Working overtime can increase coronary artery disease risk

Posted by: admin on: August 23, 2011

British civil servants working three to four hours longer than usual per day appear to have an increased risk of having a coronary heart disease event, a prospective cohort study showed.

After accounting for traditional cardiovascular risk factors and other variables, those working 11 to 12 hours per day had a 56 percent greater risk of coronary death, nonfatal myocardial infarction, or angina than those who worked normal hours, according to Marianna Virtanen, PhD, of the Finnish Institute of Occupational Health in Helsinki, and colleagues.

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In it, the liberal sociologist citied a recent nutritional study that found 8 out of 10 Americans who try to lose weight fail. So in Etzioni’s mind, “all the hoopla about dieting” only diverts resources “from the one group in which healthy eating, especially if combined with exercise, can make a significant difference – children, the younger the better.” His message: adults should simply give in on obesity and move on to the next generation.

How individuals – and policymakers – react to claims like these is important to the future of the United States.
Obesity is a financial epidemic, since the collateral damage from obesity is driving health care costs out of control. Obesity is an economic epidemic, since a heavier workforce is a less competitive, less productive workforce. Obesity is a national security epidemic, since it cuts down America’s potential pool of military recruits before America’s future enemies have even fired a shot. Obesity is a tragic epidemic, since it shortens lives and crushes the self-esteem of millions of decent people.

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By law, the US Department of Agriculture (USDA) Dietary Guidelines for Americans are reviewed and updated every 5 years to keep our health moving forward. They are addressing a nation where most of us are undernourished when it comes to several key nutrients.

Meanwhile, most of us are overweight or obese. The childhood obesity epidemic has taken center stage, putting pediatricians and family practitioners on the frontlines of one of our nation’s most pressing health concerns.

Read more: http://www.medscape.com/viewarticle/737199?src=mp&spon=17

Assessment of clinical skills in medical practice.

Posted by: admin on: August 22, 2011

The introduction of a clinical skills examination (CSE) to Step 2 of the U.S. Medical Licensing Examination (USMLE) has focused attention on the design and delivery of large-scale standardized tests of clinical skills and raised the question of the appropriateness of evaluation of these competencies across the span of a physician’s career.

This initiative coincides with growing pressure to periodically assess the continued competence of physicians in practice. The USMLE CSE is designed to certify that candidates have the basic clinical skills required for the safe and effective practice of medicine in the supervised environment of postgraduate training.

Read more:  http://www.ncbi.nlm.nih.gov/pubmed/14528790

Adolescents and young adults are neither children nor adults and those affected by cancer require targeted care that crosses the boundaries between pediatric and adult oncology, according to several pioneers in this still-developing field of adolescent and young adult oncology.

An illuminating roundtable discussion by these experts will be published in the premier issue of Journal of Adolescent and Young Adult Oncology, a multidisciplinary peer-reviewed publication of Mary Ann Liebert, Inc. (www.liebertpub.com). The Roundtable has been published ahead of the print issue and is available at www.liebertpub.com/JAYAO. The full issue will launch in April 2011.

 

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