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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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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
Abstract Background and AimThe study developed a predictive model of long‐term gastrointestinal (GI) bleeding risk in patients receiving oral anticoagulants and compared it with the HAS‐BLED (Hypertension, Abnormal renal/liver function, Stroke, Bleeding history or predisposition, Labile international normalized ratios, Elderly, Drugs/alcohol concomitantly) score. MethodsThe study periodically followed a cohort of 508 patients taking oral anticoagulants (66 direct oral anticoagulants users and 442 warfarin users). Absence of GI bleeding at an initial examination and any subsequent GI bleeding were confirmed endoscopical...
Source: Journal of Gastroenterology and Hepatology - Category: Gastroenterology Authors: Tags: Gastroenterology Source Type: research
ConclusionsOur results demonstrated that HES co-morbidity codes in patients undergoing abdominal wall hernia repair are specific with good positive predictive value; however, they have substandard accuracy, sensitivity, and negative predictive value. The presence of a relatively large number of false negative or missed cases in HES database explains our findings. Better documentation of co-morbidities in admission clerking proforma may help to improve the quality of source documents for coders, which in turn may improve the accuracy of coding.
Source: Hernia - Category: Sports Medicine Source Type: research
Authors: Anderson LJ, Liu H, Garcia JM Abstract With aging and other muscle wasting diseases, men and women undergo similar pathological changes in skeletal muscle: increased inflammation, enhanced oxidative stress, mitochondrial dysfunction, satellite cell senescence, elevated apoptosis and proteasome activity, and suppressed protein synthesis and myocyte regeneration. Decreased food intake and physical activity also indirectly contribute to muscle wasting. Sex hormones also play important roles in maintaining skeletal muscle homeostasis. Testosterone is a potent anabolic factor promoting muscle protein synthesis ...
Source: Advances in Experimental Medicine and Biology - Category: Research Tags: Adv Exp Med Biol Source Type: research
Introduction: The prognosis of COPD patients is compromised by different comorbidities. There are only few data concerning chronic kidney disease (CKD) in these patients. We therefore analyzed CKD patients in the German COSYCONET cohort.Methods: CKD was defined by an eGFR
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Clinical Problems COPD Source Type: research
Conclusions: Identification of characteristics associated with hospitalization can help in early diagnosis and mortality reduction.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Respiratory Infections Source Type: research
Conclusions Seven of 10 patients who were part of the workforce prior to IE and alive at discharge were part of the workforce 1 year later. Younger age, higher socioeconomic status, and absence of major comorbidities were associated with return to the workforce.
Source: American Heart Journal - Category: Cardiology Source Type: research
Question: A 74-year-old vegetarian woman with a medical history significant for severe nonischemic dilated cardiomyopathy, chronic obstructive pulmonary disease, stage IV chronic kidney disease, hypertension, atrial fibrillation on chronic warfarin, and right-sided breast cancer treated with mastectomy>20 years ago, presented for evaluation of fatigue and a 16-year history of iron deficiency anemia. History was notable for an absence of melena, hematemesis, and bright red blood per rectum. Six years prior, she had undergone an upper endoscopy, which identified a Dieulafoy lesion that was treated with cauterization.
Source: Gastroenterology - Category: Gastroenterology Authors: Tags: Clinical Challenges and Images in GI Source Type: research
ConclusionCarvedilol prescription carried an increased hazard of HF hospitalization and lower restricted mean persistence time among patients with COPD and concurrent HF. Additionally, we found a widespread phenomenon of carvedilol prescription at variance with the European Society of Cardiology guidelines and potential for improving the proportion of patients treated with β‐blockers.
Source: European Journal of Heart Failure - Category: Cardiology Authors: Tags: Research Article Source Type: research
Chronic obstructive pulmonary disease (COPD) was the fourth leading cause of death worldwide in 2012, affecting 12.0% of the population [1]. It is defined by persistent respiratory symptoms and airflow limitation due to airway and/or alveolar abnormalities [2]. Tobacco smoking is the main risk factor for COPD, but air pollution and occupational exposure to noxious particles or gases can also increase the risk of developing the condition [2]. For 74.2% –90.8% of patients included in observational studies, COPD was aggravated by the coexistence of at least one other chronic disease such as diabetes, depression, or high...
Source: Respiratory Medicine - Category: Respiratory Medicine Authors: Source Type: research
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