How obesity is like alcoholism
Posted by: admin on: August 25, 2011
Obesity is often progressive and fatal. Most people, let alone those struggling with obesity, experience progressive weight gain over time.
Sometimes periods of rapid weight gain are followed by periods of weight stability or even weight loss, but in the long term, no one with obesity would carry their excess weight had they not progressively gained it over time (and often continue to do so).
And yes, obesity is no doubt fatal. This may not seem as obvious as in the case of the alcoholic who dies of liver cirrhosis or totals his car (and himself) whilst DIU, but when you start looking at the many ways in which obesity can kill you, from heart attacks to cancer, there is no doubt that obesity is fatal (often after ruining most of your life first – another similarity to alcoholism).
Read more: http://www.kevinmd.com/blog/2011/03/obesity-alcoholism.html
Why family medicine and internal medicine should not merge
Posted by: admin on: August 24, 2011
New internists are avoiding primary care assiduously. Internal medicine residency provides abundant options for its graduates. We can understand the forces driving subspecialty choice through simple observation over the years.
Family medicine training provides a broad overview of medicine, pediatrics, ob-gyn, sports medicine, psychiatry, etc. Internal medicine training provides depth in adult medicine. While family medicine and internal medicine represent overlapping Venn diagrams, they have major and important differences. They need not merge. We should learn from each other, but continue to celebrate our differences.
Read more: http://www.kevinmd.com/blog/2010/08/family-medicine-internal-medicine-merge.html
Implementing Guidelines and Evidence-Based Medicine to Reduce the Risk for Osteoporotic Fractures
Posted by: admin on: August 24, 2011
Osteoporosis is a bone disorder characterized by low bone density, impaired bone architecture, and compromised bone strength that predisposes people to increased fracture risk.
Osteoporosis is a major health concern worldwide and for many Americans 50 years of age and older. The prevalence of osteoporosis rises dramatically with age. It has been estimated that the risk for fracture doubles every 7 or 8 years after 50 years of age.
Any fracture besides those of the fingers, toes, face, and skull can be due to osteoporosis. The majority of osteoporotic-related fractures are considered low trauma due to a fall from standing height or less or with minimal to no trauma; however, high-trauma nonspinal fractures are also more common in the elderly with osteoporosis.
Osteoporotic fractures contribute to increased costs and increased morbidity and mortality. Fractures of the hip and spine have been associated with reduced rates of survival.
Read more: http://www.medscape.org/viewarticle/739557_2
FDA Drug Safety Communication: New warnings against use of terbutaline to treat preterm labor
Posted by: admin on: August 24, 2011
The U.S. Food and Drug Administration (FDA) is warning the public that injectable terbutaline should not be used in pregnant women for prevention or prolonged treatment (beyond 48-72 hours) of preterm labor in either the hospital or outpatient setting because of the potential for serious maternal heart problems and death.
Terbutaline is approved to prevent and treat bronchospasm (narrowing of airways) associated with asthma, bronchitis, and emphysema. The drug is sometimes used off-label (an unapproved use) for acute obstetric uses, including treating preterm labor and treating uterine hyperstimulation. Terbutaline has also been used off-label over longer periods of time in an attempt to prevent recurrent preterm labor.
Although it may be clinically deemed appropriate based on the healthcare professional’s judgment to administer terbutaline by injection in urgent and individual obstetrical situations in a hospital setting, the prolonged use of this drug to prevent recurrent preterm labor can result in maternal heart problems and death.
Read more: http://www.fda.gov/Drugs/DrugSafety/ucm243539.htm
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