The US Preventive Services Task Force has updated its recommendations on obesity screening for adults. The recommendations, published in the Journal of the American Medical Association, highlighted the benefits of intensive behavioral interventions for individuals with a body mass index of 30 or higher, as well as the importance of screening for type 2 diabetes and abnormal blood glucose levels, aspirin use in some patients for the prevention of cardiovascular disease and counseling for tobacco smoking cessation.
The Dallas Office of Economic Development worked with numerous nonprofit organizations to develop the City of Dallas Community Food Assessment, an interactive map that uses data to pinpoint areas of food insecurity and presence of diabetes and obesity. The city's wellness center, along with the parks department and local churches, has worked to increase access to nutrition education and health care in the community.
A study of adverse childhood experiences confirms earlier findings that ACEs are universal but more prevalent among racial minorities and other marginalized groups. The report published in JAMA Pediatrics states that three of five adults have experienced trauma such as parental divorce, incarceration of a family member or personal abuse.
The Lauderdale County, Ala., school system is receiving a $61,000 grant from the state department of education to provide programming to at-risk students after school and during the summer. A social worker will work with the summer program.
An initiative through the Queen's Clinically Integrated Physician Network in Hawaii uses a collaborative care model that integrates social workers to make it easier for primary care physicians and psychiatrists to connect with mentally ill patients. "What I think we're starting to understand fundamentally in medicine is, in the end, we want the patient to be part of the team and engaged," said Dr. Dan Morgann.
It can take multiple tries to successfully use carbohydrate cycling in a diet because the cycling period and the amount and type of carbohydrates are not defined in the model, said registered dietitian Kristin Kirkpatrick. People should start carb cycling by determining their dietary goals, Kirkpatrick said, and while it generally is considered safe, it is not for everyone.
The Ayurvedic diet can be complicated because it factors in what a person eats, when it is eaten and why, said registered dietitian Vandana Sheth. Some tenets of the Ayurvedic diet align with accepted dietary principles, such as following a plant-based diet and mindful eating, and Sheth said people who follow it should look beyond just eating and enjoy food.
A study in the European Journal of Public Health found the use of probiotics to reduce the risk of infection in children and infants also may lower antibiotic usage. Researchers who analyzed data from multiple studies found patients taking probiotics had a lower risk of being prescribed antibiotics than those taking a placebo.
Parents of pediatric patients with kidney disease have a new support platform with the launch of the National Kidney Foundation's online pediatric community called Parents of Children with Kidney Disease. "Our hope with this new online community, combined with all of the pediatric resources NKF offers, is to make it easier for families," foundation CEO Kevin Longino said.
Researchers found that withdrawal of life-sustaining technologies was the most prevalent mode of pediatric inpatient death in a large children's hospital, with the neonatal ICU being the most common setting for deaths. The findings in Pediatrics, based on data from the Children's Hospital of Pennsylvania, showed most deaths outside an ICU were preceded by a palliative care consultation, and the consultations were more likely for patients who were older or who had a malignancy.