Myopathy: Effect of Vitamin D Deficiency Beyond Bones.
We report the case of a middle aged female with chronic quadriparesis and new onset anemia associated with Vitamin D deficiency. Patient responded to vitamin D supplementation alone. PMID: 29319256 [PubMed - in process]
BOSTON (CBS) – Health officials say the flu season may be peaking which hopefully means that cases will soon start to decline. There’s some evidence that this is happening in Massachusetts but only time will tell. That said it is still not too late to get a flu shot so please get one. People with flu symptoms often wonder when they should just stay at home or when they should see a doctor. If you have underlying medical conditions like asthma or heart disease or if you’re pregnant and you think you have the flu, call your doctor. They may want to treat you with anti-viral medication. Otherwise healthy o...
A single administration of hyperthermic intraperitoneal chemotherapy at the end of cytoreductive surgery improves overall survival in women with advanced ovarian cancer.Medscape Medical News
(Reuters Health) - - People with diabetes who live in poor communities with limited access to exercise facilities or grocery stores may have a harder time managing their symptoms than diabetics living in more affluent areas, a U.S. study suggests.
Purpose: Type-1 diabetics transitioning from high school to college often struggle to maintain control of their diabetes. Many factors contribute to poor glycemic control. Without parental influence and a controlled home environment, blood glucose levels become less optimal, leading to a rocky transition. The main goal of this study was to identify barriers and facilitators to managing type-1 diabetes (T1D) in college, and to explore strategies employed during the transition from home to college.
Purpose: Community/retail pharmacists in Greater Manchester (GM) have been providing an inhaler check service to adults for several years. Many adults using this pharmacy service report that they have had their inhaler since childhood/adolescence and have never been shown how to use it. There have also been asthma-related deaths in GM schools in recent years. This led to a bid for funding to bring the pharmacist-led service into schools, for children and young people (CYP) to master their inhaler at an early age —and hopefully to sustain good technique into adulthood with associated positive health outcomes.
Purpose: Allergies are the third most common chronic disease in children under 18 and the sixth leading chronic disease among all age groups in the United States. Allergic rhinitis is prevalent in adolescence and can worsen outcomes in patients with asthma. A quality improvement project was done to develop, test, and reliably implement evidence-based care for allergic rhinitis in adolescents with asthma.
Purpose: Human Papilloma Virus (HPV) infection leads to 26,000 new genitourinary and oropharyngeal cancers yearly. Routine recommendation for HPV adolescent immunization was made in 2007 for girls and 2011 for boys. Although this series is efficacious, HPV vaccination rates remain low nationwide, especially when compared to other vaccines of the adolescent platform. Our Pediatric and Adolescent Medicine clinic is evaluating our current HPV vaccination rates with the goal to reach series completion in at least 80% of our adolescents 13 –17 years of age by the use of PDSA cycles.
Purpose: A 9-valent HPV vaccine that prevents HPV6, 11, 16, 18, 31, 33, 45, 52, and 58 was introduced in 2015. Clinical trials have demonstrated that the 9-valent as well as the 2-valent (HPV16, 18) and 4-valent (HPV6, 11, 16, 18) vaccines have high efficacy in preventing vaccine-targeted HPV types and associated pre-cancers, but surveillance studies are needed to examine the impact of vaccine introduction in community settings. The aims of this study were: 1) to assess vaccine effectiveness by determining the prevalence of 4- and 9-valent vaccine-type HPV in vaccinated young women, and 2) to assess herd protection by dete...
Purpose: Exercise during pregnancy has clear mental and physical health benefits for pregnant women including improved sleep and mood, and prevention of gestational diabetes and high blood pressure. Most women do not achieve the recommended amount of exercise during pregnancy. The purpose of this study was to understand the knowledge and beliefs of pregnant youth regarding exercise during pregnancy, and how these beliefs may affect their level of activity during pregnancy.
Purpose: Cardiovascular disease (CVD) risk differs among men and women, yet remains the number one cause of death for both. There are several modifiable factors that modify risk of CVD including BMI, blood pressure, diabetes, and lipids. Although research is mixed, sex hormones appear to affect CVD risk in cisgender (affirmed gender corresponds with birth sex) people. Transgender individuals take sex hormones to transition to affirmed gender. CVD risk factors may differ in transgender individuals depending on their transition from male-to-female (trans-female) or from female-to-male (trans-male).