New Funds Will Keep TMA Walk With a Doc Walkers Active, Informed, Healthier

The Texas Medical Association Foundation received a $42,625 grant from Blue Cross and Blue Shield of Texas (BCBSTX) that the foundation will use to help fund the 2018 Walk With a Doc (WWAD) Texas program. The goal of the BCBSTX grant is to help raise awareness about prevention and early detection of chronic kidney disease and chronic obstructive pulmonary disease — diseases often prevented by an active and tobacco-free lifestyle. The Walk With a Doc Texas program supports this goal by helping physicians organize walks in their communities to encourage physical activity, reverse the consequences of a sedentary life, and improve the health and well-being of Texans.
Source: TMA News Room - Category: Consumer Health News Source Type: news

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Conclusion: Preoperative renal function, defined by serum creatinine or eGFR by CKD-EPI, NYHA class II –IV, and the number of blood units transfused were all independent predictors of RRT postoperatively.Am J Nephrol 2018;48:108 –117
Source: American Journal of Nephrology - Category: Neurology Source Type: research
CONCLUSION: Low back and neck pain was the most important contributor of disability in Spain in 2016. There has seen a remarkable increase in the burden due to Alzheimer disease and other dementias. Tobacco remains the most important health issue to address in Spain. PMID: 30037695 [PubMed - as supplied by publisher]
Source: Medicina Clinica - Category: General Medicine Tags: Med Clin (Barc) Source Type: research
Conclusions: The incidence of death without stroke was 9-fold higher than that of stroke, leading to biased estimates of stroke risk with traditional time-to-event methods. Statistical methods that appropriately account for competing risks should be used to mitigate this bias.
Source: Circulation: Cardiovascular Quality and Outcomes - Category: Cardiology Authors: Tags: Atrial Fibrillation, Epidemiology, Primary Prevention, Cerebrovascular Disease/Stroke Original Articles Source Type: research
Circulating levels of fibroblast growth factor (FGF)23 are associated with systemic inflammation and increased mortality in chronic kidney disease. α-Klotho, a co-receptor for FGF23, is downregulated in chronic obstructive pulmonary disease (COPD). However, whether FGF23 and Klotho-mediated FGF receptor (FGFR) activation delineates a pathophysiological mechanism in COPD remains unclear. We hypothesised that FGF23 can potentiate airway inflammation via Klotho-independent FGFR4 activation. FGF23 and its effect were studied using plasma and transbronchial biopsies from COPD and control patients, and primary human bronch...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Mechanisms of lung disease Original Articles: Basic science Source Type: research
Endosc Int Open 2018; 06: E694-E699 DOI: 10.1055/a-0599-6085 Background/aims The rate of recurrent small-bowel bleeding (SBB) remains high despite the advent of balloon assisted enteroscopy (BAE). The study aims were to determine: (1) the diagnostic and therapeutic yields, and adverse event rate of repeat BAE in SBB, and (2) the predictors of a positive repeat BAE. Methods A retrospective review of a BAE database was conducted. Patients who had> 1 BAE for SBB were included. Primary outcomes were diagnostic yield, therapeutic yield, and adverse events of repeat BAE. Secondary outcomes were predictors of...
Source: Endoscopy International Open - Category: Gastroenterology Authors: Tags: Original article Source Type: research
In this study, we present and quantify the influence of common medical comorbidities on the cost of care in patients undergoing primary TKA. A retrospective level of evidence III study was performed using the PearlDiver supercomputer to identify patients who underwent primary TKA between 2007 and 2015. Patients were stratified by medical comorbidities and compared using analysis of variance for reimbursements for the day of surgery and over 90 days postoperatively. A cohort of 137,073 US patients was identified as having undergone primary TKA between 2007 and 2015. The mean entire episode-of-care reimbursement was $23,701 ...
Source: Journal of Knee Surgery - Category: Orthopaedics Authors: Tags: Original Article Source Type: research
In conclusion, serum P is associated with increased all-cause, cardiovascular and COPD mortality in men but not women. The asso ciation with COPD mortality is novel and needs further research on underlying mechanisms.
Source: European Journal of Epidemiology - Category: Epidemiology Source Type: research
We examined Veterans Affairs Surgical Quality database for surgical entries between 2000-2014. Demographics, comorbidities, laboratory findings and hospital outcomes were assessed. Primary endpoint was occurrence of AKI defined as increase of ≥0.3 mg/dL, 48 hours postoperatively. Major adverse cardiac event (MACE) was defined as composite first occurrence of myocardial infarction, cardiac arrest and death in 30 days (secondary endpoint) and was compared between two groups. Rates of progression to CKD in 1 year and long-term survival were examined. MAIN OUTCOME MEASURES: Occurrence of AKI 48 hour...
Source: Current Medical Research and Opinion - Category: Research Tags: Curr Med Res Opin Source Type: research
Background: The PARADIGM-HF clinical trial showed a significant reduction in heart failure (HF) hospitalizations and cardiovascular (CV) death in patients with heart failure and reduced ejection fraction (HFrEF) and treated with S/V compared to enalapril. The impact of S/V on real-world outcomes is not well studied.Objective: To assess the association of hospitalization and therapy with S/V vs. ACEI/ARB in patients with HFrEF in the US.Methods: Adult patients with ≥1 claim for S/V or ACEI/ARB from 7/7/2015-5/31/2016 were selected from the MarketScan databases. Patients with S/V were assumed to have HFrEF based on its pr...
Source: Circulation: Cardiovascular Quality and Outcomes - Category: Cardiology Authors: Tags: Session Title: Poster Session PM Source Type: research
Older patients with depression may be at greater risk of death following a procedure to replace a damaged aortic valve of the heart, reports astudy published today inJAMA Cardiology.“The clinical implications of our findings support active screening for depression before and after aortic valve procedures to identify patients who may benefit from further psychiatric evaluation for the diagnosis and treatment of a depressive disorder,” wrote Jonathan Afilalo, M.D., M.Sc., of Jewish General Hospital, Montreal, and colleagues.The study included patients who were at least 70 years of age with symptomatic aortic sten...
Source: Psychiatr News - Category: Psychiatry Tags: aortic stenosis aortic valve replacement cerebrovascular disease COPD depression diabetes Geriatric Depression Scale Short Form hypertension Jonathan Afilalo kidney disease Source Type: research
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