We are no longer surprised when a patient is asked if they take their blood pressure medicines every day, and we are told “it depends.”
This can not only be amusing, but frustrating to the physician attempting to achieve blood pressure control in order to reduce the risk of heart disease and stroke, among other conditions.
Now British physicians have published a study in The Lancet.

Their study, Telemonitoring and Self-Management in the Control of Hypertension (TASMINH2) was reported in July. They showed for the first time that patients adjusting their medications according to rules specified by their physicians could do a better job of controlling blood pressure. This study was well designed, and included several key elements.

Read more: http://www.kevinmd.com/blog/2010/11/patients-adjusting-medications-controlling-blood-pressure.html

 

A structured, supervised exercise program effectively improves HbA1c levels and the cardiovascular risk profile of individuals with diabetes mellitus, a new study shows [1].

The exercise program, a twice-weekly, facility-based regimen that included aerobic exercise, resistance training, and counseling was significantly better at improving HbA1c levels and cardiovascular risk factors than a treatment regimen that only counseled physical activity.

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The physical examination of the head and neck is both simple and challenging. Simple, in that even children are familiar with the shape of the face, the sheen of the eye, the curve of the ear, and the texture of the tongue. Challenging, because when complicated, interlacing structures malfunction, they send mixed and subtle messages.

Last month, over 200 second-year medical students descended on the ENT clinic for an afternoon. We supplied lights, ear specula and tongue depressors. They supplied the energy and curiosity as they practiced peeking in each other’s ears and throats. Some brought along their brand new $400 otoscopes. Most will never spend another minute working with me or my colleagues to learn the head and neck examination.

Is the physical exam even important anymore?

Read more: http://www.kevinmd.com/blog/2011/03/physical-exam-head-neck-simple-challenging.html

FDA Clearance for Portable Ventilator

Posted by: admin on: August 19, 2011

Breathe Technologies Inc., a manufacturer of innovative technology solutions for people with respiratory conditions, including chronic obstructive pulmonary disease (COPD), has received FDA clearance for use of the Breathe Technologies BT-V2S ventilator in the home setting. The one-pound portable device provides ventilation assistance to aid select adult patients who suffer from respiratory insufficiency.

Read more: http://www.onlinetmd.com/medical-device-design-manufacturing-breathe-technologies-fda-clearance-030911.aspx

NAMI Family Guide on Adolescent Depression

Posted by: admin on: August 18, 2011

The National Alliance on Mental Illness (NAMI) has published an updated and expanded edition of What Families Need to Know About Adolescent Depression, a guide for families on diagnosis and treatment for teenagers with depression.

“It is important that parents and children engage in dialogue to create an open and honest environment where mental health issues are discussed and treated just like any other health risks,” NAMI Executive Director Michael J. Fitzpatrick, MSW, said in a prepared statement.

“Communication is imperative,” Mr. Fitzpatrick added.

Read the rest of this entry »

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