Institute of Medicine guidelines for weight gain in pregnancy
Posted by: admin on: April 30, 2011
The Institute Of Medicine is widely recognized as setting guidelines for pregnancy. The last time they revised their estimates was in 1990.
Figure out the Body mass index (BMI). It doesn’t directly measure the fat, but research has shown BMI correlates with accurate measurements of body fat.
a.If BMI is less than 18.5= Underweight
b.BMI is 18.5 to 24.9= Normal or healthy
c.BMI is 25.0 to 29.9= Overweight
d.BMI is 30.0 or higher= Obese
Read the rest of this entry »
Menopause and cancer: What women should know
Posted by: admin on: April 30, 2011
Menopause often brings more than physical changes. It also may bring uncertainty about cancer risks and cancer prevention.
How does menopause affect a woman’s cancer risk?
Menopause does not cause cancer. But your risk of developing cancer increases as you age. So women going through menopause have a greater chance of developing cancer because they’re older.
Lap band surgery availability widened
Posted by: admin on: April 30, 2011
CBS News Medical Correspondent Dr. Jennifer Ashton, who conducted a year of obesity surgery research in her career, said on “The Early Show” she’s not surprised by the new guidelines.
She explained, “(The guidelines) have to do with the criteria under which patients are eligible for obesity surgery. In the past, if patients needed to be obese with a BMI or body mass index of 35 to 40. Now, they’ve lessened that number so they’re including patients with a body mass index of 30 to 40, with one other obesity-related illness like diabetes or high blood pressure, thereby including an additional 26 million people under the potential surgical candidates’ category.”
But Ashton advised any time you consider surgery, there are risks and benefits.
Read more: http://www.cbsnews.com/stories/2011/02/18/earlyshow/main20033327.shtml
Norfolk doctor contributes to new tonsillectomy guidelines
Posted by: admin on: April 29, 2011
More than half a million children under 15 in the United States go under the knife each year to have their tonsils removed. As such, it’s one of the most common surgical procedures. It’s not a totally benign procedure — the bleed rate is 5 percent or a few tens of thousands — and obviously, the more often it’s done, the more chance for complications.
Key recommendations include a watch-and-wait policy, only considering doctor-documented infections, and advising against the routine giving of antibiotics for recovery.
The vast majority of tonsillectomies in children are now performed for sleep apnea and not for recurrent infections. Pediatric sleep apnea is common and can affect both daytime behavior and cognition. In adults the procedure may be undertaken for chronic bad breath, tonsillitis, recurrent sore throats and suspicion of cancer. At one time, it was accepted practice to perform tonsillectomies on whole families at a time.
Patients With Diabetes Have Alternatives to Rosiglitazone, Experts Say
Posted by: admin on: April 28, 2011
Clinicians do not lack for alternative therapies if patients with type 2 diabetes ask to be switched from rosiglitazone (Avandia, GlaxoSmithKline) to another glucose-lowering medication, according to the American Diabetes Association (ADA) and 2 other expert groups. The drug is again under increased scrutiny over cardiovascular risks.
Dr. Bergenstal, who also is executive director of the International Diabetes Center at Park Nicollet Health Services in St. Louis Park, Minnesota, said published clinical algorithms can guide physicians in selecting the right drug or combination of drugs. Such algorithms, he said, take into account factors such as efficacy, the risk for hypoglycemia, weight gain, and other adverse effects, as well as cost.
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