Taking a break to eat lunch can help reduce stress and increase concentration but unhealthy food choices can negate the benefits, said registered dietitian nutritionist Beryl Krinsky. "By including better-for-you food and beverage choices and being mindful while eating, you can boost the positive benefits and fuel your body to get you through the rest of your workday with vitality," Krinsky said.
Women are twice as likely as men to experience urinary incontinence, and athletes are also at higher risk, experts say. Kegel exercises that strengthen the pelvic floor muscles, other strengthening exercises, and behavior and diet changes can help treat urinary incontinence, according to physical therapist Char Challenger-Smith.
Researchers found that adverse event incidence among hospitalized children rose by 1.2% per 1,000 patient days annually between 2007 and 2012. The findings in Pediatrics, based on data involving 3,790 pediatric admissions, also showed that adverse events were significantly more prevalent in teaching hospitals and among youths with chronic illnesses.
Teens who were lesbian, gay, bisexual or questioning had a higher likelihood of having used alcohol, cigars, cigarettes, e-cigarettes and steroids, compared with heterosexual peers, researchers reported in the American Journal of Public Health. The findings, based on 2017 National Youth Risk Behavior Survey data involving 15,624 high-school students, also showed increased odds of ever using harder drugs, such as hallucinogens, cocaine, methamphetamines and heroin among LGBQ youths.
A meta-analysis of data for 3,236 study participants found no significant differences in the risk profile and efficacy of recommended first-line drugs for treating severe hypertension during pregnancy. The study in the British Journal of Clinical Pharmacology found nifedipine, labetalol and hydralazine were "clinically equivalent," co-author Kannan Sridharan said.
Anat Biegon and colleagues are calling for the development of guidelines that take into account hormonal changes related to the menstrual cycle when planning nuclear medicine exams in younger women, according to a letter in Radiology. The relationship is an "underappreciated but avoidable source of vulnerability and risk to female reproductive organs," they write.
A study presented during Digestive Disease Week 2018 found endoscopic sleeve gastroplasty is safe and effective in treating obesity. "Considering the significant weight loss observed, reproducibility of the results among independent centers, variation of follow up protocols, absence of intraprocedural events and low prevalence of major adverse events and complications, ESG appears to be a feasible, effective and safe treatment for obesity," said researcher Vivek Kumbhari, who noted the procedure is appropriate for adoption in clinical practice.
The AAFP is reviewing the CMS' proposed rule for the 2019 Medicare physician fee schedule, which this year was combined with recommendations for the Quality Payment Program. Proposed fee schedule changes include efforts to streamline clinician billing processes and increase access to high-quality care, while proposed QPP changes cover reducing clinician burdens, outcomes and promoting EHR interoperability.
A review of electronic health data published in the Annals of Family Medicine found partners of patients with a recent diabetes diagnosis were more likely to improve healthy behaviors than partners of patients who did not have diabetes. Researcher Julie Schmittdiel said family physicians can use a patient's diabetes diagnosis as a "teachable moment" and provide counseling to the whole family.
Depression screening rates during physician office visits by adult patients increased from less than 1% in 2008 to 3% in 2015, researchers reported in the journal Psychiatric Services. Health care practitioners and large health care systems "should routinely use depression screening in their practice so that necessary interventions can be put in place at the right stage to prevent negative outcomes associated with depression, as well as overcome the underdiagnosis of depression," said lead author Sandipan Bhattacharjee.