Health News Authors: Tags: All Podcasts Neurology And Neurosurgery Obesity Patient Care PodMed Sleep Source Type: podcasts

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Discussion Pulmonary embolism (PE) is potentially life-threatening but fortunately rare event especially in the pediatric population. It was first described in children in 1861. PE is likely underreported because of minimal or non-specific clinical symptoms. The incidence is estimated at 0.05-4.2% with the 4.2% based on autopsy reports. It is probably also increasing as more central venous catheters (CVC) are used, and more children are surviving previously poor prognostic diseases. There is a bimodal distribution with cases
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
We present the first case of bariatric surgery in a patient with Ehlers-Danlos syndrome and outline management challenges in the context of the relevant literature. A 56-year-old man with type IV Ehlers-Danlos syndrome and a body mass index of 41.8 kg/m2 was referred to the bariatric centre of the Churchill Hospital, Oxford, for consideration of surgery for morbid obesity. His comorbidity included type 2 diabetes, hypertension, dyslipidaemia and obstructive sleep apnoea. He underwent a laparoscopic Roux-en-Y gastric bypass. His initial recovery was uneventful and he was discharged on the first postoperative day. Six weeks ...
Source: Annals of the Royal College of Surgeons of England - Category: Surgery Authors: Tags: Ann R Coll Surg Engl Source Type: research
ConclusionBariatric surgery is possible after fundoplication without taking down the fundoplication. It appears to be a viable alternative in patients seeking weight loss surgery after fundoplication, which is currently assumed contraindicated.
Source: Obesity Surgery - Category: Surgery Source Type: research
Abstract Obstructive sleep apnoea (OSA) is characterised by repetitive compromise of the upper airway, causing impaired ventilation, sleep fragmentation, and daytime functional impairment. It is a heterogeneous condition encompassing different phenotypes. The prevalence of OSA among patients presenting for elective surgery is growing, largely attributable to an increase in age and obesity rates, and most patients remain undiagnosed and untreated at the time of surgery. This condition is an established risk factor for increased perioperative cardiopulmonary morbidity, heightened in the presence of concurrent medica...
Source: Med J Aust - Category: General Medicine Authors: Tags: Med J Aust Source Type: research
Conclusions Health care could be substantially improved if all medical specialties would be familiar with BPD, its pathology, medical and psychiatric comorbidities, complications, and treatment. In mental health care, several empirically validated treatments that are applicable in a wide range of clinical settings are available.
Source: Psychosomatic Medicine - Category: Psychiatry & Psychology Tags: CLINICAL APPLICATIONS Source Type: research
A 57-year-old man with a history of coronary artery disease, diastolic heart failure, obstructive sleep apnea, chronic kidney disease, morbid obesity, 60 pack-year smoking history, and gastric bypass (performed 20 years ago) presented to an outside institution with severe chest pain, sepsis, and pneumopericardium. He had no other history of abdominal or thoracic surgery. He was readmitted for heart failure exacerbation and was subsequently transferred to our institution for a higher level of care and possible surgical management.
Source: Surgery - Category: Surgery Authors: Source Type: research
ConclusionsA substantial part of the population reports pain over a long period of their life course and long ‐term trajectories of pain may reflect phenotypes that may be relevant to take into account in pain management. Several risk factors, such as short‐sleep duration, smoking, obesity and poor perceived or mental health may be relevant in recognizing those with pain, and tackling these may contribu te to the prevention of pain over the life course.SignificanceAsking adults about pain every 5  years over a 15‐year period shows that almost one‐third never reported pain and one‐fifth persistent pain. &ldqu...
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: ORIGINAL ARTICLE Source Type: research
ConclusionsA substantial part of the population reports pain over a long period of their life course and long ‐term trajectories of pain may reflect phenotypes that may be relevant to take into account in pain management. Several risk factors, such as short sleep duration, smoking, obesity and poor perceived or mental health may be relevant in recognizing those with pain, and tackling these may contribute to the prevention of pain over the life course.SignificanceAsking adults about pain every 5 years over a 15 ‐year period shows that almost one‐third never reported pain and one‐fifth persistent pain. ‘Persis...
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: Original Article Source Type: research
AbstractMorbid obesity (MO) is becoming increasingly prevalent worldwide and is associated with both altered physiology and increased co-morbidities. Together, these can render the perioperative pain management in patients with  MO particularly challenging. With the higher incidence of sleep-disordered breathing in this patient population, traditional opioid-centric pain management can often result in opioid-induced ventilatory impairment and increased morbidity and/or mortality. Multimodal analgesia strategies based o n a step-wise, severity-based, opioid-sparing approach can improve patient safety and...
Source: Drugs - Category: Drugs & Pharmacology Source Type: research
This study sought to investigate what could be learned from how these men have fared. The men were born in 1925-1928 and similar health-related data from questionnaires, physical examination, and blood samples are available for all surveys. Survival curves over various variable strata were applied to evaluate the impact of individual risk factors and combinations of risk factors on all-cause deaths. At the end of 2018, 118 (16.0%) of the men had reached 90 years of age. Smoking in 1974 was the strongest single risk factor associated with survival, with observed percentages of men reaching 90 years being 26.3, 25.7, ...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
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