According to a study published in the Journal of the American Dietetic Association, "prepared foods may contain an average of 8% more calories than their package labels own up to, and restaurant meals may contain a whopping 18% more." The misleading labels are also said to be "perfectly o.k." with the Food and Drug Administration, which "plays no role in checking the calorie claims in restaurants." Without federal regulation, "it's up to the states to handle the job - with the predictable patchwork results." Susan Roberts, who conducted the study, described the unregulated menu counts as "the Wild West when it comes to this."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Showing posts with label malpractice. Show all posts
Showing posts with label malpractice. Show all posts
Friday, March 30, 2012
Thursday, March 15, 2012
Sharing hospital room may increase infection risk during stay
Sharing a hospital room increases your risk of picking up an infection during your stay, a new study shows." The work, by researchers from Queen's University in Kingston, Ont., "found that each new roommate raised a patient's risk of picking up an infection in hospital by about 10 percent." The study's senior author, Dr. Dick Zoutman, said in a statement, "That's a substantial risk, particularly for longer hospital stays when you can expect to have many different roommates."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Tuesday, February 7, 2012
Abdominal surgeries riskier for older adults than previously thought
About 2 million older adults undergo abdominal surgeries in the U.S. every year, a number that's expected to grow as the proportion of older adults increases rapidly: by 2020, one in six adults is expected to be older than 65, and 15% will be over 85.
The patient records came from the Comprehensive Hospital Abstract Reporting System, a state-wide database that contains information on the age, sex, zip code, and billed charges of patients, as well as the codes for their diagnosis and procedures.
The study focused on complications that occurred within 90 days of discharge and deaths within 90 days of hospital admission.
After adjusting for various factors, including hospital volume and patient characteristics, the study found that the odds of early death after abdominal surgery increased considerably for each five-year increase in age beyond 65. These associations held for patients with cancer and other diagnoses, and for both elective and nonelective procedures (P<0.001).
The likelihood of complications increased as patients aged beyond 65 years, with the researchers finding the following associations between age and complication frequency (trend test, P<0.001):
65 to 69 years, 14.6%
70 to 74 years, 16.1%
75 to 79 years, 18.8%
80 to 84 years, 19.9%
85 to 89 years, 22.6%
90 and older, 22.7%
Similarly, older patients were at higher risk of mortality. Death rates by age group were (trend test, P<0.001):
65 to 69 years, 2.5%
70 to 74 years, 3.8%
75 to 79 years, 6.0%
80 to 84 years, 8.1%
85 to 89 years, 12.6%
90 and older, 16.7%
http://www.blogger.com/img/blank.gif
Massarweh N, et al "Impact of advancing age on abdominal surgical outcomes" Archttp://www.blogger.com/img/blank.gifh Surg 2009; 144: 1108-14.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
The patient records came from the Comprehensive Hospital Abstract Reporting System, a state-wide database that contains information on the age, sex, zip code, and billed charges of patients, as well as the codes for their diagnosis and procedures.
The study focused on complications that occurred within 90 days of discharge and deaths within 90 days of hospital admission.
After adjusting for various factors, including hospital volume and patient characteristics, the study found that the odds of early death after abdominal surgery increased considerably for each five-year increase in age beyond 65. These associations held for patients with cancer and other diagnoses, and for both elective and nonelective procedures (P<0.001).
The likelihood of complications increased as patients aged beyond 65 years, with the researchers finding the following associations between age and complication frequency (trend test, P<0.001):
65 to 69 years, 14.6%
70 to 74 years, 16.1%
75 to 79 years, 18.8%
80 to 84 years, 19.9%
85 to 89 years, 22.6%
90 and older, 22.7%
Similarly, older patients were at higher risk of mortality. Death rates by age group were (trend test, P<0.001):
65 to 69 years, 2.5%
70 to 74 years, 3.8%
75 to 79 years, 6.0%
80 to 84 years, 8.1%
85 to 89 years, 12.6%
90 and older, 16.7%
http://www.blogger.com/img/blank.gif
Massarweh N, et al "Impact of advancing age on abdominal surgical outcomes" Archttp://www.blogger.com/img/blank.gifh Surg 2009; 144: 1108-14.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Tuesday, January 31, 2012
RECURRENT CLOSTRIDIUM DIFFICILE INFECTION (CDI) ARE DIFFICULT TO TREAT
Episodes of recurrent Clostridium difficile infection (CDI) are difficult to treat for several reasons. Foremost, data are lacking to support any particular treatment strategy. In addition, treatment of recurrent episodes is not always successful, and repeated, prolonged treatment is often necessary. Identification of subgroups at risk for recurrent CDI may aid in diagnosing and treating these patients. Two likely mechanistic factors increasing the risk of recurrent CDI are an inadequate immune response to C. difficile toxins and persistent disruption of the normal colonic flora. Important epidemiologic risk factors include advanced age, continuation of other antibiotics, and prolonged hospital stays. Current guidelines recommend that the first recurrent episode be treated with the same agent (i.e., metronidazole or vancomycin) used for the index episode. However, if the first recurrence is characterized as severe, vancomycin should be used. A reasonable strategy for managing a subsequent episode involves tapering followed by pulsed doses of vancomycin. Other potentially effective strategies for recurrent CDI include vancomycin with adjunctive treatments, such as Saccharomyces boulardii, rifaximin “chaser” therapy after vancomycin, nitazoxanide, fecal transplantation, and intravenous immunoglobulin. New treatment agents that are active against C. difficile, but spare critical components of the normal flora, may decrease the incidence of recurrent CDI.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Sunday, January 15, 2012
Best Treatment for Patients with Both Heart Disease and Diabetes? No Clear Answer
For patients with both coronary artery disease and type 2 diabetes, outcomes are similar regardless of whether revascularization or medical therapy is used — and whether insulin sensitization or insulin provision is used — reports an industry-supported study published online in the New England Journal of Medicine.
Researchers randomized some 2400 patients to either prompt revascularization or medical treatment, and to either insulin-sensitization or insulin-provision therapy. At 5 years, all-cause mortality did not differ between the revascularization and medical-therapy groups or between the insulin-sensitization and insulin-provision groups. Similarly, major cardiovascular events did not differ between groups.
Patients were stratified before randomization according to type of revascularization, and patients in the CABG (but not PCI) group had fewer major cardiovascular events with revascularization but a similar mortality rate.
Asked to comment, Journal Watch Cardiology Editor-in-Chief Dr. Harlan Krumholz said that the failure of the study to show clear superiority of revascularization and insulin sensitization "reinforces the need to incorporate the patient's preferences, values, and goals — and costs — into decisions about which strategy to pursue."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Researchers randomized some 2400 patients to either prompt revascularization or medical treatment, and to either insulin-sensitization or insulin-provision therapy. At 5 years, all-cause mortality did not differ between the revascularization and medical-therapy groups or between the insulin-sensitization and insulin-provision groups. Similarly, major cardiovascular events did not differ between groups.
Patients were stratified before randomization according to type of revascularization, and patients in the CABG (but not PCI) group had fewer major cardiovascular events with revascularization but a similar mortality rate.
Asked to comment, Journal Watch Cardiology Editor-in-Chief Dr. Harlan Krumholz said that the failure of the study to show clear superiority of revascularization and insulin sensitization "reinforces the need to incorporate the patient's preferences, values, and goals — and costs — into decisions about which strategy to pursue."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Thursday, December 29, 2011
Cancer Incidence And Mortality Continue To Decline
Cancer incidence and mortality continue to decline, with the most dramatic decreases in lung, prostate, and colorectal cancers among men, and breast and colorectal cancers in women, according to the latest national report card.
"Overall cancer incidence rates for all racial/ethnic groups combined decreased by 0.7% per year during 1999-2006 for both sexes combined, by 1.3% per year during 2000-2006 for men, and by 0.5% per year during 1998-2006 for women," authors from the American Cancer Society, the CDC, the National Cancer Institute, and the North American Association of Central Cancer Registries concluded. The report, was published online in the ACS journal, Cancer.
There has been a decline in cancer death rates since the early 1990s and that trend appears to be durable.The decreases were slightly larger for men, who had declines of 1.5% per year during 1993-2001 and 2.0% per year during 2001-2006 compared with women, whose cancer death rates declined 0.8% per year during 1994-2002 and 1.5% per year during 2002-2006," the authors wrote.
But the news was not all good. As men saw decreased rates of prostate, lung, oral, stomach, brain, and colorectal cancers, there was a concurrent increase in the cancers of the kidney, renal, liver, and esophagus -- as well as increases in leukemia, myeloma, and melanoma of the skin.
For women the story was similar -- decreased rates of breast, colorectal, ovarian, cervical, uterine corpus, and oral cancers, but an uptick in lung, thyroid, pancreas, bladder, and kidney cancers, as well as increases in non-Hodgkin lymphoma, melanoma, and leukemia.
Colorectal cancer [CRC] is a focus of this year's report, not a surprising choice because the news here is good: "CRC death rates have declined since 1984 in both men and women, with an accelerated rate of decline since 2002 (for men) and 2001 (for women)."
And a "microsimulation model" suggests that death rates from colorectal cancer could be reduced by 36% over the next decade if "1995-2000 trends for risk factor prevalence, screening, and treatment continue."But the authors point out that increased obesity among younger Americans could derail this trend.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
"Overall cancer incidence rates for all racial/ethnic groups combined decreased by 0.7% per year during 1999-2006 for both sexes combined, by 1.3% per year during 2000-2006 for men, and by 0.5% per year during 1998-2006 for women," authors from the American Cancer Society, the CDC, the National Cancer Institute, and the North American Association of Central Cancer Registries concluded. The report, was published online in the ACS journal, Cancer.
There has been a decline in cancer death rates since the early 1990s and that trend appears to be durable.The decreases were slightly larger for men, who had declines of 1.5% per year during 1993-2001 and 2.0% per year during 2001-2006 compared with women, whose cancer death rates declined 0.8% per year during 1994-2002 and 1.5% per year during 2002-2006," the authors wrote.
But the news was not all good. As men saw decreased rates of prostate, lung, oral, stomach, brain, and colorectal cancers, there was a concurrent increase in the cancers of the kidney, renal, liver, and esophagus -- as well as increases in leukemia, myeloma, and melanoma of the skin.
For women the story was similar -- decreased rates of breast, colorectal, ovarian, cervical, uterine corpus, and oral cancers, but an uptick in lung, thyroid, pancreas, bladder, and kidney cancers, as well as increases in non-Hodgkin lymphoma, melanoma, and leukemia.
Colorectal cancer [CRC] is a focus of this year's report, not a surprising choice because the news here is good: "CRC death rates have declined since 1984 in both men and women, with an accelerated rate of decline since 2002 (for men) and 2001 (for women)."
And a "microsimulation model" suggests that death rates from colorectal cancer could be reduced by 36% over the next decade if "1995-2000 trends for risk factor prevalence, screening, and treatment continue."But the authors point out that increased obesity among younger Americans could derail this trend.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Thursday, December 15, 2011
Americans living longer than ever
Americans living longer than ever. And every year that gets tacked on to the average life expectancy costs an extra trillion dollars in expenditures by Social Security and Medicare.
Americans are living a record 77 years and 11 months on average...according to two studies that led researchers to suggest raising the retirement age." The first study, from the CDC's National Center for Health Statistics, found that in the "US in 2007, the latest year for which figures are available," the "0.76 percent death rate is the lowest ever," driven by "a decline in deaths from heart disease and other ailments." Meanwhile, a second study published Dec. 14 in the health journal Milbank Quarterly, found that "every year that gets tacked on to the average life expectancy costs an extra trillion dollars in expenditures by Social Security and Medicare."
Overall, the 2007 data "show continued improvements in life expectancy for all Americans, although women are faring better than men, and whites fare better than other racial groups" by a "race differential" of about "4.6 years." But, even amid this progress, vast geographical discrepancies remain -- with people in southern states still facing higher death rates than those living in other parts of the country." And, "even though Americans can expect to live longer than their parents, life expectancy in the" US "is still lower than in many other industrialized countries, including Canada and Japan. Even so, the "dramatic improvements in the health of Americans over the last 20 years" will "have unforeseen effects on the country. The Social Security and Medicare "programs weren't designed to support people for that long."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Americans are living a record 77 years and 11 months on average...according to two studies that led researchers to suggest raising the retirement age." The first study, from the CDC's National Center for Health Statistics, found that in the "US in 2007, the latest year for which figures are available," the "0.76 percent death rate is the lowest ever," driven by "a decline in deaths from heart disease and other ailments." Meanwhile, a second study published Dec. 14 in the health journal Milbank Quarterly, found that "every year that gets tacked on to the average life expectancy costs an extra trillion dollars in expenditures by Social Security and Medicare."
Overall, the 2007 data "show continued improvements in life expectancy for all Americans, although women are faring better than men, and whites fare better than other racial groups" by a "race differential" of about "4.6 years." But, even amid this progress, vast geographical discrepancies remain -- with people in southern states still facing higher death rates than those living in other parts of the country." And, "even though Americans can expect to live longer than their parents, life expectancy in the" US "is still lower than in many other industrialized countries, including Canada and Japan. Even so, the "dramatic improvements in the health of Americans over the last 20 years" will "have unforeseen effects on the country. The Social Security and Medicare "programs weren't designed to support people for that long."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Wednesday, November 30, 2011
Maternal Use of Sertaline, Citalopram Linked to Septal Heart Defects in Offspring
Women who use the antidepressants sertraline (Zoloft) or citalopram (Celexa) early in pregnancy face increased risk for septal heart defects in their offspring, BMJ reports online.
Researchers examined data on more than 490,000 infants born in Denmark between 1996 and 2003. They found that women who filled prescriptions for sertraline and citalopram (but not other SSRIs) during their first trimester were significantly more likely to have children with septal heart defects (but not other malformations) than those who didn't use SSRIs (odds ratios: 3.2 and 2.5, respectively).
The authors and an editorialist (both with ties to SSRI manufacturers) note that the absolute risks for septal heart defects were low: 0.9% in children exposed to at least one SSRI and 2.1% in those exposed to more than one.
The editorialist concludes: "Clinicians and patients need to balance the small risks associated with SSRIs against those associated with undertreatment or no treatment."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Researchers examined data on more than 490,000 infants born in Denmark between 1996 and 2003. They found that women who filled prescriptions for sertraline and citalopram (but not other SSRIs) during their first trimester were significantly more likely to have children with septal heart defects (but not other malformations) than those who didn't use SSRIs (odds ratios: 3.2 and 2.5, respectively).
The authors and an editorialist (both with ties to SSRI manufacturers) note that the absolute risks for septal heart defects were low: 0.9% in children exposed to at least one SSRI and 2.1% in those exposed to more than one.
The editorialist concludes: "Clinicians and patients need to balance the small risks associated with SSRIs against those associated with undertreatment or no treatment."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Tuesday, November 15, 2011
Patient Balance Problems
Millions of people may suffer from inner-ear disorders that affect their balance but not be aware that they have a problem, a new study has found.Writing in The Archives of Internal Medicine, researchers noted the connection between balance problems and falls, especially among the elderly. The findings of the study, they said, suggest that doctors should make balance tests a routine part of checkups. This is especially true in nursing and assisted-living homes, they said.
“The big deal here really is falls,” the lead author, Dr. Yuri Agrawal of Johns Hopkins, said in an e-mail message, adding that a serious fall can be the beginning of the end for an older patient.The researchers drew on data from a federal study in which more than 5,000 people age 40 and over were surveyed about their history of falls and balance problems. They were then given examinations to determine how well they could maintain their balance in a variety of situations, including with their eyes closed.
More than a third of the subjects, the researchers found, had the balance disorder known as vestibular dysfunction — a figure that would translate to 69 million Americans.They also found that 32 percent of the volunteers who did not report problems with dizziness showed evidence of balance problems. Though they did not experience symptoms, they were still at higher risk for falls, the study said.
For doctors, Dr. Agrawal said, detecting balance problems in a patient is not very complicated. And treatment is available, including exercises that help people compensate for inner-ear problems that lead to poor balance.The cost of the treatment, they said, would most likely be less than medical costs associated with falls.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
“The big deal here really is falls,” the lead author, Dr. Yuri Agrawal of Johns Hopkins, said in an e-mail message, adding that a serious fall can be the beginning of the end for an older patient.The researchers drew on data from a federal study in which more than 5,000 people age 40 and over were surveyed about their history of falls and balance problems. They were then given examinations to determine how well they could maintain their balance in a variety of situations, including with their eyes closed.
More than a third of the subjects, the researchers found, had the balance disorder known as vestibular dysfunction — a figure that would translate to 69 million Americans.They also found that 32 percent of the volunteers who did not report problems with dizziness showed evidence of balance problems. Though they did not experience symptoms, they were still at higher risk for falls, the study said.
For doctors, Dr. Agrawal said, detecting balance problems in a patient is not very complicated. And treatment is available, including exercises that help people compensate for inner-ear problems that lead to poor balance.The cost of the treatment, they said, would most likely be less than medical costs associated with falls.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Sunday, October 30, 2011
Banned Herbal Ingredient Linked to Urinary Tract Cancer
Natural does not equal safe, and any herb strong enough to have a potential benefit is strong enough to have potential to cause harm."
Exposure to aristolochic acid, found in some Chinese herbal products such as Mu Tong and Fangchi, significantly increased the risk for urinary tract cancer, according to a retrospective study.Researchers in Taiwan found prescription of more than 60 grams of Mu Tong and consumption of more than 150 mg aristolochic acid were independently associated with an increased risk for urinary tract cancer.
• Mu Tong, 61 to 100 g: OR 1.6, 95% CI 1.3 to 2.1
• Mu Tong, >200 g: OR 2.1, 95% CI 1.3 to 3.4
• Aristolochic acid, 151 to 250 mg: OR 1.4, 95% CI 1.1 to 1.8
• Aristolochic acid, >500 mg: OR 2.0, 95% CI 1.4 to 2.9
Used in Chinese herbal preparations taken for weight loss or urinary tract infections, aristolochic acid has been banned in several countries, including in Taiwan and in the U.S.The latest study found a linear, dose-dependent relationship between the amount of aristolochic acid consumed and an increased risk for urinary tract cancer (P<0.001). This was independent of arsenic exposure through drinking water, which has also been associated with bladder and urinary tract cancers.Among the more than 4,000 patients analyzed, 57% had bladder cancer and 43% had upper urinary tract cancer.
The International Agency for Research on Cancer has classified herbal remedies containing high concentrations of aristolochic acid as carcinogenic. Traces of aristolochic acid may still be found in adulterated remedies currently on the market.
Wang, et al "Population-based case-control study of chinese herbal products containing aristolochic acid and urinary tract cancer risk" J Nat Can Inst 2009; DOI:10.1093/jnci/djp467.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Exposure to aristolochic acid, found in some Chinese herbal products such as Mu Tong and Fangchi, significantly increased the risk for urinary tract cancer, according to a retrospective study.Researchers in Taiwan found prescription of more than 60 grams of Mu Tong and consumption of more than 150 mg aristolochic acid were independently associated with an increased risk for urinary tract cancer.
• Mu Tong, 61 to 100 g: OR 1.6, 95% CI 1.3 to 2.1
• Mu Tong, >200 g: OR 2.1, 95% CI 1.3 to 3.4
• Aristolochic acid, 151 to 250 mg: OR 1.4, 95% CI 1.1 to 1.8
• Aristolochic acid, >500 mg: OR 2.0, 95% CI 1.4 to 2.9
Used in Chinese herbal preparations taken for weight loss or urinary tract infections, aristolochic acid has been banned in several countries, including in Taiwan and in the U.S.The latest study found a linear, dose-dependent relationship between the amount of aristolochic acid consumed and an increased risk for urinary tract cancer (P<0.001). This was independent of arsenic exposure through drinking water, which has also been associated with bladder and urinary tract cancers.Among the more than 4,000 patients analyzed, 57% had bladder cancer and 43% had upper urinary tract cancer.
The International Agency for Research on Cancer has classified herbal remedies containing high concentrations of aristolochic acid as carcinogenic. Traces of aristolochic acid may still be found in adulterated remedies currently on the market.
Wang, et al "Population-based case-control study of chinese herbal products containing aristolochic acid and urinary tract cancer risk" J Nat Can Inst 2009; DOI:10.1093/jnci/djp467.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Tuesday, October 18, 2011
About 2 million older adults undergo abdominal surgeries in the U.S. every year, a number that's expected to grow as the proportion of older adults increases rapidly: by 2020, one in six adults is expected to be older than 65, and 15% will be over 85.
The patient records came from the Comprehensive Hospital Abstract Reporting System, a state-wide database that contains information on the age, sex, zip code, and billed charges of patients, as well as the codes for their diagnosis and procedures.
The study focused on complications that occurred within 90 days of discharge and deaths within 90 days of hospital admission.
After adjusting for various factors, including hospital volume and patient characteristics, the study found that the odds of early death after abdominal surgery increased considerably for each five-year increase in age beyond 65. These associations held for patients with cancer and other diagnoses, and for both elective and nonelective procedures (P<0.001).
The likelihood of complications increased as patients aged beyond 65 years, with the researchers finding the following associations between age and complication frequency (trend test, P<0.001):
• 65 to 69 years, 14.6%
• 70 to 74 years, 16.1%
• 75 to 79 years, 18.8%
• 80 to 84 years, 19.9%
• 85 to 89 years, 22.6%
• 90 and older, 22.7%
Similarly, older patients were at higher risk of mortality. Death rates by age group were (trend test, P<0.001):
• 65 to 69 years, 2.5%
• 70 to 74 years, 3.8%
• 75 to 79 years, 6.0%
• 80 to 84 years, 8.1%
• 85 to 89 years, 12.6%
• 90 and older, 16.7%
Massarweh N, et al "Impact of advancing age on abdominal surgical outcomes" Arch Surg 2009; 144: 1108-14.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
The patient records came from the Comprehensive Hospital Abstract Reporting System, a state-wide database that contains information on the age, sex, zip code, and billed charges of patients, as well as the codes for their diagnosis and procedures.
The study focused on complications that occurred within 90 days of discharge and deaths within 90 days of hospital admission.
After adjusting for various factors, including hospital volume and patient characteristics, the study found that the odds of early death after abdominal surgery increased considerably for each five-year increase in age beyond 65. These associations held for patients with cancer and other diagnoses, and for both elective and nonelective procedures (P<0.001).
The likelihood of complications increased as patients aged beyond 65 years, with the researchers finding the following associations between age and complication frequency (trend test, P<0.001):
• 65 to 69 years, 14.6%
• 70 to 74 years, 16.1%
• 75 to 79 years, 18.8%
• 80 to 84 years, 19.9%
• 85 to 89 years, 22.6%
• 90 and older, 22.7%
Similarly, older patients were at higher risk of mortality. Death rates by age group were (trend test, P<0.001):
• 65 to 69 years, 2.5%
• 70 to 74 years, 3.8%
• 75 to 79 years, 6.0%
• 80 to 84 years, 8.1%
• 85 to 89 years, 12.6%
• 90 and older, 16.7%
Massarweh N, et al "Impact of advancing age on abdominal surgical outcomes" Arch Surg 2009; 144: 1108-14.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Sunday, August 21, 2011
Autism increases in the US
Almost one percent of American children had an autism spectrum disorder (ASD) in a large CDC surveillance study whose lead author called the condition a "significant public health issue."
Across 11 sites in the U.S., ASD prevalence in 2006 ranged from about one out of 80 children to one out of every 240 children, with an overall prevalence of one in 111 youngsters, according to a report by investigators from the CDC's Autism and Developmental Disorders Monitoring (ADDM) Network.
Among 10 ADDM sites that reported data in both 2002 and 2006, there was an average 57% increase in ASD prevalence. No single factor could explain the rise, researchers said. Overall ASD prevalence was 4.5 times higher in boys than in girls: about one in every 70 boys and one in every 315 girls.
From 2002 to 2006, prevalence increased 60% in boys and 48% in girls (P<0.001 for both).
The American Academy of Pediatrics has recommended that all children be screened for autism when they are 18 and 24 months old which is especially important, as early recognition and treatment improves outcomes.
ASD diagnosis was made at a slightly younger age in 2006 than in 2002, but it was still delayed to an average age of 53 months. That was so despite the fact that anywhere from 70% to 95% of children had developmental concerns noted in their records before age 3.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Across 11 sites in the U.S., ASD prevalence in 2006 ranged from about one out of 80 children to one out of every 240 children, with an overall prevalence of one in 111 youngsters, according to a report by investigators from the CDC's Autism and Developmental Disorders Monitoring (ADDM) Network.
Among 10 ADDM sites that reported data in both 2002 and 2006, there was an average 57% increase in ASD prevalence. No single factor could explain the rise, researchers said. Overall ASD prevalence was 4.5 times higher in boys than in girls: about one in every 70 boys and one in every 315 girls.
From 2002 to 2006, prevalence increased 60% in boys and 48% in girls (P<0.001 for both).
The American Academy of Pediatrics has recommended that all children be screened for autism when they are 18 and 24 months old which is especially important, as early recognition and treatment improves outcomes.
ASD diagnosis was made at a slightly younger age in 2006 than in 2002, but it was still delayed to an average age of 53 months. That was so despite the fact that anywhere from 70% to 95% of children had developmental concerns noted in their records before age 3.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Monday, August 8, 2011
Cluster Headaches
Concerned about recent overdoses of radiation in CT perfusion scans, an FDA official urged imaging practitioners to go "back to basics" when they're performing the scans.
The advice comes after more than 250 patients in two states were exposed to excess radiation during CT perfusion brain scans.
"Until we get through whether we're dealing with errors that people are making (or) whether these are problems with the CT scanners themselves, we're saying go back to basics," said Jeffrey Shuren, MD, acting director of the FDA's Center for Devices and Radiological Health.
Shuren and colleagues released a set of interim recommendations while the agency continues to investigate cases of overexposure reported in California and Alabama.
They include:
• Imaging facilities should review their radiation dosing protocols for all CT perfusion studies to ensure that dosing is correct for each study.
• They should implement quality control procedures to ensure that protocols are followed and correct radiation is used.
• For each patient, technologists should check the CT scanner displays to make sure the radiation to be delivered is appropriate.
• If more than one study is performed during one session, practitioners should adjust the radiation dose so it is appropriate for each study.
The agency also urged imaging facilities to check whether any patients who underwent CT perfusion scans have received excess radiation.
"We're reminding (practitioners) of good practices that they should be employing routinely," said Charles Finder, MD, also of the agency's Center for Devices and Radiological Health.
The issue arose when the FDA was told of more than 200 cases of excess radiation delivered during CT perfusion brain scans at Cedars-Sinai Medical center in Los Angeles. (See CT Safety Warnings Follow Radiation Overdose Accident)
Since then, the agency has received reports of 14 cases at Glendale Adventist Medical Center, also in Los Angeles, as well as an undetermined number of cases at St. Joseph's Medical Center in Burbank, Calif., according to Simon Choi, PhD, also of the Center for Devices and Radiological Health.
Choi said the the agency is investigating reports in Alabama, too, but he did not give numbers or the name of the facility involved.
The agency said scanners made by two manufacturers, GE and Toshiba, are involved in the incidents.
Affected patients had redness of the skin and some hair loss, but potential long-term consequences include an increased risk of cancer and cataracts, Finder said.
The standard radiation dose for a CT perfusion scan is between 0.5 and 1.0 Gray, but it was reported that some patients at Cedars-Sinai got as much as 3.0 or 4.0 Gray.
According to a statement from the hospital, "there was a misunderstanding about an embedded default setting applied by the machine."
The recommendations apply to all CT perfusion imaging, since the methods involved are the same as for brain perfusion scans, the FDA said.
While the agency is probing cases in the two states, Shuren said, "we would not be surprised to find there are similar occurrences in other states."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
The advice comes after more than 250 patients in two states were exposed to excess radiation during CT perfusion brain scans.
"Until we get through whether we're dealing with errors that people are making (or) whether these are problems with the CT scanners themselves, we're saying go back to basics," said Jeffrey Shuren, MD, acting director of the FDA's Center for Devices and Radiological Health.
Shuren and colleagues released a set of interim recommendations while the agency continues to investigate cases of overexposure reported in California and Alabama.
They include:
• Imaging facilities should review their radiation dosing protocols for all CT perfusion studies to ensure that dosing is correct for each study.
• They should implement quality control procedures to ensure that protocols are followed and correct radiation is used.
• For each patient, technologists should check the CT scanner displays to make sure the radiation to be delivered is appropriate.
• If more than one study is performed during one session, practitioners should adjust the radiation dose so it is appropriate for each study.
The agency also urged imaging facilities to check whether any patients who underwent CT perfusion scans have received excess radiation.
"We're reminding (practitioners) of good practices that they should be employing routinely," said Charles Finder, MD, also of the agency's Center for Devices and Radiological Health.
The issue arose when the FDA was told of more than 200 cases of excess radiation delivered during CT perfusion brain scans at Cedars-Sinai Medical center in Los Angeles. (See CT Safety Warnings Follow Radiation Overdose Accident)
Since then, the agency has received reports of 14 cases at Glendale Adventist Medical Center, also in Los Angeles, as well as an undetermined number of cases at St. Joseph's Medical Center in Burbank, Calif., according to Simon Choi, PhD, also of the Center for Devices and Radiological Health.
Choi said the the agency is investigating reports in Alabama, too, but he did not give numbers or the name of the facility involved.
The agency said scanners made by two manufacturers, GE and Toshiba, are involved in the incidents.
Affected patients had redness of the skin and some hair loss, but potential long-term consequences include an increased risk of cancer and cataracts, Finder said.
The standard radiation dose for a CT perfusion scan is between 0.5 and 1.0 Gray, but it was reported that some patients at Cedars-Sinai got as much as 3.0 or 4.0 Gray.
According to a statement from the hospital, "there was a misunderstanding about an embedded default setting applied by the machine."
The recommendations apply to all CT perfusion imaging, since the methods involved are the same as for brain perfusion scans, the FDA said.
While the agency is probing cases in the two states, Shuren said, "we would not be surprised to find there are similar occurrences in other states."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Saturday, May 14, 2011
Americans living longer than ever
Americans are living a record 77 years and 11 months on average...according to two studies that led researchers to suggest raising the retirement age." The first study, from the CDC's National Center for Health Statistics, found that in the "US in 2007, the latest year for which figures are available," the "0.76 percent death rate is the lowest ever," driven by "a decline in deaths from heart disease and other ailments." Meanwhile, a second study published Dec. 14 in the health journal Milbank Quarterly, found that "every year that gets tacked on to the average life expectancy costs an extra trillion dollars in expenditures by Social Security and Medicare."
Overall, the 2007 data "show continued improvements in life expectancy for all Americans, although women are faring better than men, and whites fare better than other racial groups" by a "race differential" of about "4.6 years." But, even amid this progress, vast geographical discrepancies remain -- with people in southern states still facing higher death rates than those living in other parts of the country."
And, "even though Americans can expect to live longer than their parents, life expectancy in the" US "is still lower than in many other industrialized countries, including Canada and Japan. Even so, the "dramatic improvements in the health of Americans over the last 20 years" will "have unforeseen effects on the country. The Social Security and Medicare "programs weren't designed to support people for that long."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Overall, the 2007 data "show continued improvements in life expectancy for all Americans, although women are faring better than men, and whites fare better than other racial groups" by a "race differential" of about "4.6 years." But, even amid this progress, vast geographical discrepancies remain -- with people in southern states still facing higher death rates than those living in other parts of the country."
And, "even though Americans can expect to live longer than their parents, life expectancy in the" US "is still lower than in many other industrialized countries, including Canada and Japan. Even so, the "dramatic improvements in the health of Americans over the last 20 years" will "have unforeseen effects on the country. The Social Security and Medicare "programs weren't designed to support people for that long."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Saturday, April 23, 2011
Concerned About Switching From A Brand Name To A Generic?
For many people, generic drugs work very well. But if you are concerned about switching from a brand name to a generic, or among different generics, then you need to keep tabs on your meds and how they are affecting you.
Here’s some guidance:
1. KEEP THE PACKAGING If you take a generic medication or are switched to one, keep the label.
Most state laws require that the manufacturer’s name be on the label, according to Kathleen Jaeger, chief executive of the Generic Pharmaceutical Association.
If the label does not state the name of the maker, ask your pharmacist to add it or write it down for you. You can also look up the pill at Drugs.com or RxList.com (click on pill identifier) to find the maker.
2. KEEP A DIARY Or at least make notes about any side effects you experience when taking a new drug.
Generic drugs are allowed to contain different inactive ingredients from the brand drug — like flavors, fillers and dyes — which could potentially cause side effects.
3. BE CHOOSY If one generic version works better than another, shop around for it.
“Don’t assume your pharmacist will continue to carry a specific product indefinitely,” said Joe Graedon, who runs a consumer advocacy Web site, the People’s Pharmacy (peoplespharmacy.com). “Call ahead and ask.”
4. ENLIST YOUR DOCTOR If you are convinced that only the brand name of a drug works for you, discuss the issue with your doctor.
You can ask him or her to write “DAW” — dispense as written — on your prescription. This will usually ensure that the pharmacist gives you exactly what the doctor ordered.
If your insurer balks, ask your doctor to make a phone call for you or write a letter explaining why only the brand name is appropriate for you. Sometimes this actually works.
5. REPORT PROBLEMS If you do have side effects or reactions to a specific drug, tell your doctor and then report it to the Food and Drug Administration’s MedWatch Web site and post a message on the People’s Pharmacy Web site.
If enough people complain about a specific medication, there’s a good chance the F.D.A. or an independent group will investigate it.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Here’s some guidance:
1. KEEP THE PACKAGING If you take a generic medication or are switched to one, keep the label.
Most state laws require that the manufacturer’s name be on the label, according to Kathleen Jaeger, chief executive of the Generic Pharmaceutical Association.
If the label does not state the name of the maker, ask your pharmacist to add it or write it down for you. You can also look up the pill at Drugs.com or RxList.com (click on pill identifier) to find the maker.
2. KEEP A DIARY Or at least make notes about any side effects you experience when taking a new drug.
Generic drugs are allowed to contain different inactive ingredients from the brand drug — like flavors, fillers and dyes — which could potentially cause side effects.
3. BE CHOOSY If one generic version works better than another, shop around for it.
“Don’t assume your pharmacist will continue to carry a specific product indefinitely,” said Joe Graedon, who runs a consumer advocacy Web site, the People’s Pharmacy (peoplespharmacy.com). “Call ahead and ask.”
4. ENLIST YOUR DOCTOR If you are convinced that only the brand name of a drug works for you, discuss the issue with your doctor.
You can ask him or her to write “DAW” — dispense as written — on your prescription. This will usually ensure that the pharmacist gives you exactly what the doctor ordered.
If your insurer balks, ask your doctor to make a phone call for you or write a letter explaining why only the brand name is appropriate for you. Sometimes this actually works.
5. REPORT PROBLEMS If you do have side effects or reactions to a specific drug, tell your doctor and then report it to the Food and Drug Administration’s MedWatch Web site and post a message on the People’s Pharmacy Web site.
If enough people complain about a specific medication, there’s a good chance the F.D.A. or an independent group will investigate it.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Monday, February 28, 2011
RISKY HUMAN GROWTH HORMONE USE
H.G.H. is among the drugs prescribed some doctors to athletes.
The United States, however, determined that potential harm from H.G.H. is so great that federal law puts it in an unusual category of drugs that doctors cannot prescribe for unapproved, or off-label, uses. (No such ban exists in Canada.)
Its approved uses are not conditions common among professional athletes: it can be used in children with severe growth problems, H.I.V. patients may receive it if they have muscle wasting, and it can be prescribed to offset exceptional weight loss in people who have had much of their small intestine surgically removed.
Physicians and medical researchers who have studied people with medical conditions that lead to growth hormone overproduction said that available evidence suggested that athletes who cheat by using costly" human growth hormone (HGH) as a performance-enhancing drug may "simply wind up" exposing themselves to "cardiovascular problems, an increased risk of diabetes, arthritis, carpal tunnel syndrome, glucose intolerance, colon polyps, skin growths, excessive sweating," and "serious headaches," as well as "abnormal bone growth in the face, head, hands, and feet," and possibly even cancer.
Growth hormone does not act directly. Instead it prompts the body to produce insulin-like growth factor 1, or I.G.F.-1, which then triggers growth. The overwhelming majority of I.G.F.-1 is produced by the liver and delivered through the blood stream. Evidence shows, however, that growth hormone can prompt local I.G.F.-1 production in other cells of the body
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
The United States, however, determined that potential harm from H.G.H. is so great that federal law puts it in an unusual category of drugs that doctors cannot prescribe for unapproved, or off-label, uses. (No such ban exists in Canada.)
Its approved uses are not conditions common among professional athletes: it can be used in children with severe growth problems, H.I.V. patients may receive it if they have muscle wasting, and it can be prescribed to offset exceptional weight loss in people who have had much of their small intestine surgically removed.
Physicians and medical researchers who have studied people with medical conditions that lead to growth hormone overproduction said that available evidence suggested that athletes who cheat by using costly" human growth hormone (HGH) as a performance-enhancing drug may "simply wind up" exposing themselves to "cardiovascular problems, an increased risk of diabetes, arthritis, carpal tunnel syndrome, glucose intolerance, colon polyps, skin growths, excessive sweating," and "serious headaches," as well as "abnormal bone growth in the face, head, hands, and feet," and possibly even cancer.
Growth hormone does not act directly. Instead it prompts the body to produce insulin-like growth factor 1, or I.G.F.-1, which then triggers growth. The overwhelming majority of I.G.F.-1 is produced by the liver and delivered through the blood stream. Evidence shows, however, that growth hormone can prompt local I.G.F.-1 production in other cells of the body
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Sunday, February 20, 2011
Stuttering may have "strong" genetic component
While environmental factors and stress can play roles in stuttering, new research provides further evidence of a strong genetic component." Led by geneticist Dennis Drayna, PhD, at the National Institute on Deafness and Other Communication Disorders and reporting in the New England Journal of Medicine, researchers "have discovered the first genes linked to stuttering -- a complex of three mutated genes that may be responsible for one in every 11 stuttering cases, especially in people of Asian descent." "The takeaway message of this is stuttering is not a social or emotional disorder. ... It is not the fault of a bad parent, or unwilling child. It is a serious disorder and worthy of treatment."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Friday, February 4, 2011
Hospitals Continue To Leave Foreign Objects Inside Patients
"Utah hospitals continue to mistakenly leave equipment such as sponges inside patients -- many of them women undergoing obstetrical or gynecological surgeries," according to data "on 'sentinel events'" released by the Utah state health department and the state hospital association. Notably, "out of 101 sentinel events reported in 2009 -- up from 80 reported in 2008 -- 58 were related to surgery," which "could include performing the wrong surgery on the wrong patient, death during surgery, and retention of foreign objects." Sponges -- large pieces of gauze used to stop or absorb bleeding -- are the most common items left inside patients because they can be hard to spot after surgery."
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Tuesday, January 11, 2011
10 Tips on Dietary Fiber
10 Tips on Dietary Fiber
1. Keep in mind that a high-fiber diet may tend to improve:
• Chronic constipation
• Coronary heart disease
• Hemorrhoids
• Diabetes mellitus
• Diverticular disease
• Elevated cholesterol
• Irritable bowel syndrome
• Colorectal cancer
2. Try to double your daily fiber intake.
• Average American intake: 10-15 grams per day
• Recommended intake: 20-35 grams per day
3. Understand what fiber is, where it comes from:
• Insoluble fiber
• Cereals
• Wheat/wheat bran
• Whole grains
• Soluble fiber
• Brans
• Fruit
• Oatmeal/oat bran
• Psyllium
• Vegetables
4. Substitute high-fiber foods for high-fat and low-fiber foods.
5. Keep your daily fiber intake stable. Consider a fiber supplement if you:
• Travel
• Eat away from home often
• Find it difficult to get enough fiber through food choices alone
6. Don't shock your system: Increase fiber levels in your diet gradually.
7. Always increase fluids (water, soup, broth, juices) when you increase fiber.
8. Add both soluble and insoluble fiber, from a variety of sources.
9. Compare fiber content of foods:
Grams of Fiber
1 cup of Rice Krispies® 1
1/3 cup of 100% Bran® 9
1 slice of white bread 0.5
1 slice of whole wheat bread 1.4
1/2 cup white rice 0.5
1/2cup brown rice 1.5
Bowl of chicken broth 0
Bowl of thick vegetable (minestrone) soup 1
1. Choose foods high in fiber content.
Fruits and Vegetables
Highest in Fiber Per Serving
Fruits
Artichokes
Apples, pears (with skin)
Berries (blackberries, blueberries, raspberries)
Dates
Figs
Prunes Vegetables
Beans (baked, black, lima, pinto)
Broccoli
Chick-peas
Lentils
Parsnips Peas
Pumpkin
Rutabaga
Squash (winter)
Other Good Fiber Choices
Barley
Bread, Muffins (whole wheat, bran)
Cereals (branflakes, bran, oatmeal, shredded wheat)
Coconut
Crackers (rye, whole wheat)
Nuts (almonds, Brazil, peanuts, pecans, walnuts)
Rice (brown)
Seeds (pumpkin, sunflower)
Eating high-fiber foods is a healthy choice for most people. If you have ever received medical treatment for a digestive problem, however, it is very important that you check with your doctor to find out if a high-fiber diet is the right choice for you.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
1. Keep in mind that a high-fiber diet may tend to improve:
• Chronic constipation
• Coronary heart disease
• Hemorrhoids
• Diabetes mellitus
• Diverticular disease
• Elevated cholesterol
• Irritable bowel syndrome
• Colorectal cancer
2. Try to double your daily fiber intake.
• Average American intake: 10-15 grams per day
• Recommended intake: 20-35 grams per day
3. Understand what fiber is, where it comes from:
• Insoluble fiber
• Cereals
• Wheat/wheat bran
• Whole grains
• Soluble fiber
• Brans
• Fruit
• Oatmeal/oat bran
• Psyllium
• Vegetables
4. Substitute high-fiber foods for high-fat and low-fiber foods.
5. Keep your daily fiber intake stable. Consider a fiber supplement if you:
• Travel
• Eat away from home often
• Find it difficult to get enough fiber through food choices alone
6. Don't shock your system: Increase fiber levels in your diet gradually.
7. Always increase fluids (water, soup, broth, juices) when you increase fiber.
8. Add both soluble and insoluble fiber, from a variety of sources.
9. Compare fiber content of foods:
Grams of Fiber
1 cup of Rice Krispies® 1
1/3 cup of 100% Bran® 9
1 slice of white bread 0.5
1 slice of whole wheat bread 1.4
1/2 cup white rice 0.5
1/2cup brown rice 1.5
Bowl of chicken broth 0
Bowl of thick vegetable (minestrone) soup 1
1. Choose foods high in fiber content.
Fruits and Vegetables
Highest in Fiber Per Serving
Fruits
Artichokes
Apples, pears (with skin)
Berries (blackberries, blueberries, raspberries)
Dates
Figs
Prunes Vegetables
Beans (baked, black, lima, pinto)
Broccoli
Chick-peas
Lentils
Parsnips Peas
Pumpkin
Rutabaga
Squash (winter)
Other Good Fiber Choices
Barley
Bread, Muffins (whole wheat, bran)
Cereals (branflakes, bran, oatmeal, shredded wheat)
Coconut
Crackers (rye, whole wheat)
Nuts (almonds, Brazil, peanuts, pecans, walnuts)
Rice (brown)
Seeds (pumpkin, sunflower)
Eating high-fiber foods is a healthy choice for most people. If you have ever received medical treatment for a digestive problem, however, it is very important that you check with your doctor to find out if a high-fiber diet is the right choice for you.
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
Wednesday, December 15, 2010
10 Tips on Constipation and Incontinence of Stool
1.Despite widespread belief, constipation is not necessarily a part of growing older.
2.Bowel habits are similar in both younger and older healthy people.
3.Constipation is defined as stools that are:
Too small
Too hard
Too difficult to pass
Infrequent (less than 3 per week)
4.Constipation is caused by:
Not enough dietary fiber or fluids
Medication side effects
Emotional or physical stress
Misconception about normal bowel habits
Lack of activity
Medical problems
5.How to manage mild-to-moderate constipation:
Gradually add dietary fiber from variou sources
Increase fluids (water, soup, broth, juices)
Eat meals on a regular schedule
Chew your food well
Gradually increase daily exercise
Respond to urges to move your bowels
Avoid straining
See your doctor if these measures don't work
6.Dietary therapy (increased fiber and fluids) and fiber supplements are the preferred treatment for chronic constipation.
7.In some cases, your doctor may recommend the use of stool softeners.
8.Use of mineral oil or stimulant laxatives regularly, consult your doctor to make sure what you are using is right for you.
9.Incontinence of stool or fecal soiling is most often due to leakage around a fecal impaction. Removing the impaction will usually restore continence.
10.Incontinence of stool in healthy older people deserves full education and treatment. Treatment options include:
Adjustment in dietary fiber to reduce amount of stool
Medications to decrease stool frequency
Prescribed use of enemas (not soap enemas)
Biofeedback training
Surgery to restore anal function
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
2.Bowel habits are similar in both younger and older healthy people.
3.Constipation is defined as stools that are:
Too small
Too hard
Too difficult to pass
Infrequent (less than 3 per week)
4.Constipation is caused by:
Not enough dietary fiber or fluids
Medication side effects
Emotional or physical stress
Misconception about normal bowel habits
Lack of activity
Medical problems
5.How to manage mild-to-moderate constipation:
Gradually add dietary fiber from variou sources
Increase fluids (water, soup, broth, juices)
Eat meals on a regular schedule
Chew your food well
Gradually increase daily exercise
Respond to urges to move your bowels
Avoid straining
See your doctor if these measures don't work
6.Dietary therapy (increased fiber and fluids) and fiber supplements are the preferred treatment for chronic constipation.
7.In some cases, your doctor may recommend the use of stool softeners.
8.Use of mineral oil or stimulant laxatives regularly, consult your doctor to make sure what you are using is right for you.
9.Incontinence of stool or fecal soiling is most often due to leakage around a fecal impaction. Removing the impaction will usually restore continence.
10.Incontinence of stool in healthy older people deserves full education and treatment. Treatment options include:
Adjustment in dietary fiber to reduce amount of stool
Medications to decrease stool frequency
Prescribed use of enemas (not soap enemas)
Biofeedback training
Surgery to restore anal function
Please remember, as with all our articles we provide information, not medical advice. For any treatment of your own medical condition you must visit your local doctor, with or without our article[s]. These articles are not to be taken as individual medical advice.
Deepen your understanding of "medical malpractice"... www.MedMalBook.com
For more health info and links visit the author's web site www.hookman.com
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